Contact Information

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First Name*: Last Name*:

Address*:

Address (continued):

City*, State*, Zip*:

Phone*:

E-mail*:

1. General Info

Square footage desired: 1000 or less 1200 1500 1800 2000 2500 3200 3500 4000 4500 5000 5500 or more

Number of floors: 1 2 3 4+

Number of bedrooms: 1 2 3 4 5+

Number of baths: 1 2 3 4+

When do you plan to build? 6 - 12 months 12 - 18 months 18 - 24 months more than 24 months

What is your construction budget?

Total parking needed: 1 2 3 4 5 6+

In-garage parking needed: 1 2 3 4 5 6+

Describe the people who will be living in the house:

2. Site Info.

Site Address:

City, state, zip:

How many acres is your site?

Waterfront site? Yes: No:

Site conditions: Flat Moderate Slope Steep

Site vegetation: Clear Some trees Wooded

Describe your site:

Water source: Municipal Well

Sewer type: Municipal Sewer Septic

Date of Septic plan:

Describe the road to your site:

3. Building Info

A. Beds & Baths

Master Bedroom Floor: 1 2

Describe your Master Suite:

Describe your other bedrooms:

Describe your other baths:

B. Kitchen/Dining

Do you want an eat-in kitchen? Yes No:

What appliances are necessary?

What else do you want in your kitchen?

Describe your dining room:

C. Living Space

Do you want a vaulted great room? Yes: No:

Do you want a fireplace or stove? Fireplace: Woodstove: Don't want either:

Do you prefer an open plan? Yes: No:

What should be the "feel" of the living area?

D. Special Spaces

Describe any special spaces:

Do you have pets?

Do you have concerns about mobility or handicap access?

Do you have any special furntiure, such as pianos, large art works?

4. Your Expectations

Please share with us the expectations you have for your home. A home should be a place that soothes and shelters the people who live in it. It should welcome those who visit it.