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VME -NITRO CONSULT, INC. SHEET ~ OF :> <br />FIELD REPORT <br />I~ w M.n4w el one Nn.o Neal bow EXISTING STRUCTURAL CONDITIONS <br />r ~ , <br />CLIENT: ~ , pC L , _ /~'! i/V (,"/) ( C TOWN: ~ l" ( Ji~:~~/~ ~.,, <br />JOB NO.: D / J ((~~ "~~" O!~ ~ ,} INSPECTION NO.: <br />DATE: /~' ~ ~ , 19_._~ SURVEY DONE: BEFORE ~1 AFTER ^ DURING ^ <br />OWNER: ~~D R ~ // (~ S % f: i... i~ ;f~ ~ / \ ~ ] . <br />ADDRESS: ~~ ~~ (' ~ ~ (~ ~ l - F (n is (~,/ C c' ~ ~' (, ~ <br />r <br />OCCUPANT: ~C) /`~ L=- (SEE LIST ^) <br />ADDRESS: nn <br />OWNER'S REP.: ~ ') ~ 1. L I~` ~ ~ i~l ~i ~_I <br />ADDRESS: <br />NAME OF BUILDING:_ ~ ~~/ C/~ C / ~ / I b n i ifI n~/~ AGE OF BUILDING: <br />TYPE OF OCCUPANCY: C (~ ( l l ~"~ ^~" l i OZ'S h ~ ~ BASEMENT: YES ^ <br /> <br />LENGTH FT. WIDTH FT. HEIGHT FT. NUMBER OF STORIES <br />TRUCTURAL FIRAME: Go`o!d <br />FOUNDATION: CONCAETE~CONCRETE BLOCKS ^ BRICK ^ OTHER ^ <br />EXTERIOR WALLS: /^` <br />_ YRS. <br />NO ^ <br />!~ .L ~ 1- <br />Avp. <br />Poor <br />ROOF: ^ ^ ^ <br />LOT SLOPE EROSION NEAR FOUNDATION WALL: YES ^ NO~ <br />BUILDING SETTLEMENT: YES ^ NO ~ WALL ALIGNMENT: N W _ <br />MAINROOF: i pRAINAGE ADEQUATE YES ^ NO ^ E O.K. <br />N ^ S ^ <br />BUILDING FACES: E ^ W ^ <br />ACCOMPANIED BY: (REP. SIGNATUREI <br />~I REFUS9EnD TQO SIGN ^ <br />INSPECTOR: ~~•'//~(~' ~y,.~ <br />~ i <br />PICTURES I r <br />KEY OF SYMBOL3~ <br />:RACK - <br />NAIL POP- NP <br />HAIRLINE - NL <br />8V 4LDIN0 - BLD <br />SUSPENDED TILE - ST <br />ACOUSDCAL TILE - AT <br />NNYL TILE - VT <br />WOOD- WD <br />SEPARATION - SEP <br />BAD SEAM - BS <br />UNLEV EL CEILING - UC <br />CONCRETE BLOCK -CONC. BL <br />BRICK - BK <br />PANELING - PL <br />WALLPAPER - WP <br />APPROVED BY: <br />/^ l/I S~ <br />V NLE V EL FLOORS - V F <br />BENT WALL - BW <br />SHEET ROCK - SR <br />GRP£T - C <br />FOUNDATION - FDN <br />BROKEN GU55 - BG <br />WATER STAINS - V/S <br />S <br /> <br />~,1 <br />PLASTER - P <br />FIRE RBOARO - FB <br />CONCRETE -CONC. <br />CRAZING - CR <br />SPALLING - SPL <br />PEELOiG PAINT - PP <br />)I I 1'~1 <br />