HSO Form

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House Stake Out Form

Please fill out house stakeout order form below.
Once completed, we will review it and be in touch with you as soon as possible.

BUILDER

* Indicates required field

Name *

First

Last

Company *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone *

LOCATION OF NEW HOME

SUBDIVISION *

SUBLOT/CITY LOT *

Address *

Line 1

Line 2

City

State

Zip Code

Country

PERMANENT PARCEL NUMBER *

FOUNDATION

Choose ANY THAT MAY APPLY *

SLAB 12 COURSE BASEMENT 13 COURSE BASEMENT 8' POURED WALLS 9' POURED WALLS WALKOUT OTHER (List Below)

OTHER *

GARAGE ORIENTATION

CHOOSE ONE *

RIGHT FRONT LEFT FRONT SIDE LOAD RIGHT SIDE LOAD LEFT HIGH SIDE OF LOT

COVERED PORCH

CHOOSE ONE *

YES NO

Comment *

LOCATION OF HOUSE ON LOT

CHOOSE ONE *

STANDARD: AT BUILDING LINE CENTERED ON LOT MEET SURVERY CREW TO DETERMINE LOCATION OTHER (List Below)

OTHER *

SIDE YARD LEFT *

SIDE YARD RIGHT *

ELEVATION SEPARATION FROM GARAGE FLOOR TO FINISH FLOOR

CHOOSE ONE *

16 INCHES 24 INCHES OTHER (List Below)

OTHER *

UTILITIES

CHOOSE TWO *

CENTRAL SANITARY SEWER (List Provider Below) CENTRAL WATER MAIN (List Provider Below) SEPTIC WELL

PROVIDER *

Submit

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HSO Form

Our Company

Hours

M-F: 8am - 4:30pm

Address

203 W. Liberty St. Medina, OH 44256

Phone

(330) 725-5980
(330) 725-8019 Fax

office1@cunninghamengineering.com

Home
Services
Projects
- Engineering Projects
- Surveying Projects
Survey Inquires
- Residential Survey
- Commercial Survey
HSO Form
Our Company
- Staff Contacts
- Job Openings
Contact Us