NEW CUSTOM HOME BUILDING PLAN SHEET The following document assists Moderno with gathering as much information to provide you with a realistic cost analysis and budget for your home. This is a starting point to help you think through a process in which some real determinations can be made on where you want your home, and what you want the home to look like, inside and out. The information you provide is information only to assist us guiding you to the right design to suit your budget. There is no obligation by filling out this information that it is binding to a purchase agreement. In the following selections, please feel free to find pictures on the internet through various sites such as Houzz or other magazines that perhaps you have seen and bring them with you to the initial meeting. This will greatly assist everyone in understanding the type of home you are trying to achieve. We have found it is easy for you to set up a Pinterest file and store all the pictures you find on that file.
CUSTOMER NAME(S) ______________________________________________ DO YOU CURRENTLY HAVE YOUR OWN LAND TO BUILD ON? IF YES, FILL IN BELOW LEGAL DESCRIPTION OF LOT FOR NEW HOME: LOT _____BLOCK _______ PLAN_______________________ MUNICIPAL ADDRESS: ____________________________________ LOT TYPE: Walk‐out ______ Level ______ Transitional ______ IF NO, PLEASE FILL IN DESIRED AREA YOU WOULD LIKE TO BUILD IN AREA __________________________________________________ LOT TYPE: Walk‐out ______ Level ______ Transitional ______
1. HOME TYPE Please describe what type of home or features you are looking for. If you have photos of what type of home you are looking for, please bring them with you. 2 Storey __________
1 ½ Storey __________
Bungalow __________
Traditional ___________
Contemporary ___________
Transitional __________
Luxury ___________
Multi-Family ___________
Other __________________________________________________________________
What size of home are you looking to build: Main floor sq ft: _________________
Floor to ceiling height: _____________
Upper floor sq ft: _________________
Floor to ceiling height: _____________
Basement sq ft: _________________
Floor to ceiling height: _____________
Other sq ft: _________________
Floor to ceiling height: _____________
Total sq ft: _________________ GARAGE Size and Sq Ft ______________ Attached Garage __________ Detached Garage __________ Double or Triple Garage _____________ Specialized Garage Floor _____ Built In Cabinets _________ Type of Garage Door _________________ ________________________________________ ** Flat panel, raised panel, windows, aluminum w/glass panel Other __________________________________________________________________
2. EXTERIOR ARCHITECTURAL STYLE What architectural styles do you wish to see on your home? Please attach photos of homes you like in an email if you have them. Please check choice(s) below: Acrylic Stucco __________
Smart Board Battons/Trim _________ Hardie Board Siding _________
Masonry / Brick __________
Manufactured Stone _____________
Natural Stone ______________
Other __________________________________________________________________
ROOFING What type of roof do you want for your home? Architectural Shingles __________
Concrete Tile ___________
Copper Accents ________
Recycled Rubber ___________
Prefinished Metal __________ EPDM ____________
Other __________________________________________________________________
WINDOWS As a practice, Moderno starts with Energy Star qualified, Solar Guard, Low E, Argon windows. Please check options you wish for your windows: Vinyl Extrusion __________
Metal Clad ____________
Paint Grade _________
Stain Grade ___________
Vinyl Jambs ___________
Window Mullions ________
Smart Glass Shading System _________ Skylights __________
What Size _________
Which areas _________
Other __________________________________________________________________
PORCH / VERANDA / DECKS The outdoor living areas can have many options. Please check the options you envision for your home: Concrete ____________
Stamped Concrete __________
Vinyl Decking ___________
Epoxy Rock __________
Composite Decking __________
Pressure Treated ________
Other __________________________________________________________________
Other options: Covered Roof __________
Arbors ___________
Benches _________
Planters _________
Other __________________________________________________________________
Exterior Railings: From front steps to rear deck areas, some selections to consider are: Wrought Iron __________
Wood Rails with Wood Spindles ___________
Welded Aluminum with Glass Guards ___________ Other __________________________________________________________________
DRIVEWAYS AND SIDEWALKS Please check the style of driveway and sidewalks that you envision for your home: Exposed Aggregate __________ Borders ___________
Stamped Concrete __________ Coloured Concrete __________ Designs ___________
Other __________________________________________________________________
