RENTAL LICENSE PROPERTY INFORMATION SHEET

(TO BE COMPLETED ON INITIAL INSPECTION AND SUBMITTED TO CLERICAL STAFF FOR UPDATES)

ADDRESS: _________________________________            NUMBER OF UNITS:_____________

OWNER NAME:_________________________________________________________________

OWNER ADDRESS:______________________________________________________________

APARTMENT #  _________________________________________________________________

COMMENTS:_______________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

YES

NO

(CA1) Has landlord granted permission?

COMMON AREAS / HALLWAYS & STAIRS

	(CA3) Exit signs not properly maintained.
	(CA4) Illumination not provided in all corridors/stairwells.
	(CA5) Apartment numbers not provided on all unit entry doors.
	(CA7) Business license not visible.
	(CA8) Ceilings not in good repair.
	(CA9) Walls not in good repair.
	(CA10) Floors not in good repair.
	(CA11) Stairways not in good repair
	(CA12) Handrails not in good repair - missing
	(CA13) Landings not in good repair
	(CA14) These areas are not kept clean
	(CA15) Insects/rats present
	(CA16) Doors between corridors not self-closing and not equipped with latches for a tight close.

*INDICATE THE FLOOR # THAT THE VIOLATION EXISTS ON (EX. 1ST FLOOR) IN THE SPACE TO THE RIGHT OF THE VIOLATION

BASEMENT

	(B1) NFPA54 – Improper gas shut off valve.
	(B2) P.M. 603.4. – Flues not in good condition and secured
	(B3) Improper storage around furnace/Water Heater not a minimum of 3”
	(B4) Emergency Discharge Pipe not of proper length
	(B5) Hanging Wiring
	(B6) Not a Clearance of 3’ in front of electrical panel and meters. Use of 30 amp fuses (20 amp max).
	(B7) Basement not clean
	(B8) Improper stairs & handrails
	(B9) Slab not in good condition
	(B10) Foundation not in good condition
	(B11) Evidence of dampness in basement
	(B12) Illegal rooms in basement.
	(B13) Basement is being used for sleeping.

DENSITY

	(D1) Apparent Density Violation
	(D2) Follow up required

ATTIC SPACE

	(A1) Used for sleeping.
	(A2) Follow up required.

ZONING

	(Z1) House not in compliance with zoning regulations
	(Z2) Follow up required
	(Z3) Driveway needs to be hardsurfaced
	(Z4) Dumpster not screened

EXTERIOR CHECKLIST - INTERIOR CHECKLIST - RENTAL LICENSE PROPERTY INFO SHEET