Newburgh Housing Investigation Blank--1
BLOCK
STREET
No.
WARD
DATE
BUILDING
Brick-Frame
Det.-Semi Det.-Row
Front-Rear
No. Stys.-Cel-Bas.
S. F.-2 F-C. H.-T. H.
Apts. per floor, C.-B.-1-2-3-4-5-6
New-5 yrs. old.
OWNER
AGENT
LOT
Width-Depth
Repair, G-F-B
FEET TO NEXT BLDG
SEWER
Per cent. occupied by bldgs.
Right-Left
In street-Contd.
FIRE ESCAPES
CITY WATER
Wood-Iron-Stone Repair, G.-F.-B.
Not needed-None-Adequate
Obstructed
In street--Contd.
GARBAGE
STAIRS
How kept
How disposed of.
Wood-Iron-Stone
Front-Back
Covered can
Nuisance
YARD
ASHES
How disposed of
How kept
None
RUBBISH, Fr.-S.-M.-Nu
Dry-Swampy
GARDEN, Yes-No
WEEDS, None-Many
Size in Ft.
YARD TOILETS
Repair, G.-F.-B. Clean,
C.-D.-F.-Nu. Ft. from house Door lock No. Compts. No. seats.
No. fam. using
None
CESSPOOL
VAULT
Full-less half-full-overfull
Covered Overflowing Dist. from house Danger contamination
Access to flies
Yes-No
OUTBUILDINGS
None
Use
Manure accessible to flies
Clean, C.-D.-F.-Nu
Repair, G.-F.-B.
Storage-stables-chickens
LOWEST FLOOR
Cel-Bas
Use, Bus-Storage-Dwlg
Ventilation, G.-F.-B
Light, L.-Gl.-D.
Dampness, Dry-Wet-Water
HOUSE DRAIN
VERTICAL PIPES
Soil, exposed-Leak
Exposed-Obstructed-Leak
Waste, Exposed-Leak
INVESTIGATOR
