Perimeter/Partial? DUMPSTERS Poor Fair Good Excellent Locations: Yes No ADA Accessible? Existing: Proposed: Number: PROJECT SIGN Age (Yrs) Poor Fair Good Excellent Yes No Lighted? Yes No Sign to be Replaced? Yes No ADA/Fair Housing Logos? OTHER Poor Fair Good Excellent Support Beams Material Poor Fair Good Excellent Joists Age (Yrs) Poor Fair Good Excellent Piers/Columns Yes No Last Inspection Date: HVAC, Adequate Venting? Yes No Common Entries? Poor Fair Good Excellent Supply/Drain Pipes GENERAL DETAIL/CONDITION MINIMUM SQAURE FOOTAGE (If are to be converted) Yes No One Bedroom Units (Min. 700 sq. ft.) Yes No Two Bedroom (Min. 850 sq. ft.) Yes No Three Bedroom Units (Min. 1,050 sq. ft.) Yes No Site Office? Total Size (sq. ft.): Yes No ADA Compliant? Yes No Maintenance Shop? Total Size (sq. ft.): Yes No ADA Compliant? LOCATION ON ADA COMPLIANT Yes No FIRE HISTORY OF PROPERTY: Life Expectancy of Different Products/Items/Materials) NOTE: Items that are beyond 50% of life expectancy shall be replaced. DHSA reserves the right to add/delete any item to the required rehabilitation.
Perimeter/Partial? DUMPSTERS Poor Fair Good Excellent Locations: ADA Accessible? Yes No Number: Existing: Proposed: PROJECT SIGN Age (Yrs) Poor Fair Good Excellent Lighted? Yes No Sign to be Replaced? Yes No ADA/Fair Housing Logos? Yes No OTHER Support Beams Material Poor Fair Good Excellent Joists Poor Fair Good Excellent Piers/Columns Age (Yrs) Poor Fair Good Excellent HVAC, Adequate Venting? Yes No Last Inspection Date: Common Entries? Yes No Supply/Drain Pipes Poor Fair Good Excellent GENERAL DETAIL/CONDITION MINIMUM SQAURE FOOTAGE (If are to be converted) One Bedroom Units (Min. 700 sq. ft.) Yes No Two Bedroom (Min. 850 sq. ft.) Yes No Three Bedroom Units (Min. 1,050 sq. ft.) Yes No Site Office? Yes No Total Size (sq. ft.): ADA Compliant? Yes No Maintenance Shop? Yes No Total Size (sq. ft.): ADA Compliant? Yes No LOCATION ON ADA COMPLIANT Yes No FIRE HISTORY OF PROPERTY: Life Expectancy of Different Products/Items/Materials) NOTE: Items that are beyond 50% of life expectancy shall be replaced. DHSA reserves the right to add/delete any item to the required rehabilitation.
2017_nhtf_amendment.docx