HOUSING INSPECTION REPORT
SEE PAGE FIVE FOR IMPORTANT LIMITATIONS, DISCLAIMERS AND INFORMATION PAGE 1 OF 6
INSPECTOR __________________________________________ LICENSE NO. ______________________________________
THIS REPORT IS OUR INVOICE INSPECTION FEE $___________________________________________________________
TERMS: Cash _______________________ Check __________ Visa/MC __________ Bill Direct _________Title Co. _________
BUYER _________________________________________________________________________ DATE__________________
PROPERTY ADDRESS ____________________________________________________________ TIME__________________
CITY ______________________STATE ____________ _______oPAID oBILL DIRECT DATE PAID _____________________
COMPANY_____________________________ ASSOCIATE ____________________________ PHONE ___________________
oADDENDUM(s) ATTACHED # _____________________________oTERMITE INSPECTION ATTACHED # _______________
oOCCUPIED oVACANT oSINGLE STORY oTWO STORY oTOWNHOUSE/CONDO
NOT INSPECTED
NEEDS IMMEDIATE
REPAIR
OR REPLACEMENT
PERFORMING
INTENDED FUNCTION
MECHANICAL
APPLIANCES
NOTE: THE FOLLOWING IS NOT INCLUDED IN THIS INSPECTION: CLOCKS, TIMERS AND AUTOMATIC COOKING OR CLEANING MODES OR INTERCOM
COMMUNICATION MODES. MICROWAVES ARE NOT CHECKED FOR RADIATION LEAKAGE.
COOK TOP/RANGE oGAS oELECTRIC
OVEN oSELF CLEAN oCONTINUOUS CLEAN oMANUAL CLEAN
#1 SETTING_______
O
TEMP_______
O
#2 SETTING_______
O
TEMP_______
O
MICROWAVE
KITCHEN EXHAUST oVENTED oNON-VENTED
DISPOSAL
DISHWASHER
REFRIGERATOR
ICE MAKER oFREEZER oFREE-STANDING
COMPACTOR
INTERCOM
GAS GRILL
CENTRAL VACUUM
PLUMBING
OUTSIDE PLMBG.
NOTE: PIPES, PLUMBING EQUIPMENT AND RESERVOIRS CONCEALED IN ENCLOSURES OR UNDER THE GROUND WERE NOT CHECKED FOR LEAKS OR
DEFECTS-ALSO-THE SERVICEABILITY OR CONDITION OF THE SEPTIC OR SEWER SYSTEM IS NOT INCLUDED IN THIS INSPECTION. SPRINKLER SYSTEMS WERE
ONLY CHECKED IN THE MANUAL OPERATION MODE. POOL PLUMBING SYSTEMS ARE NOT LEAK CHECKED.
METER-MAIN SHUT-OFF
OUTSIDE FAUCETS No.( )
SPRINKLER SYSTEM BACKFLOW PREVENTER ANTISIPHON VALVE NO. STATIONS ( )
GAS LINE CHECK VISUAL 5-MINUTE CHECK
WATER METER CHECK VISUAL 5-MINUTE CHECK
©Copyright 2001 Housing Inspection Foundation
Housing Inspection Form #2700 7/99
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PAGE 2 OF 6
INSIDE PLMBG.
NOTE: PIPES AND PLUMBING IN WALLS, IN OR UDER CONCRETE SLABS OR CONCEALED BY PERSONAL EFFECTS AND THEIR QUALITY, CONDITION OR
PURIFICATION OF WATER IS NOT INCLUDED IN THIS INSPECTION.
KITCHEN FAUCET & DRAIN
UTILITY FAUCET & DRAIN
LAVATORIES No. ( )
TUBS No.( )
SHOWERS No. ( )
COMMODES No. ( )
WATER HEATER oGAS oELECTRIC SIZE: No. OF UNITS
TEMPERATURE & PRESSURE VALVE OPERATION
WATER CONDITIONER PLUMBING
NOTE:
INSIDE ELEC.
