Designer: Kitchen Design Survey Form Date: Name: Residence: Jobsite Address: Client 1: Client 2: Home Phone: Home Phone: Work Phone: Work Phone: Cell Phone: Cell Phone: Email: Email: Appointment Allied Professional Schedule: Name: Call When Ready: Firm: Times Available: Address: Directions: Office Phone: Cell Phone: Email: Notes: ©2008 NKBA BMF8 Page 1 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 General Client Information 1. What type of project is this? Renovation New Construction 2. Have you ever purchased a kitchen before? 3. When would you like to start the project? 4. How much time do you / will you spend at the jobsite residence? 5. How did you learn about our firm? 6. Has anyone else assisted you in preparing a design for the kitchen? 7. Do you plan on retaining an interior designer or architect to assist in the kitchen planning? Yes No Complete the Project? Phone: If so, Name: 8. Do you have a specific builder/contractor or other subcontractor/specialist with whom you would like to work? If so, Name: 9. Phone: What portion of the project, if any, will be your responsibility? 10. What budget range have you established for your kitchen project? $5,000 – $10,000 $10,000 -$ 20,000 $20,000 – $40,000 $60,000 – $75,000 $75,000 – $100,000 $100,000 + $40,000 – $60,000 11. How long do you intend to own the jobsite residence? a. b. Is return on investment a primary concern? Do you plan on renting the jobsite residence? 12. What family members will share in the final decision-making process? 13. Would you like our firm to assist you in securing project financing? Yes No 14. What do you dislike most about your present kitchen? 15. What do you like most about your present kitchen? 16. Sustainable design ideas important to your family: Use of “Green” Products General products made from recycled materials: Cabinets Counters Floors Building Materials Wood products supplied by environmentally responsible manufacturers Special water conservation products: Energy efficient appliances: Energy efficient lighting systems: Sustainable design details incorporated into the plan: Areas for recycling waste incorporated into the plan: 17. If you are remodeling: Is there a room addition planned? a. b. When was the house built? Are you considering relocating Yes No How old is the present kitchen? windows doors walls in your new plan? 18. If you are building a new home: a. b. Are you able to relocate windows doors walls at this stage of construction? Are you able to relocate walls at this stages of construction Yes No ©2008 NKBA BMF8 Yes No Page 2 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Specific Kitchen Questions 1. How many household members? Are you planning on enlarging your family while living here? Name Age 2. How many pets in your household? 3. Do any frequent guests have physical limitations? 4. Personal information about the kitchen: Handed Height R L R L R L R L R L R L R L What Types? Yes No Physical Limitations/Mobility Aids Names: What is the typical pattern of cooking in your household? One person does most of the cooking. Who? Two or more people share most of the cooking. Describe: One person cooks and another person helps. Describe: Different people take turns doing the cooking. Describe: Another arrangement. Describe: What about clean-up? The cook cleans up. Describe: Cooking and clean-up are shared. Describe: Clean-up is done by someone who does not cook. Describe: Another arrangement. Describe: 5. Primary Cook: Is the primary cook left handed right handed Does the primary cook have any physical limitation? Yes No How tall is the primary cook? Does the primary cook have any cooking hobbies/specialty cooking preferences? gourmet baking ethnic grilling bulk cooking to freeze other: 6. Other Family Cooks: How many other household members cook? Who are they? Do they have a cooking hobby assist primary cook with specific task share a menu item with primary cook? Is a specialized cooking center required for the secondary cook? ©2008 NKBA BMF8 Page 3 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 7. How does the family use the kitchen for meals at home? daily heat & serve meals weekend family meals daily “from scratch” meals daily “bring in” meals weekend “quantity” cooking ethnic or specialty cooking (please specify) What type of foods is the family cooking? 