Amwins Building Addon - Drag N' Drop FormBuilder

Amwins Building Addon

Building Addon

Heating and Electrical

Building Information

Verify Type of Contents *

Explain Other Contents (Leave Blank if None) *

Historical Building *
- Yes
- No

National or Regional *

Building Square Footage square feet *

Year Built *

Heat Updated in *

Wiring Updated in *

Plumbing Updated in *

Construction Type *

Foundation *

Roof Shape *

Name of Other Roof Shape *

Roof Type *

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 *

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 *

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