Prospect Survey

Date:  

Company Name:

Address:

City: State:  Zip:

 Phone: Fax:

Building Owner:  

Person in charge of project:  Title:

Approximate age of building:    The occupant Leases Owns

____________________________________________________________________________

Type of project
Roof  -  Size (sq. ft.)    Paint peeling/flaking? Yes No  
                    Current leaks?YesNo    Visible rust?YesNo    
                                                                 Percentage of rust: %

Indicate the closest design of roof by typing the corresponding letter here:


What is the pitch of the roof?
Dead level Less than 1" rise per foot 1-2" rise per foot 3" rise per foot or more

What is the linear feet of seams? Vertical:  Horizontal:

What is the age of the roof?

Has the roof been previously coated with a maintenance product? Yes No

Please check any immediate roof problems that need to be addressed
Rust Leaks Appearance Conserve Energy

Walls -  Size (sq. ft.)    Paint peeling/flaking? Yes No
                    Current leaks?YesNo    Visible rust?YesNo     
                                                                 Percentage of rust: % 

Does the exterior of the building need painting? Yes No

What is the building used for (i.e. furniture mfg., car dealership, etc.)?


Please check any immediate wall problems that need to be addressed
Rust Leaks Appearance Conserve Energy

Other type of project - Please describe: 

____________________________________________________________________________

How do you usually handle these projects?
In house Architect Bid Contractor Other: 

Additional package sent to:

Contact:

Company Name:

Address:

City: State:  Zip:

 Phone: Fax:


Additional Comments: