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<br />City of Roseville Housing Improvement Program <br />Housing Replacement Program (HRP) <br />Inspection Form <br /> <br />::::: :ress ()1;" ~~:J3 3~ ~~.:.;w $ ~ Size ct 'lTf" S ~. <br /> <br />Assessed Value ~ I 'tOO Appraisal\For Sale <br />Owner\Agent Da..n i ~ ~ he.h ~ l"1 ~ <br />~huJ.i K(I,,~ W'lw1nfV1 '/fr7 -/~ 9Y <br />To qualify for purchase under the flousing replacement program, each parcel shall meet one of the following <br />conditions: <br /> <br />Occupied by a vacant house <br />Occupied by a substandard house <br />Substandard Lot <br />Vacant site <br /> <br />Yes <br />o <br />~ <br />~ <br />o <br /> <br />No <br />M C Soa-t J illi", ri-1 hClWte. J <br />o <br />o <br />~ <br /> <br />House Condition: <br /> <br />Defects in structural elements: <br /> <br />Footings... ...... ...... ..... ........... ........... <br /> <br />Foundation............. ...... ................... <br /> <br />Columns............. ........... ........... ....... <br /> <br />Beams............................................. <br /> <br />Floors.... ............................. ............. <br /> <br />Roof Systems .................................. <br /> <br />Other( specify) .. ..... ........ .... ..... ......... <br />Other Deficiencies: <br /> <br />Footings.... ........ .... ...... ..... ..... .......... <br /> <br />Facilities ...... ....................... ............. <br /> <br />Ught/Ventilation ....... ...... ..... ............ <br /> <br />Fire Protection ................................. <br /> <br />Egress... ...... ...... ....... .... ...... <br /> <br />Layout...... ..... ...... ....... .... .... <br /> <br />Interior. ...... ....... .... ..... ........ <br /> <br />Electrical....................... ...... <br /> <br />Asbestos.. ......... ...... .... ..... ........ ... ..... <br /> <br />Water Damage ................................ <br /> <br />Accessibility ...... .... ...... ..... ...... ..... ..... <br /> <br />Yes <br />o <br />o <br />o <br />o <br />o <br />o <br />o <br />Yes <br />o <br />o <br />o <br />o <br />o <br />o <br />o <br />o <br />o <br />o <br />o <br /> <br />No <br />o <br />o <br />o <br />o <br />o <br />o <br />o <br />No <br />o <br />o <br />o <br />o <br />o <br />o <br />o <br />o <br />o <br />o <br />o <br /> <br />Comments <br /> <br />Comments <br /> <br />A house is not substandard if it is in compliance with the building code applicable to new buildings or could be <br />modified to satisfy the building code at a cost of less than 15% of the cost of constructing a new structure of <br />the same square footage and type on the site. <br />Estimated cost of new structure $ <br /> <br />$ <br />Estimated cost of modifications $ <br /> <br />Certification: <br />Home/lot is/is not substandard <br />Date: <br /> <br />Inspector Initials: <br /> <br />Q:\Housing\Replacement Program\Property Inspection Fonn,doc <br /> <br />X .15 = <br />