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Dangerous Building Inspection Form Page 3 <br />BUILDING EVALUATION CHECKLIST <br />A = Adequate <br />D = Deficient N/A = Not Applicable <br />I. STRUCTURAL <br />COMMENT / EXPLANATION <br />A. Foundation <br />1. Slab <br />UNK <br />UNABLE TO INSPECT <br />2. Pier & Beam <br />a. Footings <br />N/A <br />b. Sills <br />N/A <br />c. Joists <br />N/A <br />B. walls <br />1. Exterior <br />D <br />UNEVEN SEITLEM NM HOLE <br />2. Interior <br />UNK <br />UNABLE TO INSPECT <br />C. Means of Egress <br />1. Doors <br />a. Inlerior <br />UNK <br />UNABLE TO INSPECT <br />b. Exterior <br />D <br />DOOR FRAMES ROTTED <br />2. Porches, Steps, <br />Stairs <br />A <br />3. Windows <br />UNK <br />BOARDED UP <br />D. Roof <br />1. Rafters <br />N/A <br />2. Deck, Shingles <br />D <br />FALLEN IN: HOLES <br />E. Ceilings <br />1, Joists <br />D <br />PORCH JOISTS ROTTED. INTERIOR JOISTS ROTTED <br />2. Ceiling <br />D <br />PARTIALLY COLLAPSED <br />F. Floors <br />UNK <br />UNABLE TO INSPECT <br />G. Other <br />N/A <br />H. MEHCANICAL SYSTEMS <br />A. Electrical <br />1. Service Entrance <br />& Panel <br />D <br />DAMAGED <br />Wiring <br />UNK <br />UNABLE TO INSPECT <br />3. Lights, Switches UNK <br />UNABLE TO INSPECT <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 />UNK <br />UNABLE TO INSPECT <br />b. Lavatories <br />UNK <br />UNABLE TO INSPECT <br />c. Water/Closets <br />UNK <br />UNABLE TO INSPECT <br />d. Shower <br />UNK <br />UNABLE TO INSPECT <br />e Water Heater <br />UNK <br />UNABLE TO INSPECT <br />2. Water Piping <br />UNK <br />UNABLE TO INSPECT <br />3. Drain, Waste <br />& Vent <br />UNK <br />UNABLE TO INSPECT <br />4. Sewer/Septic tank <br />UNK <br />UNABLE TO INSPECT <br />5. Gas System <br />UNK <br />UNABLE TO INSPECT <br />C. Heating & A/C <br />1. Heating <br />N/A <br />2. Air Conditioning N/A <br />III. PROPERTY CONDITIONS <br />1. Accessory Stmctlues N/A <br />2. Condition of Grounds D DEBRIS <br />3. Other <br />Comments: <br />SXPShareI NSPECTION DMSIONIALL OTBER STLJMCo& Enforcammt\Dang Buildtngs\D B INSP FORM 1306 N 10TELdoc07-2004 Rev. <br />