Residential Replacement Cost Worksheet



|Residential Replacement Cost Worksheet |

|Client Name: |      |

|Property Location: |      |

| |      |

|PROPERTY DESCRIPTION |

|YEAR BUILT |      |NUMBER OF STORIES |      |Date Occupying? |      |

|TOTAL LIVING AREA |      |NUMBER OF FAMILIES |      |Renovations? |      |

| | |If so, how long will it be vacant? |      |

|STYLE: | | | |

|RANCH (1 STORY) | |CONTEMPORARY (OPEN FLOOR PLAN) | |

|RAISED RANCH (2 STORIES) | |VICTORIAN (IRREGULAR SHAPE) | |

|CAPE COD (1.5 STORIES) | |BI-LEVEL (2-LEVELS) | |

|COLONIAL (2 STORIES) | |TRI-LEVEL (3 SEPARATE LEVELS) | |

|OTHER:_     ________________ | | | |

| | |

|FOUNDATION TYPE (MUST TOTAL 100%) |ROOFING MATERIAL (Must total 100%) |

|% SLAB |     % |ASPHALT SHINGLE/FIBERGLASS |     % |

|% CRAWL SPACE | % |SLATE |     % |

|% BASEMENT |     % |CLAY TILE |     % |

|% BASEMENT FINISHED |     % |WOOD SHAKES |     % |

|% PIER FOUNDATION |     % |BUILT UP TAR/GRAVEL |     % |

|% HILLSIDE FOUNDATION | % |OTHER:____     _______ |     % |

| | |

|EXTERIOR WALL MATERIAL (MUST TOTAL 100%) |GARAGES & CARPORTS |# OF CARS |

|WOOD SIDING |     % |ATTACHED GARAGES |      |

|ALUMINUM SIDING |     % |BUILT-IN GARAGES |      |

|VINYL SIDING |     % |CAR PORTS |      |

|WOOD SHAKES |     % |DETACHED |      |

|BRICK VENEER |     % | | |

|STONE VENEER |     % |DECKS, PORCHES, BREEZEWAYS |SQ FT |

|STUCCO on FRAME (EIFS) |     % |DECKS – WOOD |      |

|STUCCO/MASONRY |     % |PORCHES - OPEN | |      |

|SOLID BRICK |     % |PORCHES - ENCLOSED | |      |

|SOLID STONE |     % |PORCHES - SCREENED | |      |

|OTHER:_    _____________ |     % |CONCRETE PATIO |      |

| | |

|KITCHENS AND BATHS |HEATING AND AIR CONDITIONING |

|NUMBER OF EACH |HEAT TYPE | OIL | GAS | ELECTRIC |

|STANDARD |      |UNDERGROUND FUEL TANK? | YES | NO |

|CUSTOM |      |CENTRAL AIR | YES | NO |

|DESIGNER |      |SAME DUCTS | |SEPARATE DUCTS | |

| | | | |

|FULL BATHS |HALF BATHS |MISCELLANEOUS SYSTEMS |

|NUMBER OF FULL BATHS |NUMBER OF HALF BATHS |CENTRAL BURGLAR ALARM | YES | NO |

|STANDARD |      |STANDARD |      |

|ADDITIONAL FEATURES (Enter Number of Each) |

|SKYLIGHTS |      |JACUZZI |      |

|SLIDING GLASS DOORS |      |HOT TUB |      |

|FRENCH DOORS (EACH) |      |FIREPLACES (#) |      |WOODBURNING STOVE (#) |      |

|BOW WINDOWS |      |INGROUND POOL |Small |Medium |Large |

|ATRIUM WINDOWS |      |ABOVE GROUND POOL |Small |Medium |Large |

|BAY WINDOWS |      |Diving Board? |Slide? |Fence? |

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