Expanded Residential 1 to 4 Family - 360Value · PDF filePRIMARY INFORMATION (KITCHENS AND...
Transcript of Expanded Residential 1 to 4 Family - 360Value · PDF filePRIMARY INFORMATION (KITCHENS AND...
EXTERIOR WALL CONSTRUCTION: ____% Wood Framing ____% Solid Concrete
____% Light Gauge Steel Framing ____% Struct. Insulated Panels (SIPs)
____% Timber Framing ____% Insul. Concrete Forms (ICFs)
____% Solid Brick Construction ____% Pre-Engineered - Metal
____% Concrete Block ____% Standard Pole Framed ____% Adobe Block ____% None (Inc. in Ext. Wall Finish)
EXTERIOR WALL FINISH:
Siding: _____% Aluminum or Metal _____% Steel _____% Log
_____% Vinyl _____% Plywood (Vertical Groove)
_____% Hardboard/Masonite _____% Board and Batten
Clapboard: _____% Pine _____% Cedar _____% Redwood _____% Cement Fiber
Tongue and Groove:
_____% Pine _____% Cedar _____% Redwood
Shingle: _____% Wood Shake _____% Wood Shake (Scalloped)
_____% Cement Fiber _____% Copper _____% Vinyl
Name: ______________________________________________ Phone: (_____) _____ - _____________ / (_____) _____ - _____________
Street: __________________________ Unit #:_____ City: _________________________ State/Province: ____ ZIP/Postal: __________
Policy Number: __________________________________ Email: __________________________________________________________
Home is Owner Occupied
Year Built: __________ Calculate Functional replacement cost (only applies if Year Built is before 1986)
Year Roof Installed or Replaced: __________ Use Original Period/Restored Finishes (only applies if Year Built is before 1941; see pg. 4) Total Finished Square Feet: _________ (including finished area in attic/additions) Sq. Ft. Includes Finished Basement Area Quality Grade: Economy Standard Above Average Custom Premium Addition 1: Year Built: _____ Square Feet: _____ Addition 2: Year Built: _____ Square Feet: _____
Expanded Residential - 1 to 4 Family V.17.07.15
NUMBER OF STORIES: 1 Story 1 ½ Story (Attic) 2 Stories 2 ½ Stories (Attic) 3 Stories 3 ½ Stories (Attic) 4 Stories Bi-Level (Raised Ranch) Split Level _____ % Finished in Attic/Half Story
FOUNDATION SHAPE:
4-5 Corners: Square/Rectangle 11-12 Corners: H or Custom Shape
6-7 Corners: L Shape 13+ Corners: Irregular/Complex
8-10 Corners: T,U,Z Shape
FOUNDATION TYPE: Mark the foundation type for the living area only, not including the garage or carport.
_____% Basement _____% Deep Pilings
_____% Shallow Basement _____% Pier & Grade Beam
_____% Concrete Slab _____% Elevated Post/Pier & Beam (Stilts)
_____% Crawlspace _____% Stilts with Sweep Away Walls
_____% Finished in Lowest Level
Avg. Post Height (in feet): ______ Walk-out Basement
ROOF SHAPE: Gable Hip Gambrel Mansard Flat Shed Complex/Custom
PRIMARY INFORMATION - PAGE 1 OF 7
SITE ACCESS: Average - No Unusual Constraints Island Access Remote/Rural Urban Access
FLOOR COVERINGS: _____% Carpet _____% Carpet - Designer Grade Wool _____% Tile-Marble/Granite _____% Tile-Marble/Granite (Custom) _____% Tile-Ceramic _____% Tile-Ceramic (Custom) _____% Tile-Travertine _____% Tile-Terra Cotta/Saltillo (Clay) _____% Bare Concrete _____% Stamped & Sealed Concrete _____% Laminate _____% Hardwood - Parquet _____% Hardwood - Plank _____% Hardwood - Plank (Exotic Species) _____% Softwood - Pine _____% Hardwood - Bamboo _____% Slate _____% Wood - Unknown Type _____% Stone _____% Tile - Unknown Type _____% Sheet Vinyl _____% Vinyl/Rubber Tile _____% Brick/Pavers _____% Terrazzo _____% Cork
GARAGES/CARPORTS:
Garage 1: # of Cars (Size): ____ Living area above garage: ____ % Attached/Built-In Basement Carport
# of Carport Walls: 0 1 2 3
Carport Storage: Small Medium Large X-Large
Garage 2: # of Cars (Size): ____ Living area above garage: ____ % Attached/Built-In Basement Carport
# of Carport Walls: 0 1 2 3
Carport Storage: Small Medium Large X-Large
USE: Single Family Detached
Single Family Attached: End Unit or Interior Unit (circle one)
2-Family Duplex 3-Family Triplex
4-Family Four-plex Multi-Family (unknown # of units)
ROOF COVER: Composition: ____% 3 Tab Shingle ____% Architectural Shingle ____% Roll Roofing ____% Impact Resist. Shingle
Built-up (hot mopped): ____% w/ Gravel ____% w/o Gravel
Metal: ____% Standing Seam ____% Copper Shingle ____% Painted Rib ____% Corrugated Galvanized ____% Tile/Shake ____% Standing Seam Copper
Tile: ____% Clay ____% Concrete ____% Glazed ____% Cement Fiber
Wood: ____% Shingles or Shakes ____% Shingles/Shakes Deco. Ptrn.
