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Name: ___________________________________________________________ Address: ________________________________________________________ Phone: ___________________________ Date Survey Done: ______________ Please feel free to use additional sheets for sketches and details. We recommend using the Historic Wooden Structures Archives Survey Checklist (available from the Guild office or downloadable as a PDF) as a reference to help you fill out this form. If you are not sure of your information, do not include it on this form. | |||||||||||||||||||||||||||||||||||||||||
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Building Type: (circle one)
Barn House Church Mill Other ________ Circa _____________________________
Location:
State/Prov. __________________________ City/Town _____________________________ Street/Road _____________________________ |
Picture of Exterior or Main Bent
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Please Draw: (to scale with dimensions if possible)
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Length of brace leg ___________________
Type of Roof Framing: (check one)
Queen Post Orientation: (check one)
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Type of Pegs:
____ Octagonal ____ Round ____ Peg Diameter
Layout System:
Are any timbers tapered (or cambered)? ____ Is any joinery nailed or bolted? ____ | ||||||||||||||||||||||||||||||||||||||||
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Sketch Roof Framing:
Building Materials: (closure system) Walls ___________________________________________________ Roof ___________________________________________________ Foundation ________________________________________________ |
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| Condition, status, and current use of building:
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