Vacant/abandoned Building Evaluation Form

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Date:
/
/
Building Marking
Vacant/Abandoned Building Evaluation Form
Address: ________________________________________________________________________________________
Property Name: __________________________________________________________________________________
Owner Name: ____________________________________ Telephone: ____________________________________
Owner Address: _________________________________________________________________________________
Answer each of the following questions about the building. Select multiple options, if necessary; explain response.
Draw a simple sketch of the location and explain your observations in a brief narrative.
Building Security
Secure
Open/unsecured
Signs of recent entry
Utilities
(Note Entry Points for each active utility on sketch)
Active Utilities
No
Yes If Yes:
Gas
Electricity
Oil
Water
Building Use
(The original use of the building and how it was last used)
Building Construction
Number of Floors
Basement:
Yes
Sub-Basement
Multi Sub-Levels
Exterior Walls
Block/Brick
Curtain Wall
Wood
Metal Tie Rods
(stars)
Openings in Exterior Walls
Many
Few
Windowless
(Windows, Doors, etc.)
Structural Members
Steel
Concrete
Wood
Mixed
(Describe)
(Beams, Girders, Columns)
Truss Construction
Roof
Floors
Exposed Structural Members
Yes
No
(Beams, Girders, Columns & Trusses)
Ceiling Type
None
Suspended
Metal
Sheetrock/Plaster
Wood
Condition of Interior Walls and Floors
(Integrity of compartmentation)
Multiple penetrations that
Walls
Good
Deteriorating
would allow fire spread
Floors
Condition of Roof
Good
Some instability/deterioration
Major deterioration
General Condition of Structure
Good
Minor structural instability
:
Major deterioration of structural elements
Fire Protection Systems
Operational Fire Alarm System
Yes
No
System off, but usable if
System
Operational Sprinkler
Yes
No
supplied through FD connection
(Valves open, pressure showing on gauges)
Operational Standpipe System
Yes
No
Fire Department Connection
Yes
No
(If Yes, note location on sketch)

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