Barn Removal Request Form
Name
Email
Phone Number:
Cell number:
How did you hear about us?
Select
Search Engine
Internet Link
Friend
Professional
Email Link
Internet Ad
Internet Service
Newspaper Ad
Television Ad
Staff
Mailer
Yellow Pages
Trade Directory
Trade Show
Reassessed
Other
Barn address:
Barn location if no address:
Timeline for Removal:
Barn Details:
Size not including foundation:
Foundation material:
Select
Field Stone
Cinder Block
Concrete Footing
Concrete Walls
No Foundation
Other
Foundation height:
Approx. age of barn:
Structure condition:
Select
Excellent for age
Fair for age
Poor
Unsafe
Roof Failing
Roof Failed
Barn on Ground
Other
Structural framing:
Select
Conventional Framed
No Beams
All Milled Beams
All Circle Sawn Beams
Some Hewn Beams
All Hand Hewn Beams
Mixed Style Beams
Other
Structural Framing Average Size:
Select
6x6
6x8
8x8
8x10
10x10
10x12
12x12
12x14
14x14
Structural framing species:
Select
Unknown
Pine
Red Oak
White Oak
Maple
Ash
Elm
Beech
Basswood
Chestnut
Walnut
Hickory
Other
Roof structural framing:
Select
No Beams in Roof Structure
Beams in Roof Structure
Shingle material:
Select
Tin
Wood Shake Shingles
1 Layer Asphalt
2 Layer Asphalt
3 Layer Asphalt
3+ Asphalt
Other
Siding width:
Select
1x6
1x8
1x10
1x12
1x12+
Other
Siding style:
Select
Tongue & Groove
Ship Lap
Board & Batten
Square Edge
Horizontal Beveled
Horizontal Lap
Horizontal Square Edge
Shake Shingles
Asphalt Shingles
Rooled Roofing
Metal
Other
Siding color:
Select
Red
Weathered Red
Very Weathered Red
White
Weathered White
Very Weathered White
Weathered Grey
Metal
Other
Attached structures:
Select
None
1 Lean To
2 Lean Tos
3 Lean Tos
Another Barn
2 Other Barns
Other
Silos:
Select
0
1
2
3
3+
Site Details:
Is burning allowed at barn location:
Yes
No
What township are you in for burn permit if required:
If present will you have the electrical power supply disconnected from barn at job start:
Yes
No
Is there electricity available within 300' of barn:
Yes
No
Please describe terrain within 30' around barn:
Is there a large area beyond the 30' away from the barn where we can clean and organize the reclaimed lumber from the barn:
Yes
No
Would a semi truck be able to access the site:
Yes
No
Please describe any other details of the barn, condition, surrounding area or any specific items you feel we should be aware of:
Is there any history you can tell us about your barn?:
