Petition for Minimum
Housing Code Inspection
I / We believe that the
residential property described below is unfit for human habitation due to the
condition(s) stated, and request that the Code Enforcement Officer conduct an investigation
to determine if this property is in violation of the Minimum Housing Code.
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Property Location |
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Directions to the Property |
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Parcel |
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Property Owner |
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Unit Owner (if different) |
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Tenant (if rental property) |
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Check
Condition(s) On The Back Of This Form Supporting Your Petition _ |
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The
petition must be signed by at least five citizens of
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Names
(please print) |
Address |
Signature |
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Department
or Agency |
Name
(please print) |
Signature |
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Checklist
to determine the conditions that violate the Minimum Housing Code.
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Structural Condition |
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Walls - list, lean, buckle, rotted, deteriorated,
damaged, holes, or cracks |
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Floors
or roof – inadequate supporting members |
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Foundation
– deteriorated or damaged |
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Steps
– failing or collapsing |
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Egress
– inadequate for escape during fire or panic |
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Interior
– walls and ceilings suitable to promote sanitation |
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Exterior
– weather and watertight |
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Chimney
– defective, deteriorated or danger of collapse |
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Floor
– wood floors on the ground |
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Plumbing |
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Supply
- Not connected to a potable water supply or approved sewage |
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Facilities - No kitchen
sink, lavatory, tub/shower, toilet, or hot / cold water |
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Maintenance - Poor condition,
needs repair |
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Accessible – Not in a
separate room, no privacy |
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Heating |
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Room
temperature less than 68 degrees, at a point 3 feet above the floor |
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Insufficient
outlets for heating appliances |
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Electrical |
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Habitable
Room - Less than 2 outlets with ceiling lights |
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Less than 3
outlets without ceiling lights |
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Kitchen – Less than 3
outlets |
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Ventilation |
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Habitable
room without a window |
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Window
area less than 8% of floor area |
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Bathroom
not ventilated, if no window is available or operable |
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Space Use & Location |
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Room
less than 150 sf for 1 occupant, 100 sf for 2-3, and 75 sf for 4+ |
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Less
than 50% of the floor area with a minimum ceiling height of 7’-6” |
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Cellar
used for living purposes |
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Safe & Sanitary Maintenance Standards |
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Exterior
Walls and Roof - not weather tight and rodent proof |
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Interior
Floors, Walls and Doors - unsafe, poor condition |
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Bathroom
Floors – reasonably impervious to water |
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Windows
/ Doors – not weather tight, watertight, and rodent proof |
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Stairs
/ Porches – unsafe and poor condition |
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Supplied
facilities/utilities do not function safely and effectively |
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Yard
does not drain – stagnant water accumulates |
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Noxious
weeds or plant growth which are detrimental to health |
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Smoke detectors – not provided
by owner, or not maintained by occupant |
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Control of Insects, Rodents and Infestation |
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Screens – not found
exterior doors and/or windows |
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Rubbish - not properly
stored and/or removed |
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Open storage of abandoned vehicle,
appliances, building materials, etc. |