Created by gemini-2.0-flash on 2025-05-08

Here's a description of the image based on the provided information:

The image is a scanned document, likely a form related to building inspections or certificates. It is printed in a brown-tan color with bold, dark brown lines defining sections. The form is titled "THIS SIDE TO BE FILLED IN 6 MONTHS AFTER ISSUANCE OF NEW BUILDING CERTIFICATE."

The form is divided into several sections:

• Building: This section includes blank spaces for information about the building, such as whether it contains a bakery, stores, halls, basements, cellar apartments, or store WC's. It also asks if the halls and apartments are heated.

• Apartments: This section has rows to record the number of apartments, rooms, and WCs (water closets) on each floor from the cellar to the 15th floor, with a final column for the total.

• Violations: A list of potential building code violations is presented, including obstructed fire passages, closets under entrance floor stairs, illegal stairs to the cellar, whether fire-proof doors self-close, a locked bulkhead door, bakery violations, and violations of Section 41.

• Rental of Apts: This section focuses on rental information, including fields to input the number of apartments rented and their rental amounts for both maximum and minimum rents, broken down by monthly and weekly rentals for front, rear, and court-facing apartments. A note indicates that stores and janitor's apartments are not included.

• Remarks: A large empty space is provided for remarks, followed by spaces for a date and signature.

• Review: The last section covers review details, with prompts to note any increase or decrease in the number of apartments and rooms, alteration plan number, alteration violation reports, fire escape violation reports, whether the matter was referred to the police, or whether no action was necessary.

There are empty spaces on the form, meant to be filled in with relevant data. Some parts of the text are followed by dotted lines, indicating spaces for handwriting.

Overall, the form appears to be a record-keeping document for building inspectors or property managers, capturing details about the building's structure, apartment layout, potential violations, and rental information.

Created by gemini-2.0-flash-lite on 2025-05-08

The image shows a vintage building inspection form. It's laid out with spaces to record information related to a building.

Key Sections:

• Header: Indicates the form is meant to be completed within 6 months of a new building certificate. There's a space for the month of each year.
• Building Information: Spaces for noting if there's a Bakery, Stores, Halls Heated, and Apartments Heated, along with specific counts for Basements/Cellar apartments and Store W.C.'s.
• Apartments Table: A grid to record apartment data:
  • Columns for Cellar, Basement, 1st story to 15th story apartments, and a "Total" column.
  • Rows to record "No. of Apts.," "No. of Rooms," and "No. of W.C.'s."
• Violations: A checklist to record specific building violations such as obstructed fire passages, stairs or doors, and other violations related to fire safety, along with space for bakery and specific violation codes.
• Rental of Apts: A table to capture rental data, including whether the apartment is rented by month or week. Also shows the rent amount with a maximum and minimum price.
• Remarks: A large space for providing detailed comments about the inspection.
• Review: spaces for notes on building changes, as well as spaces to write about an alteration and fire escape violation with a final review action. Also space for date, signature and department.

The overall design reflects a need to systematically record building characteristics, violations, and rental information for regulatory and potentially tax purposes. The style and formatting give it a historical aesthetic.