8. What are your kitchen dining area requests? separate table- new 30” counter height 9. existing size leaf extension 36” counter height 42” counter height number of seated diners Is the kitchen a socializing space? 10. What time of day is your kitchen most frequently used? 11. Do you have any furniture that you want in your kitchen? Dining Table- Size? Chairs- How many? Hutch- Size? Baker’s Rack- Size? Easy Chair- How many? Sofa - Size? Buffet- Size? Other Items- 12. How would you like the new kitchen to relate to adjacent rooms? Family Room Dining Room Family Home Office Family Media Center Outdoor Kitchen Laundry/Hobby Space 13. Do you entertain frequently? per week per month per year - snacks/drinks mostly How many people typically might be in the kitchen when entertaining? formally informally buffet Do friends bring food to share? plated Yes No 14. Designing the kitchen so that it supports your entertainment style is part of the planning process. Tell me which statement fits you best: I like to be the only one in the kitchen with my guests in a separate space that is away from the kitchen. I like to be the only cook in the kitchen, with my guests close by in a space that opens onto the kitchen. I like my guests to be sitting in the kitchen visiting with me while I cook. I like my guests to help me in the kitchen in meal preparation. I like my guests to help in the clean-up process after the meal. I retain caterers who prepare all meals for entertaining. The caterers come to the home to serve and clean up. I stop at the deli/take-out food source to bring part or all of the meal home before entertaining. Food items that I purchase from outside sources: Appetizers Entrees Desserts Salads Soups 15. What secondary activities will take place in your kitchen? Computer Usage Hobbies: Medicine Center / Use Children Playing Eating Laundry Message Center Study/Homework Growing Plants Liquor/Wine Storage Planning Desk TV /Radio/Media/CD 16. What is your cycle for shopping for food? Daily Twice Weekly ©2008 NKBA BMF8 Weekly Bi-weekly Monthly Page 4 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 17. What types of products/materials do you purchase at the grocery/specialty store? Predominantly fresh food purchased for a specific meal. Predominantly fresh/frozen foods purchased for stock. Traditional pantry boxed/packaged/canned/bottled goods purchased for stock. Cleaning products stocked in bulk: Paper products stocked in bulk: Other boxed/packaged food items stocked in bulk: Other: 18. Where do you presently store: Baking Equipment Flatware Leftover Containers Serving Trays Boxed Goods Food Prep Utensils Linens/Towels Specialty Cooking Vessels (Wok, etc.) Canned Goods Food Wrapping Materials Non-Refrigerated Fruits/Vegs Other: Cleaning Supplies Glassware Paper Products Other: Coffee Station Grill Equipment Pet Food Other: Cooking Utensils Hand Appliances Pots & Pans Other: Dishes Laundry/Iron Equip Recycle Containers Other: Legend: AG=Appliance Garage B=Basement BA=Base Cabinet BC=Bookcase C=Countertop D=Desk G=Garage L=Laundry Room P=Pantry Closet T=Tall Cabinet W=Wall Cabinet Wine 19. What type of specialized storage is desired? Bottles Display Items Linen Bread Board Dishes Plasticware Bread Box Food Wrappings Soft Drink Cans Cookbooks Glassware Spice