Home Long Term Monitoring Property Standards Checklist Template

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HOME – Long Term Monitoring
PROPERTY STANDARDS CHECKLIST
Monitor Name:
City/County of:
Contract #:
Inspection Date:
Project Name:
# Total units:
# HOME units:
Unit Address:
City:
Zip:
Tenant Name:
Unit #:
# Bedrooms:
0
1
2
3
4
5
0
1
2
3
# Bathrooms:
Housing Type:
___ One level apt / duplex
___ SRO
___ Two level apt / duplex / townhouse
___ Studio
___ Single family detached house
___ Cooperative
___ Manufactured Home
___ Shared Housing
___ Mobile Home
___ Other: _______________________
Utilities
Comments
Gas:
on / off
Electricity: on / off
Unit heated by:
__ gas wall
__ central
__hydronic
__ other:________________
Air Conditioner
__ wall
__ central
__ none provided
Smoke Detector(s) –
__ battery
__ hardwire
TOK ___Y ___N
operating on each
level of the unit?
Water Heater
__ gas __ electric __instant heat __other:____________________
__ section below n/a if project has instant heat system
Is water heater strapped?
__Y
__N
Is the water heater closet also designed for storage? __Y __N
If yes, is there a 3 foot clearance around the water heater? __Y __N
If no, does the tenant need to remove items from the closet? __Y __N
Lead Based Paint
__ not applicable or
__construction/rehab prior 1978
If prior to 1978, are all
Yes ____ No ____
If No, LBP stabilization may be required. See
painted surfaces free
Lead Based Paint Instructions in HUD Inspection Checklist 52580
of deteriorated paint?
HOME Contract Management Manual
1
Rev. January 2009

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