Building Replacement Cost Valuation Legal name of building owner: Your email address: Your mailing address: Address of building to be insured: Please submit photo of the building:Max. file size: 10 MB.File must be 10 MB or less How long have you owned this building: Have you had any insurance claims in the last 5 years? Year building built? Annual gross rental income derived from building? Building Construction: a. Frame - exterior walls are wood, brick or stone veneer with framing between floors. b. Joisted masonry non combustible - concrete block, reinforced masonry load bearing exterior walls. c. Masonry non combustible - exterior walls, floors and roof constructed of and supported by metal or other non-combustible material. d. Modified Fire Resistive - Overall construction of fire resistive materials with fire rating less than 2 hours but greater than 1 hour. e. Fire Resistive - Fire rating not less than 2 hours for walls, floors, and roofs. No. of stories above ground? Height of each storey? 8ft, 9ft, 10ft....? Gross floor area? sq feet of all floors NOT including basement below ground: Does the building have a basement below ground? If yes, please indicate what the basement is being used for and the total square footage of the basement?Exterior walls: Solid Brick Solid Block Brick veneer Block veneer Siding Stucco Roof: Asphalt shingles Tar & Gravel Torch on Wood shake Rubber membrane Steel Clay Tile Concrete Tile Interior roof joists: Frame Steel Heavy timber Mixture of frame and steel Roof Pitch: Low Flat Medium High Year roof replaced? Interior Walls: Wood frame Steel Stud Concrete Interior Wall Finish Drywall/paint Wood Panel Acoustic Tile Interior Ceiling: Drywall/paint Wood Panel Suspended acoustical Tile Vinyl Floor Finish is mostly: Tile Hardwood Linoleum Carpet Polished concrete Marble Slate Other Heating: Roof top unit Electric baseboard Forced warm air ( gas) Hot water baseboard with boiler Suspended forced air Radiant in floor heating with boiler Building does not have a boiler Other When was the heating updated/replaced? Cooling: Roof top unit Heat Pump Unit AC air cooled Unit AC water cooled None Type of plumbing: Copper Pex / Plastic Cast Iron Poly B ABS Year plumbing replaced ? No. of bathrooms (both full or half ): No. of kitchens: Any elevator(s)? If so, describe if passenger or freight and indicate how many elevator(s):Any interior fire sprinklers? Yes, throughout the entire building (incl. any basement) Only the basement No sprinklers Fire Alarm: Yes, manual pull Yes, automatic monitored No Type of electrical: 100 amp copper circuit breakers 200 amp copper circuit breakers Knob and Tube Aluminum wiring Three Phase power Year electrical updated/replaced? How did you hear about our office? PhoneThis field is for validation purposes and should be left unchanged.