ATTIC
Type Walk-up_________ Access Via Hatch_________ Room For Storage____________________
Insulation Adequate________ Inadequate________ Type__________________________________
Ventilation Adequate_________ Inadequate_________
Evidence Of Past Water Intrusion No______ Yes (Location)______________________________
Roof Structure Good_______ Fair_______ Poor_______ Cracked Structure_______ Sags_______
Comments _______________________________________________________________________
_________________________________________________________________________________
BASEMENT
Type Full_________ Partial_________ Crawl_________ Room For Storage____________________
Foundation Walls Good______ Fair______ Poor_____ Poured Concrete____ Concrete Block____
Brick_____Stone______Cracks________________________Bulges__________________________
Basement Structure Good_______ Fair_______ Poor_______ Cracked Structure______________
Sags__________ Water/Insect Damage_________________________________________________
Evidence Of Past Water Intrusion No_____ Yes (Location)_______________________________
Sump Pump_________________ Dehumidifier________________
Comments ________________________________________________________________________
__________________________________________________________________________________
ELECTRICAL SYSTEM
Service To House Overhead_______________ Underground_______________
Amperage 30______ 60______ 100______ 125______ 150______ 200______
Voltage 110____ 110/220____ 110/208/220____Service PanelCircuit Breakers_____ Fuses_____
Electrical Outlets Adequate______ Inadequate______ 3 Prong______ 2 Prong______
Lighting Good_____ Fair_____ Poor_____ Exclusions _____________________________________
Comments _________________________________________________________________________
___________________________________________________________________________________
PLUMBING SYSTEM
Source Of Water Municipal_______ Community_______ Private Well_______
Private Well Pump, Pressure Tank Good_______ Fair_______ Poor_______
Water Pressure Adequate_______ Inadequate_______
Domestic Hot Water Source Separate Tank_______ Oil Fired_______ Gas Fired_______
Electric_______ Integral With Space Heating System_______
Domestic Hot Water Condition Good_______ Fair_______ Poor_______ Aged_______
Water Pipes Copper_______ Brass_______ Steel_______ Lead_______ Plastic_______
Water Pipe Condition Good_______ Fair_______ Poor_______ Leaks_______ Asbestos_______
Drainage, Waste, Vent Pipes Copper_______ Cast Iron_______ Steel_______ Plastic_______
Drainage, Waste, Vent Pipe Condition Good_______ Fair_______ Poor_______
Sanitary Waste Disposal Municipal_______ Community_______ Private_______
Comments _________________________________________________________________________
_________________________________________________________________________________________________
HEATING SYSTEM
System Type Steam_______ Warm Air_______ Hot Water_______ Hydroaire_______
Heat Pump_______ Electric Resistance Heaters_______
System Fuel Oil_______ Natural Gas_______ Propane Gas_______ Electric_______
System Condition Good_______ Fair_______ Poor_______ Aged_______
Number Of Systems/Zones 1_____ 2_____ 3_____ 4_____ 5_____ 6_____ Other_____
Oil Tank Visible________ Condition Good_____ Fair______ Poor______ Buried Tank________
Piping/Duct Condition Good______ Fair______ Poor______ Leaks______________________
Duct Condition Good_______ Fair_______ Poor_______
Insulation On Pipes/Ducts Yes_______ No_______
Heating Source Radiators______ Heating Baseboards______ Heating Registers______
Fireplaces Masonry______ Prefabricated______ Good______ Fair______ Poor______
Comments _______________________________________________________________________
_________________________________________________________________________________
AIR-CONDITIONING
System Type Central_______ Window/Wall Units_______
System Condition Good_______ Fair_______ Poor_______ Aged_______
Number Of Systems/Zones 1_____ 2_____ 3_____ 4_____ 5_____ 6_____ Other______
Duct Condition Good_______ Fair_______ Poor_______ Asbestos___________________
Comments _______________________________________________________________________
_________________________________________________________________________________