Date(Required) MM slash DD slash YYYY HBP File NumberProperty InformationPrimary Contact Name(Required)Secondary Contact NamePrimary Contact Phone(Required)Secondary Contact PhonePrimary Contact Email(Required) Secondary Contact Email Address(Required)City(Required)State(Required)SelectALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYGUPRVIZip(Required)Does this property have a Homeowners Association (HOA)?YesNoExisting radon reduction system?SelectYes - Active SystemYes - Needs RepairNoNo - Passive SystemWas it running during test?SelectYesNoTotal Sq. FootIs Basement FinishedSelectFully Finished3/4 Finished1/2 Finished1/4 FinishedNoYear BuiltBasement Sq. FootType of ConstructionSelectSlab on GradeRanchRambler2 Story Detached2 or More SlabsDuplexFoundation TypeSelectSlabCrawl SpaceBasementBasement and CrawlBasement and Sep. SlabCrawl and Sep. SlabAny Crawl SpacesSelectFull CrawlPartial CrawlTwo Seperate CrawlsMulti-Opening CrawlNoneCrawl CompositionSelectDirtGravelCementCrawl Sq. FootDepthHow is it AccessedSelectFrom InsideFrom OutsideFrom GarageSump PumpSelectYesNoUnknownSump TypeSelectSubmersiblePedistalUnknownOpen or CoveredSelectOpenCoveredCovered - SealedUtility RoomSelectYesNoAttached GarageSelectYesNoYes - Below HouseFinishedSelectYesNoLiving or Attic AboveSelectLiving SpaceAtticNone
