FILE NAME & EXT.
DEF-FORM
O
F
SHEET
O
F
DRAWING
PROJECT No.
W ALKS AND DRIVES IN GOOD CO N DITION ?
ISTH ERE EVIDEN CE OF W ATER D AM AG E
OR IN FILTR ATION IN TO BUILDING ?
S06
S07
IN PLACE /FUN CTIONAL ?
PEN ETR ATION S O .K.?
GUTTERS PRO PER LY M AIN TAIN ED ?
BUILDING
CONDITION SURVEY FORMS
M ISC./OT H ER
ROOF
FREE OF DR Y ROT -EVIDEN CE OF TER M ITES?
FREE OF EVIDEN CE OF LEAKS?
ATTIC IN SULA TION ? TYP E & TH ICKN ESS ?
JOISTS AND R AFTERS O .K.?
ATTIC VEN TLATION ADE Q UA TE?
VEN TS & OT H ER ROOF
ROOFI NG CO N DITION O .K.?
PRO PER LY IN STALLED ?
ISRIDG E LIN E STR AIG H T W ITH NO EVIDEN CE
OF EXCESSIVE SETT LEM EN T/DEF LECTION ?
S35
S36
S37
S38
S39
S40
S41
S42
S43
ROOFI NG TYP E:
S34
ROOF SYSTEM & ATTIC SPACE
M ISC./OT H ER
SM O KE DETECTORS
ARE IN TERIOR DOORS O .K.?
ARE M EAN S OF EG RESS ADE Q UA TE?
UN -O BSTR U CTED AND O PER ABLE?
CO N DITION OF CEILING O .K.?
CO N DITION OF W ALLS O .K.?
UN DERF LOOR IN SUL.? TYP E & TH ICKN ESS ?
CO N DITION OF FLOORI NG O .K.?
TYP E OF FLOORI NG :
INTERIOR SPACES, FLOORS, WALLS & CEILINGS.
M ISC./OT H ER
PA IN TED OR STAIN ED SU RF ACES O .K.?
ARE DOORS PRO PER LY C AUL KED
AN D W EATH ERSTRIPP ED ?
CO N DITION OF DOORS ?
DOOR TYP E:
ARE W IN DO W S PRO PER LY C AUL KED
AN D W EATH ERSTRIPP ED ?
ARE W IN DO W S O PER ATIONAL /FUN CTIONAL ?
ARE W IN DO W SCREE N S IN PLACE ?
CO N DITION OF W IN DO W S?
W IN DO W TYP E:
TRIM PIECES? GOOD CO N DITION ?
SIDING W EATH ERTIG H T/G OOD CO N DITION ?
EXTERIOR W ALL FIN ISH ?
EXTERIOR WALLS, DOORS & WINDOWS.
M ISC./OT H ER
S33
S30
S31
S32
S29
S24
S25
S26
S27
S28
S22
S23
S21
S19
S20
S18
S11
S12
S13
S14
S15
S16
S17
FREE OF DR Y-ROT & TER M ITE EVIDEN CE ?
SILLS PRO PER LY FASTE N ED TO CO N C .?
ARE STE PS AND R AILING S PRO PER LY
CO N STR U CTED & IN GOOD CO N DITION ?
S05
S08
S09
S10
ANY CR AC KING ,SPALLING OR SIGN S OF
SETT LEM EN T?
DR AINAG E AW AY FRO M BUILDING O .K.?
CR AW LSPA CE VEN TILATION ADE Q UA TE?
W OOD TO EART H C LEAR AN CE ADE Q UA TE?
S04
S01
S02
S03
ITEM : DESCRI PTION :
FD N.?
APPROVED:
DRAWING
DESIGN
DATE
G.W.GIBBONS
G.W.GIBBONS
CR AW L?
DIRECTOR, ENGINEERING
CHECK:
BY:
CHECK:
BY:
N /A N OTE orCO MM EN T:
YEAR BUILT:
SITE:
YES N O
BLD G. NO .:
FOUNDATION, CRAWLSPACE & BASEMENT
BLD G. TYP E:
DISTRICT:
BSM N T.?
CONDITION SURVEY-BUILDING STRUCTURAL
SLAB?
SH EET:
D ATE:
IN SPECTOR:
R TM
F OR
E NT OF A GR I C U L
ES T S ERV ICE
R AISED?
EST .RE PA IR COST
ALL
U. S. Department of Agriculture
FOREST SERVICE
Intermountain Region 4 Engineering
PO LE?
of
T URE
FOREST:
DE P A