Other: ____% Slate ____% Membrane-EPDM or PVC ____% Synthetic Composite Roofing ____% Sprayed Polyurethane Foam (SPF)
EXTERIOR WALL FINISH (continued) Other: _____% Brick Veneer _____% Masonry Stucco _____% Brick Veneer (Custom) _____% Cut Limestone Veneer _____% Brick - Solid _____% Stone Veneer (Natural) _____% Brick - Solid (Custom) _____% Stone Veneer (Manuf.) _____% Cypress - Reclaimed _____% Solid Stone _____% Solid Logs - Small (6”-8”) _____% Synthetic Stucco _____% Solid Logs - Medium (9”-12”) _____% Concrete Block (Decorative) ______% Solid Logs - Large (13” or more) _____% Metal - Painted Ribbed _____% Metal - Corrugated Galv. _____% None (Inc. in Ext. Wall Const.)
STYLE: Unknown A-Frame Adobe Bungalow Cabin Cape Cod Colonial Contemporary Cottage Craftsman Custom/Designer Edwardian Federal French Garrison/Frontier Georgian Gothic Log Mansion/Luxury Mediterranean Modern Custom Tract Modern Standard Tract Prairie Pueblo Queen Anne Ranch/Rambler Salt Box Southwestern Tudor Victorian None of the Above
PRIMARY INFORMATION (KITCHENS AND BATHROOMS) - PAGE 2 OF 7
KITCHEN 1: Small (9x6) Medium (11x10) Large (15x11) X-Large (18x12)
Quality Adjustment: None Upgraded Downgraded
APPLIANCES:
____ Garbage Disposal ____ Dishwasher
____ Space Saver Microwave ____ Cook Top
____ Trash Compactor ____ Extra Sinks (1 sink incl.)
____ Free Standing Range ____ Free Standing Refrigerator
____ Down Draft Range ____ Commercial Range
____ Pot Filler Faucet
Range Hood: ____ Standard ____ Built-in Hardwood ____ Copper
____ Stainless Steel ____ Island Hood - Tapered Canopy
Built-ins: ____ Range ____ Oven _____ Double Oven
____ Freezer ____ Refrigerator
Under Counter: ____ Refrg. Drawer ____ Warm Drawer ____ Ice Maker
COUNTERS:
_____% Plastic Laminate _____% Solid Surface
_____% Cultured Marble _____% Tile
_____% Concrete (Terrazzo) _____% Concrete (poured)
_____% Quartz _____% Domestic Granite or Marble
_____% Wood _____% Imported Granite or Marble
_____% Stainless Steel _____% None (pedestal sink)
CABINET FEATURES: Island Island w/Attached Seating
Peninsula Bar Peninsula Bar w/Attached Seating
Carved Intricate Woodwork ____ # of Glass Cabinet Doors
ROOM FEATURES: _____ # of Decorative Beams
Cathedral/Vaulted Ceiling Trayed/Coved Ceiling
Domed/Curved Ceiling 2 Story Ceiling
Cornice or Crown Molding Chair Rail
KITCHEN 2: Small (9x6) Medium (11x10) Large (15x11) X-Large (18x12)
Quality Adjustment: None Upgraded Downgraded
APPLIANCES:
____ Garbage Disposal ____ Dishwasher
____ Space Saver Microwave ____ Cook Top
____ Trash Compactor ____ Extra Sinks (1 sink incl.)
____ Free Standing Range ____ Free Standing Refrigerator
____ Down Draft Range ____ Commercial Range
____ Pot Filler Faucet
Range Hood: ____ Standard ____ Built-in Hardwood ____ Copper
____ Stainless Steel ____ Island Hood - Tapered Canopy
Built-ins: ____ Range ____ Oven _____ Double Oven
____ Freezer ____ Refrigerator
Under Counter: ____ Refrg. Drawer ____ Warm Drawer ____ Ice Maker
COUNTERS:
_____% Plastic Laminate _____% Solid Surface
_____% Cultured Marble _____% Tile
_____% Concrete (Terrazzo) _____% Concrete (poured)
_____% Quartz _____% Domestic Granite or Marble
_____% Wood _____% Imported Granite or Marble
_____% Stainless Steel _____% None (pedestal sink)
CABINET FEATURES: Island Island w/Attached Seating
Peninsula Bar Peninsula Bar w/Attached Seating
Carved Intricate Woodwork ____ # of Glass Cabinet Doors
ROOM FEATURES: _____ # of Decorative Beams
Cathedral/Vaulted Ceiling Trayed/Coved Ceiling
Domed/Curved Ceiling 2 Story Ceiling
Cornice or Crown Molding Chair Rail
BATHROOM 1:
Type: Half 3 Quarter Full 1.5 Size: Small (5x5) Medium (8x5) Large (10x8) X-Large (12x10) Quality Adjustment: None Upgraded Downgraded FIXTURES: ____ Jetted Tub ____ Steam Shower ____ Gold Faucet ____ Brass Faucet ____ Glass Block Wall ____ Bidet
