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<br />Dangerous Building Inspec:tion FOIID Page 3 <br /> BUlLDING EVALUATION CHECKLIST <br /> A = Adequate D = Deficient NlA = Not Applicable <br />L STRUCTURAL COMMENT I EXPLANATION <br /> A. FOUDdatioa <br /> 1. Slab HLA- <br /> 2. Pier &. Beam <br /> a. Footings IL-- UNEVEN SETILEMENT <br /> b.Sills UNK UNABLE TO INSPECT <br /> c. Joists UNK UNABLE TO INSPECI' <br /> - <br /> B. Walls <br /> 1. Exterior IL-- ROT. HOLES <br /> 2. Interior UNK UNABLE TO INSPECT <br /> c. MeaDs ofEgresI <br /> 1. Doors <br /> a. Inlerior UNK UNABLE TO INSPECI' <br /> b.aterior A-- <br /> 2. Pozt:hes, Steps, <br /> Stairs IL-- BACK PORCH NOT SUPPORTED <br /> 3. Wmdows L- ROT AT FRAME: MISSING GLASS <br /> D. :Roof <br /> 1. Rafters UNK UNABLE TO INSPECI' <br /> 2. Deck, Shingles L- DECKROT.HOLES. FACIA ROT <br /> E. Ceilings <br /> 1. Joists UNK UNABLE TO lNSPECI' <br /> 2. Ceiling UNK UNABLE TO INSPECI' <br /> F. Floors UNK UNABLE TO INSPECI' <br /> G. Olher HLA- <br /> <br />B. Plumbing <br />1. F1XlDres <br />a. Sink: <br />b. Lavatories <br />c. WaterJOosetS <br />d Sboweri'Tub <br />e Water Heater <br />2. Water Piping <br />3. Drain, Waste <br />&'Vent <br />4. Sewer!Septic tank <br />S. Gas System <br /> <br />C. BeatiIa: & AlC <br />1. &ating <br />2. Air CoaditioDiug <br /> <br />m. PROPERTY CONDITIONS <br /> <br />1. Act:1:ssory StIuctures ~ <br />2. Condition of Grounds A-- <br />3. Other <br /> <br />n. :MEHCANICAL SYSTEMS <br /> <br />A. E1ec:tricaI <br />1. Service Entnmce <br />&. Panel <br />2. WIring <br />3. lights, Switches <br />4. Outlets <br />S. Other <br /> <br />Comments: <br /> <br />IL-- <br />!lliK...- <br />!lliK...- <br />UNK <br />HLA- <br /> <br />!lliK...- <br />L- <br />IL-- <br />IL-- <br />!mIL- <br />UNK <br /> <br />~ <br />~ <br />~ <br /> <br />~ <br />A-- <br /> <br />PANEL NOT TO CODE <br />UNABLETOINSPECI' <br />UNABLE TO INSPECI' <br />UNABLETOINSPECI' <br /> <br />UNABLE TO INSPECT <br />OLD. POOR CONDITION <br />OLD. POOR CONDITION <br />OLD. POOR CONDmON <br />UN), 'RT P. TO INSPECT <br />UNABLE TO INSPECI' <br /> <br />UNABLE TO INSPECI' <br />UNABLE TO INSPECI' <br />UNABLE TO INSPECI' <br /> <br />WINDOW UNITS <br /> <br />S:\CPSbare\INSPECTION DM8ION\ALL OrnER STIJFP\CocIe EDforcemeatIDaDg BuiIdingoID B INSP FORM 1911 ROSCOE.cIoc()7-2004 Rev. <br />