Cutlery Lids Vegetables 20. What small specialty electrical appliances do you use in your kitchen? Blender Crock Pot / Slow Cooker Mixer Can Opener Electric Frying Pan Toaster Coffee Grinder Food Processor Toaster Oven Coffee Pot Griddle Wok Countertop Built-in Juicer 21. Do you plan on sorting recyclable trash in your kitchen? Yes No Number of bins required: Would you like a sorting station in the: Kitchen ©2008 NKBA BMF8 Utility Room Garage Basement Outside Page 5 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Design Information 1. What type of feeling would you like your new kitchen space to have? Have you created a scrapbook of notes, photos and ideas of kitchens that you like? American Country Asian Warm Contemporary Sleek Contemporary American Formal 2. Old World European Personal Design Statement (Eclectic) Traditional What colors do you like? And dislike? What colors are you considering for you new kitchen? What are the color preferences of other family members? 3. Design Notes: Special Details: ©2008 NKBA BMF8 Page 6 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Cabinetry Source Key: KS= Kitchen Specialist Use Existing O= Owner OA= Owners Agent Construction Base Yes Wall Tall Island No Furnished by KS Face Material Framed Wood-Species Frameless Laminate Installed by O/OA KS O/OA Base Wall Tall Island Base Wall Tall Island Paint Door Type Full Overlay Acrylic Partial Overlay Metal Lip Other Inset Door Style: Hardware Knob Pull Color and Finish: Finger Pull Material Storage Accessories or Organizers: Base Appliance Garage Wall Tall Island Breadbox Pull-out Cutting Board Roll-out Cart Cutlery Tray Roll-out Shelf Door Shelf Spice Rack / Drawer Drawer Divider / Insert Swing-out Shelf Drawer Dish Storage Tilt-down Drawer Drawer Pot / Pan Storage Knife Block Towel Bar Knife Drawer Tray Dividers (Vertical) Toe Kick Step Stool Lazy Susan / Turntable Mixer Lift-up Trash Can Pantry Vegetable Bin / Basket Wide / Deep Drawer Plate Rack Peg Board Drawer Pot Rack Other Pull-out Recycle Bin Other ©2008 NKBA BMF8 Page 7 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Soffit / Fascia Use Existing Yes Furnished by No KS O/OA Fascia / Soffit Construction Open Extended Installed by KS O/OA Fascia / Soffit Materials Flush Recessed Remove Other Wallpaper Wood Display Rail Paint Lighted Cornice Other Countertops Use Existing Yes No Material KS Kitchen Ceramic Tile Furnished by O/OA Island Other Installed by KS Edge Treatment Kitchen O/OA Island Other Thickness Size Shape: Grout Bevel Concrete Ogee Engineered Stone (quartz) Granite Bull Nose Limestone Square Marble Eased Full ½ Full Plastic Laminate Contrast Color Stainless Steel Other Soapstone Backsplash Solid Surface Match to Counter Wood Full Height Other Endsplash 4” High Other Color or Pattern: Other Details: Color or Pattern: Details: Preparation: Describe: Decking: Insert: ©2008 NKBA BMF8 Page 8 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Sink Use Existing Yes No KS Material Composite Enamel / Cast Iron Porcelain / Steel Stainless Steel Solid Surface Other Other Number of Bowls One Two Same Size Large / Small Three Color Sink #1 Furnished by O/OA Sink #2 Installed by Sink #3 Sink #1 Sink #2 Sink #3 Sink #1 Sink #2 Sink #3 Details: KS Mounting Self-Rimming Under-Mount Integral Counter Section Apron Other Special Features Drainboard L Drainboard R Strainer Accessories 1 2 3 4 5 Sink #1 O/OA Sink #2 Sink #3 Sink #1 Sink #2 Sink #3 Installed by O/OA Sink #1 Sink #2 Sink #3 Sink #1 Sink #2 Sink#3 Faucet Use Existing Yes No Material Brass Chrome Epoxy-Color Gold Brushed Nickel Pewter Stainless Steel Other KS Sink #1 Furnished by O/OA Sink #2 Sink #3 Other Other Other Other KS Style / Features One Handle L R Two-Handles Bridge Type Pot Filler Goose Neck Pull-out Spray Automatic Operation Other Features