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<br />Dangerous Building Inspection Form Bldg I <br /> <br /> BUILDING EVALUATION CHECKLIST <br /> A = Adequate D=Deficient N/ A = Not Applicable <br />1 STRUcruRAL COMMENT/EXPLANATION <br /> A. Foundation <br /> 1. Slab N/A <br /> 2. Pier & Beam <br /> a Footings UNK UNABLE TO INSPECT <br /> b.Sills ~ UNABLE TO INSPECT <br /> c. Joists IL- FLOOR UNEVEN<VISffiLE TIlRU WINDOW) <br /> B. Walls <br /> 1. Exterior A-- <br /> 2. Interior UNK UNABLE TO INSPECT <br /> c. Means of Egress <br /> 1. Doors <br /> a Interior UNK UNABLE TO INSPECT <br /> b.Exterior A-- <br /> 2. Porches, Steps, <br /> Stairs IL- BACK STEPS MISSING <br /> 3. Windows IL- ROT AT WINDOWS <br /> D. Roof <br /> 1. Rafters IL- ROT <br /> 2. Deck, Shingles IL- ROT <br /> E. Ceilings <br /> 1. Joists UNK UNABLE TO INSPECT <br /> 2. Ceiling UNK UNABLE TO INSPECT <br /> F. Floon L- UNEVENlVISIBLE TIlRU WINDOW) <br /> G. Other ~ <br />II. MEHCANICAL SYSTEMS <br /> <br />A. Electrical <br />1. Service Entrance <br />& Panel <br />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 WaterHeater <br />2. WaterPiping <br />3. Drain, Waste <br />& Vent <br />4. Sewer!Septic tank <br />5. Gas System <br /> <br />C. Heating & AlC <br />1. Heating <br />2. Air Conditioning <br /> <br />IL- <br />IL- <br />UNK <br />UNK <br />N/A <br /> <br />UNK <br />UNK <br />UNK <br />UNK <br />UNK. <br />UNK. <br /> <br />UNK. <br />UNK. <br />UNK <br /> <br />UNK. <br />~ <br /> <br />ill. PROPERTY CONDmONS <br /> <br />1. Accessory Stmctu:res N/ A <br />2. Condition of Grounds ~ <br />3. Other <br /> <br />Comments: <br /> <br />Page 3 <br /> <br />BREAKERS MISSING <br />EXI' WIRING NOT IN CONDUIT <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 />DEBRIS <br /> <br />S:\cPSbareIINSPECTION DIVISlON\ALLOTHER STllFFICode EnforcementIDang BuildingslD B INSP FORM 819 W MAIN.doc07-2004 Rev. <br /> <br />------.........------------.-.------ <br />