Form SFN61266 "Esg/Ndhg Housing Habitability Standards Inspection" - North Dakota

What Is Form SFN61266?

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

Form Details:

  • Released on July 1, 2017;
  • The latest edition provided by the North Dakota Department of Commerce;
  • 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 printable version of Form SFN61266 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Commerce.

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Download Form SFN61266 "Esg/Ndhg Housing Habitability Standards Inspection" - North Dakota

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ESG/NDHG HOUSING HABITABILITY STANDARDS INSPECTION
NORTH DAKOTA DEPARTMENT OF COMMERCE
DIVISION OF COMMUNITY SERVICES
SFN 61266 (07/17)
Client Name
City
State
ZIP Code
Address
Evaluator
Date of Review
The standards for housing unit inspections under ESG are the housing habitability standards described in the HUD ESG
Interim Rule. These standards apply when a program participant is receiving financial assistance and moving into a new
(different) unit or remaining in a current unit. Inspections must be conducted upon initial occupancy and then on an annual basis
for the term of the ESG/NDHG assistance.
The habitability standards are different from the Housing Quality Standards (HQS) used for other HUD programs. Because
the HQS criteria are more stringent than the habitability standards, a grantee could use either standard. In contrast to HQS
inspections, the habitability standards do not require a certified inspector. As such, ESG/NDHG program staff could conduct the
inspections, using a form such as this one to document compliance.
Instructions: Mark each statement as ‘A’ for approved or ‘D’ for deficient. The property must meet all standards in order to be
approved. A copy of this checklist should be placed in the client’s file.
Approved or
Element
Deficient
1. Structure and materials: The structures must be structurally sound so as not to pose any threat to the
health and safety of the occupants and so as to protect the residents from hazards.
2. Access: The housing must be accessible and capable of being utilized without unauthorized use of other
private properties. Structures must provide alternate means of egress in case of fire.
3. Space and security: Each resident must be afforded adequate space and security for themselves and
their belongings. Each resident must be provided with an acceptable place to sleep.
4. Interior air quality: Every room or space must be provided with natural or mechanical ventilation.
Structures must be free of pollutants in the air at levels that threaten the health of residents.
5. Water supply: The water supply must be free from contamination.
6. Sanitary facilities: Residents must have access to sufficient sanitary facilities that are in proper operating
condition, may be used in privacy, and are adequate for personal cleanliness and the disposal of human
waste.
7. Thermal environment: The housing must have adequate heating and/or cooling facilities in proper
operation condition.
8. Illumination and electricity: The housing must have adequate natural or artificial illumination to permit
normal indoor activities and to support the health and safety of residents. Sufficient electrical sources must
be provided to permit use of essential electrical appliances while assuring safety from fire.
9. Food preparation and refuse disposal: All food preparation areas must contain suitable space and
equipment to store, prepare, and serve food in a sanitary manner.
10. Sanitary condition: The housing and any equipment must be maintained in sanitary condition.
11. Fire safety: Both conditions below must be met to meet this standard.
a. Each unit must include at least one battery-operated or hard-wired smoke detector, in proper working
condition, on each occupied level of the unit. Smoke detectors must be located, to the extent
practicable, in a hallway adjacent to a bedroom. If the unit is occupied by hearing-impaired persons,
smoke detectors must have an alarm system designed for hearing-impaired persons in each bedroom
occupied by a hearing-impaired person.
b. The public areas of all housing must be equipped with a sufficient number, but not less than one for
each area, of battery-operated or hard-wired smoke detectors. Public areas include, but are not limited
to, laundry rooms, day care centers, hallways, stairwells, and other common areas.
(Source: US Department of Housing and Urban Development, Docket No. FR-5307-N-01)
Certification Statement
I certify that I am not a HUD certified inspector and I have evaluated the property located at the address below to the best of my
ability and find the following:
Property meets all of the above standards
Property does not meet all of the above standards
Therefore, I make the following determination:
Property is approved
Property is not approved
Evaluator Printed Name
Date
Evaluator Signature
Staff Initials
ESG/NDHG HOUSING HABITABILITY STANDARDS INSPECTION
NORTH DAKOTA DEPARTMENT OF COMMERCE
DIVISION OF COMMUNITY SERVICES
SFN 61266 (07/17)
Client Name
City
State
ZIP Code
Address
Evaluator
Date of Review
The standards for housing unit inspections under ESG are the housing habitability standards described in the HUD ESG
Interim Rule. These standards apply when a program participant is receiving financial assistance and moving into a new
(different) unit or remaining in a current unit. Inspections must be conducted upon initial occupancy and then on an annual basis
for the term of the ESG/NDHG assistance.
The habitability standards are different from the Housing Quality Standards (HQS) used for other HUD programs. Because
the HQS criteria are more stringent than the habitability standards, a grantee could use either standard. In contrast to HQS
inspections, the habitability standards do not require a certified inspector. As such, ESG/NDHG program staff could conduct the
inspections, using a form such as this one to document compliance.
Instructions: Mark each statement as ‘A’ for approved or ‘D’ for deficient. The property must meet all standards in order to be
approved. A copy of this checklist should be placed in the client’s file.
Approved or
Element
Deficient
1. Structure and materials: The structures must be structurally sound so as not to pose any threat to the
health and safety of the occupants and so as to protect the residents from hazards.
2. Access: The housing must be accessible and capable of being utilized without unauthorized use of other
private properties. Structures must provide alternate means of egress in case of fire.
3. Space and security: Each resident must be afforded adequate space and security for themselves and
their belongings. Each resident must be provided with an acceptable place to sleep.
4. Interior air quality: Every room or space must be provided with natural or mechanical ventilation.
Structures must be free of pollutants in the air at levels that threaten the health of residents.
5. Water supply: The water supply must be free from contamination.
6. Sanitary facilities: Residents must have access to sufficient sanitary facilities that are in proper operating
condition, may be used in privacy, and are adequate for personal cleanliness and the disposal of human
waste.
7. Thermal environment: The housing must have adequate heating and/or cooling facilities in proper
operation condition.
8. Illumination and electricity: The housing must have adequate natural or artificial illumination to permit
normal indoor activities and to support the health and safety of residents. Sufficient electrical sources must
be provided to permit use of essential electrical appliances while assuring safety from fire.
9. Food preparation and refuse disposal: All food preparation areas must contain suitable space and
equipment to store, prepare, and serve food in a sanitary manner.
10. Sanitary condition: The housing and any equipment must be maintained in sanitary condition.
11. Fire safety: Both conditions below must be met to meet this standard.
a. Each unit must include at least one battery-operated or hard-wired smoke detector, in proper working
condition, on each occupied level of the unit. Smoke detectors must be located, to the extent
practicable, in a hallway adjacent to a bedroom. If the unit is occupied by hearing-impaired persons,
smoke detectors must have an alarm system designed for hearing-impaired persons in each bedroom
occupied by a hearing-impaired person.
b. The public areas of all housing must be equipped with a sufficient number, but not less than one for
each area, of battery-operated or hard-wired smoke detectors. Public areas include, but are not limited
to, laundry rooms, day care centers, hallways, stairwells, and other common areas.
(Source: US Department of Housing and Urban Development, Docket No. FR-5307-N-01)
Certification Statement
I certify that I am not a HUD certified inspector and I have evaluated the property located at the address below to the best of my
ability and find the following:
Property meets all of the above standards
Property does not meet all of the above standards
Therefore, I make the following determination:
Property is approved
Property is not approved
Evaluator Printed Name
Date
Evaluator Signature
Staff Initials