____ Clawfoot Tub ____ Extra Sinks (1 sink incl.)
____ Pedestal/Wall Mounted Sink
Tub/Shower Surround: ____ Acrylic/Fiberglass ____ Ceramic Tile
____ Cultured Marble ____ Natural Marble COUNTERS: _____% Plastic Laminate _____% Solid Surface
_____% Tile _____% Quartz _____% Cultured Marble
_____% Wood _____% Stainless Steel _____% None (pedestal sink)
_____% Concrete (Terrazzo) _____% Concrete (poured)
_____% Domestic Granite/Marble _____% Imported Granite/Marble
CABINET FEATURES: Island Island w/Attached Seating
Peninsula Bar Peninsula Bar w/Attached Seating
Carved Intricate Woodwork ____ # of Glass Cabinet Doors
ROOM FEATURES: _____ # of Decorative Beams
Cathedral/Vaulted Ceiling Trayed/Coved Ceiling
Domed/Curved Ceiling 2 Story Ceiling
Cornice or Crown Molding Chair Rail
BATHROOM 2: Type: Half 3 Quarter Full 1.5 Size: Small (5x5) Medium (8x5) Large (10x8) X-Large (12x10) Quality Adjustment: None Upgraded Downgraded FIXTURES: ____ Jetted Tub ____ Steam Shower ____ Gold Faucet ____ Brass Faucet ____ Glass Block Wall ____ Bidet
____ Clawfoot Tub ____ Extra Sinks (1 sink incl.)
____ Pedestal/Wall Mounted Sink
Tub/Shower Surround: ____ Acrylic/Fiberglass ____ Ceramic Tile
____ Cultured Marble ____ Natural Marble COUNTERS: _____% Plastic Laminate _____% Solid Surface
_____% Tile _____% Quartz _____% Cultured Marble
_____% Wood _____% Stainless Steel _____% None (pedestal sink)
_____% Concrete (Terrazzo) _____% Concrete (poured)
_____% Domestic Granite/Marble _____% Imported Granite/Marble
CABINET FEATURES: Island Island w/Attached Seating
Peninsula Bar Peninsula Bar w/Attached Seating
Carved Intricate Woodwork ____ # of Glass Cabinet Doors
ROOM FEATURES: _____ # of Decorative Beams
Cathedral/Vaulted Ceiling Trayed/Coved Ceiling
Domed/Curved Ceiling 2 Story Ceiling
Cornice or Crown Molding Chair Rail
BATHROOM 3: Type: Half 3 Quarter Full 1.5 Size: Small (5x5) Medium (8x5) Large (10x8) X-Large (12x10) Quality Adjustment: None Upgraded Downgraded FIXTURES: ____ Jetted Tub ____ Steam Shower ____ Gold Faucet ____ Brass Faucet ____ Glass Block Wall ____ Bidet
____ Clawfoot Tub ____ Extra Sinks (1 sink incl.)
____ Pedestal/Wall Mounted Sink
Tub/Shower Surround: ____ Acrylic/Fiberglass ____ Ceramic Tile
____ Cultured Marble ____ Natural Marble COUNTERS: _____% Plastic Laminate _____% Solid Surface
_____% Tile _____% Quartz _____% Cultured Marble
_____% Wood _____% Stainless Steel _____% None (pedestal sink)
_____% Concrete (Terrazzo) _____% Concrete (poured)
_____% Domestic Granite/Marble _____% Imported Granite/Marble
CABINET FEATURES: Island Island w/Attached Seating
Peninsula Bar Peninsula Bar w/Attached Seating
Carved Intricate Woodwork ____ # of Glass Cabinet Doors
ROOM FEATURES: _____ # of Decorative Beams
Cathedral/Vaulted Ceiling Trayed/Coved Ceiling
Domed/Curved Ceiling 2 Story Ceiling
Cornice or Crown Molding Chair Rail
Address:________________________________________________ Policy #:_________________________________________________
ADDITIONAL DETAIL - PAGE 3 OF 7
FOUNDATION MATERIAL: _____% Brick _____% Block _____% Concrete
_____% Steel _____% Stone _____% Wood _____% Other
_____% Concrete-Precast Panels _____% Insul. Concrete Forms (ICF)
Property Slope: None (0-15°) Moderate (16-30°) Steep (30°+)
WINDOWS: _____ Wood _____ Vinyl _____ Aluminum
SPECIALTY WINDOWS: ___________________________________ See page 4 for Windows - More Detail and Specialty Windows - More Detail.