3. INTERIOR FLOOR PLAN Main Floor: Please tell us rooms you would like to see on the main floor: Kitchen _________
Walk-In Pantry _______ Butlers’ Pantry _______ Mud room _________
Living room ________ Family room _________ Great room _________ Half bath ________
Main bath __________
Den ________
Office ________
Other __________________________________________________________________
Upper Floor: Please tell us rooms you would like to see on the upper floor: Master Bedroom, including ensuite and walk-in closet _________ Bedroom 1 _________
Bedroom 2 __________
Main Bath _________
Bedroom 3 ___________
Ensuites on Bedroom(s) ____________ Laundry room _______ Bonus/sitting area ________ Other __________________________________________________________________
Basement: Please tell us rooms you would like to see in the basement: Theatre/Media room ___________
Gym/Exercise room _________
Main Bath ________
Half Bath __________
Bar ___________
Games area __________
Wine room __________
Bedroom __________ Sauna _________
Laundry room ______
Other __________________________________________________________________ Bonus Room over Garage (if applicable): Please tell us rooms you would like to see in the bonus room area: Bedroom 1 ___________
Bedroom 2 ___________
Main Bath __________
Games/recreation area ____________ Other __________________________________________________________________
Kitchen Size and Layout: What style of kitchen do you envision for your home: (If you have pictures of your dream kitchen, please feel free to bring them with you). U Shaped __________ with Island ___________
no Island __________ with Peninsula ________
L Shaped __________ with Island ___________
no Island __________ with Peninsula ________
Galley ____________
without Island __________
with Island ___________
Other __________________________________________________________________
Pantry: Please check what type of pantry you envision for your pantry: Corner Pantry ___________
Cabinet Pantry __________
Walk-Thru Pantry _________
Walk-In Pantry __________ Other __________________________________________________________________ Cabinets: Please indicate what type of cabinets you envision for your kitchen cabinetry: Raised Panel _________ Wood ________ High Gloss __________ Knobs ________
Flat Panel _________
MDF _________
Shaker ________
Glass inserts __________
Paint Grade _________ Stain Grade ___________
Standard height __________
Full height _________
Pulls __________
Other __________________________________________________________________
Colour: Please indicate what colour of cabinets you wish your cabinets to be: White Cabinets ____________
Stained Cabinets ___________ Other Colour __________
White Island ____________
Stained Island _____________ Other Colour __________
Other __________________________________________________________________
Counters: Please indicate what type of countertops you would like to see: Granite ____________
Quartz ___________
Concrete _________
Other __________________________________________________________________
Fixtures: Please indicate what types of fixtures you would like to have in your kitchen: Undermount Sink __________ Stainless Steel __________
Drop In Sink __________ Ceramic __________
On Demand Hot Water ___________
Farm Style __________
Pot Filler __________
Filtered Fresh Water ___________
Faucet with Pull-Out Sprayer __________
Soap Dispenser ________
Faucet and Sprayer __________
Other __________________________________________________________________ APPLIANCES - Please indicate what you wish to have for appliances Refrigeration: Stand Alone Fridge __________
Stand Alone Freezer ________ Double Door W/Freezer _________
French Door (bottom freezer) _______ Stainless Steel __________ Cabinet Panel Covered _________ Cooking: Cooktop __________
Range _________
Gas _________
Electric __________
Wall Oven/Micro Combo__________ Hidden Hood Fan __________
36” __________
42” _________
48” _________
Wall Oven ________ Double Wall Oven __________
Built-In Micro __________
Warming Drawer ___________
Exposed Hood Fan _________
Other: Standard Dishwasher __________ Wine Cooler ___________
Drawer Style Dishwasher ________ How many ______
Other ___________________________________________________
Eating Nook / Island: Please indicate if you wish to have a separate eating area in the kitchen, or if you wish the island to accommodate an eating area: Separate Nook area ____________
Built-In seating _______
Eating area at Island ___________
For How Many People _______
For How Many People _______
Other __________________________________________________________________
Great Room or Family Room: Please check features you envision for your great room/family room area: Fireplace:
Single Sided _________ Two-Way __________ Peninsula _________ Modern _________
Contemporary __________
Built-In Cabinets/Entertainment Unit ___________
Ceiling Detail __________
Other __________________________________________________________________
Dining Room: Please indicate how you envision your dining room: Formal __________
