Property to be Inspected:

Street Address:

Unit #: 

City/Town: 

State:  MA CT NH RI

Zip Code:

Type of Property:

Single Family: Bungalow Cape Colonial Contempoary Ranch Split Level Town House

  Two Family   Three Family  Four Family  Five Family

Condominium  

Number of units in the Condominium Building: 1 2 3 4 More than four

Property Details:

Age of Property:       Number of Rooms:  

Number of Bathrooms:

Number of Fire Places: None One Two Three Four More than Four

Living area in Square Feet:

Central Air: Yes  No

Basement/ Under Floor Crawl Space:

Full Basement  Crawl Space  Partial Basement  None

Garage/Barn: None 1 Car Under 2 Car Under 3 Car Under 1 Car Attached 2 Car Attached 3 Car Attached More than 3 Car Attached 1 Car Detached 2 Car Detached 3 Car Detached More than 3 Car Detached Barn

Client Information:

First Name:

Last Name:

Mailing Address:

City/Town:

Zip Code:

Telephone Number:

Email Address:

Comments/Areas of Concern: