HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1985-4-28
'"So~-w
, :~503q?-
FD-16
-....
SPRINGFIELD FIRE DEPARTMENT,
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: "I - ). 8 - ,;J....
TO: Building Department
FRor~: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building
/0 I ~ ~Arlc-lt1nJ" ~ I 13 Iud,
w~ tJe
Name of m'mer
~dh"t k tl
Gr1t".~~
i (Dwelling, Store,
13a rrfttp /,
o
Type of building
l~arehouse, etc.)
Estimated value of buil~ing $
Estimated loss to building $
Date of fire 'I-:J-R,tJ~/
/().~
/() ~
Location of damage in building
T;: <In f I?Jr( t"
d
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
l r;:~J tllUrJ, If)
~d6/-/~r
fAll! (Ir -
rot'> , ;'11 tI? /.R J/ / if.)
'(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical'Hazard
(Wiring, Outlets, etc.)
cc:
Signed !d4,'1! ~ SF/>-