French Doors ____________
Built-In Cabinets and/or Hutch __________
Open (informal) __________
Butlers’ Pantry __________
Ceiling Detail _________
Other __________________________________________________________________
Front Entry: Please check options on how you envision your front entry. Quite often this is the first introduction to your home. Door: Custom Wood Door ____________ Sidelights ____________
Oversized ___________
Glass Inserts _____________
Double Doors __________ Painted or Stained _____________
Flooring: Tile ____________
Marble ____________ Hardwood __________ Design Detail __________
Other: Ceiling Open to Above ___________
Facing Grand Staircase ___________ Wall Niches _________
Other __________________________________________________________________
Staircase: Please indicate the type of stairs you envisioned for your home: Curved __________
Sweeping __________ Straight _________
Closed Riser ____________ Extra Wide Staircase ___________
Open Riser __________
Wrought Iron Railings __________
Wood Railings ___________ Other ______________________________________________________
Master Bedroom: Please check features you envision your master bedroom to have: Fireplace:
Contemporary ___________
Built-In Cabinetry ___________
Traditional ___________
Ceiling Detail ___________
Chandelier __________
Other __________________________________________________________________
Walk-in Closet: Please indicate features you wish your walk-in closet to have: Custom Cabinetry _____________
Custom Shoe Shelf ___________
Laundry ___________ Window ___________ Skylight ___________ Other __________________________________________________________________ Ensuite: Please indicate the features you envision for your master ensuite: Separate Toilet Room __________
Oversized Steam Shower __________
Body Sprays _________
Free Standing Tub ____________
Drop in tub with Tile surround _________
Jetted __________
Double Vanity ___________
Custom Cabinetry ___________
Vanity Mirrors: Full Height ____________
Heated Tile floor ___________
Wall Hung _________
Other __________________________________________________________________
Bedrooms: How do you envision the remainder of the bedrooms in the home? Please indicate how many bedroom and choose options for ensuites and closet styles: # of Bedrooms _________
Ensuites __________
Jack and Jill Baths __________
Standard Main Bath ________ Standard Closets ___________
Walk In Closets _________
Other __________________________________________________________________
Laundry Rooms: Please check options you wish for your laundry room: Washer & Dryer on Pedestals _____________
Washer & Dryer Stacked __________
Laundry Sink __________ Custom Cabinetry ___________ Clothes Hanging Areas _________ Main and Half Bath: Please indicate how you envision your main and half baths to look: Sink: Undermount ___________ Vessel __________ Toilet: Floor Mount __________ Tubs: Drop In __________
Pedestal _________
Wall Mount ___________
Free Standing ___________
Shower: Standard _____________
Wall Mount ________
Jetted __________
Steam Shower __________
Vanity Mirrors: Full Height ____________
Body Sprays __________
Wall Hung _________
Other __________________________________________________________________
Den/Office: Please indicate how you envision your Den / Office: Some common options are a built-in desk, custom cabinets, bookshelves, fireplace, etc. Built In Desk __________ Fireplace:
Custom Cabinetry __________
Contemporary __________
Bookshelves _________
Traditional __________
Other __________________________________________________________________
Basement: Please describe how you envision your basement. Quite often people will use this area for gym equipment, a bar area, a theatre, a games area such as a pool table, a wine room, a sauna and extra bedrooms. # Extra Bedrooms: ________ Nanny Suite _________
with ensuite ___________
Gym/Exercise Room: Quite often we will see customers consider yoga and pilates areas in a gym room as well as exercise equipment. We are finding that these rooms are becoming larger as society focuses on health and wellness. Please indicate your desired features for this area: Hardwood Floor _________ Gym Flooring _________ Mirrors ________ Sound System _________ TV __________
Ventilation __________
Steam Shower __________ Sauna _________
Other __________________________________________________________________
Theatre/Media Room: Things to consider are a cabinet and countertop area with perhaps a small fridge; audio/visual components such as projectors, media equipment or large televisions and sound systems. Custom Cabinetry __________ Countertop ___________ Fridge _________ Projector ___________ Media Equipment __________
Large Televison __________
Sound System ____________
Other __________________________________________________________________
