barns@timelesslumber.com  www.timelesslumber.com Contact information:
Full Name:	* required
Email address:	* required
Phone number:
Cell number:
How did you hear about us:	Search Engine Internet Link Friend Professional E-mail Link Internet Ad Internet Service Newspaper Ad Television Ad Staff Mailer Yellow Pages Trade Directory Trade Show Reassessed Other
Barn address: (Street Address) (City), (State Abv.) (Zip)
Barn location if no address: (Discription of Location) (City), (State Abv.) (Zip)
When do you need your barn removed by?: (We may delete your info from our list after that point and some barns we do years after getting them depending on our needs.)
Barn details:
Size not including foundation: Example:(40w x 60l x 40h)
Foundation material: (use the Ctrl key to select all that apply)	Field Stone Cinder Block Concrete Footing Concrete Walls No Foundation Other
Foundation height: Example:(sloping 2' to 6')
Approx. age of barn:	-50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200+
Structure condition:	Excellent for age Fair for age Poor Unsafe Roof Failing Roof Failed Barn on Ground Other
Structural framing: (hewn has axe marks, milled has straight saw marks, and circle sawn has curved saw marks). (use the Ctrl key to select all that apply)	Conventional Framed No Beams All Milled Beams All Circle Sawn Beams Some Hewn Beams All Hand Hewn Beams Mixed Style Beams Other
Structural framing species: (use the Ctrl key to select all that apply)	Unknown Pine Red Oak White Oak Maple Ash Elm Beech Basswood Chestnut Walnut Hickory Other
Roof structural framing:	No Beams in Roof Structure Beams in Roof Structure
Shingle material: (use the Ctrl key to select all that apply)	Tin Wood Shake Shingles 1 Layer Asphalt 2 Layer Asphalt 3 Layer Asphalt 3+ Layer Asphalt Other
Siding width: (use the Ctrl key to select all that apply)	1x6 1x8 1x10 1x12 1x12+ Other
Siding style: (use the Ctrl key to select all that apply)	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:	Red Weathered Red Very Weathered Red White Weathered White Very Weathered White Weathered Gray Metal Other
Attached structures: (use the Ctrl key to select all that apply)	None 1 Lean To 2 Lean Tos 3 Lean Tos Another Barn 2 Other Barns Other
Silos:	0 1 2 3 3+
Site details:
Is burning allowed at barn location:	Yes No Unknown
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: Example: (flat, sloping hill, trees, farm field, structures in way, etc.)
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: (Road load restrictions or clearances)	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?:
If we cannot remove your barn for free, would you like us to give an estimated cost for removal?	Yes No
To get the most out of this offer or to contact us about your barn you can send .jpg pictures with your name as the subject as entered above to barns@timelesslumber.com after you have submitted the form. © 1995 Christopher Construction Company/Barnwood

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