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OUtbuilding
This registration form has been published and is now live
Type of outbuilding?
*
Barn
Mobile Home
Tractor Shed
Church
Horse Shed
Hay Barn/Shed
Cattle Barn
Workshop
Tool Shed
Storage Shed
Well House
Loafing Shed
Chicken Coop
Bunk House
Game Room
Office
Total square footage? Square Feet
*
Primary exterior wall construction?
*
Brick Veneer
Wood Siding
Hardiplank
Stucco
Metal/Tin Siding
Aluminum Siding
Stone Veneer
SmartSide (Engineered wood/fiber siding)
Vinyl Siding
Wood Shake
Concrete Block
Log
Asbestos Siding
No Exterior Walls
Interior walls?
*
Finished
Unfinished
Interior wall finish
*
Drywall
Wood panel
Plywood
Tongue and groove
Metal
Other
Construction type?
*
Frame
Joisted Masonry
Non Combustible
Log Cabin
Solid Brick
Other
Explain other.
*
Overall condition of the building?
*
Excellent
Good
Average
Fair
Poor
Explain poor condition.
*
Click what applies.
*
Apartment
Office
Bathroom
Tack Room
Loft
Other
None
Apartment sq ft.
*
Office sq ft. sq ft.
*
Bathroom sq ft. sq ft.
*
Tack room sq ft. sq ft.
*
Loft sq ft. sq ft.
*
Other sq ft. sq ft.
*
Has the outbuilding been remodeled?
*
Yes
No
What type of foundation?
*
Concrete slab
Crawl space open
Crawl space closed
Pier & Beam
Basement
Elevated Pier
Other
None
What other type of foundation?
*
Is the basement finished out?
*
Yes
No
Predominant roof construction?
*
Wood
Metal
Concrete
Predominant roof covering?
*
Shingles
Asphalt/Fiberglass
Rolled roof/Single ply
Rubber
Shakes
Wood
Shingles
Architectural
Slate
Steel
Steel
Standing Seam
Tile
Concrete
Tin
Tar and Gravel
Other
Explain other.
*
Roof condition?
*
Excellent
like new
Good
Average
Fair needs improvement soon
Curling
Blistered
Torn or missing shingles
Poor needs immediate attention
Explain poor roof condition.
*
Roof updated
*
Yes
No
Unknown to insured
Years since last roof update?
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Over 40
How was the roof updated?
*
Complete replacement
Partial replacement
Patched/Repaired
Other
Type of HVAC?
*
Central Heat/Air
Window Units
Central and Window Units
None
Type of fuel or electric for the HVAC?
*
Natural gas
Propane gas
Electric
HVAC system updated?
*
Yes
No
How many years since last HVAC update?
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Over 40
Done as needed
Does the building have electrical?
*
Yes
No
Type of electrical panel protection?
*
Circuit Breakers
Fuses
Circuit Breakers and Fuses
Electrical updates?
*
Yes
No
Unknown to insured
How many years since last electrical update? year(s)
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Over 40
What type of light fixtures are in the building?
*
Globed
Caged
Unprotected/Exposed
None
Did this outbuilding have any excessive extension cord use, multi-tap outlets or temporary wiring?
*
Yes
No
Type of plumbing?
*
Copper
Galvanized
Copper & Galvanized
PVC
PEX (plastic flex tubing)
Other
None
Smoke detectors?
*
Yes
No
Type smoke detectors?
*
Battery
Hardwired
Battery and Hardwired
Carbon monoxide detector(s)?
*
Yes
No
Type of carbon monoxide detectors?
*
Battery
Hardwired
Battery and Hardwired
Central Alarm System
Central alarm system?
*
Yes
No
Type of alarm system?
*
Fire Alarm
Burglar Alarm
Fire and Burglar Alarm
Sprinkler System
Sprinkler system?
*
Yes
No
Fire Extinguishers
Adequate fire extinguisher(s)?
*
Yes
No
Extinguishers wall mounted?
*
Yes
No
Extinguishers currently tagged?
*
Yes
No
Date on extinguisher tag?
*
January
February
March
April
May
June
July
August
September
October
November
December
Month
01
02
03
04
05
06
07
08
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12
13
14
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17
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22
23
24
25
26
27
28
29
30
31
Day
2036
2035
2034
2033
2032
2031
2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
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1978
1977
1976
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1974
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1968
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1956
1955
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1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
Year
Flammables
Are there any flammables stored in the building?
*
Yes
No
Describe all flammables stored in the building.
*
Is Hay stored in the building.
*
Yes
No
You do not need to complete the section below
Building Values
Estimated building replacement cost
*
Estimated building actual cash value cost.
*
Outbuilding 1 ($) on the order: #GENERICFIELD.Outbuilding 1 ($)#
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