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


_____% Quartz _____% Domestic Granite or Marble

_____% Wood _____% Imported Granite or Marble

_____% Stainless Steel _____% None (pedestal sink)








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)


_____% Domestic Granite/Marble _____% Imported Granite/Marble








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
















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
















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: ______
























Clay Tile 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 - 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:_____























Standing Seam Copper Roll Roofing Tile - Glazed





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



Clay Tile 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 - 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: ___________________























Standing Seam Copper Roll Roofing Tile - Glazed





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.): _____

expanded residential 1 to 4 family - 360value · pdf fileprimary information (kitchens and...

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