If you have the time and money, having a home built to your specifications is the surest way to get your needs met. Locations of utilities, finish, etc. will be done to meet your needs. You also get a home that won't need a roof, new HVAC, etc. for 15-30 years. So the initial investment of time and money does pay off in that way too. Obviously this is not easy in a long developed city or suburban area, but if it is, it's my preference. Not a whole lot more work than modifying an older house which was built/renovated to someone else's needs.
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