Laserfiche WebLink
<br />Dangerous Building Inspection F ann Page 3 <br /> BUILDING EVALUATION CHECKLIST <br /> A" Adequate D = Dc:licient NI A = Not Applicable <br />L STRUCTURAL COMMENT I EXPLANATION <br /> A. FOIlDdation <br /> 1. Slab ~ UNA FIT .F. TO INSPECT <br /> 2. Pier &:. Beam <br /> a Footings NlA...- UNABLE TO INSPECT <br /> b.Sills NlA...- UNABLE TO INSPECT <br /> c.Joists NlA...- UNABLE TO INSPECT <br /> B. WaDI <br /> 1. Exterior L- BLOCK SEPARATIO~. HOLES <br /> 2. Interior !lliK....- UNABLE TO INSPECT - <br /> C. MeaDS of]!,pess <br /> 1. Doors <br /> a Imc:rior UNK UNABLE TO INSPECT <br /> b. Exterior L- BR.OKEN: R.OTI'ED <br /> 2. Port:bes, Steps, <br /> Stairs NlA...- <br /> 3. WIDlIaws L- ROT AT FRAME <br /> D; Roof <br /> 1. Rafters XL- ROT <br /> 2. Deck, Shingles XL- ROT. SHINGLES IN BAD CONDmON <br /> E. Ceilings <br /> 1. Joists !lliK....- UNABLE TO INSPECT <br /> 2. Ceiling UNK UNABLE TO INSPECT <br /> F. F'loon UNK UNABLE TO INSPECT <br /> G. Other NlA...- <br /> <br />n. MEHCANICAL SYSTEMS <br /> <br />A. Electrieal <br />1. Service EnttaDce <br />&:. Panel <br />2. WI1'ing <br />3. Lights, Switches <br />4. Outlets <br />S. Other <br /> <br />~ <br />~ <br />~ <br />!lliK <br />N/A <br /> <br />B. Plumbing <br />1. F1XlDres <br />a Sink <br />b. Lavatories <br />c. Watec/Closets <br />d. Shower <br />e Water Heater <br />2. Watec Piping <br />3. Drain, Waste <br />&:. Vem <br />4. SewerISept:ic tmk <br />S. Gas System <br /> <br />C. Beating " AlC <br />1. Heating <br />2. Air ConditioDing <br /> <br />m. PROPERTY CONDmONS <br /> <br />1. Accessory Sttuctures NlA...- <br />2. Condition of Grounds A--- <br />3. Other <br /> <br />Comments: <br /> <br />!lliK- <br />!lliK- <br />!lliK- <br />!lliK- <br />!lliK- <br />~ <br />~ <br />!lliK- <br />~ <br /> <br />~ <br />~ <br /> <br />NOT TO CODE <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br /> <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />UNA FILE TO INSPECT <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br /> <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br /> <br />S:ICPShareIlNSPECTION DMSION\AlL OTHER. STUFFICode Ea10rcemeatlDaug Buildings\I) B INSP FORM 521.3 N BROADW AY.d0c0"7-2004 Rev. <br />