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Is this a high value?
What is the building value (this is the building amount the customer gave to us on the order).
Outbuilding used by?
Description of the outbuilding.
Type of outbuilding?
Total square footage? Square Feet
Primary exterior wall construction?
Interior walls?
Interior wall finish
Construction type?
Explain other.
Overall condition of the building?
Explain poor condition.
Click what applies.
Apartment sq ft. 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?
What type of foundation?
What other type of foundation?
Is the basement finished out?
Predominant roof construction?
Predominant roof covering?
Explain other.
Roof condition?
Explain poor roof condition.
Roof updated
Years since last roof update?
How was the roof updated?
Type of HVAC?
Type of fuel or electric for the HVAC?
HVAC system updated?
How many years since last HVAC update?
Does the building have electrical?
Type of electrical panel protection?
Electrical updates?
How many years since last electrical update? year(s)
What type of light fixtures are in the building?
Did this outbuilding have any excessive extension cord use, multi-tap outlets or temporary wiring?
Type of plumbing?
Smoke detectors?
Type smoke detectors?
Carbon monoxide detector(s)?
Type of carbon monoxide detectors?
Central alarm system?
Type of alarm system?
Sprinkler system?
Adequate fire extinguisher(s)?
Extinguishers wall mounted?
Extinguishers currently tagged?
Date on extinguisher tag?
Are there any flammables stored in the building?
Describe all flammables stored in the building.
Is Hay stored in the building.
Description of high value property.
Estimated building replacement cost
Estimated building actual cash value cost.
Submitted
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No
Owner
sdfghnjmk,l
Tractor Shed
123
Wood Siding
Finished
Drywall
Joisted Masonry
Excellent
Apartment
12345
Yes
Concrete slab
Wood
Standing Seam
like new
No
Window Units
Natural gas
Yes
2
No
Galvanized
No
No
No
No
No
No
No
12
10
3 days ago