Separate Spray Instant Hot Water Filter Dishwasher Air Gap Dispensers Use Existing Yes No Type Dish Detergent KS Sink #1 Furnished by O/OA Sink #2 Sink #3 KS Type Hand Soap Installed by O/OA Sink #1 Sink #2 Sink #3 Hand Lotion Lighting Systems Use Existing Yes No General Furnished by O/OA KS Incandescent Halogen Fluorescent Xenon Decorative Incandescent Halogen Fluorescent Xenon ©2008 NKBA BMF8 Cove Recessed Pendant Surface mtd. Track Incandescent Halogen Fluorescent Other Other Under Cabinet Incandescent Installed by O/OA KS Ambient Halogen Fluorescent Xenon Other Page 9 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Appliance & Fixture Specifications - Option 1 (Option 1 to be used by design professionals who select specific appliances for the client.) Size Color Item / Description Surface Cooking Range Config. Fuel Cooktop Config. Rangetop Config. Surface Ventilation Fuel Fuel Remote Blower Hood: Manufacturer Model # Notes Configuration: P=Professional CT=Cooktop (controls on top) RT=Range Top (controls on front) Style: DI = Drop-in FS=Freestanding SI = Slide-in Interior Blower Wall Mounted Recirculate CFM Height Transition Island Duct Cover: Hood Liner and/or Blower: Down Draft: Micro Combo: Oven Cooking Oven: Single Double Oven / Microwave Combo Warming Drawer Microwave and Specialty Ovens Microwave Quantity: Configuration: CT= Countertop BI= Built-In OTR= Over The Range Confiig. Trim Kit: Refrigeration Other: Configuration: SxS= Side-by-Side UCDR= Undercounter Drawers UCD= Undercounter Door L/R TF= Top Freezer BF=Bottom Freezer Style: Free Standing BI= Built-In (Standard) IN=Built-In (Integrated) AR=All Refrigerator AF=All Freezer Refrig. Config Style: Refrig. Config Style: Refrig. Config Style: Front Panel Dishwasher / Compactor / Icemaker Style: ST= Standard IN= Integrated SI= Semi-Integrated DR=Drawer Dishwasher Style Compactor Style Front Panel Water Products Configuration: S= Single D=Double BL= Big and Little Sink #1 Config Style: UM= Undermount TM= Top Mount IN= Intergral AP= Apron C=Counter Section Style Faucet: Sink #2 Config Sink #3 Config Style Faucet: Style Faucet: Sink Accessories: Instant Hot: Water Filter: Garbage Disposer Miscellaneous Quantity (Laundry, BBQ / Outdoor Equip, Intercom, Vacuum, Espresso, Ironing Center, Water Softener, Warranty, etc.) End Appliance & Fixture Specifications - Option 1 ©2008 NKBA BMF8 Page 10 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Appliance & Fixture Specifications - Option 2 (Option 2 is used by designers who gather all generic appliance info., rather than specifying specific appliances.) Range Use Existing Yes No Cooktop / Range Top Furnished by O/OA KS New Existing Finish: Fuel Electricity Propane Type Free-Standing Integrated Electric Surface Units Conventional Coil Magnetic Induction KS Installed by O/OA Size: Drop-In Slide-In Professional Style Sealed Glass Ceramic Thermostatic Controlled Unit Dual Size Unit Gas Surface Units Open-Air (Conventional) Sealed Surface Controls Electronic Conventional Knob Other Cooking Surface Features Griddle Grill Oven Features Electric Oven Gas Oven Convection Oven Pyrolytic (SelfCleaning) Controls: Conventional Knob Electronic Other Range Features KS Furnished by O/OA New Existing Finish: Fuel Electricity Propane Type Free-Standing Integrated Electric Surface Units Conventional Coil Natural Gas Solid Disk (Electric Hob) Halogen Unit Use Existing Yes No Installed by O/OA Size: Natural Gas Drop-In Slide-In Professional Style Solid Disk (Electric Hob) Halogen Unit Magnetic Induction Dual Size Unit Gas Surface Units Open-Air (Conventional) Surface Controls Electronic Conventional Knob Other Cooking Surface Features High BTU KS Sealed Glass Ceramic Thermostatic Controlled Unit Sealed High BTU Griddle Grill Broiler Other Ventilation System Use Existing Yes No