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Dangerous Building Inspection Form <br />Page 3 <br />A. Electrical <br />BUILDING EVALUATION CHECKLIST <br />A = Adequate D <br />= Deficient <br />N/A = Not Applicable UNK = UNKNOWN <br />I. STRUCTURAL <br />& Panel <br />COMMENT / EXPLANATION <br />A. Foundation <br />2. Wiring <br />D <br />1. Slab <br />D <br />REAR ADDITION - CRACKS <br />2. Pier & Beam <br />4. Outlets <br />D <br />a. Footings <br />D <br />UNEVEN SETTLING: WALL SEPARATION <br />b. Sills <br />D <br />SOME MISSING <br />c. Joists <br />D <br />SOME MISSING <br />B. Walls <br />a. Sink <br />D <br />1. Exterior <br />D <br />WALL SEPARATION <br />2. Interior <br />D <br />SOME <br />C. Means of Egress <br />d. Tub/Shower <br />D <br />1. Doors <br />e. Water Heater <br />D <br />a. Interior <br />D <br />MISSING <br />b. Exterior <br />D <br />BOARDED UP <br />2. Porches, Steps, <br />& Vent <br />D <br />Stairs <br />A <br />N/A <br />3. Windows <br />D <br />BOARDED UP <br />D. Roof <br />C. Heating & A/C <br />1. Rafters <br />D <br />SOFFITT / FACIA DAMAGE <br />2. Deck, Shingles <br />A <br />N/A <br />E. Ceilings <br />OUTSIDE UNIT: NO DUCTS <br />1. Joists <br />D <br />SAG <br />2. Ceiling <br />D <br />NO SHEETROCK / INSULATION <br />F. Floors <br />D <br />MISSING /DAMAGED <br />G. Other <br />3. Other <br />H. MEHCANICAL SYSTEMS <br />A. Electrical <br />1. Service Entrance <br />& Panel <br />D <br />NO BREAKERS <br />2. Wiring <br />D <br />NO WIlUNG <br />3. Lights, Switches <br />D <br />NO WIRING <br />4. Outlets <br />D <br />NO WIRING <br />5. Other <br />B. Plumbing <br />1. Fixtures <br />a. Sink <br />D <br />NONE <br />b. Lavatories <br />D <br />NONE <br />c. Water/Closets <br />D <br />NONE <br />d. Tub/Shower <br />D <br />NONE <br />e. Water Heater <br />D <br />NONE <br />2. Water Piping <br />D <br />NONE <br />3. Drain, Waste <br />& Vent <br />D <br />NONE <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 />2. Air Conditioning <br />. D <br />OUTSIDE UNIT: NO DUCTS <br />III. PROPERTY CONDITIONS <br />1. Accessory Structures <br />N/A <br />N/A <br />2. Condition of Grounds <br />D <br />WEEDS <br />3. Other <br />Comments: CODE ENFORCEMENT CASES (6) SINCE 2000 <br />SACity Plannine Share\ALPHA-1101-INSPECTIONS DIVISION1A11 Other Stuff ode Enforcement\Dan Buildin s\2012 DANG BLDG12012 <br />402 Bay Oaks Rd Dane Bldg Insp Fonn.doc <br />