Basic Tools
Heading
Text Box
Text Area
Drop Down
Radio Button
Check Box
Advanced Tools
Full Name
Email
Address
Phone
Date Picker
Insert Form
Home
Save
Preview
Unpublish
Light
Dark
Agricultural Facility Report Additional Buildings
This registration form has been published and is now live
General
Buildings present at this location: (Check ALL that apply) (If add'l bldgs are needed use the Agricultural Facility Extra Bldgs form)
*
Other Building 11
Other Building 12
Other Building 13
Other Building 14
Other Building 15
Other Building 16
Other Building 17
Other Building 18
Other Building 19
Other Building 20
Name the Other Building 11 using its Description/Occupancy:
*
Name the Other Building 12 using its Description/Occupancy:
*
Name the Other Building 13 using its Description/Occupancy:
*
Name the Other Building 14 using its Description/Occupancy:
*
Name the Other Building 15 using its Description/Occupancy:
*
Name the Other Building 16 using its Description/Occupancy:
*
Name the Other Building 17 using its Description/Occupancy:
*
Name the Other Building 18 using its Description/Occupancy:
*
Name the Other Building 19 using its Description/Occupancy:
*
Name the Other Building 20 using its Description/Occupancy:
*
Other Building 11
List the Occupancies:
*
Building Construction:
*
Frame/Combustible
Joisted Masonry
Non-Combustible
Masonry Non-Combustible
Modified Fire Resistive
Fire Resistive
If mixed construction, list the percentage of each type:
*
Year Built:
*
Number of Stories:
*
Building Square Footage:
*
Is the building in good condition?
*
Yes
No
Describe condition concerns:
*
Other Building Comments 11: (What is this bldg used for, list what is stored, and how much. Also indicate the type of fire protection and whether it is properly maintained.)
*
Other Building 12
List the Occupancies:
*
Building Construction:
*
Frame/Combustible
Joisted Masonry
Non-Combustible
Masonry Non-Combustible
Modified Fire Resistive
Fire Resistive
If mixed construction, list the percentage of each type:
*
Year Built:
*
Number of Stories:
*
Building Square Footage:
*
Is the building in good condition?
*
Yes
No
Describe condition concerns:
*
Other Building Comments 12: (What is this bldg used for, list what is stored, and how much. Also indicate the type of fire protection and whether it is properly maintained.)
*
Other Building 13
List the Occupancies:
*
Building Construction:
*
Frame/Combustible
Joisted Masonry
Non-Combustible
Masonry Non-Combustible
Modified Fire Resistive
Fire Resistive
If mixed construction, list the percentage of each type:
*
Year Built:
*
Number of Stories:
*
Building Square Footage:
*
Is the building in good condition?
*
Yes
No
Describe condition concerns:
*
Other Building Comments 13: (What is this bldg used for, list what is stored, and how much. Also indicate the type of fire protection and whether it is properly maintained.)
*
Other Building 14
List the Occupancies:
*
Building Construction:
*
Frame/Combustible
Joisted Masonry
Non-Combustible
Masonry Non-Combustible
Modified Fire Resistive
Fire Resistive
If mixed construction, list the percentage of each type:
*
Year Built:
*
Number of Stories:
*
Building Square Footage:
*
Is the building in good condition?
*
Yes
No
Describe condition concerns:
*
Other Building Comments 14: (What is this bldg used for, list what is stored, and how much. Also indicate the type of fire protection and whether it is properly maintained.)
*
Other Building 15
List the Occupancies:
*
Building Construction:
*
Frame/Combustible
Joisted Masonry
Non-Combustible
Masonry Non-Combustible
Modified Fire Resistive
Fire Resistive
If mixed construction, list the percentage of each type:
*
Year Built:
*
Number of Stories:
*
Building Square Footage:
*
Is the building in good condition?
*
Yes
No
Describe condition concerns:
*
Other Building Comments 15: (What is this bldg used for, list what is stored, and how much. Also indicate the type of fire protection and whether it is properly maintained.)
