First Name:^*

Last Name:^*

Address:^*

E-Mail:^*

Phone:^*

Specifications

What style of roof:^* Gable A-frame Shed Gambrel Hipped Mansard Other What is This?

Pitch of Roof:^* Flat Slight Pitch Other Dramatic Pitch What is This?

Height of roof at peak:^*

Number of Floors:^*

Building Type of Construction:^* Timber Mason Steel Other

Is there a fireplace:^* No Yes

Answer the following for Roofing and Specialty coatings Inquiry:

What is the main substrate of roof:

Any apparent rotting or damage:

If vented, what type of venting: Fan Roof Vent

Type of roof cover/weatherproofing: Tile Shingle Metal(painted) Smooth BUR Gravel BUR EPDM Foam

Any structures on the roof? (ie. skylights, solar panels, satellite dish, air conditioner, etc.)

Answer the following for Insulation Inquiry:

Are there recessed lights: Yes No

Is the air conditioner handler in attic: Yes No

How much access is in the attic?

What is the existing insulation?

How is the existing insulation affixed?

Any conduit or plumbing affixed to underside of roof: No Yes

Notes: