Rental Home Inspection Checklist


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Inspector Name:  Health Officer  Deputy  Other Town: Town Health Officer Rental Housing Inspection Checklist Property Address: Date of Inspection: Type of Inspection:  Initial  Follow-Up (Last Inspection Date: ) Housing Type: Property Owner Name: Tenant Name(s) and Phone Number(s): Unit Name/Phone Number Property Phone Number: Reason for Inspection: Number of People Residing at the Home: Location of Bedrooms: Number of Smokers Residing at the Home: Number of Bedrooms: • Please answer each question.. • Contact Information:  • Vermont Department of Health (VDH) - Environmental Health phone numbers: • Weekdays from 7:45 AM to 4:30 PM: 800-439-8550 • All other times: 800-640-4374  Department of Public Safety (DPS) phone number to call varies based on property region: • Region 1 – Williston Office: 1-800-366-8325 • Region 2 – Barre Office: 1-888-870-7888 • Region 3 – Rutland Office: 1-888-370-4834 • Region 4 – Springfield Office: 866-404-8883  Department of Environmental Conservation (DEC) regional and main phone numbers: • Montpelier (Main) Office – 802-828-1556 • Barre Office – 802-476-0190 • Essex Office – 802-879-5656 • Rutland Office – 802-786-5900 • Springfield Office – 802-885-8855 • St. Johnsbury Office – 802-751-0130 Additional information on issuing an Emergency Health Order can be found in 18 VSA Chapter 3 § 127.. NATURAL MECHANICAL VENTILATION Y 6.1 6.2 6.3 6.4 6.5 Does every habitable room have at least one window or door on an outside wall that can be opened for fresh air Are screens present for all operable windows and for doors that are providing ventilation when a window is not available Are all hallways and stairways in common spaces adequately ventilated Are all bathrooms ventilated by window, airshaft, or a ventilation fan that vents to the outside of the building (circle type of ventilation) Are all clothes dryers vented to the exterior of the building Answer N NA Violation If “No”, Owner to

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