ranch & estate replacement cost form - residence

1
Ranch & Estate Replacement Cost Form - Residence Applicant: Sketch ground floor area only and indicate the outside dimensions. (Only include attached garages.) Location #1 Main Residence Diagram #: Use: 0 Economy 0 Average 0 Custom 0 Luxury Number of Stories: Total no. of rooms: Exterior Wall Construction I 0/0 Wood, Stucco, Vinyl II 0/0 Veneer (Stone or Brick) III % All Stone or All Brick Ceiling height: No. of Bathrooms: IA Full No. of Kitchens: 1 /2 Full No of Bedrooms: No. of Fireplaces: Sub-Structure: 0 Slab 0 Crawl Space 0 Basement No. of Chimneys: Describe other rooms: Garage (# of cars) 0 1 0 2 0 3 0 4 0 Attached 0 Detached 0 Carport Slope of building site: 0 Level 0 15 % 0 30 'Y. 0 45 % Primary type of flooring: 0 Carpet 0 Hardwood 0 Tile Other features: Total finished sq. ft: Total finished sq. ft above ground: Total finished sq. ft. below ground: Dwellings & Farm Buildings Diagram #: Use 0 Economy 0 Average 0 Custom 0 Luxury Number of Stories: Total no, of rooms: Exterior Wall Construction I 0/0 Wood, Stucco, Vinyl II % Veneer (Stone or Brick) III % All Stone or All Brick Ceiling height: No. of Bathrooms: 1/2 Full No. of Kitchens: 1/ 2 Full No. of Bedrooms: No. of Fireplaces: Sub-Structure: 0 Slab 0 Crawl Space 0 Basement No. of Chimneys: Describe other rooms: Garage (# of cars) Dl D2 D3 D4 0 Attached 0 Detached 0 Carport Slope of building site: 0 Level 0 15 % El 30 % 0 45 0/0 Primary type of flooring: 0 Carpet 0 Hardwood 0 Tile Other features: Total finished sq. ft Total finished sq ft: above ground: Total finished sq. ft: below ground: Dwellings & Farm Buildings Diagram #: Use 0 Economy 0 Average 0 Custom 0 Luxury Number of Stories: Total no. of rooms: Exterior Wall Construction I 'Y. Wood, Stucco. Vinyl II ok Veneer (Stone or Brick) III % All Stone or All Brick Ceiling height: No. of Bathrooms: 1/ 2 Full No. of Kitchens: 1/2 Full No. of Bedrooms: No. of Fireplaces: Sub-Structure: 0 Slab 0 Crawl Space 0 Basement No. of Chimneys: Describe other rooms: Garage (# of cars) 0 1 0 2 0 3 0 4 0 Attached 0 Detached 0 Carport Slope of building site: 0 Level 0 15 % 0 30 % 0 45 % Primary type of flooring: 0 Carpet 0 Hardwood 0 Tile Other features: Total finished sq. ft Total finished sq. ft: above ground: Total finished sq. ft: below ground: F103 Ranch & Estate Replacement Cost Form — Residence — 05/2006

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Ranch & Estate Replacement Cost Form - Residence

Applicant: Sketch ground floor area only and indicate the outside dimensions. (Only include attached garages.) Location #1

Main Residence Diagram #: Use:

0 Economy 0 Average

0 Custom 0 Luxury Number of Stories:

Total no. of rooms:

Exterior Wall Construction

I 0/0 Wood, Stucco, Vinyl

II 0/0 Veneer (Stone or Brick)

III % All Stone or All Brick

Ceiling height: No. of Bathrooms: IA Full

No. of Kitchens: 1/2 Full

No of Bedrooms:

No. of Fireplaces:

Sub-Structure: 0 Slab

0 Crawl Space 0 Basement

No. of Chimneys:

Describe other rooms:

Garage (# of cars) 0 1 0 2 0 3 0 4

0 Attached 0 Detached

0 Carport

Slope of building site: 0 Level

0 15 % 0 30 'Y. 0 45 % Primary type of flooring:

0 Carpet 0 Hardwood 0 Tile

Other features: Total finished sq. ft:

Total finished sq. ft above ground:

Total finished sq. ft. below ground:

Dwellings & Farm Buildings Diagram #: Use

0 Economy 0 Average

0 Custom 0 Luxury Number of Stories:

Total no, of rooms:

Exterior Wall Construction

I 0/0 Wood, Stucco, Vinyl

II % Veneer (Stone or Brick)

III % All Stone or All Brick

Ceiling height:

No. of Bathrooms: 1/2 Full No. of Kitchens: 1/2 Full

No. of Bedrooms:

No. of Fireplaces:

Sub-Structure: 0 Slab

0 Crawl Space 0 Basement

No. of Chimneys:

Describe other rooms:

Garage (# of cars) Dl D2 D3 D4

0 Attached 0 Detached 0 Carport

Slope of building site: 0 Level

0 15 % El 30 % 0 45 0/0 Primary type of flooring:

0 Carpet 0 Hardwood 0 Tile

Other features: Total finished sq. ft

Total finished sq ft: above ground:

Total finished sq. ft: below ground:

Dwellings & Farm Buildings Diagram #: Use

0 Economy 0 Average

0 Custom 0 Luxury Number of Stories: Total no. of rooms:

Exterior Wall Construction

I 'Y. Wood, Stucco. Vinyl

II ok Veneer (Stone or Brick)

III % All Stone or All Brick

Ceiling height:

No. of Bathrooms: 1/2 Full

No. of Kitchens: 1/2 Full

No. of Bedrooms:

No. of Fireplaces: Sub-Structure: 0 Slab

0 Crawl Space 0 Basement No. of Chimneys:

Describe other rooms:

Garage (# of cars) 0 1 0 2 0 3 0 4

0 Attached 0 Detached

0 Carport

Slope of building site: 0 Level

0 15 % 0 30 % 0 45 % Primary type of flooring:

0 Carpet 0 Hardwood 0 Tile

Other features: Total finished sq. ft

Total finished sq. ft: above ground:

Total finished sq. ft: below ground:

F103 Ranch & Estate Replacement Cost Form — Residence — 05/2006