Homeowner Information Request
Are you the homeowner for the project address? If no, please have the homeowner compete this form.
*
Yes
No
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Project Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Kindly describe the existing conditions or scope of work you would like to be reviewed/designed by an Engineer.
*
What is your project deadline?
*
-
Month
-
Day
Year
Date
If applicable, do you have any existing photos of the problem area(s)? If Yes, please upload below.
*
Yes
No
N/A
Photos:
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of
Do you have any existing floor plans (realtor layouts, existing drawings or design drawings) for the project location? If Yes, please upload below.
*
Yes
No
N/A
Floor Plans:
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of
Do you have an existing property survey? If Yes, please upload below.
*
Yes
No
Property Survey:
Browse Files
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of
Do you have an existing home inspection report? If Yes, please upload below.
*
Yes
No
N/A
Home Inspection Report:
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of
Have you contacted or hired a BCIN designer or Architect for this project? If Yes, please confirm their contact information.
*
Yes
No
BCIN/Arch Name
First Name
Last Name
BCIN/Arch Phone Number
-
Area Code
Phone Number
Have you contacted or hired a contractor for this project? If Yes, please confirm their contact information.
*
Yes
No
Contractor Name
First Name
Last Name
Contractor Phone Number
-
Area Code
Phone Number
Thank you!
Someone from our office will contact you with next steps once we have reviewed all the of the submitted information. Have a wonderful day!
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