Let us help you design your Earth Sheltered home.  Please print this page.   Then answer the questions and mail or fax to Earth Sheltered Technology, Inc.

The following questions will assist Earth sheltered Technology, Inc. in determining the type of home that we can design for you. The more information that you can furnish us with, the closer to your ultimate desires that we can get the first time. If you can not answer all of the questions, please feel free to leave the ones blank that you are not sure of. This information is for preliminary drawings only, and may be revised at a later date, if changes are desired.

1. Desired date that you would like to be in you new home?__________________

2. Do you own a building site? Yes___   No___    Amount of mortgage_________

Land is: Flat_____   Sloped_____   Hillside_____

3. Type of home desired: Single level____   Split Entry_____   Two story____

Layout:    In line_____     "L" shaped_____    Off-set_____

Basement required:    None_____     Full_____      Partial_____

4. Do you have a floor plan or an idea of your desired floor plan?   Yes____    NO____

If yes, please send a copy or a rough draft of your desires.

5. Please indicate the rooms desired:

Bedrooms-how many?____   Should one be a master suite? Yes____    No____
Non-formal dining area_____     formal dining area_____
Kitchen layout: Island____  Peninsula_____  U-shaped____ All on one wall____
Pantry required____

6. Garage: Earth sheltered attached____    Non-earth sheltered attached_____

Detached_____    None required____      If req'd, what size_____

7. Type of home heating desired:

Electric____  Natural gas_____   Propane_____     Woodstove____    Fireplace_____

8. Type of windows desired:

Casement_____    Awning____     Patio Doors_____     Double Hung____

9. Type of parapet wall (wall across the top of the home that holds the dirt

back): Shingled mansard_____     Concrete_____

10. Overhang supports: Square corners_____    Curved_____

11. Exterior finish: Stucco____  Stone____  Brick____  Cedar____ Split log___  Other____

12. After the basic structure is finished, the finishing shall be handled by:

Homeowner____   Homeowner-hired general contractor_____

13. Financing: Has been arranged_____    Has not been arranged_____

Financing shall be through: local bank____     FHA____    VA_____    None req'd_____

14. Amount of budget to build home (not including land, well or septic system)

                    $_________________

15. Other comments____________________________________________________