EXTERIOR TRIM AND DETAILS: Exterior Crown Molding
_____ Decorative Exterior Shutters (number of sets)
_____ Security/Storm Shutters (total windows covered)
_____ Decorative Fiberglass Columns _____ Brick Columns
_____ Copper Gutters (linear feet) _____ Wood Columns
_____ Marble Columns
Awnings: _____ Fabric - Fixed _____ Fabric - Motorized
_____ Aluminum or Steel
Courtyard Walls (lin. ft.):
____ Masonry w/Paint ____ Masonry w/Stucco
____ Masonry w/Brick Veneer ____ Masonry w/Stone Veneer
INTERIOR WALL MATERIAL: _____% Open - No Wall
_____% Drywall _____% Plaster _____% Solid Brick
_____% Solid Stone _____% Solid Log _____% Concrete Block
_____% Adobe _____% Glass Block _____% Studs Only
INTERIOR WALL FINISH: _____% Paint _____% Faux Finish (Rag, Sponge, etc.) ____ % Hand Painted Mural
_____% Wallpaper _____% Custom Wallpaper
_____% Custom Paneling _____% Tongue and Groove Paneling
_____% Ceramic Tile _____% Ceramic Tile (Custom)
_____% Judges Paneling _____% Waterproof Paneling
_____% 1/2 Log Paneling _____% Venetian Plaster
_____% Travertine _____% Marble
_____% Marble (Custom) _____% Grass Cloth
_____% Paneling _____% Brick
_____% Stone _____% Carpet
_____% Mirrors _____% None-No Wall Finish
CEILING FINISH: _____% Paint _____% Faux Finish (Rag, Sponge, etc.)
_____% Sheet Paneling _____% Tongue and Groove Paneling
_____% Custom Paneling _____% Spray Acoustical Texture
_____% Tin _____% Suspended Ceiling Tile
_____% Mirrors _____% Glue-up Ceiling Tile
_____% Venetian Plaster _____% Coffered
HEATING SYSTEM: None _____ Forced Air System _____ # Elec. Baseboard/Wall Heat
_____ Boiler/Hot Water System _____ Radiant Ceiling Heating _____ Radiant Floor Heating
Wood Burning Furnace: _____ Forced Air _____ Radiant Floor Heat/Cool System: _____ Heat Pump _____ Geothermal _____ Duct-free Split System # of Zones: 1 2 3 4
SPECIALTY SYSTEMS: _____ Sump Pump
_____ Water Softener _____ Tankless Water Heater
_____ Central Vacuum System _____ Central Wet/Dry Vacuum System
_____ Burglar Alarm _____ Fire and Burglar Alarm system
_____ Fire Alarm System _____ Intercom System
_____ Central Stereo System _____ Programmable Lighting System
_____ Home Management System _____ Radon Evacuation System
_____ Fire Sprinkler System _____ Air Exchange Systems (total no.)
FIREPLACES: _____ Wood Stove _____ Zero-Clearance Fireplace
_____ Masonry Fireplace _____ Masonry Fireplace-Custom
_____ Electric Fireplace _____ Chimney Only
_____ Fireplace Inserts _____ Beehive Fireplace
LIGHTING: _____ Recessed Lights _____ Ceiling Fans
_____ Track Lighting (number of spotlights)
Chandeliers: _____ Hanging Light/Pendant _____ Wrought Iron
_____ Ornate _____ w/ Real Crystal
_____ Natural Antler _____ Reproduction Antler
STAIRCASES AND CONVEYANCES: _____ Dumbwaiter
_____ Residential Elevator _____ Stair Inclinator
_____ Spiral Slide - Floor to Floor _____ Fireman’s Pole
Staircases: _____ Ornate _____ Ornate Curved
_____ Folding - Attic _____ Metal Spiral
INTERIOR DOORS AND MILLWORK: _____ 8’ High Door _____ Arched Top Door _____ French Door
_____ Hidden Door _____ Ceiling Medallion _____ China Cabinet
_____ Cedar-lined Closet _____ Interior Shutters (pairs)
_____ Built-in Desk/Vanity _____ 8’ High French Door
_____ Double Door (# of door sets) _____ Transom Window
_____ Built-in Office Cabinetry (lin. ft.)
_____ Dbl. French Door (# of door sets)
_____ 8’ High Double French Door (# of door sets)
_____ Built-in Bookcase/Entertainment Center
OTHER INTERIOR FEATURES: _____ Window Seat _____ Motorized Drapes (number of sets)
_____ Laundry Tub _____ Built-in Bowling Alley (per lane)
_____ Wet Bar _____ Indoor Racquetball Court
_____ Shooting Range _____ Indoor Basketball Court
_____ Fountains _____ Refrigerated Wine Cellar—No Racks
_____ Closet Carousel _____ Refrigerated Wine Cellar—With Racks
_____ Built-in Safe _____ Environmental Habitat
_____ Built-in Aquarium _____ Built-in Large Screen TV
_____ Towel Warmer _____ Motorized Movie Screen
_____ Wood Columns _____ Decorative Fiberglass Columns
_____ Brick Columns _____ Built-in (fixed) Movie Screen
_____ Marble Columns _____ Built-in Theater Speaker System
_____ Built-in Speaker System (per speaker)
_____ Built-in Theater Video Projection System
_____ Built-in Theatre Seats (per seat)
_____ Surveillance Cameras and Monitors
_____ Inert Gas Fire Extinguisher System (square feet of coverage)
DORMERS (#): ____________ AVG. WALL HEIGHT: _________
COOLING SYSTEM: None
_____ Central Air Conditioning _____ Evaporative Cooler
_____ Humidifier _____ # Wall/Window Air Conditioning Unit
_____ Whole House Fan _____ Heat Pump-Heat/Cool System
_____ Duct-free Split System # of Zones: 1 2 3 4
EXTERIOR DOORS: _____ Exterior Doors _____ Double Doors _____ 8’ High Doors _____ 8’ High Double Doors _____ Sliding Patio Door _____ Arched Top Doors _____ Double Arched Top Doors _____ Double French Doors (sets) Folding Glass Wall (total linear feet): _____
ADDITIONAL FEATURES: Indoor pools and spas:
_____ Swimming Pool (sq. ft. of the pool) _____ Sauna
Spas/Hot Tubs: _____ portable above ground _____ in ground unit
Accessible Home: Grab Bars/Safety Rails
_____ Automatic Door Opener _____ Wheelchair/Scooter Ramp
Alternative Energy (wattage): Photovoltaic: _____ Solar System _____ Battery Backup Wind Turbines: _____ 2.0 Kw and Under _____ 2.1 Kw and Up _____ Battery Backup
ROOF CONSTRUCTION:
