Housing Choice Voucher Program Inspection Checklist (Omb Approval No. 2577-0169) Page 6
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8C. Special Amenities (Optional)
This Section is for optional use of the HA. It is designed to collect additional information about other positive features of the unit that may be present.
Although the features listed below are not included in the Housing Quality Standards, the tenant and HA may wish to take them into consideration in
decisions about renting the unit and the reasonableness of the rent.
Check/list any positive features found in relation to the unit.
D. Questions to ask the Tenant (Optional)
4. Bath
1. Living Room
Special feature shower head
High quality floors or wall coverings
Built-in heat lamp
Working fireplace or stove Balcony,
Large mirrors
patio, deck, porch Special windows
Glass door on shower/tub
or doors
Exceptional size relative to needs of family
Separate dressing room
Double sink or special lavatory
Other: (Specify)
Exceptional size relative to needs of family
Other: (Specify)
2. Kitchen
Dishwasher
Separate freezer
Garbage disposal
Eating counter/breakfast nook
Pantry or abundant shelving or cabinets
5. Overall Characteristics
Double oven/self cleaning oven, microwave
Double sink
Storm windows and doors
Other forms of weatherization (e.g., insulation, weather
High quality cabinets
Abundant counter-top space
stripping) Screen doors or windows
Modern appliance(s)
Good upkeep of grounds (i.e., site cleanliness, landscaping,
Exceptional size relative to needs of family
condition of lawn)
Other: (Specify)
Garage or parking facilities
Driveway
Large yard
Good maintenance of building exterior
Other: (Specify)
3. Other Rooms Used for Living
High quality floors or wall coverings
Working fireplace or stove Balcony,
patio, deck, porch Special windows
6. Disabled Accessibility
or doors
Yes
No
Unit is accessible to a particular disability.
Exceptional size relative to needs of family
Other: (Specify)
Disability
Previous editions are obsolete
Page 6 of 8
form HUD-52580 (3/2001)
ref Handbook 7420.8
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