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Dangerous Building Inspection Form <br />A = Adequate <br />1. STRU <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 />C Means of Egress <br />1. Doors <br />a. Interior <br />b. Exterior <br />2. Porches, Steps, <br />Stairs <br />3. Windows <br />Page 3 <br />BUILDING EVALUATIQI- CiECKLIST <br />D= Deficient N1A =Not Applicable <br />COMMENT /EXPLANATION <br />NIA <br />A <br />UNK <br />LM <br />A <br />UNK <br />UNK <br />A- <br />A <br />A <br />NOT VISIBLE <br />RIOT VISIBLE <br />LINABLE TO ACCESS <br />UNABLE TO ACCESS <br />D. Roof <br />1. Rafters <br />D <br />ROT _ <br />2. Deck, Shingles <br />D <br />SHINGLES hVSSING. FACIA ROT <br />E. Ceilings <br />1, Joists <br />UNK <br />NOT VISIBLE _ <br />2. Ceiling <br />1_ <br />FALLING IN SEVERAL SPOTS <br />F. Floors <br />laiK—_ <br />UNABLE TO VIEW <br />G. Other <br />R. - WHCANICAL SYSTEMS <br />A. Electrical <br />1. Service Entrance <br />& Panel <br />D <br />N FRONT <br />2. Wiring <br />UNK <br />UNABLE TO ACCESS <br />3. Lights, Switches <br />LINK <br />UNABLETO ACCESS _ <br />4. Outlets <br />UNK <br />UNABLE TO ACCESS <br />5. Other <br />B. Plumbing <br />1. Fixtures <br />a. Sink <br />UNK <br />UNABLE TO ACCESS <br />b. Lavatories <br />UNK <br />UNABLE TO ACCESS <br />c. Water /Closets <br />L J <br />LINABLE TO ACCESS <br />d. Tub/Shower <br />UNK <br />UNABLE_ TO ACCESS — - <br />e. e. Water Heater <br />UNK <br />UNABLE TO ACCESS <br />2. Water Piping <br />LINK <br />UNABLE, TOACCESS — <br />3. Dtaia, Waste <br />& Vent <br />UNK <br />UNABLE TO ACCESS <br />4. Sewer /Septic tank <br />UNK <br />UNABLE TO ACCESS_ <br />5. Gas System <br />UNK <br />UNABLE TO ACCESS <br />C Heating & A/C <br />1. Heating <br />UNK <br />UNABLE TO ACCESS <br />2. Air Conditioning <br />UNK <br />EXISTING UNIT <br />III. PROPERTY CONDITIONS <br />1. Accessory Structures <br />D— <br />3 ACC BQGSa BO ROOFS & KOT <br />2. Condition of Grounds <br />A <br />3. Other <br />Comments: SEPTIC <br />TANK ON SITE <br />. iy s - � h �Jl � � 11 � V,__ • 1 :� _: YiJ i_. ._i i• :.0 .;� � � : � ! � y3�Ii�kIF]')�uI \���y <br />