NOTE: ONLY REPRESENTATIVE NUMBER OF ACCESSIBLE OUTLETS ARE CHECKED. SECURITY SYSTEMS ARE NOT INCLUDED IN THIS INSPECTION.
FIXTURES - SWITCHES AND OUTLETS
DOOR BELL/CHIME
SMOKE DETECTORS No. ( )
oGFCI oGARAGE oKITCHEN oBATHROOMS
ELECTRICAL
OUTSIDE ELEC.
SERVICE ENTRANCE
SERVICE PANEL - LOCATION
SUB SERVICE PANEL - LOCATION
GFCI-OUTLETS
POOL/SPA ELEC.
FIREPLACE
FIREPLACE - LIGHTER
FIRE BOX/FIRE BRICK METAL BRICK
LINTEL-DAMPER-FLUE
MANTEL & OUTER MASONRY FIXTURES - SWITCHES AND OUTLETS
CHIMNEY CHIMNEY CAP
NOTE: LIGHTS AND EQUIPMENT ACTIVATED BY PHOTO CELL SWITCHES WERE NOT CHECKED. ALSO, LANDSCAPE AND EXTERIOR GROUNDS LIGHTING IS NOT
INCLUDED IN THIS INSPECTION. ANTIQUATED WIRING SHOULD BE UPDATED. IT CREATES A POSSIBLE HAZARD.
TYPE OF WIRING IN PANEL: o COPPER o ALUMINUM o CIRCUIT BREAKERS o FUSES
©Copyright 2001 Housing Inspection Foundation
Housing Inspection Form #2700 7/99
N. I.
N. I. R. R.
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PAGE 3 OF 6
HEATING
NOTE: ONLY THE EMERGENCY HEAT MODE IS CHECKED ON HEAT PUMPS WHEN TEMPERATURE IS ABOVE 80
0
. WE RECOMMEND THE HEATING SYSTEM BE
COMPLETELY SERVICED BEFORE EACH HEATING SEASON. FILTERS SHOULD BE CHANGED AS NEEDED (AT LEAST EVERY 2 MONTHS). CHECKING HUMIDIFIERS,
ELECTRIC AIR FILTERS AND PROPER AIR FLOW BALANCE IS NOT INCLUDED IN THIS INSPECTION.
oCENTRAL oGAS oFLR/WALL oELECTRIC oRADIANT oHEAT PUMP
BURNER/ELEMENT
DUCT-WORK oMETAL oFLEX
COOLING
NOTE: AIR CONDITIONING UNITS ARE NOT CHECKED WHEN OUTSIDE TEMP. IS BELOW 80
0
WE RECOMMEND THE A.C. UNIT BE COMPLETELY SERVICED
BEFORE EACH COOLING SEASON AND THE CONDENSATE DRAIN BE FLUSHED WITH A CHLORINE BLEACH EVERY 2 MONTHS DURING THE COOLING SEASON
TO PREVENT CLOGGING.
oCENTRAL oZONED o REFRIGERATED o SASH/WALL o EVAPORATIVE
COMPRESSOR
CONDENSER-COIL & FAN
CONDENSATE DRAIN
THERMOSTAT
AIR OUT_________
O
AIR IN ____________
0
CEILING FANS
ATTIC FANS______ CEILING______ ROOF ______
BATH VENT FANS
STRUCTURAL
FOUNDATION
(FOUNDATIONS ARE NOT
TOTALLY OBSERVABLE)
NOTE: FOUNDATION ON CLAY SOIL REQUIRES ADEQUATE AND EVEN MOISTURE AROUND THE PERIMETER OF THE FOUNDATION THE ENTIRE YEAR TO PREVENT
MOVEMENT. TREES AND SHRUBS CAN CAUSE FOUNDATION DAMAGE WHEN GROWING TOO CLOSE. WATER SHOULD NOT BE PERMITTED TO POND OR ERODE
UNDER OR ALONG SIDE ANY PART OF THE FOUNDATION. DEPENDING ON THE DESIGN AND METHOD OF ORIGINAL CONSTRUCTION OF A PIER AND BEAM
FOUNDATION, THE FLOOR SYSTEM MAY NEED LEVELING PERIODICALLY. __SLAB __PIER & BEAM __BASEMENT.
