HomeMy WebLinkAboutPermit Fire Damage Report 1982-1-10
.
.
'I
f'1.~
C1'Rr
('''II.
bf',o
"R?;
1'f'-1I1'
FD-16
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: 1-10-':2
!
TO:
FROM:
Building Department
Springfield Fire Department
I
, I
, I
SUBJECT: Structural Damage to Building
Address or loc.ation of building o:'~~ r",t",,:,v
,
li"Pr'.1"P:1,t.-i,J,"')11 h;; 1:'; lH~
Name of owner Pronertv ],:amu'el.!ent ':e"vi.C'"
Vr.i;..~.I~'rl.-1. (1:",lj,nl1
I ,
, ,
Type of building Recreation buildina
, (Dwelling, Store, Warehouse,!ete.)
, ,
Estimated value of building $58,000.00'
Estimated loss to building $3.250.00
Date of fire 1-10-82
Location of damage in building
, ,
(}PJPe
room _ }JO't"'thP;l ~t
, ,
('(1~nf-i..... ,...f h,d 1,.~-i".lt~.
! . .
Illterior ""1115, some attic ciamave.
(Roof, Wall, Exterior, Interior, etc'.):
. i I
Structural weakness as a resul t of the fire Cailinf' ioi~t
nnd ~;d ioi!1:i nf~~
, I
we.ll p13tes, ~11 burnt:d. ' ,
,(Burned rafters, Beams, Joists, etc',)'
Additional pertinent information Tl.ere is ,,180 ,,'lectridal d1!B:aI?8 to the
, ,
, I
\:irin~ in tt",13 ;;..rea 5nJ to tr.e v.iring for ti:e ceilin{~ r:tat.
Electrical Hazard 5ee above inforrcation.
, ,
cc:
(Wiring, Outlets, etc.)
Signel:J:bA~l~J
i I
I '
!