Name*

Company (if applicable)

Address

Phone Number*

Email Address*

Please select one*: Please select one*: New Renovation Commercial Foundation Other

Estimated Schedule Estimated Schedule 1-3 months 3-6 months 6-12 months More than 12 months

Do you have a survey? Do you have a survey? Yes No Unsure

Do you have a soil engineers report? Do you have a soil engineers report? Yes (will get one) No Unsure

Square Footage Square Footage Less than 1,000 sq. ft. 1,000-1,500 sq. ft. 1,500-2,000 sq. ft. 2,000-2,500 sq. ft. over 2,500 sq. ft.

Number of floors Number of floors 1 2 3 4

Estimated budget: Estimated budget: Less than $100,000 $100,000-150,000 $150,000-200,000 200,000-300,000 300,000-400,000 Over 400,000

Number of Bedrooms Number of Bedrooms 1 2 3 4+

Preferred style Preferred styleBungalowColonialContemporaryCraftsmanDutch ColonialFrench CountryModern FarmhouseRanchTudorVictorianOther

If other preferred style, please fill in:

Number of Bathrooms Number of Bathrooms 1 2 3 4+

Preferred foundation Preferred foundation Poured concrete Raised foundation

Water Heater Water Heater Gas Electric

Additional preferred features Additional preferred features Can lights Ceiling fans Crown molding Elevator Fireplace HVAC in attic Vaulted ceilings Walk-in pantry