338 MADISON AVE N - TIH REPORT PAGES 2-4HOPKINS TRUTH -IN -SALE OF HOUSING DISCLOSURE REPORT ( Staple Upper Right Corner 'A
NOTICE - Read Entire Report Carefully This is not a Buyers Inspection! Page 1 of 4
Address Of Evaluated Dwelling: 338 Madison Avenue
Owner Name: Robin Beck Hm 612-269-7679
Owner Address: 338 Madison Avenue Wk
(City, State, ZIP) Hopkins, MN 55343
Realtor/Contact: Ph Fax
I declare to the best of my knowledge the following information for this property regarding any sewer backup or any evidence of
chronic water seepage; any abandoned unused or uncapped well; or any discharge of storm water, ground water, roof runoff, yard
drainage, foundation drains or sump pumps into the sanitary sewer: ❑ NONE ❑ YES, COMMENTS:
of Owner (Disclosure Report Not Valid Without Signature)
Date:
* * * * * * * * SEE ATTACHED PAGES FOR IMPORTANT CONSUMER INFORMATION * * * * * * * *
Number of Dwelling Units:
Present Zoning District:
R -1-C
Check if. Townhouse ❑ or Condo ❑
Present Occupancy: Conforming X❑
Nonconforming ❑
Reason for Nonconforming Status:
Note: If the occupancy is indicated as Nonconforming, the owner shall provide the buyer, prior to closing, settlement, or transfer of ownership, a written and
signed verification as to the zoning status by the City Zoning Administrator.
Pending Orders: ❑ NO orders ❑X YES orders pending from Hopkins Inspections Division.
This property: X❑ IS NOT condemned ❑ IS condemned (reason):
1. This report offers a limited overview of building components and fixtures by the evaluator and is not technically
extensive. Prospective buyers may want to seek additional opinions from various experts in the inspections field prior to
purchase. This report is not a warranty or guarantee, expressed or implied, by the City of Hopkins or by the evaluator or
of any building component or fixture.
2. This report is not a code compliance inspection. The owner, owner's agent and/or buyer must repair all items marked
Repair/Replace. All required Repair/Replace items are enforceable by Hopkins Ordinance Section 406. The Inspections
Division will not use all other items as a basis for enforcing Hopkins ordinances.
3. The ordinance requires and places the responsibility on the seller or agent to make sure that this report is publicly
displayed on the premises when the house is shown to prospective buyers. Also, the seller or agent must give a copy of this
report to the buyer prior to the signing of a Purchase Agreement.
4. This report covers only those items listed on the form. The evaluator is not required to ignite the heating plant, use a
ladder to observe the condition of the roofing, evaluate inaccessible or concealed areas or disassemble items. This report
does not address formaldehyde, lead paint, any airborne gasses (including radon), asbestos, wood stoves or fireplaces (except
for visible venting and clearances), or air conditioners. Gas inserts in fireplaces WILL be evaluated.
This report is not an FHA, VA or Section 8 inspection. It is not an appraisal.
6. This report is valid for one year from the date of issue and only for the owner named on the report. It is required for all
single-family homes, duplexes, tri-plexes, four-plexes, townhouses, or condominiums offered for sale.
7. Any questions regarding this report should be directed to the evaluator whose name and phone number appear below.
Any complaints regarding this report should be directed to the Program Administrator, Truth in Housing at (952) 548-
6323, Hopkins Inspections Division, 1010 1st Street South, Hopkins, MN 55343.
8. If the buyer intends to rent out any portion of this property a rental housing license is required by City of Hopkins
Ordinance Section 407 prior to rental. Please contact the Secretary of the Inspections Division at (952) 548-6320.
I hereby certify that this report is made in compliance with the Hopkins Code of Ordinances, Section 406, and that I utilized care and diligence
reasonable and ordinary for one meeting the Certification Standards. The report covers only those problems listed and reasonably visible at the time of my
evaluation and does not warrant future useful life of any house component or fixture. I have included all required information pages with this report.
Evaluator Name: (print) Neil Saltzman
Signed:
Evaluation Date: 10/19/2020
Telephone Number: 952-915-6466
THERE ARE f2E4ARED ACMIORMACE ITEMS NOTED IN THIS REPORT: YES ❑X NO ❑
If "RR" items noted, permits may be required, see attached "Most Common Repair Items." Hopkins TIHpageA.0304
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Property Address:
Oki on
338 Madison Avenue
M: = Meets Minimum Requirements B: = Below Minimw
Not Apply SC: = Suggested Correction RR: = Repair/Replace
Page 2 of 4 B
-quirements C: = Comments
Y: =Yes N: = No
Items marked "RR" indicate that the item must be repaired or replaced and a re -inspection must be made by the City of Hopkins
Inspector within one year of the evaluation report.
Any item marked "B", "C", "SC" or "RR" must have a written comment about the item. "Y" or "N" must have comments when
starred (*). Read "COMMENTS" COLUMN CAREFULLY. Each Item May Have More Than One Code.
Any item with the words "SEE HANDOUT" in the comment column refers to the "MOST COMMON REPAIRS" handout
(rev2003) that should be attached to this report. Contact the evaluator if it is not attached.
