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<br />I. STRUCTURAL <br />A. Foundation <br />1. Slab <br />2. Pier & Beam <br />a. Footings <br />b. Sills <br />c. Joists <br />B. Walls <br />1. Exterior <br />2. Interior <br />Means of Egress <br />1. Doors <br />a. Interior <br />b. Exterior <br />2. Porches, Steps, <br />Stairs <br />3. Windows <br />D. Roof <br />1. Rafters <br />2. Deck, Shingles <br />E. Ceilings <br />1. Joists <br />2. Ceiling <br />F. Floors <br />G. Other <br />II. MEHCANICAL SYSTEMS <br />A. Electrical <br />1. Service Entrance <br />& Panel <br />2. Wiring <br />3. Lights, Switches <br />4. Outlets <br />5. Other <br />B. Plumbing <br />1. Fixtures <br />a. Sink <br />b. Lavatories <br />c. Water/Closets <br />d. Tub/Shower <br />e. Water Heater <br />2. Water Piping <br />3. Drain, Waste <br />& Vent <br />4. Sewer/Septic tank <br />5. Gas System <br />C. Heating & AlC <br />1. Heating <br />2. Air Conditioning <br />III. PROPERTY CONDITIONS <br />1. Accessory Structures N/ A <br />2. Condition of Grounds ~ <br />3. Other <br />Comments: Date of Fire October 12. 2005 <br /> <br />DANGEROUS BUILDINGS INSPECTIONS FORM <br /> <br />A = Adequate <br /> <br />PAGE 3 <br /> <br />BUILDING EVALUATION CHECKLIST <br /> <br />D = Deficient <br /> <br />N/A = Not Applicable <br /> <br />COMMENT / EXPLANATION <br /> <br />UNK <br /> <br />UNABLE TO INSPECT <br /> <br />N/A <br />N/A <br />N/A <br /> <br />N/A <br />N/A <br />N/A <br /> <br />UNK <br />UNK <br /> <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br /> <br />UNK <br />UNK <br /> <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br /> <br />A....- <br />A....- <br /> <br />l2.....- <br />l2.....- <br /> <br />FIRE DAMAGE <br />POOR CONDITION <br /> <br />UNK <br />l2.....- <br />A....- <br />N/A <br /> <br />UNABLE TO INSPECT <br />HOLES VISmLE THRU 1 WINDOW /DOOR <br /> <br />N/A <br /> <br />~ <br />UNK <br />UNK <br />UNK <br />N/A <br /> <br />NO DEADFRONT; BROKEN CONDUIT <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />N/A <br /> <br />UNK <br />UNK <br />UNK <br />UNK <br />UNK <br />UNK <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 />UNK <br />UNK <br />UNK <br /> <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br /> <br />UNK <br />UNK <br /> <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br /> <br />N/A <br />WEEDS. DEBRIS & DOWNED TREE <br /> <br />02.2004 Rev. <br /> <br />S:\CPSharoIINSPECTlON DMSIONIALL OTHERSTIlFFICoclc Enfor=ncntIDang BuildiDgsIDANG BLDG INSP FORM2.doc <br />