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Window Details Form
Instructions: Provide details and photos for EACH window replacement requested. Use additional pages of Form I
or Form 1 a as necessary. For ease of review, documentation should be categorized by fagade. SEE EXAMPLE.
Building Elevation:
Details for Existing Window ID: #1
NORTH FACADE
Original window? IIf no, what
YES
is the general replacement
date?
If operable, does the Window
UPPER SASH FIXED, BOTTOM
open? If no, why?
SASH OPERABLE
Storm window present? If
NO
yes, What type?
Boarded up? If yes, is
NO
window still in place?
Explanation of visible rot or
ROT & DETERIORATION
deterioration:
LEAD PAINT
Extenuating circumstances '
CAN'T BE CONVERTED TO
requiring replacement vs.
INSULATED, DOUBLE GLAZED
re air
Proposed Replacement,
MARS WOOD FRAMED,
material5and muntins:
DIVIDED LITE
Will trim and'casing details
TRIM & CASING DETAILS WILL
remain the same?
BE REPRODUCED
Is proposed window the same '
YES
size and same location as
original? Explain:
Insert photo above.
Insertphoto below showing existing condition.
DRC Window Details Form 1, 5/16/21 Page# _ of
Window Details Form
Instructions: Provide details and photos for EACH window replacement requested. Use additional pages of Form 1
or Form 1 a as necessary. For ease of review, documentation should be categorized by fagade. SEE EXAMPLE.
Building Elevation:
Details for Existing Window ID: #2
NORTH FACADE
Original window? If no, what
YES
is the general replacement
date?
If operable, does the window
UPPER SASH FIXED, BOTTOM
open? If no, why?
SASH OPERABLE
Storm window present? If
NO
yes,' what, type?
Boarded up? If yes, is
NO
window still in place?
Explanation of visible rot or
ROT & DETERIORATION
deterioration:
LEAD PAINT
Extenuatirig Circumstances ,
CAN'T BE CONVERTED TO
requiring replacement vs.
INSULATED, DOUBLE GLAZED
repair .
Proposed Replacement;
MARVIN WOOD FRAMED,
material and muntins:
DIVIDED LITE
Will trim and casing details
TRIM & CASING DETAILS WILL
remain the same?
BE REPRODUCED
Is proposed window the same
YES
size and same location as
original? Explain:
Insert photo above.
Insertphoto below showing existing condition.
DRC Window Details Form 1, 5/16/21 Page# — of —
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Window Details Form
Instructions: Provide details and photos for EACH window replacement requested. Use additional pages of Form 1
or Form 1 a as necessary. For ease of review, documentation should be categorized by fagade. SEE EXAMPLE.
Building Elevation:
Details for Existing Window ID: #3
WEST FACADE
Original window? if no, what
YES
is the general replacement
date?
If operable, does the window
UPPER SASH FIXED, BOTTOM
open? If no, why?
SASH OPERABLE
Storm window present? If
NO
yes, what type?
Boarded up? If yes,,is
NO
window still in place?
Explanationofvisible rot or,
ROT & DETERIORATION
.deterioration:
LEAD PAINT
Extenuating circumstances
CAN'T BE CONVERTED TO
requiring replacement vs.
INSULATED, DOUBLE GLAZED
,:repair
Proposed Replacement,
MARVIN WOOD FRAMED,
.material and`mUntins:
DIVIDED LITE
Will trim and casing details
TRIM & CASING DETAILS WILL
remain the same?
BE REPRODUCED
Is proposed window the same
YES
size and same location as
original? Explain: ,
Insert photo above.
Insertphoto below showing exisdng condition.
DRC Window Details Form 1, 5/16/21 Page# — of_
Window Details Form
Instructions: Provide details and photos for EACH window replacement requested. Use additional pages of Form 1
or Form 1 a as necessary. For ease of review, documentation should be categorized by fagade. SEE EXAMPLE.
Building Elevation:
Details for Existing Window ID: #4
WEST FACADE
Original window? If no, what
YES
is the general replacement
date?
If operable, does the window
UPPER SASH FIXED, BOTTOM
open? If no, why?
SASH OPERABLE
Storm window present? If
NO
yes, what type?
Boarded up? If yes, is
NO
window still in place?
