Caribbean Disaster
Mitigation Project |
| Name of Estimator: __________________________________ | Name of Owner: _________________________________ |
| Address:
|
|
| Occupant: _________________________________________ | |
| Owner authorizing retrofitting? Yes / No | If yes, owner's signature: _________________________________ |
| Type of contruction: Timber / Concrete / Other: _____________ | |
| Shape of Building (attach sketch with dimensions) | |
| Size of building: | Length: _______________________ Width: ________________________ Total Area: _____________________ |
| Shape of Roof: | Gable / Hip / Mono Pitch / Other (describe): ________________ |
| Type of Roof Covering | Galvanized / Shingles / Other (describe): ________________ |
| Conditions of Roof Covering | Good / Poor / Very Poor |
| General Conditions of Building | Good / Poor / Very Poor |
Roof Retrofit? Yes / No
Description |
Size |
Length |
Quantity |
Unit Price |
Total Price |
| Fascia Board | |||||
| Galvanized Sheets | |||||
| Galvanized Nails | |||||
| Rafters: Purlins / Laths | |||||
| Roof Plate | |||||
| Ridge Pole | |||||
| Hurricane Ties | |||||
| Anchor Bolts |
TYPE OF FOUNDATION:
CONCRETE PILLARS ______________________________
TIMBER PILLARS ________________________________
LOOSE BLOCKS OR STONES _______________________
CONTINUOUS CONCRETE _________________________
WITH FLOOR SLAB _______________________________
OTHER: DESCRIBE _______________________________
18.RETROFIT FOUNDATION? YES / NO
HEIGHT OF FLOOR ABOVE GROUND ___________ FEET.
| Description | Size | Length | Quantity | Unit Price | Total Price |
| Excavation | |||||
| Concrete Blocks | |||||
| Cement Bags | |||||
| Sand (cubic yards) | |||||
| Aggregate (cubic yards) | |||||
| Reinforcement Steel | |||||
| Binding Wire | |||||
| Anchor Bolts |
RETROFIT FLOOR? YES / NO
| Description | Size | Length | Quantity | Unit Price | Total Price |
| Floor Steel | |||||
| Boards | |||||
| Nails |
RETROFIT WALLS? YES / NO
| Description | Size | Length | Quantity | Unit Price | Total Price |
| Studs | |||||
| Siding | |||||
| Nails |
ANY OTHER MATERIALS NEEDED FOR RETROFITTING? YES / NO
EXPLAIN AND LIST QUANTITY: _________________________________________________________________________________
ESTIMATORS SIGNATURE ______________________________________________________ DATE: _____________________
Do not write beyond this line
FOR OFFICIAL USE ONLY
COMMENTS REVIEW COMMITTEE:
AMOUNT RECOMMENDED: ______________________________________
CHECKED BY: ___________________ DATE: ___________________
APPROVED BY __________________ DATE: ___________________
| CDMP home page: http://www.oas.org/en/cdmp/ | Project Contacts | Page Last Updated: 20 April 2001 |