_____% Wood Framed _____% Light Gauge Steel Framing _____% Concrete _____% Included in Pre-Engineered Const.
Address:________________________________________________ Policy #:_________________________________________________
ELECTRICAL FEATURES: Elec. Service Size (amps): 100 200 400
Backup Generator Designer Grade Switches and Outlets USER DEFINED FEATURE: ________________________________
WINDOWS - MORE DETAIL - PAGE 4 OF 7
Quantity
Material
(Wood, Vinyl, Aluminum)
Window Style
(Horizontal Sliding, Picture/Fixed, Single/Double Hung. Casement)
Size (Square Feet)
Impact Resistant Low-E
Tinted Glass
Colored Frames
Obscure/Decor. Glass Grids
SPECIALTY WINDOWS - MORE DETAIL
Quantity
Material
(Wood, Vinyl, Aluminum)
Window Style
(Storm, Bay or Bow, Specialty, Round or Octagonal, Skylight, Stained Glass,
Transom, Solar Tube Skylight) Size
(Square Feet)
Impact Resistant Low-E
Tinted Glass
Colored Frames
Obscure/Decor. Glass Grids
ORIGINAL PERIOD/RESTORED FINISHES - MORE DETAIL
Exterior Features Interior Features Lighting, Plumbing, HVAC
Wood Windows Interior Doors Interior Door Hardware Light Fixtures
Exterior Finishes Interior Trim/Moldings Interior Wall/Ceiling Finishes Plumbing Fixtures
Exterior Moldings (i.e. Frieze boards, Dentils, Lentils, Railings, etc.)
Cabinetry/Vanities Countertops HVAC (i.e. Antique/Replicated steam radiators)
Floor Coverings
Address:________________________________________________ Policy #:_________________________________________________
ROOM INFORMATION - PAGE 5 OF 7
Located in
Basement
Room (Bedrooms, Living Areas, Dining Rooms, Entry/Foyer,
Laundry Rooms, Hallways, Nooks, Utility Rooms, Walk-In Closets, Dens/Offices, Libraries)
Size (Small,
Medium, Large, X-Large)
Quality Adj. (None, Upgraded,
Downgraded) # Deco. Beams
Cathedral or
Vaulted Ceiling
Trayed or
Coved Ceiling
Domed or
Curved Ceiling
2 Story Ceiling
Cornice or
Crown Molding
Chair Rail
ATTACHED STRUCTURES
Address:________________________________________________ Policy #:_________________________________________________
SPORTS COURTS: Small (Up to 500 sf.) Medium (500 to 800 sf.) Large (800 to 1200 sf.) X-Large (1200 to 1800 sf.) Quality Adjustment: Upgraded Downgraded None Room Features: ____ Indoor Basketball Court ____ Indoor Racquetball Court ____ Built-in Bowling Alley (per lane) ____ Shooting Range
PORCHES/PATIOS: (circle structure type for each) Porch / Patio 1: Square Footage: ______ Outdoor Fireplace Material: Concrete Colored Concrete Heated Concrete Brick Pavers Epoxy Aggregate Exposed Aggregate Redwood Decking Cedar Decking Wood Polymer Treated Decking Stone Terrazzo Untreated Decking Saltillo (Clay) Tile Paint/Epoxy Fin. On Concrete Covered: ____% Enclosed: ____% Porch / Patio 2: Square Footage: ______ Outdoor Fireplace Material: Concrete Colored Concrete Heated Concrete Brick Pavers Epoxy Aggregate Exposed Aggregate Redwood Decking Cedar Decking Wood Polymer Treated Decking Stone Terrazzo Untreated Decking Saltillo (Clay) Tile Paint/Epoxy Fin. On Concrete Covered: ____% Enclosed: ____%
DECKS/BALCONIES: (circle structure type for each) Deck / Balcony 1: Square Footage: ____ Height: ____ Levels: ____ Material: Treated Redwood Cedar
Polymer Suspended Concrete Covered: ____% Enclosed: ____% Benches (lin. ft): _____ Deck / Balcony 2: Square Footage: ____ Height: ____ Levels: ____ Material: Treated Redwood Cedar Polymer Suspended Concrete
BREEZEWAYS: Breezeway 1: Square Footage: _____ Enclosed: _____ % Material: Concrete Colored Concrete Heated Concrete Brick Pavers Epoxy Aggregate Exposed Aggregate Redwood Decking Cedar Decking Wood Polymer Treated Decking Terrazzo Untreated Decking Saltillo (Clay) Tile Paint/Epoxy Fin. On Concrete Stone Breezeway 2: Square Footage: _____ Enclosed: _____ % Material: Concrete Colored Concrete Heated Concrete Brick Pavers Epoxy Aggregate Exposed Aggregate Redwood Decking Cedar Decking Wood Polymer Treated Decking Terrazzo Untreated Decking Saltillo (Clay) Tile Paint/Epoxy Fin. On Concrete Stone