Explanation of visible rot or
ROT & DETERIORATION
deterioration:
LEAD PAINT
Extenuating Circumstances
CAN'T BE CONVERTED TO
requiring replacement vs.
INSULATED, DOUBLE GLAZED
repair
Proposed Replacement,
MARVIN WOOD FRAMED,
material and ft untins:
DIVIDED LITE
Wilitrim and casing details
TRIM & CASING DETAILS WILL
remain the same?
BE REPRODUCED
Is proposed window the same
YES
size and same location as
original? Explain:
Insert photo above.
Insertphoto below showing existing condition.
DRC Window Details Form 1, 5/16/21 Page#, of
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Window Details Form
Instructions: Provide details and photos for EACH window replacement requested. Use additional pages of Form 1
or Form 1 a as necessary. For ease of review, documentation should be categorized by fagade. SEE EXAMPLE.
Building Elevation:
Details for Existing Window ID: #5
SOUTH FACADE
Original window? If no, what
YES
is the general replacement
date?
if operable; does the window
UPPER SASH FIXED, BOTTOM
open? If no, why?
SASH OPERABLE
Storm window present?' If
NO
yes, what type?
Boarded up? If yes, is
No
window still in place?
Explanation of visible rot or
ROT & DETERIORATION
deterioration:
LEAD PAINT
Extenuating circumstances
CAN'T BE CONVERTED TO
requiring replacement vs
INSULATED, DOUBLE GLAZED
re air
Proposed Replacement,
MARVIN WOOD FRAMED,
material and.muntins:
DIVIDED LITE
Will` -trim and' casing details;
TRIM & CASING DETAILS WILL
remain the. same? ;
BE REPRODUCED
Is proposed window the same
YES
size and same location;aS
original? Explain::
Insert photo above.
Insertphoto below showing existing condition.
DRC Window Details Form 1, 5/16/21 Page# — of
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Window Details Form
Instructions: Provide details and photos for EACH window replacement requested. Use additional pages of Form 1
or Form I as necessary. For ease of review, documentation should be categorized by fagade. SEE EXAMPLE.
Building Elevation:
Details for Existing Window ID: #6
EAST FACADE
Original window? If, no, what
YES
is the general replacement
date?
If operable, does the window
UPPER SASH FIXED, BOTTOM
open? If no, why?
SASH OPERABLE
Storm window present? If
NO
yes, what type?
Boarded up? If yes, is
NO
window still in place?"
Explanation of visible rotor
ROT & DETERIORATION
deterioration:
LEAD PAINT
Extenuating circumstances ,
CAN'T BE CONVERTED TO
requiring replacement vs.
INSULATED, DOUBLE GLAZED
repair
Proposed Replacement,
MARVIN WOOD FRAMED,
material andmuntins:
DIVIDED LITE
Will trim and,casing details
TRIM & CASING DETAILS WILL
remain the same?
BE REPRODUCED
Is proposed window the same'
YES
size and same location as
original? Explain:
Insert photo above.
Insertphoto below showing existing condition.
DRC Window Details Form 1, 5/16/21 Page# — of —
Window Details Form
Instructions: Provide details and photos for EACH window replacement requested. Use additional pages of Form 1
or Form 1 a as necessary. For ease of review, documentation should be categorized by fagade. SEE EXAMPLE.
Building Elevation:
Details for Existing Window ID: #7
EAST FACADE
Original window? If no, what
YES
is the general replacement
date?
If operable, does the window
UPPER SASH FIXED, BOTTOM
open? If no, why?
SASH OPERABLE
Storm window present? If
NO
yes, what type?'
Boarded up? If yes, is
NO
window still in place?
Explanation of visible rot or
ROT & DETERIORATION
deterioration:
LEAD PAINT
Extenuating circumstances '
CAN'T BE CONVERTED TO
requiring replacement vs.
INSULATED, DOUBLE GLAZED
repair .
Proposed Replacement,
MARVIN WOOD FRAMED,
material and muntins:
DIVIDED LITE
Will`-trim,and casing details
TRIM & CASING DETAILS WILL
remain the_same?
BE REPRODUCED
Is proposed window he same
YES
size and same location as
original? Explain:
Insert photo above.
Insertphoto below showing existing condition.
DRC Window Details Form 1, 5/16/21 Page# — of_
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