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<br />Dangerous Building Inspection F onn Bldg 1 Page 3 <br /> BUILDING EVALUATION CHECKLIST <br /> A = Adequate D = Deficient N/ A = Not Applicable <br />1 STRUCTURAL COMMENT /EXPLANATION <br /> A. Foundation <br /> 1. Slab UNK UNABLE TO INSPECT <br /> 2. Pier & Beam <br /> a Footings ~ <br /> b. Sills N/A <br /> c. Joists ~ <br /> B. Walls <br /> 1. Exterior L- HOLES. ROT <br /> 2. Interior UNK UNABLE TO INSPECT <br /> Means of Egress <br /> L Doors <br /> a Interior UNK UNABLE TO INSPECT <br /> b.Exterior L- <br /> 2. Porches, Steps, <br /> Stairs L- <br /> 3. Wmdows UNK UNABLE TO INSPECT-BOARDED UP <br /> D. Roof <br /> L Rafters L- ROT <br /> 2. Deck, Shingles L- ROTTED FACIA & SOFFIT <br /> E. Ceilings <br /> 1. Joists UNK UNABLE TO INSPECT <br /> 2. Ceiling UNK UNABLE TO INSPECT <br /> J!. Floors UNK UNABLE TO INSPECT <br /> G. Other ~ <br /> <br />II. MEHCANICAL SYSTEMS <br /> <br />A. Electrical <br />1. Service Entrance <br />& Panel <br />2. Wiring <br />3. Lights, Switches <br />4. Outlets <br />5. Other <br /> <br />B. Plumbing <br />1. Fixtures <br />a Sink <br />b. Lavatories <br />c. Water/Closets <br />d. Shower <br />e Water Heater <br />2. Water Piping <br />3. Drain, Waste <br />& Vent <br />4. Sewer/Septic tmk <br />5. Gas System <br /> <br />C. Hea1ing & AlC <br />1. Heating <br />2. Air Conditioning <br /> <br />III PROPERTY CONDmONS <br /> <br />IL- <br />UNK <br />UNK <br />UNK <br />~ <br /> <br />UNK <br />IlliK- <br />~ <br />UNK <br />IlliK- <br />UNK <br /> <br />UNK <br />UNK <br />UNK <br /> <br />UNK <br />UNK <br /> <br />1. Accessory Structures N/ A <br />2. Condition of Grounds A-- <br />3. Other <br /> <br />Comments: <br /> <br />METER CAN NOT TO CODE: UNABLE TO INSPECT INT PANEL <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 />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 /> <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br /> <br />S:\CPShore\IN~P'j;:CTION DMSION\AlL OTHER snJFFICode EnforcementIDang BuildingsID B INSP FORM 202 FOREST A VE.doc07-2004 Rev. <br />