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Property Address:
_________________________
City: _____________ State: ____
All questions are
to be answered with specific information.
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What has been the
use of the land prior to the purchase for home development? ___________________________________ |
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Are there any tanks
buried on the property? _____ If there are buried tanks, what was their
use? ________________________ |
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Do gas lines or
utility lines other than electricity, water, phone run through the property?
________ If yes, provide information on type and location. |
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Has any hazard waste
been dumped on the property? _____ if yes, what? ______________________ |
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Is any of the property
in a flood plain? ______ |
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Has there ever been
a creek that ran through any portion of the property? ______ If yes, were
footings poured over a former creek bed? _____ |
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Were any of the
footings or flat concrete work poured over fill dirt? _____ If yes, explain
_________ |
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Did a professional
engineer approve the soil conditions prior to the pouring of the footings?
________ |
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Were any soil test
conducted? _____ If yes, were the results provided to the city/county
inspector? ___ |
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Was a drain system
(tile/plastic) placed around the total perimeter of the home? ______ |
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Was the foundation
water proofed? ______ |
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Was gravel placed
below the basement floor and all other flat concrete work? ____ If yes,
what depth? _____ |
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Was rebar used in
the footings, foundation, and flat work? _____ Describe spacing _____________ |
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Were all beams,
floor joist, ceiling joist, rafters and support walls approved for structural
integrity by a professional engineer/architect? ______ |
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Was all debris (lumber,
spilled concrete, etc.) removed from the property prior to final grade
excavation? _____ |
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Was the property
treated for termites? ______ |
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Was felt applied
under the shingles? _____ |
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Have you built other
homes in this subdivision which have experienced foundation problems?
_____ If yes, describe the problems and give address of the property _______________________________
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Do you have any
knowledge of foundation problems experienced by other builders in this
subdivision? If yes, describe problem and give address _______________________________________ |
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Please list all
work that had to be reworked and/or added to pass city/county inspections.
_________ If necessary complete on another page. |
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What was the temperature
and weather conditions when the exterior of the home was painted?_______________ |
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Please provide the
R factor for the insulation as installed:
Walls ________ Ceilings ________ |
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Were all water lines
in the garage ceiling insulated? ______ |
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Was a plastic barrier
installed under the exterior wall sheet rock? _____ |
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Was water resistant
sheet rock installed on shower and tub walls? _____ |
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Please provide any
other information that the buyers should know. _______________________________________________ |
Builder's
signature ________________________
Date ________________ |
