CDOT Form 439 "Replacement Housing Inspection" - Colorado

What Is CDOT Form 439?

This is a legal form that was released by the Colorado Department of Transportation - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2017;
  • The latest edition provided by the Colorado Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of CDOT Form 439 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

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Download CDOT Form 439 "Replacement Housing Inspection" - Colorado

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COLORADO DEPARTMENT OF
Project Code
TRANSPORTATION
Parcel No
Project No
REPLACEMENT HOUSING INSPECTION
Location
Name of Displaced Person(s)
Address of Property Inspected
Building Type (i.e. single family, duplex, apartment, etc.)
Construction Type (i.e. 1 story frame, 1 ½ story brick, etc.)
Approximate structure age
Lot Size
sq. ft.
Total number of rooms
sq. ft.
Number of Bedrooms
Number of baths
Habitable floor space
Floor space is divided into sufficient rooms for this family
yes
no
Decent, Safe, and Sanitary dwellings must meet applicable housing and occupancy codes and at a
minimum shall meet the following standards:
Kitchen/Kitchen Area:
 Sink properly connected to potable hot and cold water and to a sewage
drainage system
Yes
No
 Adequate space and utility service connections to accommodate a stove and
refrigerator
Yes
No
Bathroom:
 Separate, well lighted and ventilated bathroom that provides privacy to the user
Yes
No
 Sink, bathtub or shower stall, and a toilet, all in good working order and properly
connected to appropriate sources of water and to a sewage drainage system
Yes
No
General:
 Building structurally sound, weather tight and in good repair
Yes
No
 Safe electrical wiring system adequate for lighting and other devices
Yes
No
 Heating system capable of sustaining a healthful temperature (of approximately
70 degrees)
Yes
No
 Adequate in size with respect to the number of rooms and area of living space
to accommodate the displaced person(s)
Yes
No
 Number of persons occupying each habitable room used for sleeping
purposes shall not exceed that permitted by local housing codes, or, in the
Yes
No
absence of local codes, the policies of CDOT
 Separate bedrooms for children of the opposite gender included in local
Yes
No
housing codes or in the absence of local codes, the policies of CDOT
 Unobstructed egress to safe, open space at ground level
Yes
No
 Free of any barriers which would preclude reasonable ingress, egress, or use of
dwelling for a disabled person(s)
Yes
No
Please understand that the replacement dwelling inspection for decent, safe and sanitary requirements is
conducted by Agency personnel for the sole purpose of determining your eligibility for a relocation payment.
Therefore, you must not interpret the Agency’s approval of a dwelling to provide any assurance or guarantee
that there are no deficiencies in the dwelling or in its fixtures and equipment that may be discovered at a
later date. It is your responsibility to protect your best interest and investment in the purchase or rental of
your replacement property and you must clearly understand that the Agency will assume no responsibility if
structural, mechanical, legal, or other unforeseen problems are discovered after the inspection has been
conducted.
Date:
Inspection made by:
REMARKS:
CDOT Form #439 05/17
cc: Project Development Branch (ROW Services) - original
Region ROW
Previous editions are obsolete and may not be used
COLORADO DEPARTMENT OF
Project Code
TRANSPORTATION
Parcel No
Project No
REPLACEMENT HOUSING INSPECTION
Location
Name of Displaced Person(s)
Address of Property Inspected
Building Type (i.e. single family, duplex, apartment, etc.)
Construction Type (i.e. 1 story frame, 1 ½ story brick, etc.)
Approximate structure age
Lot Size
sq. ft.
Total number of rooms
sq. ft.
Number of Bedrooms
Number of baths
Habitable floor space
Floor space is divided into sufficient rooms for this family
yes
no
Decent, Safe, and Sanitary dwellings must meet applicable housing and occupancy codes and at a
minimum shall meet the following standards:
Kitchen/Kitchen Area:
 Sink properly connected to potable hot and cold water and to a sewage
drainage system
Yes
No
 Adequate space and utility service connections to accommodate a stove and
refrigerator
Yes
No
Bathroom:
 Separate, well lighted and ventilated bathroom that provides privacy to the user
Yes
No
 Sink, bathtub or shower stall, and a toilet, all in good working order and properly
connected to appropriate sources of water and to a sewage drainage system
Yes
No
General:
 Building structurally sound, weather tight and in good repair
Yes
No
 Safe electrical wiring system adequate for lighting and other devices
Yes
No
 Heating system capable of sustaining a healthful temperature (of approximately
70 degrees)
Yes
No
 Adequate in size with respect to the number of rooms and area of living space
to accommodate the displaced person(s)
Yes
No
 Number of persons occupying each habitable room used for sleeping
purposes shall not exceed that permitted by local housing codes, or, in the
Yes
No
absence of local codes, the policies of CDOT
 Separate bedrooms for children of the opposite gender included in local
Yes
No
housing codes or in the absence of local codes, the policies of CDOT
 Unobstructed egress to safe, open space at ground level
Yes
No
 Free of any barriers which would preclude reasonable ingress, egress, or use of
dwelling for a disabled person(s)
Yes
No
Please understand that the replacement dwelling inspection for decent, safe and sanitary requirements is
conducted by Agency personnel for the sole purpose of determining your eligibility for a relocation payment.
Therefore, you must not interpret the Agency’s approval of a dwelling to provide any assurance or guarantee
that there are no deficiencies in the dwelling or in its fixtures and equipment that may be discovered at a
later date. It is your responsibility to protect your best interest and investment in the purchase or rental of
your replacement property and you must clearly understand that the Agency will assume no responsibility if
structural, mechanical, legal, or other unforeseen problems are discovered after the inspection has been
conducted.
Date:
Inspection made by:
REMARKS:
CDOT Form #439 05/17
cc: Project Development Branch (ROW Services) - original
Region ROW
Previous editions are obsolete and may not be used