KS Updraft / Canopy Exhaust Hood Match to Cooktop Custom Design Furnished by O/OA Installed by O/OA KS Recirculating Match to Cabinetry Slim Line / Telescoping Downdraft / Proximity Surface Mount Pop-Up (Behind Cooktop) Ventilation System Installation New Ductwork Needed Space to Run Ductwork Ovens Use Existing Yes No Pop-Up (Next to Cooktop) Duct Termination Microwave Oven KS Conventional New Existing Finish: Configuration Furnished by O/OA KS Installed by O/OA Size: Single Double Combo Micro / Oven Under-Counter Installation Wall Installation Convection CookingConvection CookingSteam Cooking elective Gas High-Speed Cooking Pyrolytic (Self-Cleaning) Controls: Conventional Knob Electronic Other Features ©2008 NKBA BMF8 Use Existing Yes No KS Furnished by O/OA Microwave Oven New Existing Finish: Installation Free-Standing Configuration Microwave-Ventilation Combo Microwave-Convection Cooking Features Browning Element KS Installed by O/OA Size: Boxed/Built-In Integrated Professional Style Microwave-Light Cooking Turntable Page 11 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Refrigerator / Freezer Use Existing Yes Furnished by No KS Installed by O/OA #1 Type Single Door Refrigerator Single Door Freezer Refrigerator / Freezer: Side by Side Top Mount Bottom Mount Undercounter Modular Units: Refrigerator Drawers Freezer Drawers Freezer: Upright Chest Installation Free-Standing Boxed-In Integrated Under-Counter Decorative Panels KS #2 #3 O/OA Features Ice Maker Ice Dispenser (Door) #1 #2 #3 #1 #2 #3 Mini-Door Access Water Disp. (Outside) LCD Screen Other Features #1 #2 #3 Other Cooling Appliances Ice Maker Wine Storage Dishwasher Use Existing Yes Furnished by No Type Door Drawers Installation Built-In Integrated with Decorative Panel to Match Cabinets Stainless Steel Color Front Installed by KS O/OA KS O/OA #1 #2 #1 #2 Interior Finish Plastic Stainless Dishwasher Features Adjustable Shelves Flatware Trays #1 #2 #1 #2 Multiple Racks Special Cycles Stem Storage Other Clean-Up Appliances Use Existing Yes No Furnished by KS O/OA #1 Type Disposer: Batch Feed Continuous Feed Installed by #2 KS #3 O/OA #1 Type Trash Compactor #2 #3 Other Appliances Use Existing Yes No Furnished by KS Type: Built –In Small Appliances Radio O/OA Computer Telephone Intercom Television Installed by KS VCR / DVD Other: O/OA Warming Drawer Other: Washer / Dryer Other: End of Appliance & Fixture Specifications - Option 2 ©2008 NKBA BMF8 Page 12 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Flooring Use Existing Yes No Furnished by O/OA KS Installed by KS O/OA Floor Preparation Floor Covering Removal: Material Leveling: Bamboo Carpet Ceramic Tile Cork Shim: Laminate Linoleum Vinyl-Sheet Vinyl-Tile Subfloor Material: Wood Wood-Engineered Stone Other: Underlayment: Color or Pattern: Baseboard Under Trim: Describe: Transition Treatment Check all that apply. Slider = S Casement = C Double-Hung = DH Skylight = SL Bow = BO Bay = BA Vinyl = V Aluminum = A Aluminum Clad = AC Wood = W Glass Block = GB Furnished by Installed by O/OA KS O/OA Exterior Wall Patch: Sink Vent Relocation: Windows Use Existing Yes No Interior Wall Patch: Window # KS Configuration Size Screen Screen: Yes No Screen: Yes No Screen: Yes No Screen: Yes No Screen: Yes No Screen: Yes No Check all that apply. Bi-Fold = BF Slider = S Pocket = P French = F Swing = SW Solid Core = SC Steel = ST Hollow Core = HC Furnished by Installed by O/OA KS O/OA Hinge Size Doors Use Existing Yes No KS Door # Configuration Screen L R Screen: Yes No L R Screen: Yes No L R Screen: Yes No L R Screen: Yes No L R Screen: Yes No L R Screen: Yes No L R Screen: Yes No Hardware Finish: Passage Privacy Knob Lever (Note: Door hinging determined as you face door and open toward you.) Decorative Surfaces Use Existing Yes No Wall Preparation KS New Plaster/Drywall