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I C� ` W <br />TIFFANY ROOF SURVEY <br />OWNER: C�f�y� BLDG. L(XATION: <br />ADDRESS: 3tjp 2- 4, BLDG. NAME: <br />OWN:✓. c. X —_ ?� - OCCUPIED BY: <br />NAME OF PARTY INTERVIEWED: TITLE-. <br />BUILDING DESCRIPTION: Kind of building: Stone, brick, wool, etc.: — <br />Building Length: ft. x width ft. -N-;UMBER SQUARE FEET IN ROOF PROPER INCLUDING PITCH <br />-Square Feet: �. �s 9Sx/z—e{oJ+/yL?-5/nsr—u{3X/S1[-�1.ej�{Zp <br />FIREWALLS: FRONT WALL: Length Height &C )(5p —%M'2i�l_I_'R1t4th 7_ /TTci ( <br />RIGHT WALL: Length Height LEFT WALL: Length Height <br />TOTAL NUMBER SQUARE FEET SURFACE ALL FIREWALLS & PARAPETS 0 Sq. Ft. <br />Smooth Surface Composition <br />u Tar and Gravel <br />Age of Roof <br />Previously Coated? <br />i <br />METAL ROOFS: <br />❑ Rusted or pitted <br />❑ Nails loose <br />❑ Seams open <br />CONCRETE ROOFS: <br />Cracked <br />❑ Concrete powdering <br />TYPE OF ROOF <br />❑ Concrete <br />❑ Corrugated Metal <br />ROOF HISTORY <br />When Coated <br />Material Used <br />CONDITION OF ROOF <br />TAR AND GRAVEL ROOFS: <br />J Gravel accumulated in loin areas <br />❑ Tar alligatored <br />Accumulations of tar <br />❑ Exposed scams <br />FLASHING$: <br />❑ Metal flashing% torn <br />❑ Felt flashings broken <br />RECOMMENDATIONS <br />❑ Standing Scam Metal <br />❑ Other <br />lY� � <br />ZDJLc� ✓ �JV <br />SMOOTH SURFACE COMPOSITION: <br />fi Alligatorcd <br />X Blisters in surface coatings <br />,I Bulges in felt roofing <br />Scams open <br />® Cracks in felt <br />FIREWALLS d PARAPETS: <br />❑ Mortar loose <br />X Copings not tight <br />�7 GAL. <br />SUPER -STURDY COATING FOR ROOF PROPER <br />........@ <br />09' <br />$ <br />GAL. <br />SUPER -STURDY FOR FIREWALLS ..................... <br />@ <br />$ <br />-- <br />$ <br />-- GAL. <br />SUPER -STURDY FOR <br />........ @ <br />$ <br />$ <br />Z/S GAL. <br />GAL. <br />PRIMER FOR ROOF PROPER .........................@ <br />PRIMER FOR FIREWALLS ............................ <br />@ <br />$ <br />$ <br />GAL. <br />PRIMER FOR <br />@ <br />$ <br />$ <br />t71 f_-LBS. <br />CEMENT FOR ROOF PROPER ......................... <br />@ <br />$ <br />_C. Jj <br />$ <br />LBS. <br />CEMENT FOR FIREWALLS ............................ <br />@ <br />$ <br />5 <br />RLS. <br />TIFFANY GLASS FABRIC, 36" ......................... <br />@ <br />$ <br />R_GJ9 <br />RLS. <br />TIFFANY GLASS FABRIC, 12" ......................... <br />s <br />_ _ <br />z_r <br />$ <br />RLS. <br />TIFFANY GLASS FABRIC, 6.......... <br />__ ......................... <br />@ <br />$ <br />r ( <br />Signed: �" %3,c fL VI / x.-r e , <br />TOTAL ESTIMATE <br />Sketch <br />$_LQgffL*: <br />of Roof on Reverse Side <br />