POOLS AND SPAS: Spa/Hot tub: Portable Above Ground In Ground Unit Swimming Pool: Square Footage: _____ Type: Vinyl Fiberglass Sprayed Concrete: w/White Plaster Finish w/Tile Finish
OUTDOOR KITCHEN: Square Footage: ______ Outdoor Fireplace Covered: ____% Enclosed: ____%
SUNROOM: Square Footage: ______ Heated
FULL SCREEN ENCLOSURE: Square Footage: _________ Height: ______ Over In-Ground Pool
GREENHOUSE: Square Footage: ______ Heated
DETACHED STRUCTURES - PAGE 6 OF 7
LANDSCAPING WALLS: Height: ______ Length: ______
Type: Concrete Block Brick Brick Veneer over Block
FENCING: Height: ______ Length: ______
Chain Link Vinyl Coated Chain Link Barbed Wire
Wood Split Rail Wood Basket Weave Wood Picket
Wood Slat Fence Wood Board on Board Wrought Iron
Vinyl Aluminum w/ Factory Finish
DETACHED GARAGE: Wood Framed Standard Wood Pole Framed
Masonry Pre-Engineered Metal Metal Quonset
Finished Living Space Above: Height: __________
Size: 1 Car 1.5 Car 2 Car 2.5 Car 3 Car 3.5 Car
4 Car 4.5 Car 5 Car 5.5 Car 6 Car 6.5 Car
7 Car 7.5 Car 8 Car 8.5 Car
Exterior Finish: Siding - Aluminum or Metal Siding - Vinyl
Siding - Vinyl Shingles Siding - Hardboard/Masonite
Siding - Plywood (Vertical Groove) Siding - Board and Batten
Siding - Cedar (Clapboard) Siding - Cedar (Tongue and Groove)
Siding - Redwood (Clapboard) Siding - Redwood (Tongue and Groove)
Siding - Pine (Clapboard) Siding - Pine (Tongue and Groove)
Siding - Cement Fiber (Clapboard) Cement Fiber (Shingle)
Wood Shingle/Shake Wood Shingle/Shake (Scalloped)
Cypress - Reclaimed Siding - Logs
Solid Logs - Small (6”-8”) Solid Logs - Medium (9”-12”)
Solid Logs - Large (13” or more) Synthetic Stucco over Frame (EIFS) Synthetic Stucco over Block (EIFS) Masonry Stucco over Framing
Masonry Stucco over Block Brick Veneer
Brick Veneer - Custom Brick - Solid Structural (Giant)
Brick - Solid Structural (Giant) - Custom Brick - Solid Double Wythe
Brick over Block Stone Veneer (Natural)
Stone Veneer (Manufactured) Stone - Manufactured over Block
Stone - Natural over Block Cut Limestone Veneer
Metal - Copper Shingle Concrete Block
Concrete Block - Decorative None - Bare Masonry Block
Painted Ribbed Metal Corrugated Galvanized Metal
None - Painted Masonry Block None - Pre-Eng. Metal Building
Roof Covering: 3 Tab Shingle Architectural Shingle
Standing Seam Copper Roll Roofing
Concrete Tile Metal Tile/Shake Impact Resistant Shingle
Wood Shingles/Shakes Hot-mopped w/Gravel Hot-mopped w/o Gravel
Composition Shake Standing Seam Copper Tile - Glazed
Tile - Cement Fiber Slate Wood Shingles/Shakes (Deco Ptrn)
Painted Ribbed Metal Clay Tile Corrugated Galvanized Metal
Membrane EPDM or PVC Spray Polyurethane Foam (SPF)
None - Metal Quonset Building None - Pre-Eng. Metal Building
OUTDOOR IN GROUND POOL: Square Feet :_________ Vinyl Fiberglass
Sprayed Concrete: w/Tile Finish w/White Plaster Finish
SIDEWALK: Width: ______ Length: ______ Heated
Concrete Stamped Concrete Asphalt Brick Pavers
ABOVE GROUND POOL:
Size: Small Medium Large Extra Large
Quality: Standard Average Above Average Premium
Address:________________________________________________ Policy #:_________________________________________________
DRIVEWAY: Square Feet: ______ Heated
Concrete Stamped Concrete Asphalt Brick Pavers
PORTABLE BUILDING (sq. ft.): _____________________________
POOL HOUSE: Wood Framed Masonry Pre-Eng. Metal
Square Feet: ______
Exterior Finish: Siding - Aluminum or Metal Siding - Vinyl
Siding - Vinyl Shingles Siding - Hardboard/Masonite
Siding - Plywood (Vertical Groove) Siding - Board and Batten
Siding - Cedar (Clapboard) Siding - Cedar (Tongue and Groove)