OBSERVATIONS
VENTILATION
FOUNDATION DRAINAGE
EXTERIOR WALLS
oSTONE o FRAME o BRICK o SHAKES o CONCRETE BLOCK o STUCCO
SIDING TRIM
©Copyright 2001 Housing Inspection Foundation
Housing Inspection Form #2700 7/99
GARAGE
GARAGE DOOR OPENER
AUTO REVERSE
DOORS o METAL o WOOD
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PAGE 4 OF 6
OBSERVATIONS
FLASHING
ROOF VENTS-RAIN CAPS
GUTTERS-DOWNSPOUTS
SOFFITS-FASCIA
ROOF
TRUSS ROOF SYSTEM o YES o NO
RAFTERS-PURLINS-COLLAR TIES
DECKING
CEILING JOIST-RAFTER TIES o YES o NO
INSULATION TYPE: o BLOWN o BATT. AVERAGE AMOUNT
VENTILATION
GABLE LOUVERS & SCREENS
TURBINES-POWER VENTS
ATTIC (ATTICS ARE NOT TOTALLY OBSERVABLE)
NOTE: WEATHER CONDITIONS, WIND, HAIL AND EXTREME TERMPERATURES AFFECT ALL ROOFING FROM DAY TO DAY, SO, CONTINUAL OBSERVATION IS
REQUIRED. __ASPHALT __WOOD SHINGLE __SLATE/TILE __BUILT-UP
CEILINGS & WALLS
FLOORS
DOORS
WINDOWS
WATER PENETRATION
INTERIOR
NOTE: ONLY A REPRESENTATIVE NUMBER OF ACCESSIBLE WINDOWS WERE CHECKED FOR OPERATION AT THIS INSPECTION, AS THERMAL PANE WINDOWS
LOSE THEIR VACUUM, MOISTURE MAY APPEAR, AND THEN DISAPPEAR, DEPENDING ON INSIDE AND OUTSIDE TEMPERATURE, BAROMETRIC PRESSURE AND
THE HUMIDITY LEVEL. THEREFORE WINDOWS ARE LISTED AS OBSERVED AT TIME OF INSPECTION ONLY, AND NO WARRANTY IS IMPLIED.
WINDOWS
DOORS
WINDOW & DOOR TRIM
CAULK & WEATHER STRIP
EXTERIOR
o GUNITE o FIBERGLASS o VINYL
TYPE-COPING-DECK
HEATER
POOL SWEEP
DIVING BOARD o LADDER o SLIDE
POOL/SPA
NOTE: POOLS & SPAS ARE CHECKED FOR EQUIPMENT ONLY, NOT LEAKAGE, POOL TIMER FUNCTION NOT CHECKED.
©Copyright 2001 Housing Inspection Foundation Housing Inspection Form #2700 7/99
NOTES:
©Copyright 2001 Housing Inspection Foundation Housing Inspection Form #2700 7/99
PAGE 5 OF 6
IMPORTANT AGREEMENTS AND LIMITATIONS
SPECIAL NOTE: THE FOLLOWING IS NOT INCLUDED IN THIS INSPECTION: 1. WATER OR
AIR QUALITY 2. PRESENCE OF TOXIC OR CARCINOGENIC MATTER EMITTED FROM THE
GROUND, BUILDING MATERIALS, IN WATER OR AIR SUPPLY OR FROM THE OPERATION OF
ANY EQUIPMENT 3. ITEMS THAT ARE OBSTRUCTED, INACCESSIBLE OR NOT IN PLAIN VIEW. -
The Client is hereby informed that structural and mechanical insurance is available for a nominal fee
from insurance companies. Your real estate agent may be able to help you with obtaining structural
or mechanical insurance coverage. The client understands that the Comments and Notations made
on this report are subjective opinion of the inspector based on observations at the time of inspection.
