Preservation Form

Free Fillable Materials Survey

Fill out this materials survey online and download as PDF - free, no signup required.

15 fieldssurvey

Project / Property Information

Project Name*

Recorder Name*

Survey Date*

Property Name*

Address*

Construction Date

Current Building Use

Number of Stories

Structural System

Material Identification

Document each distinct material observed on the building exterior and interior. Add one entry per material / location combination.

Condition Assessment

Document deterioration types, severity, and extent for materials observed.

Treatment Recommendations

Document recommended treatments for each material or deterioration area.

Overall Summary

Overall Building Condition*

General Notes / Summary

Photos

Location

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Window Survey

Survey