Title Page

  • Document No.

  • Client

  • Location

  • Telephone Number

  • Email Address

  • Conducted on

  • Prepared by

  • Building Inspectors of WNY, INC. 7011 Bear Ridge Road. Pendleton, NY ,14120
    Michael J. Poli, President
    Member- American Society of Home Inspectors
    License #16000005856

General Information

  • Pictures of House

  • Entry Faces

  • Estimated Age of House

  • Stories

  • Space below grade

  • Portable Water

  • Sewage Disposal

  • Utilities

  • Soil conditions:

  • How many inches of snow

  • Weather

  • Temperature

  • Area

  • Garage

  • People present

  • Number of Cars

  • Is the garage attached or detached <br>

  • Is the house occcupied

  • Who is present

Grounds

  • Does the Property Have Walkways?

  • Walkway Type

  • Condition

  • Reason why

  • Does the Property have a Driveway?

  • Driveway Type

  • Type

  • Condition

  • Reason why

  • Does the Property Have a Patio?

  • Patio Type

  • Type

  • Condition

  • Reason why

  • Slope and Drainage about Building

  • Trees at Building/Limbs,Wires

  • Sewer Vent Pipe

  • Location

  • Other

  • Does Property have a Porch

  • Porch
  • Location

  • Porch Type

  • Type

  • Condition

  • Does the Property have a Deck

  • Deck Options

  • Condition

  • Dos the Property have Stairs

  • Stair Type

  • Type

  • Condition of Stairs

  • Stairs Have a Railing

  • Condition of Railings

  • Grounds Section Notes

Roof and Chimmy

  • Roof

  • Roof View
  • Location

  • Roof View

  • Because of

  • Viewed from

  • Roof Style

  • Type

  • Slope Type

  • Typee

  • Roof Materials

  • Material

  • Condition

  • Number of Layers

  • Valleys

  • Valley Type

  • Condition

  • Flashing

  • Flashing Type

  • Type

  • Condition

  • Ventilation

  • Type of Ventilation

  • Type

  • Condition

  • Gas Vent Present

  • Type of Vent

  • Type

  • Condition

  • Chimney Present

  • Chimney

  • Chimney
  • Chimney Structure

  • Type

  • Condition

  • Chimney Cap

  • Condition

  • Flue

  • Other

  • Condition

  • Birds Screen Present

  • Condition

  • Roof And Chimney Section Notes

  • Type

Exterior

  • Gutters Present

  • Gutters Type

  • Type

  • Condition

  • Downspouts

  • Number of downspouts

  • Type of Down Spouts

  • Type

  • Condition

  • Downspouts Drainage Condition

  • Verify drains are clear to street.

  • Wall Coverings

  • Type

  • Condition

  • Service Entrance

  • Type

  • Location

  • Type

  • Soffit/Facia Present

  • Type

  • Type

  • Condition

  • Caulking at Window and Doors

  • Window Well Present

  • Type

  • Type

  • Condition

  • Basement Windows

  • Type

  • Type

  • Condition

  • Screens/Storms Present

  • Condition

  • Foundation Wall

  • Type

  • Condition

  • Entry Door

  • Door
  • Location

  • Door Type

  • Type

  • Condition

  • Patio Door/s

  • Patio Door

  • Door
  • Location

  • Type

  • Type

  • Windows

  • Window
  • Type Material

  • Material

  • Window Type

  • Type

  • Window Location

  • Condition

  • Reason

  • Reason

  • Storms and Screens

  • Type Material

  • Type

  • Condition

  • Condition

  • Exterior Section Notes

Garage

  • Does Property have a Garage

  • Foundation

  • Type

  • Condition

  • Floor

  • Condition

  • Plumbing

  • Plumbing Equipment

  • Other

  • Condition

  • Walls

  • Other

  • Condition

  • Fire Coating at House (Wall/Ceiling)