Wall Finish Wallpaper Ceiling Finish Paint Ceiling Preparation New Plaster/Drywall Furnished by O/OA Clean Paint Wallpaper Installed by KS Patch Exist Tile Suspended Clean Window Treatment ©2008 NKBA BMF8 Blinds Other: Vaulted Patch Exist Other: O/OA Remove Exist. Covering: Other: Remove Exist. Covering: Repairs: Fabric Shutters Other: Page 13 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Source Construction Use Existing Yes Category Responsibility KS O/OA No HVAC Air Conditioning System Age: Details: Planned Improvements: Heating System Age: Planned Improvements: Cooking Ventilation Ductwork Age: Planned Improvements: Electrical Work Yes No Details: New Service Panel: Code Updates: Modifications to Exist. Service: Plumbing: Yes No New Rough-In Requirements: New Drainage Requirements: New Vent Stack Requirements: Modifications to Exist. Lines: General Carpentry Yes No Demolition Work: Exist. Fixture and Equip. Removal: Trash Removal: Reconstruction Work (Except as previously noted.) Windows: Doors: Interior Walls: Exterior Walls: Cabinet Install. / Woodworking Trim Install: Miscellaneous Work Details: Yes No Jobsite / Room Clean-up: Building Permit(s): Structural Engineering / Architectural Fees: Inspection Fees: Jobsite Delivery: Other: ©2008 NKBA BMF8 Page 14 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Existing Construction Details 1. Age of Home: Access Roads to Home: Elevator Size Limitations: Delivery Truck Clearances: 2. Type of Neighborhood: Rural Suburban Urban Historic Mixed Use Multi-Family Gated Community Planned Development 3. Type of Home: Single Family Duplex Townhouse Condominium Two-Story Three-Story Ranch Apartment/Flat Other: 4. Structure of Home: One-Story Split-Level Split-Foyer/Raised Ranch Other: 5. Approximate Size of Home: 6. Style of Home (Exterior): 7. Is the home historic? Yes No What time period? Are there historic covenants or restrictions affecting the home? 8. Is the home part of a Homeowner’s Association? Yes No Is there Homeowner’s Association covenants or restrictions affecting the home? 9. Yes No Style of Home (Interior) Colors: Materials: Furniture: Accessories: Other: 10. Room Below Kitchen ©2008 NKBA BMF8 Page 15 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Existing Construction Details- continued 11. Condition of – Surface Walls Floors: Ceilings: Soffit / Fascia: Squareness of Corners: (Parallel Wall to Within ¾) Is there any hazardous material to be removed? 12. Construction of Floor: Slab 13. Direction of Floor Joists: 14. Exterior: Brick 15. Interior: Drywall Parallel to Longest Kitchen Wall Aluminum Stucco Lath & Plaster 16. Windows Can Be Changed: 17. Windows: Frame Sliders Yes Wood Other: Other: No Doors Can Be Relocated: Double Hung City Service 18. Sewage System: Wood Perpendicular to Longest Kitchen Wall Joist Height: Skylights Septic System Yes Casement No Walls Can Be Relocated: Greenhouse Bow/Bay Yes No Other: Other: 19. Type of Roof Material: Age of Roof: Access: Can Equipment Fit Into The Room? Basement: Attic: Crawl Space: Material Storage: Trash Collection Area: HVAC: Describe Existing System: Heating: Ventilation: Air Conditioning: Plumbing: Location of Existing Vent Stack: Type of Trap: Add Additional Line: Electrical GFCI Existing: Yes New Wiring Access: No Hard Average Existing Electrical Service Capacity: ©2008 NKBA BMF8 Easy Number of Circuits Open for Expansion: Number of 120V Circuits: Number of 240V Circuits: Page 16 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Appliance Diagram ©2008 NKBA BMF8 Page 17 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Windows and Doors Diagram ©2008 NKBA BMF8 Page 18 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1 Heating Diagram ©2008 NKBA BMF8 Page 19 of 19 Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37941-1
