Laserfiche WebLink
• VME -NITRO CONSULT, INC. <br />FIELD REPORT <br />~~ A 1ijpi °""' ""'O Me°" O'OVp EXISTING STRUCTURAL CONDITIONS <br />CLIENT: ` ~- ~ NI ::" 1' ;' + !. `~ TOWN: c <br />., <br />SHEET I OF <br />.~ <br />r i ,~; ...,~: <br />JOB NO.. ~ • .i INSPECTION NO.: <br />DATE: ~ ~j ~ <br />' L ~~ II , 18- A I SURVEY DONE: BEFORE AFTER ^ DURING ^ <br />OWNER: ~ 1, ` C j c i. r / l <br />i ~ I l: : ~~ - ~ '~ I-~ - 1. < `J \ <br />ADDRESS: ~I~..'~C `.1.1.x'-~ t. I ,:~ r: n:: C '' i ~ ~ 1~, <br />OCCUPANT: _ ~~ Sr-1 /~'~ ~, (SEE LIST ~ <br />ADDRESS: <br />OWNER'S AEP.: ~ ____ __ <br />ADDRESS: <br />r„~c~r <br />NAME OF9tl1tB1H6r__ ~ <br />JI:.~~ I <br />f~~~~ <br />AGE OF BUILDING: <br />YRS. <br />~i'-EDP'OC9k~P~Af18'F- r` <br />~ ~ ~ I C ~ / ~ ~- fl J`- j ~~ BASEMENT: YES ^ NO ^ <br />C. <br />b,ri <br />LENGTH /• o I FT. -Wt9~1t <br />(D FT. <br />HEIGHT <br />FT. NUMBER OF STORIES <br />~ rr <br />TRUCTURAL FRAME: 1` <br />I _~ ~ <br />I ~ L ~ ~- ~-~ _ <br />S J L- ~ <br />- C-- Good Avp. <br />Poor <br />FOUNDATION: CONCRETE ^ CONCRETE BLOCKS ^ BRICK^ OTHER ^ ^ ~ ^ <br />-Ex~EmeR~a<~c+- D 1 ~ S L. 1. F ~! G L ^ ^ ^ <br />ROOF: ^ ^ ^ <br />LOT SLOPE <br />BUILDING; <br />EROSION NEAR FOUNDATION WALL: YES ^ <br />YES ^ NO ^ ~~ WALL ALIGNMENT: N <br />MAINROOF: ~pRAINAGEADEQUATE YES ^ NO ^ <br />N ^ S ^ <br />BUILDING FACES: E ^ W ^ <br />I <br />ACCOMPANIEDBi : (REP, SIGNATURE) <br />REF/U~S(7E)~D TO SIGN ^ <br />INSPECTOR: 1.. ~ •~`+~' /U~~ ~~• C <br />~ /I ~' <br />PICTURES <br />i <br />KEV OF SYMBOLSr <br />:RACK - <br />NAILFOP-NP <br />HAIRLINE- NL <br />BUILdNO-OLD ~, <br />SUSPENDED TILE - ST ~~ <br />ACOUSTICAL iKl - AT ' <br />NNYL Tltf - Vi <br />MOOD - WD <br />SEPARATION - 3EP <br />BAD SEAM - BS <br />UNLEV EL CEI LINO - UC <br />CONCRETE BLACK -CONC. BL <br />BRICK - SK <br />PANEUND - PL <br />WAL11A-ER - W/ <br />:~ <br />APPROVED BY: <br />UNLEV EL FLOORS - OF <br />BENT WALL-BW <br />SHEET ROCK-SR <br />CARPET - C <br />FOUNDATION - FDN <br />BROKEN GLASS - BG <br />WATER bTA1N3 - U/b <br />E <br />S <br />err <br />NO ^ <br />- W- <br />O.K. <br />PLASTER - P <br />FIBERBOARD - FB <br />CONCRETE -CONC. <br />CRAZMG - CR <br />SPALLING - SPL <br />PEELING PLANT - PP <br />