  • Type

  • Other

  • Condition

  • Does Garage have a House Door

  • Type

  • Is Door Fire Rated

  • When Doors Opens Does it open over the stairs causing a Hazard

  • Condition

  • Stairs to House

  • Railing

  • Condition

  • Service Door

  • Type

  • Condition

  • Roof Structure

  • Other

  • Condition

  • Siding

  • Type

  • Condition

  • Gutters

  • Type

  • Type

  • Condition

  • Roofing

  • Type

  • Condition

  • Electrical

  • Electrical Features

  • Others

  • Condition

  • Vehicle Door

  • Type

  • Material

  • Type

  • Number of Doors

  • Other

  • Condition

  • Garage Door Opener

  • Make

  • Auto Reverse

  • Safety Eyes

  • Condition

  • Garage Section Notes

Interior Structural Components

  • Basement

  • Basement

  • Basement
  • Type

  • Height of Basement

  • Height

  • Foundation walls

  • Condition

  • Is Basement Finished

  • Percentage Finished

  • Wall Type

  • Other

  • Cracks

  • Check all that applies

  • Floor

  • Type

  • Condition

  • Condition

  • Stair to Basement Type

  • Type

  • Does the Stairs have Railings?

  • Condition

  • Vapor Barrier

  • What Type

  • Type

  • Water Signs Walls

  • What type of water signs

  • Water Signs Floor

  • What type of water signs

  • Foundation walls

  • Other

  • Condition

  • Cracks

  • Check all that applies

  • Floor

  • Type

  • Condition

  • Water Signs Floor

  • What type of Water signs

  • Water Signs Walls

  • What type of Water signs

  • Vapor Barrier

  • What Type

  • Type

  • Floor Joists

  • Type

  • Bridging

  • Level

  • Condition

  • Support Columns

  • Type

  • Level

  • Condition

  • Main Beam

  • Type

  • Size of Beam

  • Size

  • Level

  • Beam Pockets

  • Condition

  • Flooring

  • Other

  • Condition

  • Insulation

  • Type

  • Interior Structural Components Notes

Plumbing

  • Sump Pump

  • Type of Pump

  • Backup

  • Type of Backup

  • Sump Pump

  • Covered

  • Check Valve

  • Condition

  • Reason

  • Reason

  • Incoming Water LIne

  • Type

  • Location

  • Condition

  • Reason

  • Reason

  • Main Pipe Location

  • Electrical Ground Jumper around Water Meter

  • House Water Pipes

  • Type

  • Condition

  • Reason

  • Reason

  • Reason

  • Reason

  • Waste and Vent Pipes

  • Type

  • Condition

  • Reason

  • Reason

  • Laundry Connections

  • Type

  • Location

  • Cross Connection

  • Condition

  • Water Heater

  • Picture

  • Location

  • Brand

  • Model#

  • Serial Number#

  • Size

  • Age

  • Water Heater Temp/Pressure Relief Valve

  • Extension Pipe

  • Condition

  • Water Heater Vent Pipe

  • Type

  • Condition

  • Fuel Pipe

  • Type

  • Drip Leg

  • Shut Off valve

  • Condition

  • Plumbing Section Notes

Heating

  • Type of Heating

  • Picture

  • Drip Leg

  • Flexible Brass Connector

  • Shut off Valve<br>

  • Furnace Brand

  • Model

  • KWH

  • BTU/Hr

  • GPH

  • Heating Input

  • Number of Burners

  • High Temp Degrees F

  • High Pressure PSI

  • Fuel

  • Piping

  • Safety Control

  • Burner Area Flame ok

  • What is wrong

  • Other

  • Blower

  • Overall Condition

  • Filter Air

  • Condition

  • Draft Regulator

  • Flue Vent Pipe

  • Type

  • Condition

  • Distribution

  • Other

  • Thermostat Condition

  • Humidifier

  • Filter need replacing

  • Auxiliary Heating System

  • Type

  • Type

  • Condition

  • Heating Section Notes

Cooling

  • Type of Cooling System

  • Type

  • Make

  • Model

  • Serial Number

  • Estimate age of unit

  • Is system able to be Evaluated

  • Reason

  • Condition

  • Thermostat is good working condition

  • Is Cooling Distribution Common with System

  • Condition

  • Is Cooling Electric Disconnect Mounted outside near unit

  • Condition

  • Temperature of Supply Duct O/F

  • Temperature of Return Duct O/F

  • Cooling System Notes

Electrical

  • Service Size

  • Size

  • Condition

  • Amperage

  • Size

  • Condition

  • Service Entrance

  • Condition

  • Panel Type

  • Other Type

  • Panel Location

  • Main Breaker amps

  • Ground

  • Other

