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<br />Dangerous Building Inspection Form Bldg 1 <br /> <br />A = Adequate <br />1 SlRUCTURAL <br /> <br />A. Foundation <br />1. Slab <br />2. Pier & Beam <br />a Footings <br />b. Sills <br />c. Joists <br /> <br />B. Walls <br />1. Exterior <br />2. Interior <br /> <br />C. Meaus ofEgress <br />I. Doors <br />a Interior <br />b.Exterior <br />2. Porches, Steps, <br />Stairs <br />3. Wmdows <br />D. Roof <br />1. Rafters <br />2: Deck, Shingles <br /> <br />E. Ceilings <br />1. Joists <br />2. Ceiling <br /> <br />F. Floors <br /> <br />G. Other <br /> <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. Plnmbing <br />1. Fixtures <br />a Sink <br />b. Lavatories <br />c. Water/Closets <br />d. Shower <br />e Water Heater <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 />ill. PROPERTY CONDmONS <br /> <br />Page 3 <br /> <br />D = Deficient <br /> <br />BUILDING EVALUATION CHECKLIST <br /> <br />NI A = Not Applicable <br /> <br />N/A <br />IL- <br />UNK <br />IL- <br /> <br />UNK <br />IL- <br /> <br />L- <br />IL- <br />IL- <br />IL- <br />UNK <br />IL- <br /> <br />UNK <br />UNK <br /> <br />!L- <br />N/A <br /> <br />UNK <br />UNK <br />UNK <br />!L- <br />N/A <br /> <br />L- <br />IL- <br />IL- <br />L- <br />UNK <br />UNK <br />UNK <br />UNK <br />UNK <br /> <br />UNK <br />UNK <br /> <br />I. Accessory Structures ~ <br />2. Condition of Grounds IL- <br />3. Other <br /> <br />COMMENT I EXPLANATION <br /> <br />UNEVEN SETTLEMENT <br />UNABLE TO INSPECT <br />ROT. FLOOR SPRINGY <br /> <br />UNABLE TO INSPECT <br />HOLES: SHEElROCK MISSING <br /> <br />THRESHOLD ROTIED: DOORS DAMAGED <br /> <br />BACK PORCH STEPS MISSING: FRONT PORCH UNEVEN <br />ROT <br /> <br />UNABLE TO INSPECT <br />DAMAGED FROM FALLEN TREE <br /> <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br /> <br />INADEOUATE: SPRINGY <br /> <br />NOT ON EXIERIOR: UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />UNGROUNDED <br /> <br />OFF WALL <br />FALLING IN <br /> <br />OLD UNIT <br />UNABLE TO INSPECT <br /> <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />UNABLE TO lNSPECT <br /> <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br /> <br />WEEDS: DEBRIS <br /> <br />Comments: <br /> <br />UNSECURED: HOUSE FULL OF DEBRIS <br /> <br />S:\CPSbareIINSPECI10N DIVISION\AlJ.. OTI:IER STUFFlCod. Euforcemeut\Dang Buildings\D B INSP FORM 417N 4TH.doc07-2004 Rev. <br />