Date Contractor Name Above Grade Square Footage Per Plans: Borrower: Phone: Windows: Siding: Below Grade (Basement) Water System: Sewer System: Roofing: Gutters/Downspouts: Insulation Flooring Kitchen: Cabinets: Interior Walls (I.E. Drywall, t & g, Beadboard, etc.) Counter Tops: #1 Wood Stove/Fireplace: Location: CONSTRUCTION SPECIFICATION BREAKDOWN Type R-Factor: Heating Type: Fuel: Air Conditioning: Hearth: Dining Room: Living Room: Bedrooms: Bathroom #1: Bathroom #2: Bathroom #3: Family Room: Interior Doors: Interior Trim: Kitchen Counter Tops: Appliances: Bathrooms: #2 #3