  • Condition

  • 110v Circuit

  • 15amps

  • 20amps

  • Condition

  • 220v Circuit

  • Number of 20 amp Breaker

  • Number of 30 amp Breaker

  • Number of 40 amp Breaker

  • Number of 50 amp Breaker

  • Number of 60 amp Breaker

  • Number of 100 amp Breaker

  • Range Amps

  • Oven Amps

  • Water Heater Amps

  • Range/Oven Amps

  • Air Condition Amps

  • Dryer Amps

  • Sub Panel Amps

  • Sub Panel

  • Make

  • Other Type

  • Voltage

  • What kind of system

  • Wiring

  • 110v 15amps

  • 20 amps

  • 220v 30amps

  • 40 amps

  • Condition

  • Ground Fault Interrupters

  • Other

  • Condition

  • Visible Wiring

  • Other

  • Condition

  • Fixtures and Outlets

  • Other

  • Condition

  • Electrical Section Notes

Attic

  • Access

  • Insulation

  • Depth of Insulation

  • Other

  • Condition

  • Roof Framing

  • Other

  • Condition

  • Roof Sheeting

  • Condition

  • Chimney Flue

  • Other

  • Condition

  • Exhaust Fans

  • Through Roof

  • Vent Fans Through Roof

  • Condition

  • Attic Section Notes

Appliances

  • Range

  • Range Type

  • Operated

  • Brand Name

  • Condition

  • Oven

  • Oven Type

  • Operated

  • Brand Name

  • Condition

  • Cook Top

  • Cook Type Type

  • Operated

  • Brand Name

  • Condition

  • Exhaust Fan

  • Options

  • Operated

  • Brand Name

  • Condition

  • Microwave

  • Operated

  • Brand Name

  • Condition

  • Garbage Disposal

  • Operated

  • Brand Name

  • Condition

  • Dishwasher

  • Operated

  • Brand Name

  • Condition

  • Exhaust Fan

  • Operated

  • Brand Name

  • Condition

  • Appliance Section Notes

Bathroom

    Bathroom
  • Type of Door

  • Other

  • Condition

  • Type of Windows

  • Other

  • Condition

  • Ceiling

  • Other

  • Condition

  • Flooring

  • Other

  • Condition

  • Walls

  • Other

  • Condition

  • Exhaust Fan

  • Other

  • Condition

  • Tub Condition

  • Shower Condition

  • Toilet Condition

  • Sink Condition

  • Number of Sinks

  • Fixture Conditions

  • Electrical

  • Room Notes

Kitchen

    Kitchen
  • Type of Door

  • Other

  • Condition

  • Type of Windows

  • Other

  • Condition

  • Ceiling

  • Other

  • Condition

  • Flooring

  • Other

  • Condition

  • Walls

  • Other

  • Condition

  • Cabinets

  • Other

  • Condition

  • Exhaust Fan

  • Type of Fan

  • Fixture Conditions

  • Electrical

  • Hall Stairs

  • Hand Railing

  • Railing

  • Smoke Detecter

  • Condition

  • Room Notes

Living Room

    Living Room
  • Type of Door

  • Other

  • Condition

  • Type of Windows

  • Other

  • Condition

  • Ceiling

  • Other

  • Condition

  • Flooring

  • Other

  • Condition

  • Walls

  • Other

  • Condition

  • Fireplace

  • Type of Insert

  • Condition

  • Flue Ok

  • Reason

  • Damper ok

  • Electrical

  • Smoke Detector

  • Room Notes

Family Room

  • Family Room

  • Family Room
  • Type of Door

  • Other

  • Condition

  • Type of Windows

  • Other

  • Condition

  • Ceiling

  • Other

  • Condition

  • Flooring

  • Other

  • Condition

  • Walls

  • Other

  • Condition

  • Fireplace

  • Type of Insert

  • Condition

  • Flue Ok

  • Reason

  • Damper ok

  • Electrical

  • Smoke Detector

  • Room Notes

Other Room

  • Other Room

  • Other Room

  • Family Room
  • Type of Door

  • Other

  • Condition

  • Type of Windows

  • Other

  • Condition

  • Ceiling

  • Other

  • Condition

  • Flooring

  • Other

  • Condition

  • Walls

  • Other

  • Condition

  • Fireplace

  • Electrical

  • Smoke Detector

  • Room Notes

Bed Room

    Bedroom
  • Type of Door

  • Other

  • Condition

  • Type of Windows

  • Other

  • Condition

  • Ceiling

  • Other

  • Condition

  • Flooring

  • Other

  • Condition

  • Walls

  • Other

  • Condition

  • Fireplace

  • Electrical

  • Smoke Detector

  • Room Notes

CO Detector

  • CO Detector

  • Location

Signature Page

  • Customer Signature

  • Inspector Signature

  • Notes

  • Any Questions
    Please Contact
    Buildings Inspectors of WNY, Inc.
    (716)628-5406
    defazioj@gmail.com

