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PCA Pre-Site Inspection Questionnaire
Jacob Crouthamel
PCA Pre-Site Inspection Questionnaire
Document Check List
In order to ensure accuracy and to complete this report in a timely manner, please provide the following documentation if avaliable
PCA Document Check List
(Required)
Pre Site Inspection Questionnaire
Prior Reports
Certificate of Occupancy
Current Rent Roll
Maintenance Records and Warranty Information
Summary of Major Repairs within the Past 12 Months
Wood Destroying Organism Reports, and if applicable, Repairs
Elevator, Boiler and Safety Inspection Records and Certificates
Building, Zoning, Fire Code Violations, and Compliance Records
Plan Capital Improvement Budgets (CapEx)
Property Information (typically provided to prospective tenants (brochures))
None
Project/Site Information
(Required)
Project Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Contact Information
Owner Name
Phone/Email
Years Associated w/ Site
Site Contact Name
Phone/Email
Years Associated w/ Site
Manager Name
Phone/Email
Years Associated w/ Site
Previous Owner(s) Name
Phone/Email
Years Associated w/ Site
Property Use and Specifications
Property Type/Use
Multi-Family Residential
Commercial Office/Retail
Industrial
Other
Total Property Size (Acres)
Total Number of Buildings
Total Square Footage of Building(s)
Total Number of Stories
Original Construction Date(s)
Was Construction Phased?
Yes
No
Unknown
Date of Renovations/Phases
Other Buildings
Total Number of Parking Spaces
ADA Parking Spaces
Utilities
Is the property connected to municipal or well water?
Municipal Water
Well Water
Both
N/A
Who is the water provider?
Is the property connected to a public sanitary sewer or septic system?
Public Sanitary Sewer
Septic System
Both
N/A
Who is the public sanitary sewer provider?
Electricity Provider
Natural Gas Provider
Propane/LPG Provider
Trash Service Provider
Any waste water discharge at the site?
Septic Tank/Leach-field
Sanitary Sewer
Other
Service Provider/Maintenance
HVAC Maintenance
Elevator Maintenance
Roof Maintenance
Fire Extinguisher/Alarm/Sprinklers
Security
Pest Control
Occupants/Tenants (or please provide rent roll)
Current Occupant's/Tenant(s)
Add
Remove
Length of Occupancy
Add
Remove
Brief Description of on-site operations
Add
Remove
Site/Building Issues
Any known issues with Landscaping, Parking, Foundations, Framing, Exterior/Interior Finishes, Roofing/Warranty, Site Amenities, Heating/Cooling, Elevators?
Yes
No
Please Specify
Add
Remove
Water Distribution
Is Gray Polybutylene drinking water supply piping present?
Yes
No
Any Repairs or Leaks (please describe)
Add
Remove
Sanitary Waste
Pipe Type
Cast Iron
PVC
ABS
Unknown
Are Life Stations Present?
Yes
No
Electrical Service
Service Supply - Main Panel (i.e. AMPS 100/125/220-VOLTS 120/277/480, 1/2/3/4 Phase Service)
Branch Wiring Type
Aluminum
Copper
Building Materials
Are any areas impacted with Water Infiltration or Mold?
Yes
No
If yes, please describe
Living Spaces
Vacant or Down Units present?
Yes
No
Please describe
Disclosure
Are there any ADA Complaints or Litigation
Yes
No
If yes, please describe
Is there anything else you would like to report, or any comment you would like to offer that would provide information on this property that is necessary for an accurate report?
Person Completing Questionnaire
Title/Affiliation to the Subject Property
Phone Number/Email
Number of Years Associated with the Subject Property
Date
Please complete and return to Blew & Associates P.A. at your earliest convenience. Thank you for your cooperation!
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