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Amwins Building Addon
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Building Addon
Heating and Electrical
Building Information
Verify Type of Contents
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Explain Other Contents (Leave Blank if None)
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Historical Building
*
Yes
No
National or Regional
*
National
Regional
Both
Unable to determine
Building Square Footage square feet
*
Year Built
*
Heat Updated in
*
Wiring Updated in
*
Plumbing Updated in
*
Construction Type
*
Frame
Joisted Masonry
Non-Combustible
Masonry Non-Combustible
Modified Fire Resistive
Fire Resistive
Foundation
*
Concrete Slab
Pier and Beam
Crawl Space Open
Crawl Space Closed
Elevated Pier
No foundation
Basement
Roof Shape
*
Open gable
Box gable
Hip
Mansard
Flat
Dormer
Hexagon
Gambrel
Other
Name of Other Roof Shape
*
Roof Type
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Composition Asphalt Shingle
Built-up
Metal
Rubber Membrane
Steel
Tile
Wood Shake
Other
Not confirmed
Name of Other Roof Type
*
Roof Age
*
Roof Support
*
Verification of Roof Support By
*
Fire Separation
*
Yes
None observed
Trash or Dumpster Area
*
Yes
No
None observed
Exposure(s) on North
*
Other Exposures on North (Leave Blank if None)
*
Exposure(s) on South
*
Other Exposures on South (Leave Blank if None)
*
Exposure(s) on East
*
Other Exposures on East (Leave Blank if None)
*
Exposure(s) on West
*
Other Exposures on West (Leave Blank if None)
*
Address
*
Building Identifier
*
Heating/Cooling Type
*
Central
Window units
Space heater
Suspended wall furnace
None
Fuel Type
*
Electric
Gas
HVAC Storage Protection in Place
*
Yes
No
Wiring Type
*
Copper
Aluminum
Knob and tube
Not confirmed
Fuse Box or Circuit Breakers
*
Circuit breakers
Fuses
Circuit breakers and fuses
None
Name of Electrical Panels Installed
*
Federal Pacific/Stab-Lok
Zinsco/Kearney
GTE-Sylvania
Challenger
Magnetrip
General Electric
Square D
Cutler Hammer
Siemens
Eaton
Schneider
Westinghouse
Other brand
Label not visible
Electrical panel not accessible
Name of Other Brand of Electrical Panel
*
Plan to Replace Panels Confirmed
*
Yes
No
Mounted Space Heaters
*
Yes
No
Missing Covers on Electrical Equipment
*
Yes
No
Temporary Wiring in Electrical Room
*
Yes
No
Combustible Material in Electrical Room
*
Yes
No
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Amwins Building Addon
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