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Building Survey Form <br /> Building Dimensions • <br /> *Building Footprint Area (within enclosed <br /> space; square feet [Ft2]): <br /> Building Dimensions <br /> (at grade; feet by feet): <br /> *Ceiling Height of Ground Floor (Feet): <br /> *Number of Floors <br /> ,(excluding the basement): <br /> Building Design Input <br /> *Building Design Type: - <br /> Has the design been modified? - <br /> *Foundation Type: - <br /> *Building Vapor Intrusion Mitigation System: - <br /> *Heating, Ventilation, & Air Conditioning <br /> (HVAC) System: <br /> Type of Energy Used in Building? - <br /> Energy Primarily Used For? - <br /> Number of Units for Multi-Unit Buildings: <br /> Number of Rooms (average per unit for multi- <br /> unit buildings): <br /> Number of Exterior Doors: <br /> Number of Elevators: <br /> Number of Active Exhaust Fans <br /> (e.g., kitchen/bathroom): <br /> Chimney or Other Vertical Draft Source? - <br /> Building Slab Input <br /> Slab Thickness (inches; approximate if unsure): <br /> Large Slab Penetrations (> 1 Foot Diameter): <br /> Soil Type 0 to 3 Feet Below Building: - <br /> Evidence of moisture intrusion from Below <br /> Slab? <br /> Building Survey Form Page 2 <br />