Pertinent Demolition Information
(Cover letter requesting demolition must accompany this form)
Date of this request:
Person completing this form:
(Usually the Facilities Planning Director)
University name:
Address:
Building identification number
(State-owned listing):
This is from the DGS database or (FLOC)
Building name:
Construction date:
Original use:
Present use:
Date last used:
Condition:
Number of stories:
(basement, 1, 2, 3, etc.)
Total floor area (including basement) _____________________________square feet
Total building cubeage (including basement) __________________________ square feet
Construction: a. Exterior walls __________________ b. Roof ____________________
Utilities:
(Indicate on-site or received from other source.)
(Note any unusual problems.)
Water (well, etc.):
Heat (type):
Electricity:
Reason for demolition:
Demolition work will be done by:
(University or Contract)
Estimated Cost:
Please note:
A.
Photographs must accompany this form.
B.
A map showing building location must accompany this form (8½ x 11).
Appendix VII-C-9, Page 1 of 1
Facilities Manual