Inspection Agreement

Inspection Agreement

  • Building Inspector of WNY
    7011 Bear Ridge Road
    Pendleton, NY 14120
    (716) 694-7735

  • Select date

  • Purchaser Name

  • Phone Number

  • Property Inspected

  • Estimated Age of Home

  • Design

  • Sale Price

  • Fee

  • This Inspection is performed according the guidelines recommended by the AMERICAN SOCIETY OF HOME INSPECTORS, INC. The Purpose of this inspection is to perform is visual and audible examinations of the primary structure, mechanical, and the electrical systems of the building, and give a personal opinion as o whether or not the components are performing the functions for which they were intended or are in need of repair. A standard inspection developed by Building Inspectors of WNY is followed.

    The scope of the inspection is limited o accessible portions of the structure and its components. Heavy furniture, installed appliances, storage boxes, permanent ceiling tiles, or permanent wall panels are not moved for the inspection. Foundations are carefully examined at the above ground levels. Below ground supports, foundation footings, piers or soil bearing areas obviously can not be checked by a visual inspection. The existing electrical system is checked without knowledge of any future demands on the system. Our Judgement of adequacy of any system (electrical, water, gas, heating or cooling) is based on standard demands.

    We do not specifically check a structure for various building codes compliance as this is a matter for city and/or county officials. We Do not make judgements on appraised valve, adequacy of public utilities, civil protection, flood plains, habitability, repairs and soil analysis. We do not check the following items. Septic systems, Underground piping a and wiring, Swimming pools, Wells, Retaining walls, Sheds, Intercoms, Washers, Drryers, Window options, Burglar/Fire alarms, Smoke alarms, Water softeners, Incinerators, Termites/pests.

    Items for which chemical testing is necessary to confirm their existence are not induced such as. Formaldehyde foam insulation, Asbestos containing materials, Lead containing materials, Mold, a and Water Quality, and Radon Gas.

    We are not responsible for damages to the house due to normal operation of any item inspected. Items that pertain to cosmetics, maintenance, and energy savings may not pertain to your contract. They are on the report for your benefit and in most cases, are not things which thee seller should necessarily be required to do under the contract terms.

    THE FOREGOING REPORT IS FURNISHED AT YOUR REQUEST IN STRICT CONFIDENCE BY US AS YOUR AGENT AND EMPLOYEE FOR YOUR EXCLUSIVE USE AS AND AID IN DETERMINING THE PHYSICAL CONDITION OF THE SUBJECT PREMISES. THE EQUIPMENT THEREIN AS MAY BE EXAMINED VISUALLY; AND WE WARN YOU THAT ALTHOUGH SUCH PREMISES AND/OR EQUIPMENT MAY BE GOOD CONDITION WHEN EXAMINED, THEE CONDITION MY CHANGE THEREAFTER. FURTHERMORE, THIS REPORT IS NOT TO BE USED AAS A BASIS FOR DETERMINING THE VALVEE OF SUCH PREMISES OR WHETHER SAME IS OR IS NOT TO BE PURCHASED. WE DISCLAIM ALL WARRANTIES AND GUARANTEES OF THE PREMISES, EQUIPMENT OR ACCESSORIES, EXPRESSED OR IMPLIED, INCLUDING A DISCLAIMER OF ANY GUARANTEES OR WARRANTIES OR FITNESS FOR A PARTICULAR PURPOSE. THIS REPORT IS NOT TO BE CONSTRUED AS A GUARANTY OR WARRANTY OF THE PREMISES OR EQUIPMENT THEREIN O OF THEIR FITNESS FOR USE.

    It is understood and agreed that should Building Inspector of WNY and/or its agents or employees be found liable for and loss or damages resulting from a failure to perform and of its obligations, including but no limited to negligence, breach of contract, or otherwise, then the liability of Building Inspectors of WNY and/or its agents or employees, shall be limited to a sum equal to the amount of thee fee paid by the customer for the inspection and report.

  • Purchaser's signature constitutes acceptance of the terms and conditions of this agreement. Inspection fee below is due at the time of inspection.

  • Inspection Fee

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.