Bar Area: The bar area can be a wet bar or just a conversation area to gather around. Please indicate the features you envision for this area: Items for consideration would be a sink area, dishwasher, fridge, wine fridge, cabinets, countertops, what shape and design of the bar you would like for entertaining Wet Bar __________
Sitting Area _________ Dishwasher _________
Wine Cooler __________
Custom Cabinetry ________
Fridge __________
Feature Backsplash _________
Other __________________________________________________________________
Wine room: Moderno can offer a design to suit the most esteemed wine connoisseur. We can provide custom wine room designs to suit any size of wine collection, including custom ventilation and humidity controls. Perhaps even a custom humidor for the cigar collection. Please indicate any features you wish for if a wine room is something you desire: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________
Games area: Some considerations for a games room are that quite often these are separate rooms away from the media for playing video games; however, a pool table compliments a games room but requires a minimum unobstructed area of 18ft x 22ft to be able to enjoy properly. Pool Table ___________
TV/Sitting area __________
Cabinetry ___________
Other __________________________________________________________________
Family Room: Please indicate if you want to have a family room area in the basement and the features you wish to have: Built-In Cabinetry __________
Ceiling Detail __________
Other __________________________________________________________________
Bathrooms: Perhaps an opportunity to blend a steam shower for your gym or just a simple half bath for guests in the basement. Full Bath __________
Steam Shower ___________
Half Bath __________
Other __________________________________________________________________
Storage / Other: Please indicate any other areas in your basement you envision to suit your needs: _____________________________________________________________________________________ _____________________________________________________________________________________ Mechanical Room: There are many options to heat your home and provide various options in regards to mechanical handling systems. Please check off below what you have in mind: Hot Water System Options Tankless Hot Water Boiling System ___________
With Extra Capacity Storage Tank ___________
In‐slab/floor Radiant Heating System from hot water tank (1 zone only) __________ In‐slab/floor Radiant Heating System with boiler ________ With Extra Capacity Storage Tank _________ In-Line Water Softener _________ Hot Water Recirculation System ________ 5. HVAC High Efficiency 2-Stage variable speed furnace _________ Fan Coil Boiler Driven Furnaces __________
How Many ______
How Many _________
Multi-Zoned Duct Work System __________ Air Purification System _________ Air Conditioning _________
Electronic UV Filter ________ HRV System ________
How Many _______
iPad Controllable Thermostats ________
Nest System _________
6. ELECTRICAL OPTIONS Lutron/iPad Compatible Light Controls _________ Art Lighting __________
Pot Lights __________ Chandelier __________
Under Cabinet Lighting ________ Stair Lighting _________
Special fixtures ________ L/M/S _______
Interior Cabinet Lighting _________
Other __________________________________________________
7. AUDIO/VIDEO Ceiling speakers with volume control ________ Rough‐in Only _________ In Home Sound Receiver __________
Locations ______________________
iPad Controllable Sound ________
Separate Shower Speakers/Sound System _______
Custom Theatre System _______ 5.1 ________ 6.1 _______ 7.1 _______ Rough In Only _______ Behind Bath Mirror Televisions _________ Video projection rough‐in _________
Plasma/LCD rough-in ________
Custom Low Voltage Smart Home System _________ Other ____________________________________________________________________________ 8. OTHER FEATURES Window Coverings ________
Electric Window Coverings ________
Landscape Design ________
Landscaping __________
Water Features _________
Fencing _________
iPad Compatible _______
Landscape Lighting __________
Would you like Moderno to assist you in selling your current home? ____________ Would you like Moderno to assist in arranging financing for your new home? ____________ Please mention any particular options that would be special to you that you would like to see in your home: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ____________________________________________________________________________ Please bring as many photos or pictures to your initial meeting to help us understand the special features you desire for your new home. The pictures are only a guideline and really helps our designers tailor the specific ideas you have to them for a clear understanding depicted in the final drawings. Please provide a rough idea of what your budget is for your new home, including land. While providing a budget number is always difficult, this helps us guide you to ensuring that we can offer the maximum amount of value and try to accommodate all your wishes. $_____________________
