Laserfiche WebLink
Dangerous Building Inspection Form Page 3 <br />BUILDING EVALUATION CHECKLIST <br />A = Adequate <br />D = Deficient N/A = Not Applicable <br />I. STRUCTURAL <br />COMiv1ENT / EXPLANATION <br />A. Foundation <br />1. Slab <br />UNK <br />UNABLE TO INSPECT <br />2. Pier & Beam <br />a. Footings <br />N/A <br />UNABLE TO INSPECT <br />b. Sills <br />N/A <br />UNABLE TO INSPECT <br />c. Joists <br />N/A <br />UNABLE TO INSPECT <br />B. Walls <br />1. Exterior <br />D <br />BLOCK SEPARATION, HOLES <br />2. Interior <br />UNK <br />UNABLE TO INSPECT — <br />C. Means of Egress <br />1. Doors <br />a. Interior <br />UNK <br />UNABLE TO INSPECT <br />b. Exterior <br />D <br />BROKEN <br />2. Porches, Steps, <br />Stairs <br />N/A <br />3. Windows <br />D <br />GLASS MISSING <br />D. Roof <br />1. Rafters <br />D <br />ROT <br />2. Deck, Shingles <br />D <br />HOLES, ROT <br />E. Ceilings <br />1. Joists <br />UNK <br />UNABLE TO INSPECT <br />2. Ceiling <br />D <br />CEILING MISSING ( VISIBLE THRU WINDOW) <br />F. Floors <br />UNK <br />UNABLE TO INSPECT <br />G. Other <br />N/A <br />11. NIEHCANICAL SYSTEMS <br />A. Electrical <br />1. Service Entrance <br />& Panel <br />D <br />NOT TO CODE <br />2. Wiring <br />UNK <br />UNABLE TO INSPECT <br />3. Lights, Switches <br />UNK <br />UNABLE TO INSPECT <br />4. Outlets <br />UNK <br />UNABLE TO INSPECT <br />5. Other <br />N/A <br />B. Plumbing <br />1. Fixtures <br />a. Sink <br />b. Lavatories <br />c. Water/Closets <br />& Shower/Tub <br />e Water Heater <br />2. Water Piping <br />3. Drain, Waste <br />& Vent <br />4. Sewer/Septic tank <br />5. Gas System <br />UNK <br />UNABLE TO INSPECT <br />UNK <br />UNABLE TO INSPECT <br />UNK <br />UNABLE TO INSPECT <br />UNK <br />UNABLE TO INSPECT <br />UNK <br />UNABLE TO INSPECT <br />UNK <br />UNABLE TO INSPECT <br />UNK <br />UNK <br />UN- <br />C. Heating & A/C <br />1. Heating N/A <br />2. Air Conditioning D <br />III. PROPERTY CONDITIONS <br />1. Accessory Structures N/A <br />2. Condition of Grounds A <br />3. Other <br />Comments: <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />UNABLE TO INSPECT <br />(2) WINDOW UNITS_ POOR CONDITION <br />& CPS6sreUNSPECTION DIVISIMAU OTHER STUFMode EnformmentVang Buildmgs\D B INSP FORM 521 N BROADWAY.doc07-2004 Rev. <br />