Amwins Building Addon
Building Addon
Address:
*
Street address
Street address 2
City
State / Province
zip code
Building identifier:
*
Heating and Electrical
Heating/Cooling type:
*
-- Please Select--
Central
Window units
Space heater
Suspended wall furnace
None
{"Central":["6","7","25"]," Window units":["6","7","25"]," Space heater":["6","7","25"]," Suspended wall furnace":["6","7","25"]}
Fuel type:
*
Electric
Gas
HVAC storage protection in place?
*
Yes
No
Wiring type:
*
Copper
Aluminum
Knob and tube
Not confirmed
Fuse or circuit breakers:
*
Circuit breakers
Fuses
Circuit breakers and fuses
None
Name of electrical panels installed:
*
Federal Pacific/Stab-Lok
General Electric
Schneider
Zinsco/Kearney
Square D
Westinghouse
GTE-Sylvania
Cutler Hammer
Challenger
Siemens
Magnetrip
Eaton
Other brand
Label not visible
Electrical panel not accessible
{" Other brand":["11"]}
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
Building Information
Verify type of contents:
*
Other contents?
*
Yes
No
{"Yes":["20"]}
Explain other contents:
*
Historical building?
*
Yes
No
{"Yes":["22"]}
National or Regional:
*
-- Please Select--
National
Regional
Both
Unable to determine
Building square footage:
*
Year built:
*
Heat updated in what year?
*
Wiring updated in what year?
*
Plumbing updated in what year?
*
Construction type:
*
-- Please Select--
Frame
Joisted Masonry
Non-Combustible
Masonry Non-Combustible
Modified Fire Resistive
Fire Resistive
Foundation:
*
-- Please Select--
Concrete Slab
Pier and Beam
Crawl Space Open
Crawl Space Closed
Elevated Pier
No foundation
Basement
Roof shape:
*
-- Please Select--
Open gable
Box gable
Hip
Mansard
Flat
Dormer
Hexagon
Gambrel
Other
{" Other":["31"]}
Other roof shape:
*
Roof type:
*
-- Please Select--
Composition Asphalt Shingle
Built-up
Metal
Rubber Membrane
Steel
Tile
Wood Shake
Other
Not confirmed
{" Other":["33"]}
Other roof type:
*
Roof age (In years):
*
Roof support:
*
Verification of root support by:
*
Fire separation?
*
Yes
No
None observed
Trash or dumpster area?
*
Yes
No
None observed
Exposure(s) on North:
*
Other exposures on North?
*
Yes
No
{"Yes":["41"]}
Explain other exposures on North:
*
Exposure(s) on South:
*
Other exposures on South?
*
Yes
No
{"Yes":["44"]}
Explain other exposures on South:
*
Exposure(s) on East:
*
Other exposures on East?
*
Yes
No
{"Yes":["47"]}
Explain other exposures on East:
*
Exposure(s) on West:
*
Other exposures on West?
*
Yes
No
{"Yes":["50"]}
Explain other exposures on West:
*
