Full Custom Design Worksheet

Personal & Contact Information
Client Name:
Mailing Address:
Street Address City State / Province / Region ZIP / Postal Code Country
Home Phone:
Business Phone:
E-mail:*
Please check appropriate answer:
I am a:
- First time Home Builder
- I have built a home previously
Tax Parcel Number:*
Enter Address
Street Address City State / Province / Region
Building Jurisdiction
Any code or zoning variances, environmental, access or other challenges to build on this land?
- Yes
- No
Explain the land challenges
Are there any easement(s) on the property?
- Yes
- No
Explain Easment(s):
What are the setback restrictions?
Side Yard: Front Yard: Back Yard:

Please attach survey and topography map information
Architectural style of project:
Check the appropriate space:
- Rambler
- Daylight Basement
- Tri-Level
- Two-Story
- 1 1/2 Story
- 2 1/2 Story
- Full Basement
- Split Level
- Three-Story
- House Sqft
Project Budget:*
Cost of the land: $ Building Cost: $ Site Development Costs $ Allowance for Selections / Upgrades $ Architectural / Civil / Structural Engineering $ Building Permits $ Total Project Budget
Home Occupant Profile
List family members living at home, please include ages of children, etc.
Type of entertaining? (business, seasonal, clubs, etc.)
Family activities?
Do You Own Pets(s)?
- Yes
- No
If yes, list animal type:
List recreational vehicles: (boats, motorhome, etc.)
Home Exterior Specifications
Please check all appropriate boxes
Describe Exterior Walls
- Brick / Stone
- Stucco
- Cedar Siding
- Vinyl Siding
- Wood Shakes / Shingles
- Board & Batton
- Smooth Smart Panel
- Hardi Cement Fiber-Board
Other:
Describe Roof Line
- Hip
- Modern Shed
- A-Frame
- Gable
- French-Hip
Other:
Describe Roofing Material
- Tile
- Cedar
- Composition
- Metal
Other:
Describe Entry Door
- Double
- Single
- Glazing
- Sidelights
- Transom Light
Other:
Describe House Windows
- Wood Frame
- Wood Vinyl
- Wood Metal Clad
- Metal Frame White
- Metal Frame Bronze
Other:
Manufacturer:
Skylights - Specify Locations:
Home Interior Specifications
Living Room Features
Approx. Room Size:
Untitled
- Fireplace
- Cathedral Ceiling
- Bay Window
- Box Window
- Bow Window
Miscellaneous (Book Case, Wet Bar, Piano Area, etc.)
Dining Room Features
Approx. Room Size:
Untitled
- French Doors
- Pass Through
- Ceiling Dome
- Butlery
Miscellaneous (Built-In China Cabinet, etc.)
Kitchen Features
Approx. Room Size:
Untitled
- Center Island
- Built-In Double Oven
- Cook Top Grill Range
- Breakfast Bar
- Oven / Microwave Combo
- Lazy Susan
- Pantry
- Walk-In Pantry
- Kitchen / Office
- Sink(s) if more than one
- Trash Compactor
- Wine storage / Cellar
- Food / Waste Disposal
- Dishwasher
- Vaulted Ceiling
- Recessed Lighting
- Garden Window
- Appliance Garage
- Recycle Center
- Larger Refrigerator
Miscellaneous (lighting, vaulted ceilings, gas / electric appliances, etc.)
Family Room Features
Approx. Room Size:
Entertainment Center
- Entertainment Center
- Game Storage
- Wet Bar
- Wine Sotrage / Cellar
- Bookshelves
- Woodstove
Miscellaneous (big screen TV (built-in cabinets, cook top gril, etc.)
Library / Den Features
Approx. Room Size:
Untitled
- Hidden Safe
- Outside Entrance
- Desk Area Built-in
- Book Shelves
- Wet Bar
- Murphy Bed
- Computer Area
Miscellaneous (Storage Closet, Etc.)
Master Bedroom Features
Location (First or Sectond Floor, etc.) Approx. Room Size:
Sitting Room
- Sitting Room
- Book Shelves
- Dressing Area
- Window Seat
- Walk-in Closet
- His & Her Closet
- Wardrobe Closet
- Coffee Bar
- Mirrored Door
- Built-in Desk
- Built-in Safe
- Deck
Miscellaneous (Bed Size - King, Queen, Double, Twin, Dressers, etc.)
Master Bath Features
- Double Headed Shower
- Spa Tub
- Partially tiled shower / FG Flor pan
- Fully tiled shower
- His & Hers closets
- Closet Cabinetry
- Bidet
- Linen Closet
- Double Lavatory
- Vaulted Ceiling
- Skylights
- Private Sun Deck
- Extra ventilation
- Taller cabinets
- Heated Floors
- Heat Lamp
- Tub with Shower Combination
- 5 Piece Bath
Miscellaneous
Other Bedroom Features
Number of Bedrooms: Locations: Approx. Room Sizes:
Untitled
- Dressing Area
- Walk-in Closet
- Private Bath
- Optional Den
- Jack & Jill Bath
- Optional Guest Room
- Optional Computer Room
Miscellaneous
Secondary Bathroom(s) Features
Items:
- Shower
- Linen Closet
- Spa Tub
- Double Lavs
- Pedestal Sink
- Tub Shower Combo
Laundry Room Features
Location: Explain (First or Second Floor)
- Wash Basin
- Mud Room Off Garage
- Extra Countertop Space
- Washer
- Dryer
- Enclosed Cabinetry
- Open Shelving
- Built-In Ironing Board
- Extra Storage
Miscellaneous
Garage(s)
- One Car
- Two Car
- Three Car
- Attached
- Motor Court
- Detached rear of house
- Side Entry
- R.V.
- Workshop
Other
Fireplace(s) / Woodstoves(s)
- Mantel
- Raised Hearth
- Stone Faced
- Flush Hearth
- Pellet
- Natural Gas
- Wood Burning
- Propane
Example: Living Room:
Fireplace #1 Fireplace #2
Heating and Cooling
- Heat Pump
- Forced Air Electric
- Forced Air Gas
- Electric Wall Mount
- Radiant Heat
- Air Conditioning
- Ductless Mini-Split
- Solar
- Geo-Thermal
Other
Room With A View Priority
List rooms 1 through 10, begin with the most important room.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
View Information (territorial, ocean, lake, mountain, etc.)
Special Effects and Amenities
- Hot Tub
- Swimming Pool
- Art Gallery
- Media Room
- Closet w/built-in organizers
- Loft
- Mother-In-Law Suite
- Motor Court
- Sun Room
- Screen Porch
- Special Lighting
- Guest Suite
- Outdoor Decks / Patio
- Workshop
- Outdoor Kitchen
- Exercise Room
- Pet Room
- Hobby Room
- Billiard Room
- Pool House
- Porte Cochere
- Solarium
- Grand Stair Foyer
- Computer Room
- Home Office
- Vault Room
Other
CAPTCHA

Cost of the land: $	Building Cost: $	Site Development Costs $	Allowance for Selections / Upgrades $	Architectural / Civil / Structural Engineering $	Building Permits $	Total Project Budget

Side Yard:	Front Yard:	Back Yard:

Approx. Room Size:

Approx. Room Size:

Approx. Room Size:

Personal & Contact Information

Home Occupant Profile

Home Exterior Specifications

Home Interior Specifications

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