Name:

Address Line 1:

Address Line 2:

Town/City

County:

Postcode:

Tel:

email:

Your house

Type of house:

Detached Semi-Detached End of Terrace Mid-Terrace Bungalow Other

No. of floors:

Ground floor space in metres:

First floor space (if applicable):

Additional floors (if applicable):

Number of rooms on ground floor:

Number of rooms on first floor (if applicable):

Number of rooms on additional floors (if applicable):

Type of roof:

Pitched Pitched with dormers Flat Combination of above

Roof covering:

Tiles Slates Lead Felt Fibre Glass Thatched Other

External walls:

Brick Painted Brick Block Rendered Concrete Rendered Timber Frame Steel Frame Other

About the extension

Have you obtained planning permission?

Yes
No

Have you obtained building regulations?

Yes
No

Have you appointed an architect/project supervisor?

Yes
No

Position of proposed extension:

Rear Front Side Loft Other

Number of proposed stories:

Proposed floor area on each level (sq metres):

Number of proposed rooms for each level

Proposed roof construction

Pitched Pitched with dormers Flat Combination of above

Do any structures need to be removed?

Yes
No

If yes, please specify:

Any additional information we may need: