Texas Deparmtment of Housing and Community Affairs Community Development Block Grant (CDBG) Subrecipient Name: Homeowner Name: Home Address: Homeowner Signature: Building Contractor Name and Address: Work WriteUp / Cost Estimate Contract Number: Activity Number: SITE WORK Dumpster Site Toilet Fill Site Prep Make Ready FOUNDATION Site Cost Slab Porch Foundation Cost Form 11.17 Work Writeup/Cost Estimate Page 1 of 8
FLAT WORK Drywall Flat Work Cost PLUMBING Underground Roughin TopOff Kitchen Sink Toilet Toilet Seat Tub w/surround Bathroom Faucet Tub Faucet Copper/PVC/Flex Hose Bib Plumbing Cost Form 11.17 Work Writeup/Cost Estimate Page 2 of 8
ELECTRICAL Electric RoughIn Electric TopOff Range Vent Bath Vanity Light Bath Vent/Light Hail Light Ceiling Fans Exterior Lights Kitchen Light Utility Area Light Bedroom Lights Breakfast Area Light Closed Light Electrical Cost Form 11.17 Work Writeup/Cost Estimate Page 3 of 8
FRAMING Trusses Studs (Interior) Studs (Exterior) Top and Bottom Plates Headers Framing Framing Cost DOORS & WINDOWS Interior Doors Interior Door Knobs Exterior Doors Ext. Knobs and Deadbolts Storm Doors Windows and Screens Doors/Windows Cost INSULATION Form 11.17 Work Writeup/Cost Estimate Page 4 of 8
INSULATION Insulation Insulation Cost EXTERIOR SURFACE Siding, Soffits, and Trim Exterior Surface Cost INTERIOR SURFACE Drywall Tape, Texture, and Float Interior Surface Cost MECHANICAL HVAC Mechanical Cost FINISH CARPENTRY Form 11.17 Work Writeup/Cost Estimate Page 5 of 8
FINISH CARPENTRY Trim Carpenter Finish Carpentry Cost CABINETS Base Cabinets Wall Cabinets Counter Top Bath Vanity Cabinets Cost APPLIANCES Range Refrigerator FLOORING Appliances Cost Carpet/Vinyl Flooring Cost Form 11.17 Work Writeup/Cost Estimate Page 6 of 8
PAINT Interior Paint Exterior Paint Paint Cost ROOFING Shingles Decking Roofing Cost FINISH DETAILS Med Cab/Mirror Finish Details Cost LEAD BASED PAINT Testing Abatement Hard Costs Finish Details Cost Form 11.17 Work Writeup/Cost Estimate Page 7 of 8
MISCELLANEOUS for instance: Inspection Cost Miscellaneous Cost 0 = Number of Square Feet of Heated Area Estimated Project Hard Costs 0 = Estimated Project Delivery Costs Budgeted Project Costs WARNING: If it is determined through monitoring that the onsite support documentation of actual costs does not agree with the itemized invoice(s) submitted, the Subrecipient will be subject to repayment of CDBG funds. Subrecipient's may not request funds in excess of the actual amount expended for rehabilitation or reconstruction of the eligible home. Form 11.17 Work Writeup/Cost Estimate Page 8 of 8