Siding - Redwood (Clapboard) Siding - Redwood (Tongue and Groove)
Siding - Pine (Clapboard) Siding - Pine (Tongue and Groove)
Siding - Cement Fiber (Clapboard) Cement Fiber (Shingle)
Wood Shingle/Shake Wood Shingle/Shake (Scalloped)
Cypress - Reclaimed Siding - Logs
Solid Logs - Small (6”-8”) Solid Logs - Medium (9”-12”)
Solid Logs - Large (13” or more) Synthetic Stucco over Frame (EIFS) Synthetic Stucco over Block (EIFS) Masonry Stucco over Framing
Masonry Stucco over Block Brick Veneer
Brick Veneer - Custom Brick - Solid Structural (Giant)
Brick - Solid Structural (Giant) - Custom Brick - Solid Double Wythe
Brick over Block Stone Veneer (Natural)
Stone Veneer (Manufactured) Stone - Manufactured over Block
Stone - Natural over Block Cut Limestone Veneer
Metal - Copper Shingle Concrete Block
Concrete Block - Decorative None - Bare Masonry Block
Painted Ribbed Metal Corrugated Galvanized Metal
None - Painted Masonry Block None - Pre-Eng. Metal Building
Roof Covering: 3 Tab Shingle Architectural Shingle
Standing Seam Copper Roll Roofing
Clay Tile Concrete Tile Metal Tile/Shake
Impact Resistant Shingle Wood Shingles/Shakes
Hot-mopped w/ Gravel Hot-mopped w/o Gravel
Painted Ribbed Metal Corrugated Galvanized Metal
Membrane EPDM or PVC Spray Polyurethane Foam (SPF)
Composition Shake Standing Seam Copper
Tile - Cement Fiber Wood Shingles/Shakes (Deco Ptrn)
Slate Tile - Glazed None - Pre-Eng. Metal Building
BASKETBALL COURT: Concrete Asphalt w/Synth. Surface
Size: Full Court Half Court
Illumination: Full Lighting No Lighting
TENNIS COURT: Concrete Asphalt w/Synthetic Surface
Size (number of courts): 1 2 3 4
Illumination: Full Lighting No Lighting
Enclosure: Chain Link Fence Wood Fence
Netting Block Wall None
GAZEBO: Small Medium Large X-Large
Type: Octagon Rectangle/Oval
Material: Cedar Treated Pine Vinyl
Roof Type: Single Roof Double Roof
STABLE/BARN: Wood Framed Standard Wood Pole Framed
Masonry Pre-Engineered Metal
Square Feet: ______ Number of Stalls:_____
Exterior Finish: Siding - Aluminum or Metal Siding - Vinyl
Siding - Vinyl Shingles Siding - Hardboard/Masonite
Siding - Plywood (Vertical Groove) Siding - Board and Batten
Siding - Cedar (Clapboard) Siding - Cedar (Tongue and Groove)
Siding - Redwood (Clapboard) Siding - Redwood (Tongue and Groove)
Siding - Pine (Clapboard) Siding - Pine (Tongue and Groove)
Siding - Cement Fiber (Clapboard) Cement Fiber (Shingle)
Wood Shingle/Shake Wood Shingle/Shake (Scalloped)
Cypress - Reclaimed Siding - Logs
Solid Logs - Small (6”-8”) Solid Logs - Medium (9”-12”)
Solid Logs - Large (13” or more) Synthetic Stucco over Frame (EIFS) Synthetic Stucco over Block (EIFS) Masonry Stucco over Framing
Masonry Stucco over Block Brick Veneer
Brick Veneer - Custom Brick - Solid Structural (Giant)
Brick - Solid Structural (Giant) - Custom Brick - Solid Double Wythe
Brick over Block Stone Veneer (Natural)
Stone Veneer (Manufactured) Stone - Manufactured over Block
Stone - Natural over Block Cut Limestone Veneer
Metal - Copper Shingle Concrete Block
Concrete Block - Decorative None - Bare Masonry Block
Painted Ribbed Metal Corrugated Galvanized Metal
None - Painted Masonry Block None - Pre-Eng. Metal Building
Roof Covering: 3 Tab Shingle Architectural Shingle
Standing Seam Copper Roll Roofing Tile - Glazed
Concrete Tile Metal Tile/Shake Impact Resistant Shingle
Wood Shingles/Shakes Hot-mopped w/Gravel Hot-mopped w/o Gravel
Painted Ribbed Metal Clay Tile Corrugated Galvanized Metal
Membrane EPDM or PVC Spray Polyurethane Foam (SPF)
Composition Shake Standing Seam Copper Tile - Cement Fiber
Wood Shingles/Shakes (Deco Ptrn) None - Pre-Eng. Metal Building
FULL SCREENED ENCLOSURE:
Square Feet: ______ Height: ______ Over In-Ground Pool
SATELLITE DISH: Dig. w/receiver Large w/controller & receiver
LANDSCAPE FOUNTAIN: Simple Design Elaborate Design
