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VME -NITRO CONSULT, INC. SHEET `r oF~- <br />FIELD REPORT <br />IdJI A x..e.. a m. Nn.o Na>.I O.ow EXISTING ST/R~ UCTURAL CONDITIONS r <br />CLIENT: ~ . ~ ~ 11i1 ~ ~ ,' h /~ i. \ TOWN: S C '- /' (J l~ L ~.~ ( ; ' <br />JOB NO.: ~ (~ - ~ (7 ~~ ~ INSPECTION NO.: <br />I '. r (('' ~~ <br />DATE: ~ ~ ~' ,18_.2 SURVEY DONE: BEFORE~7 AFTER ^ DURING ^ <br />. . <br />OWNER: nCli ! r / (~ f % l ii i .I/{ L ~ (~ . <br />ADDRESS: _ I ~5 D X ~-/ '~ r'f ~ ~ / "/~ L i/ C ~~ (^? (.~~ . <br />OCCUPANT: I SAM (~ (SEE LIST ^I <br />ADDRESS: <br />OWNER'S REP.: jS I l (. ~~ ' ;L l ? ~~ !~~ <br />ADDRESS: <br />NAME OF BUILDING: W ~ Slr r // ` I' r- ~a ~~ ~ AGE OF BUILDING: r YR~ <br />TYPE OF OCCUPANCY: C '~'~ / (~ M L '~'/ ~ BASEMENT: VES ^ NO <br />i <br />LENGTH ~ FT. WIDTH ~On FT. HEIGHT FT. NUMBER OF STORIES %~''' r <br />TRUCTURAL FRAME: M ~ l /L ~ r3 L L7 ~- Good Avp. Poor <br />FOUNDATION: CONCRETE~CONCRETEBLOCKS ^ BRICK ^ OTHER ^ ^ ~ ^ <br />racT~RwaxaAU.s:... ~3 I U 1) C ~~ i2 y C /C ^ ^ ^ <br />ROOF: <br />LOT SLOPE <br />BUILDING SETTLEMENT: <br />EROSION NEAR FOUNDATION WALL <br />YES ^ <br />MAINROOF: ~, DRAINAGE ADEQUATE <br />N ^ S ^ <br />BUILDING FACES: E ^ W ^ _ <br />ACCOMPANIED BV: (REP. SIGNATURE) _ <br />^ ^ <br />NO ~' <br />i <br />N W <br />E O.K. ~~_ <br />S <br />REFUSED TO SIGN ^ <br />INSPECTOR: ~ C~k2 ~~.C. APPROVED 8Y: <br />PICTURES <br />" KEV OP 3VMBOLS~ <br />CRACK - <br />NAIL POP-NP <br />HAIRLINE - NL ' <br />BU I LDIN4 - BLD <br />SUSPENDED TILE - ST <br />ACOUSTIGL TILE - AT <br />NNYL TILE - VT <br />WOOD - wD <br />NO <br />YES ^ NO ^ <br /> <br />YES ^ <br />WALL ALIGNMENT: <br />SEPARATION - SEP <br />BAD SEAM - BS <br />UNLEV EL CEI LINO - UC <br />CONCRETE BLOCK -CONC. BL <br />BRICK - BK <br />PANELING - PL <br />WALLPAPER - WP <br />b / - ~. <br />//3 //¢ <br />UNLE V EL FLOORS - OF <br />BENT WALL - BW <br />. SHEETROCK - SR <br />URPET - C <br />FOUNDATION - FDN <br />BROKEN GLASS - BG <br />WATER STAINS - WS <br />~r ~ ~~ <br />PLASTER - P <br />FIBERBOARD-FB <br />CONCRETE -CONC. <br />CRATING - CR <br />SPALLING - SPL <br />PEEUHG PAINT - PP <br />