Dwelling - Drag N' Drop FormBuilder

Dwelling

Dwelling

Is this a high value? *

What is the building value (this is the building amount the customer gave to us on the order). *

Give a detailed description of the dwelling. *

Who is the dwelling used by? *

Description of Dwelling

Dwelling Information

What type of dwelling? *

Approximately what year was it built? *

How was year built determined? *

What is the number of stories? *

What is the total living area? *

Check all exterior wall constructions materials that apply. *
- Brick veneer
- Wood siding
- Hardiplank
- Stucco
- Concrete block
- Stone veneer
- Wood shake
- Aluminum siding
- Vinyl siding
- Metal siding
- Log
- Asbestos siding

Percentage of brick veneer: *

Percentage of wood siding: *

Percentage of Hardiplank: *

Percentage of Stucco: *

Percentage of Concrete block: *

Percentage of Stone veneer: *

Percentage of Wood shake: *

Percentage of Aluminum siding: *

Percentage of Vinyl siding: *

Percentage of Metal siding: *

Percentage of Log: *

Percentage of Asbestos siding: *

Total Percentage of siding. *

What is the construction type? *

Describe the other type of construction framing. *

What is the overall condition of the dwelling? *

Why in poor condition? *

Number of fireplaces? *

How often are the chimney(s) cleaned? *

Number of bathrooms? *

Has the dwelling been remodeled? *

Foundation

What type of foundation? *

Is the basement finished out? *

What other type of foundation? *

Roof

What is the predominant roof construction? *

What Is the predominant roof covering? *

What is other type of roof cover? *

How was the roof viewed? *

What was the roof condition? *

Approximately how many are torn or missing? *

Why was roof in poor condition? *

Has the roof been updated? *

Years since last roof update? *

How was the roof updated? *

What was other roof updates? *

HVAC

What type of HVAC? *

How is the HVAC powered? *

Has the HVAC system been updated? *

How many years since last HVAC update? *

Electrical

What type of electrical wiring? *

What type of electrical wiring conductor? *

What other type of electrical conductor? *

What type of electrical panel protection? *

Have there been any electrical updates? *

How many years since last electrical update? *

What is the overall condition of the electrical system that can be seen? *

Explain reason for poor condition. *

Did this dwelling have any excessive extension cord use, Multi-tap outlets or temporary wiring? *

Plumbing

What type of plumbing? *

Describe other type of plumbing. *

Have there been any plumbing updates? *

How many years since last plumbing updates? *

Garages and Carports

Is there a garage? *

What type of garage? *

What size is the garage? *

What is the garage condition? *

Reason for poor garage condition? *

Is there a carport *

What size is the carport? *

Condition of the carport? *

Why is carport condition poor? *

Breezeway, Porches, Decks and Balconies

Are there porches? *

Number of porches? *

What is the total square footage for all porches? *

Is there a breezeway(s)? *

Number of breezeway(s)? *

What was the total square footage of all breezeway(s)? *

Is there a deck(s)? *

What was the total square footage of all deck(s)? *

Is there a balcony(s)? *

What was the total square footage of all balconies? *

Smoke Detectors

Are there smoke detectors? *

What type smoke detectors? *

Carbon Monoxide Detectors

Are there carbon monoxide detector(s)? *

What type of carbon monoxide detectors? *

Central Alarm System

Is there a central alarm system? *

What type of alarm system? *

Does the central station alarm have a service contract in place? *

Name of the alarm monitoring company? *

Sprinkler System

Does the dwelling have a sprinkler system? *

Fire Extinguishers

Does the dwelling have adequate fire extinguisher(s)? *

Are the extinguishers currently tagged? *

Date on extinguisher tag? *

Are the extinguishers the disposable type? *

Protection Locks

Does the dwelling have double keyed deadbolt locks? *