EmailMe Form - Inspector's Form

Inspector

Email

Date

MM / DD / YYYY

PROPERTY INFORMATION

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

Type (i.e. manufactured, on rail modular):

Brief description (i.e. white blue trim):

Clearance (e.g. I-beam to grade):

HUD, HWC, or State of FL numbers:

Dimensions:

SKIRTING

Skirting grade:

Pass

Fail

Type (i.e. stucco, vertical vinyl):

Percentage of missing or damaged skirting:

Explain:

Height of skirting:

Structural support material and spacing (i.e. aluminum):

Notes:

PIERS

Piers grade

Pass

Fail

Average spacing:

Number of missing or damaged piers?

Explain:

Are piers over 36" and/or corner piers over 24" double stacked?

Notes:

STRAPPING

Strapping grade:

Pass

Fail

Type (i.e. sidewall, frame tie, combo):

How are straps attached to the I-beams (i.e. beam clamps, wrapped):

Number of missing or damaged straps:

Explain:

Notes:

ANCHORS

Anchors grade:

Pass

Fail

Type (i.e. black steel, galvanized):

Are anchors flush with grade?

If frame tie or longitudinal anchors, are approved stabilizer plates installed?

Average spacing of anchors:

Are sidewall, frame tie, or combo anchors located within 2' of the end of home?

Notes:

MIDLINE

Midline grade:

Pass

Fail

Are midline anchors properly installed?

Are midline anchors located within 2' of the end of the home?

Notes:

LONGITUDINAL

Longitudinal grade

Pass

Fail

Longitudinal stabilization (i.e. systems, anchors, none):

If LSDs, how many?

Notes:

ADDITIONS

Additions grade

Pass

Fail

Please list additions, dimensions, and method of anchoring.

Notes:

TONGUE, WHEELS, and AXELS

Tongue, Wheels, and Axels grade:

Pass

Fail

Are tongue, wheels, and axels removed?

PHOTOS

Are the following photos included?

Front, rear, and both sides:

Yes

No

Ordinal or Mail Box:

Yes

No

HUD Plates:

Yes

No

Installers Label:

Yes

No

HWC and State of FL Label (modular only)

Yes

No

All additions

Yes

No

Lateral stabilization (i.e. strapping, anchors, stabilizer plates and beam clamps)

Yes

No

Longitudinal (i.e. systems, strapping, anchors, stabilizer plates and beam clamps)

Yes

No

Midline (i.e. strapping, anchors, and beam clamps)

Yes

No

Piers

Yes

No

Tongue, wheels and axels

Yes

No

File Upload

OVERALL FINDINGS

Overall Findings grade:

Pass

Fail

Notes:

File Upload