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<br />Dangerous Building lIIspection F DIm Page 3 <br /> BlJILDING EVALUATION CR1r.CKLIST <br /> A = Adequate D = Deficient NI A = Not Applicable <br />1 STRUCTURAL COMMENT I EXPLANATION <br /> A. Il'0IIJIdati0Il <br /> 1. Slab NlA..- <br /> 2. Pier &; Beam <br /> a Footings lllilL- UNABLE TO INSPECT <br /> b.Sills lllilL- UNABLE TO INSPECT <br /> c. Joists UNK UNABLE TO INSPECF <br /> B. WaDI <br /> 1. Exterior IL- ROT. BOLES <br /> 2. Interior lllilL- UN), RT R TO INSPECT <br /> c. Meus ofEgresl <br /> 1. Doors <br /> . a lD'f.crior lllilL- UNABLE TO INSPECT <br /> b. Exterior IL- ROT AT FRAME <br /> 2. Porches, Steps, <br /> Stairs IL- NO LANDING ON REAR DOOR <br /> 3. Wmdows IL- FRAME ROTI'ED: BROKEN GLASS <br /> D. Roof <br /> 1. Ratters IL- ROTI'ED <br /> 2. Deck, Shingles IL- F AClA RO'ITED <br /> E. CeiIiuga <br /> 1. Joists UNK UNABLE TO INSPECT <br /> 2. Ceiling IDiK.- UNABLE TO INSPECT <br /> F. F100n ~ UNABLE TO INSPECT <br /> G. Other NlA..- <br /> <br />n. MEHCANICAL SYSTEMS <br /> <br />A. Electrical <br />1. Service Entrance <br />&; Panel <br />2. WIring <br />3. Ligbls, Switches <br />4. Outlets <br />5. Other <br /> <br />B. l'huDbing <br />1. FIXtureS <br />a Sink <br />b. Lavatories <br />c. WatcrIClosets <br />d. Shower <br />e Water Heater <br />2. Water Piping <br />3. Dr.Iin, Waste <br />&;Vent <br />4. Sewer!Septic 1aDk <br />5. Gas System <br /> <br />IL- <br />lllilL- <br />IL- <br />UNK <br />lliA.- <br /> <br />~ <br />IDiK.- <br />lllilL- <br />JmK...- <br />!lliK..- <br />JmK...- <br />!lliK..- <br />JmK...- <br />UNK. <br /> <br />C. Heating & AlC <br />1. Heating <br />2. Air CoIIditioning <br /> <br />m PROPERTY CONDmONS <br /> <br />1. Accessory St:roc:tmes NlA- <br />2. Condition of Grounds L- <br />3. Other <br /> <br />CommCDtS: <br /> <br />JmK...- <br />L- <br /> <br />NOT TO CODE <br />UNABLE TO INSPECT <br />EXI'ERIOR PORCH UGHI' MISSING <br />UNABLETOlNSPECT <br /> <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />UNABLE TO INSPCET <br />UNARY... TO INSPECT <br />UNABLE TO INSPECT <br /> <br />UN.ART... TO lNSPECT <br />UNABLE TO lNSPECT <br />UNABLETOlNSPECT <br /> <br />UNABLE TO INSPECT <br />WINDOW UNIT <br /> <br />S:'CPShon:\lNSPECTION DIVISION\ALL 0'l'HER STUFFlCodc Enforcomoat\Dang BuildingsID B INSP FORM 632 N smdoc07-2004 Rev. <br />