HOT TUB: In Ground Unit Portable Above Ground Size: Small Medium Large
WIND TURBINES - 2.0 Kw and Under Wattage: ______
2.1 Kw and Above Wattage: ______
Battery Backup Wattage: ______
SOLAR PANEL - Photovoltaic Wattage: ______
Battery Backup Wattage: ______
Hot Water Sq. Ft.: _______
PATIOS: Square Footage: _____ Type: Concrete Colored Concrete Heated Concrete Brick Pavers Epoxy Aggregate Exposed Aggregate Redwood Decking Cedar Decking Wood Polymer Treated Decking Stone Terrazzo Untreated Decking Saltillo (Clay) Tile Paint/Epoxy Fin. On Concrete
CARPORT: Wood Framed Aluminum Steel Joists
Size: 1 Car 1.5 Car 2 Car 2.5 Car
3 Car 3.5 Car 4 Car
Post Type: Wood Post Steel Post
Decorative Alum/Steel Masonry Post w/Brick
Masonry Post w/Stone Masonry Post w/Stucco
Roof Covering: 3 Tab Shingle Architectural Shingle
Standing Seam Copper Roll Roofing
Clay Tile Concrete Tile Metal Tile/Shake
Impact Resistant Shingle Wood Shingles/Shakes
Hot-mopped w/ Gravel Hot-mopped w/o Gravel
Painted Ribbed Metal Corrugated Galvanized Metal
Membrane EPDM or PVC Spray Polyurethane Foam (SPF)
Composition Shake Standing Seam Copper
Tile - Cement Fiber Wood Shingles/Shakes (Deco Ptrn)
Slate Metal - Standing Seam
Tile - Glazed None - Aluminum Only
DETACHED STRUCTURES - PAGE 7 OF 7
Address:________________________________________________ Policy #:_________________________________________________
NOTES / ADDITIONAL INFORMATION:
FIXED BARBEQUE: Brick Stone
STORAGE SHED: Metal Wood Vinyl
Size: 8’x6’ 10’x8’ 10’x12’ 10’x14’ 12’x14’ 12’x16’
Floor Material: None (bare earth) Wood Concrete Asphalt
STORAGE SHED - LARGE (193+ sq. ft.)
Wood Framed Standard Wood Pole Framed
Masonry Pre-Engineered Metal
Square Feet: ___________________
Exterior Finish: Siding - Aluminum or Metal Siding - Vinyl
Siding - Vinyl Shingles Siding - Hardboard/Masonite
Siding - Plywood (Vertical Groove) Siding - Board and Batten
Siding - Cedar (Clapboard) Siding - Cedar (Tongue and Groove)
Siding - Redwood (Clapboard) Siding - Redwood (Tongue and Groove)
Siding - Pine (Clapboard) Siding - Pine (Tongue and Groove)
Siding - Cement Fiber (Clapboard) Cement Fiber (Shingle)
Wood Shingle/Shake Wood Shingle/Shake (Scalloped)
Cypress - Reclaimed Siding - Logs
Solid Logs - Small (6”-8”) Solid Logs - Medium (9”-12”)
Solid Logs - Large (13” or more) Synthetic Stucco over Frame (EIFS) Synthetic Stucco over Block (EIFS) Masonry Stucco over Framing
Masonry Stucco over Block Brick Veneer
Brick Veneer - Custom Brick - Solid Structural (Giant)
Brick - Solid Structural (Giant) - Custom Brick - Solid Double Wythe
Brick over Block Stone Veneer (Natural)
Stone Veneer (Manufactured) Stone - Manufactured over Block
Stone - Natural over Block Cut Limestone Veneer
Metal - Copper Shingle Concrete Block
Concrete Block - Decorative None - Bare Masonry Block
Painted Ribbed Metal Corrugated Galvanized Metal
None - Painted Masonry Block None - Pre-Eng. Metal Building
Roof Covering: 3 Tab Shingle Architectural Shingle
Standing Seam Copper Roll Roofing Tile - Glazed
Concrete Tile Metal Tile/Shake Impact Resistant Shingle
Wood Shingles/Shakes Hot-mopped w/Gravel Hot-mopped w/o Gravel
Painted Ribbed Metal Clay Tile Corrugated Galvanized Metal
Membrane EPDM or PVC Spray Polyurethane Foam (SPF)
Composition Shake Standing Seam Copper Tile - Cement Fiber
Wood Shingles/Shakes (Deco Ptrn) None - Pre-Eng. Metal Building
STORM SHELTER - ABOVE GRADE (SAFE ROOM):
Square Footage: _____ Type: Concrete Steel
USER DEFINED FEATURE: ___________________________________ ___________________________________________________________
STORM SHELTER - BELOW GRADE (STORM CELLAR): Square Footage: _____ Type: Concrete Steel Fiberglass
DECKS: Sq. Ft.: ____ Treated Redwood Cedar Polymer
FLOATING BOAT DOCK: Aluminum Wood Square Footage: _____ Gangway (total lin. ft.): _____