*
Other Building 16
List the Occupancies:
*
Building Construction:
*
Frame/Combustible
Joisted Masonry
Non-Combustible
Masonry Non-Combustible
Modified Fire Resistive
Fire Resistive
If mixed construction, list the percentage of each type:
*
Year Built:
*
Number of Stories:
*
Building Square Footage:
*
Is the building in good condition?
*
Yes
No
Describe condition concerns:
*
Other Building Comments 16: (What is this bldg used for, list what is stored, and how much. Also indicate the type of fire protection and whether it is properly maintained.)
*
Other Building 17
List the Occupancies:
*
Building Construction:
*
Frame/Combustible
Joisted Masonry
Non-Combustible
Masonry Non-Combustible
Modified Fire Resistive
Fire Resistive
If mixed construction, list the percentage of each type:
*
Year Built:
*
Number of Stories:
*
Building Square Footage:
*
Is the building in good condition?
*
Yes
No
Describe condition concerns:
*
Other Building Comments 17: (What is this bldg used for, list what is stored, and how much. Also indicate the type of fire protection and whether it is properly maintained.)
*
Other Building 18
List the Occupancies:
*
Building Construction:
*
Frame/Combustible
Joisted Masonry
Non-Combustible
Masonry Non-Combustible
Modified Fire Resistive
Fire Resistive
If mixed construction, list the percentage of each type:
*
Year Built:
*
Number of Stories:
*
Building Square Footage:
*
Is the building in good condition?
*
Yes
No
Describe condition concerns:
*
Other Building Comments 18: (What is this bldg used for, list what is stored, and how much. Also indicate the type of fire protection and whether it is properly maintained.)
*
Other Building 19
List the Occupancies:
*
Building Construction:
*
Frame/Combustible
Joisted Masonry
Non-Combustible
Masonry Non-Combustible
Modified Fire Resistive
Fire Resistive
If mixed construction, list the percentage of each type:
*
Year Built:
*
Number of Stories:
*
Building Square Footage:
*
Is the building in good condition?
*
Yes
No
Describe condition concerns:
*
Other Building Comments 19: (What is this bldg used for, list what is stored, and how much. Also indicate the type of fire protection and whether it is properly maintained.)
*
Other Building 20
List the Occupancies:
*
Building Construction:
*
Frame/Combustible
Joisted Masonry
Non-Combustible
Masonry Non-Combustible
Modified Fire Resistive
Fire Resistive
If mixed construction, list the percentage of each type:
*
Year Built:
*
Number of Stories:
*
Building Square Footage:
*
Is the building in good condition?
*
Yes
No
Describe condition concerns:
*
Other Building Comments 20: (What is this bldg used for, list what is stored, and how much. Also indicate the type of fire protection and whether it is properly maintained.)
*
Active fields on your form can be edited in the box below.
Form Properties
Title
Theme
Black
Dark Red
Notification Email
Confirmation Msg
Thank you for filling this form
Field Properties -
Text
Label
Max Characters
Required
True
False
Hide Control
No
Yes
Control Action
--Please Select--
Show
Hide
Options
Selected Option
Hint
Property Lens
-- Select Option --
Year Built
Effective Year Built
Construction Type
Foundation Type
Stories
Roof Covering
Primary Exterior Covering
Garage
Pool
Fireplace Count
Heating
Water
Sewer
FEMA Flood Grade
FEMA Flood Rating
Distance To Nearest Flood Zone
Fire Protection Response Grade
Fire Protection Response Rating
AAIS Rating
Distance To Station (Miles)
Hydrant Distance (Ft)
Hydrant Count Nearby
Use
Owner Occupied
Number Of Units
Replacement Cost
Land Use
Primary Building Area
Architectural Style
Construction
Construction Quality
Primary Roof Covering
Foundation
Location
Valid Extensions
Max. File size (kb)
Min. File size (kb)
Help Text
Recommendations
Advance Setting
Auto-saving
Copy Embed Script
x
Close
(or press ESC or click the overlay)
×
Auto-saving