Therefore, the INSPECTOR desires it be clearly understood he offers NO WARRANTY concerning
future operation or condition of any item inspected - OR - that all defects of such items were observed
at the time of inspection and noted on the report. THEREFORE, the INSPECTOR does not imply that
he warrants or guarantees any item regardless whether they were inspected or reported.
1. What We Do:
a. All inspections are performed in accordance with Standards of Practice. The inspection is of conditions
which are present and visible at the time of the inspection. All mechanical and electrical equipment, systems,
and appliances are operated in normal modes and operating range at the time of the inspection.
b. We shall observe, render an opinion and report which of the parts, components and systems are
not functioning at the time of the inspection or are in need of repair and report on visible existing or
recognized hazards.
c. If you have questions, we will explain what we saw about the item.
2. What We Do Not Do:
a. We do not make guarantees, warranties, representations, or insure the future performance or condition
of any item. If you want a warranty, guarantee, or insurance policy, you must obtain it from a warranty or
insurance company. Please remember that almost every item in any pre-owned home is in used condition
and has ordinary wear and tear, and all houses will change and deteriorate in the future. WE DISCLAIM
ALL OTHER WARRANTIES.
b. We do not
inspect any item which we cannot see in a normal inspection. For example, we do not
move furniture, rugs, carpet, paintings, appliances or other furnishings in performing an inspection. We do
not uncover buried pipes or items. We cannot see items covered by wallpaper, flooring or plants. Repairs
or remodeling may hide evidence of prior damage or defects. We do suggest that you ask the seller about
repairs that are covered up or any previous problems because we DO NOT report on past conditions that
appear corrected. We do not inspect for latent defects, therefore, you should obtain a copy of the sellers
disclosure statement.
c. We do not
inspect for building codes, soil analysis, adequacy of design, capacity, efficiency size, value,
floor plain location, pollution, habitability, environmental hazards such as asbestos, UFFI, EMF, lead base
paint, etc. Please remember older homes do not meet the same standards as newer homes, even though items in
both may perform the function for which they are intended.
d. We do not
allow the inspector to change or add to these printed provisions in any way.
e. We do not
hold ourselves to be specialists for any particular item or engineers. We are a general real
estate improvement inspection company. If we report an item is not performing its intended function, needs
repair, or shows evidence of prior damage, we urge you to have that item examined by a specialist before
purchasing the house. We do not and cannot give cost estimates to repair any item.
3. What You Must Do:
a. If you have any complaints about our inspection, you must notify us in writing within seven days
after you discovered any problem, and allow us to reinspect before changing the condition on the item,
except in an emergency.
b. If we report an item is in need of immediate repair, or is not performing its intended function or shows
past damage and you intend to purchase the property anyway, you should first
have the item re-inspected by a
specialist in that field (i.e. foundation - structural engineer//plumbing - plumber).
c. You agree
that, to the extent allowed by law, any damages for breach of this contract or report are limited
to the amount of the inspection fee only.
d. If you sue on this inspection, but do not prevail, you agree
to pay all our reasonable attorney’s fees.
e. You represent
to us that (1) the inspector has not made any oral representations that are different from,
or in addition to, what is written in this report, and (2) you agree to each provision of this report by relying
on it any any way, whether or not you sign it.
f. You shall not
allow anyone else to use or rely on this report without prior written consent.
THIS REPORT CANNOT AND DOES NOT REPRESENT THE OPERATION OR CONDITION OF ANY ITEM AFTER THE
DATE AND TIME OF THIS INSPECTION. ALL WARRANTIES, EXPRESSED OR IMPLIED ARE DISCLAIMED.
Dated this _________________ Day of ____________________________, 20___________.
NAME _______________________________________________ SIGNATURE_________________________________________
REGISTERED HOUSING INSPECTOR #________________________________________________________________________
PAGE 6 OF 6
©Copyright 2001 Housing Inspection Foundation Housing Inspection Form #2700 7/99
Housing Inspection Foundation 1224 North Nokomis NE • Alexandria, Minnesota 56308 USA
Tel: (320)763-6350 Fax: (320)763-9290 E-Mail: hif@iami.org • Website: http://www.iami.org