Home Reconstruction Estimator
General Information
Name:
Address:
City:
State:
ZIP:
County:
Twp or Borough:
Phone Day:
-
Night:
-
Best time to call:
am
pm
E-mail:
Fax:
-
Occupation:
How long at current job:
years
months
Spouses Occupation:
How long at current job:
years
months
How would you like to be contacted?
Telephone
E-mail
Fax
Home Information
Zip Code:
Ground floor square footage of home:
Year home was built:
Market Value:
Grade
:
Multi-unit:
$
Standard
Economy
Custom
No
Duplex
3 Family
4 Family
Townhouse
Structure Information
Type:
Construction:
Roof:
Foundation:
Garage:
1 Story
1 1/2 Story
2 Story
2 1/2 Story
Split Level
Bi-Level
Other
Frame or Stucco
Masonry Veneer
Masonry
Other
Asphalt Shingle
Wood Shingle
Tile or Slate
Other
Basement
Crawl Space
Slab
Other
1 Car
2 Car
3 Car
4 Car
None
Attached
Detached
Basement
Built-in
Car Port
None
Features
Bathrooms:
Basement:
Deck/Porch/Patio:
Fireplaces:
# of Full:
# of Half:
None
Unfinished:
sq ft.
Finished:
sq ft
Deck Sq. Ft:
Porch Sq. Ft:
Screened Patio Sq. Ft:
# of Chimneys:
# of Hearths:
Size of Hearths:
Normal (6' - 8')
Large (10' - 15')
Additional Features
Heating System:
Central Air:
Central Vac:
Wet bar:
Walk-Out Basement:
Room Additions:
Electric
Gas
Oil
Propane
Solar
Other
None
Separate Ducts
Heating Ducts
yes
no
yes
no
yes
no
gd fl sq ft
# of stories
Additional Comments:
Please give any additional comments you desire:
