Report: Building-Wide Issues | Individual Apartment Issues Individual Apartment Report The Shalom Tenants Alliance needs your help in documenting patterns of reduced services, defects, and other issues in individual apartments in Shalom-owned and managed buildings. Please provide as much detail as you can (required fields are highlighted in green and marked with an asterisk (*). Which apartment would you like to tell us about? Number*:  Street*:  Apt #*: Borough* Manhattan Brooklyn Bronx Queens Staten Island Nassau Westchester Zip*: This apartment is: Select one Rent Stabilized Rent Controlled Market Rent Don't Know Not Applicable Who is the landlord? (Click here to look 'em up.) Shalom Management Company: Select one Big Apple Management Empire Management Gatsby Enterprises Keystone Properties Sky Management Don't know Manager: Owner: Is your building owner/manager registered correctly with HPD? Yes No If owner/manager is registered incorrectly, please specify: What are the current or common problem conditions in your apartment? (check all that apply) Inside Whole Apartment Painting overdue (3 years) Peeling/flaking paint Heat: inadequate none Hot water: inadequate none Inadequate water pressure Rusty water Exposed wiring Weak electrical current (lights dim) Window guards missing Missing/broken smoke/carbon monoxide detector Fumes/smoke entering apartment Vermin: rats mice roaches Entry/Hallway Inside Apartment Door defective / not self-closing Door frame broken or sagging Door lock loose or defective Peephole missing or broken No chain on door Bell not working Defective intercom Floors rotted, broken, or buckling Walls/ceilings cracked/buckling/holes Collapsed ceiling Defective electrical switches/fixtures Missing face plates on switches or fixtures Defective/broken/inoperative windows Mold Kitchen Defective stove Defective refrigerator Gas leaks Plumbing leaks Cracks/holes/rust around sink Leaking faucets Drain obstructed Defective cabinets Defective/leaking radiator Floors rotted/broken/buckling Walls/ceilings cracked/buckling/holes Collapsed ceiling Defective electrical switches/fixtures Missing face plates on switches or fixtures Defective/broken/inoperative windows Mold Bathroom Defective appliances: sink bathtub shower toilet Missing or cracked bathroom tile Leaking faucets Drain obstructed Plumbling leaks Defective/leaking radiator Floors rotted/broken/buckling Walls/ceilings cracked/buckling/holes Collapsed ceiling Defective electrical switches/fixtures Missing face plates on switches or fixtures Defective/broken/inoperative windows Mold   Dining Room (if any) Defective/leaking radiator Floors rotted/broken/buckling Walls/ceilings cracked/buckling/holes Collapsed ceiling Defective electrical switches/fixtures Missing face plates on switches or fixtures Defective/broken/inoperative windows Mold   Living Room / Sitting Room Defective/leaking radiator Floors rotted/broken/buckling Walls/ceilings cracked/buckling/holes Collapsed ceiling Defective electrical switches/fixtures Missing face plates on switches or fixtures Defective/broken/inoperative windows Mold   Bedrooms (#1 Main, #2, #3, #4, etc.) Defective/leaking radiator Floors rotted/broken/buckling Walls/ceilings cracked/buckling/holes Collapsed ceiling Defective electrical switches/fixtures Missing face plates on switches or fixtures Defective/broken/inoperative windows Mold   Is there anything else you'd like to tell us? Please provide your contact information We need your contact information in order to verify the information you have submitted, so as to prevent false data from entering our records. Note that we may share the information you provide with elected representatives and governmental agencies in our efforts to end the Shaloms' assault on tenants. If you prefer to remain anonymous, check the last box below. First Name:   Last Name: Email Address*:   Phone:           I would like to receive a copy of the information I am submitting at the email address I've provided above.   I would like the Shalom Tenants Alliance to contact me by Email Phone Email or Phone about the issues I am reporting. I would like to receive email notices and news from the Shalom Tenants Alliance.   I would like the Shalom Tenants Alliance to share the information I am providing with my elected representatives. I prefer to remain anonymous if the information I am providing is shared with any third party.       You can also download and fill out this form (PDF), courtesy of Metropolitan Council on Housing, for landlord notification, legal proceedings, and tenant organizing.

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