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Wind Retrofit Worksheet ( Continued) = (HMGP only) <br /> Shelter Retrofit Projects Only Benefit Cost Data Collection Form <br /> A. Project information Complete <br /> Is a separate worksheet attached for each structure? X yes no <br /> Are photographs of all elements of the building to be retrofitted attached? yes X no ( bldge is not construcl ad <br /> Is there an Engineer ' s certification for Ievel of protection proposed attached? yes X no ( estimate for shutters ' <br /> Are a completed LRDM Table and Survey Checklist attached? yes X no <br /> B . Building Data <br /> Select Building Type (Before Mitigation) <br /> Lightly Engineered <br /> Fully Engineered _ <br /> Building Site (Miles Inland) <br /> Number of Stories above Grade <br /> Construction Date _ <br /> Historic Building Controls y� <br /> Disaster Number <br /> C. Building Size and Use <br /> pescribe the normal day-to-day function of the facility: The facility will serve as a senior center . <br /> Services include Meals on Wheels , regional transportation , etc . . <br /> Total floor area 15 , 000 (sf) <br /> Area occupied by owner or Public/Non-profit Agencies 152000 ( sf) <br /> For the following, enter the Building Area to be used <br /> square feet for the applicable Existing (SF) Proposed (SF) <br /> Critical Facility N / A 152000 <br /> Host ShelterN / A N / A <br /> Hurricane Evacuation Shelter (HES) N / A 15 ,9000 <br /> Primary Host Shelter N / A N /A <br /> Recovery Shelter N / A N / A <br /> Refuge N / A N / A <br /> Risk Shelter <br /> �_. _.. .. .. .... . I. . N /A <br /> Secondary Host Shelter N / A N / A <br /> Other (attach explanation) <br /> 27 <br /> Attach any continuations or additional items to this page <br />