1
Home Owner Questionnaire
HISTORY OF YOUR HOME Address:
Parcel #: Current owners: Previous owners: Year built: Additions and year built: Remodels and year built: Square footage on each level: Lot size: Interesting stories or history of your home. Do you have any photos of your home from the past? Do you have a copy of the original plans and/or any plans from additions and remodels?
2
Have any of the windows in your home been replaced since the home was built?
When? What brand was used? Location in the house:
Have any of the exterior doors in your home been replaced since the home was built?
When? What brand was used? Location in the house:
When was the last time the exterior of your home was painted? Has your home been re-‐sided?
When? When was the last time the roof shingles were replaced? Have you ever had a blower door test or an energy audit or a building inspection done on the home?
What information did you learn about your home? Is there a copy of the report?
When was the last time the interior walls were painted?
What type of paint was used? When was the last time the interior woodwork was refinished?
What type of material was used? List your floor covering information in the chart below Room Type of floor covering Installation date
3
Has any of the electrical wiring or electric service been replaced? If so, when? Please describe the work done.
List the light fixtures you think are original to the home. Location Location List the appliances in your home and how old they are Appliance Age Washer Dryer Stove or oven Range or cook top Refrigerator Freezer Dishwasher Microwave Other Other Other Has the furnace or ductwork been replaced?
If so, when? Please describe the work done.
Has the water heater been replaced?
When? Have any of the plumbing drain lines been replaced?
If so, when? Please describe the work done.
Have any of the water lines been replaced?
If so, when? Please describe the work done.
Now go back through the list and think about any issues that you have had with the house and record them here.