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<br />Dangerous Building 1nspection Form Page 3 <br /> BUILDING EVALUATION CHECKLIST <br /> A = Adequate D = Deficient NI A = Not Applicable <br />1 STRUCTURAL COMMENT/EXPLANATION <br /> A. Foundation <br /> 1. Slab UNK UNABLE TO INSPECI' <br /> 2. Pier &. Beam <br /> a. Footings HlA- UNABLE TO INSPECI' <br /> b. Sills N/A UNABLE TO INSPEC!' <br /> c. Joists HlA- UNABLE TO INSPECI' <br /> B. WaDs <br /> 1. Em:rior IL- BLOCK SEPARATIO~. HOLES <br /> 2. Interior !mIL- UNABLE TO INSPEC!' - <br /> C. MeaDs of Egress <br /> 1. Doors <br /> a. Interior !lliK.- UNABLE TO INSPECI' <br /> b. Exterior IL- BROKEN <br /> 2. Porches, Steps, <br /> Stairs HlA- <br /> 3. Wmdows IL- GLASS MISSING <br /> D. Roof <br /> 1. Rafters IL- ROT <br /> 2. Deck, Shingles IL- HOLES: ROT <br /> E. Ceilings <br /> 1. Joists UNK UNABLE TO INSPECI' <br /> 2. Ceiling IL- CEILING MISSING ( VISmLE THRU WINDOW) <br /> F. FIoGn UNK UNABLETOINSPECI' <br /> G. Other HlA- <br /> <br />n. MEHCANICAL SYSTEMS <br /> <br />A. Electrical <br />1. Service EDIrance <br />& Panel <br />2. WIriDg <br />3. Lights, Switches <br />4. 0uIlets <br />5. Other <br /> <br />B. Plumbing <br />1. Fixtures <br />a. Sink <br />b. Lavatories <br />c. WaterJC10sets <br />d. Shower/I'ub . <br />e Wate:r Heater <br />2. Water Piping <br />3. Drain, Waste <br />& Vent <br />4. SeweL'Septic lank <br />5. Gas System <br /> <br />C. Bea1iDg & AlC <br />1. Heating <br />2. Air Conditioning <br /> <br />IL- <br />UNK <br />!mIL- <br />!lliK.- <br />HlA- <br /> <br />UNK <br />UNK <br />!lliK.- <br />!lliK.- <br />!lli!L- <br />!lli!L- <br />!lli!L- <br />!lli!L- <br />!lliK- <br /> <br />~ <br />IL- <br /> <br />m. PROPERTY CONDmONS <br /> <br />I. A=ssmy Struc:tures ~ <br />2. Condition of Grounds ~ <br />3. Other <br /> <br />Comments: <br /> <br />NOT TO CODE <br />UNABLETOINSPECI' <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br /> <br />UNABLE TO INSPECI' <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />UNABLE TO INSPECI' <br />UNABLE TO INSPEC!' <br />UNABLE TO INSPECT <br /> <br />UNABLE TO INSPEC!' <br />UNABLE TO INSPECT <br />UN'" RT .J<: TO INSPECI' <br /> <br />(2) WINDOW UNITS' POOR CONDmON <br /> <br />S:lCPSharelINsPSCTION DIVISION\ALLOTHER. STUFFlCode Euf'ort:emeatIOang 8IliIdings\l) B INSP FORM 521 N BROADWAY.d0c07-2004 Rev. <br /> <br />~ _.__..~.-._-<--~----_._-'".---- <br />