MAINTENANCE-FREE EXTERIOR Yes No STORM WATER MANAGEMENT Yes No Date of Last Preventative Maintenance ASBESTOS PRESENT? Yes No NESHAP Environmental Audit LEAD PAINT PRESENT? Yes No MOLD PRESENT? Yes No INTERIORS DETAIL/CONDITION KITCHEN Age (Yrs) Poor Fair Good Excellent Age (Yrs) Type: Cabinets Age (Yrs) Type: Countertop APPLIANCES Age (Yrs) Size: Refrigerator Yes No Frost-free? Age (Yrs) Dishwasher Age (Yrs) Gas Electric U.L. Gas Conn. Stove Age (Yrs) HP: Garbage Disposal Age (Yrs) Vented to Exterior Recirculating Exhaust Hood Age (Yrs) Stack Side-by-Side Washer Yes No Drain provided? Age (Yrs) Dryer Vent pipe material? Yes No Adequate venting? BATHROOM Age (Yrs) Poor Fair Good Excellent Bathtub Age (Yrs) Poor Fair Good Excellent Tub Surround Yes No Anti-scald valve? Age (Yrs) Type: Sink/Vanity Age (Yrs) Type: Toilet Yes No Water-saver? Yes No ADA-Compliant? Age (Yrs) Poor Fair Good Excellent Flange INTERIORS (Continued) DETAIL/CONDITION Age (Yrs) Poor Fair Good Excellent Exhaust Fan FLOORING Age (Yrs) Poor Fair Good Excellent Carpeting
MAINTENANCE-FREE EXTERIOR Yes No STORM WATER MANAGEMENT Yes No Date of Last Preventative Maintenance ASBESTOS PRESENT? Yes No NESHAP Environmental Audit LEAD PAINT PRESENT? Yes No MOLD PRESENT? Yes No INTERIORS DETAIL/CONDITION KITCHEN Age (Yrs) Poor Fair Good Excellent Cabinets Age (Yrs) Type: Countertop Age (Yrs) Type: APPLIANCES Refrigerator Age (Yrs) Size: Frost-free? Yes No Dishwasher Age (Yrs) Stove Age (Yrs) Gas Electric U.L. Gas Conn. Garbage Disposal Age (Yrs) HP: Exhaust Hood Age (Yrs) Vented to Exterior Recirculating Washer Age (Yrs) Stack Side-by-Side Drain provided? Yes No Dryer Age (Yrs) Vent pipe material? Adequate venting? Yes No BATHROOM Bathtub Age (Yrs) Poor Fair Good Excellent Tub Surround Age (Yrs) Poor Fair Good Excellent Anti-scald valve? Yes No Sink/Vanity Age (Yrs) Type: Toilet Age (Yrs) Type: Water-saver? Yes No ADA-Compliant? Yes No Flange Age (Yrs) Poor Fair Good Excellent INTERIORS (Continued) DETAIL/CONDITION Exhaust Fan Age (Yrs) Poor Fair Good Excellent FLOORING Carpeting Age (Yrs) Poor Fair Good Excellent
2017_nhtf_amendment.docx