Structural Integrity Logo Header Image
Spacer
Home
About Us
Design, Consulting
New Construction
Remodeling
Repair, Renovation
Green Building
Contact Us
Links
Photo
Spacer
Spacer Contact Us
 
 
Structural Integrity
52 Foothill Rd.,
San Anselmo, CA 94960
Phone: 415-730-8985
Email: info@structuralintegrity.biz

Homeowner’s Questionnaire
Here are some questions that will help us evaluate your needs and provide you with the best recommendations for materials and services to suit your home. This questionnaire is for cataloging the existing features of your home. As you answer the questions make note of any changes you may be interested in. We don’t expect everyone to know the answers to all of these questions, but any specifics that you do know will be helpful. Print and bring this filled out questionnaire to your meeting with us.

Structural—Foundation:
 
When was your house built?
What type of foundation do you have?
  Post & pier
  Continuous concrete footing or grade beam
  Cinder block, brick
  Other
Is your sill plate bolted to your foundation? Yes No
Is your ground floor:
  Slab
  Wood framed
How many floors?
Is your house built on:
  Sloped site
  Flat site
If on a slope, is there more than 4 ft. vertical distance between your floor and the grade below? Yes No
If so, are there plywood shear wall and or seismic hold-downs installed for earthquake protection? Yes No
   
Framing, Siding and Exterior Finishes:
 
What type of framing do you have?
  Standard wood framed structure
  Steel framed
  Masonry
  Hay bale
  Other
What type of siding do you have on your exterior walls?
  T-111 plywood
  Board and bat
  Horizontal lap, wood or “Hardyplank”
  Shingle
  Stucco
  Vinyl, metal
  Other
Do you have a:
  Pitched roof
  Flat roof
Is your roof :
  Wood shingled
  Asphalt shingled
  Tar and gravel
  Metal
  Tile
  Other
Do you have an:
  Open beam ceiling
  Attic
Do you have insulation in your
  Ceiling
  Walls
  Floor
   
Doors and Windows:
 
Are your windows double insulated? Yes No
What are your window frames made of?
  Wood
  Vinyl or metal clad wood
  Aluminum
  Vinyl
Are your exterior doors insulated? Yes No
Is your garage door insulated? Yes No
Do you have any dark rooms or hallways that would benefit from a skylight? Yes No
   
Interior Finishes
 
Are your walls and ceilings:
  Sheet rock
  Lath and plaster
  Wood paneled
  Acoustic spray texture (on ceilings)
  Other
Are your floors:
  Hard or soft wood
  Wall to wall carpet
  Other
Are your kitchen and bathroom floors:
  Tile
  Linoleum
  Other
Are your kitchen bathroom cabinets:
  Stained wood
  Painted
  Laminate
Are your kitchen, bathroom counters:
  Tile
  Laminate
  “Corion”
  Stone slab
Are your appliances modern energy efficient models?
Yes No
 
Electrical, Mechanical, Plumbing:
 
Is your wiring:
  Modern Romex
  Older Knob and Tube
Does your circuit panel have:
  Breakers
  Fuses
Do you have:
  100 amp services
  200 amp services
What do you use for the following:
  Heating your house Gas Electricity
  Hot water Gas Electricity
  Clothes dryer Gas Electricity
  Stove Gas Electricity
  Air conditioning Gas Electricity
Is your heating system a:
  Centralized forced air
  Gas furnace
  Electric baseboard
  Radiant floor
  Radiator
  Other
Are your heating ducts insulated? Yes No
Do you use a ceiling fan? Yes No
Are you satisfied with your house’s thermal performance?
Yes No
Do you have low flow water efficient toilets? Yes No
Is your water heater insulated and earthquake strapped?
Yes No
Do you use a water filter? Yes No
Do you use an air purifier? Yes No
   
Miscellaneous:
 

Add any features or questions you have here.

 


[top]


Spacer