1. Basement stairs _
2. Basement floor _
3. Foundation walls _
4. Evidence of dampness or staining
a) on basement walls (Y* or N) _
b) on basement floor (Y* or N) _
c) See owner's statement on page A
5. Basement sleeping rooms (Y* or N) _
(If Yes, seepage "C')
6. First floor, floor system _
7. Columns & beams _
8. Floor drains _
9. Waste & vent piping _
10. Water piping _
11. Gas piping _
12. Water heater _
13. Water heater venting _
14. Basement plumbing fixtures _
15. Copper water line visible on the street side of
water meter (Y or N*) _
Evaluator assumes no responsibility for copper water
line being continuous to street.
16. Electrical service installation / size at panel _
Amps: 100 Volts: 115/230
60 Amp suitable for one major 220 volt appliance.
The evaluator is not required to disassemble items
or evaluate inaccessible areas.
17. Smoke detectors properly located _
a) Operable _
18. Separate 20 -amp kitchen circuit indexed at
service panel (Y or N*) _
19. Basement electrical outlets/fixtures _
20. Electrical outlet for laundry indexed at service
panel (Y or N*) _
21. Heating plant installation _
Type: Forced Air Fuel: Natural Gas
Heat exchanger evaluated only if readily visible.
Evaluator is not required to light the pilot.
8
I
1
1.
B Handrail is not continuously
M
2
2
grippable for the full length. No
M
3
3
17a
handrail. (first flight)
21
9.
B Improper clamp on waste/vent
N
4a
connection(s).(kitchen and north
N
4b
waste line)
10.
B Corrosion on fittings in
N
5
areas.(outside shutoff by laundry)
Saddle type connection(s) in use.
M
6
6
11.
B Unapproved gas shutoff: Dryer.
M
7
7
13.
B -No firestop at first floor
M-8
8
level.
8
9
9
19.
SC Ungrounded 3 prong outlets.
8
10
10
(family area)
8
11
11
24B
C -Gas shut off, not viewed in
M
12
12
operation.
B
13
13
24C
RR Flue lacks clearance to plywood
M
14
14
roof sheating.
24D
C -Garage heater.
Y
15
M
16
16
SC
19
M
17
17
M
17a
17a
N
18
SC
19
19
N
20
M
21
21
22. Heating plant viewed in operation (Y or N*) N 22
23. Heating plant combustion venting M-23
24. Auxiliary/additional heating units ( Y or N) N 24
a) Installation M 24a
b) Viewed in operation (Y or N*) N, C 24b
c) Combustion venting NA 24c
d) Location(s)_(include attic or garage heater) C 24d
22
23
24a
24b
RR 24c
24d
Evaluator: (print) Neil Saltzman Date 10/19/2020
If "RR" items noted, permits may be required, see attached "Most Common Repair Items."
Property Address:
338 Madison Avenue
Page 3 of
4 C
EVALUATION CODES: M: = Meets Minimum Requirements B: = Below Minimum Requirements C: =Comments
N/A: = Not Applicable/Does Not Apply SC: = Suggested Correction RR: = Repair/Replace Y: =Yes N: = No
Any item with the words "SEE HANDOUT" in the comment column refers to the "MOST COMMON REPAIRS" handout (rev2003) that
should be attached to this report. Contact the evaluator if it is not attached. SEE COMPLETE KEY PAGE "B"
KITCHEN
25. Walls & ceiling components
26. Evidence of dampness or staining ( Y* or N)
27. Floor condition
28. Window size & openable area
29. Window & door condition / Mech. Vent.
30. Electrical outlets & fixtures
31. Plumbing fixtures
32. Water flow
33. Gas piping
DINING/LIVING ROOM
34. Walls & ceiling components
35. Evidence of dampness or staining (Y* or N )
36. Floor area & ceiling height
37. Floor condition
38. Window size & openable area
39. Window & door condition
40. Electrical outlets & fixtures
BATHROOM
41. Walls & ceiling components
42. Evidence of dampness or staining ( Y* or N)
43. Floor condition
44. Window size & openable area/Mech. Vent.
45. Window & door condition
46. Electrical outlets & fixtures
47. Plumbing fixtures
48. Water flow
HALLWAYS/STAIRWELLS
49. Walls & ceiling components
50. Evidence of dampness or staining ( Y* or N)
51. Floor condition
52. Window & door condition
53. Electrical outlets & fixtures
54. Stairs (upper floors)
55. Smoke detectors properly located
a) Operable
SLEEPING ROOMS
56. Number of sleeping rooms (include basement)
57. Walls & ceiling components
58. Evidence of dampness or staining ( Y* or N)
59. Floor area & ceiling height
60. Floor condition
61. Window size & openable area
62. Window & door condition
63. Electrical outlets & fixtures
M 25
N, M 26
M 27
M 28
M 29
M 30
M 31
M 32
M 33
M 34
N, M 35
M 36
M 37
M 38
M 39
M 40
M 41
N, M 42
M 43
M 44
M 45
M 46
M 47
M 48
M 49
N, M 50
M 51
M 52
M 53
M 54
M 55
M 55a
4 56
M 57
N, M 58
M 59
M 60
M 61
M 62
M 63
Required
RR Item number / Code / Comments
25
27
29
30
31
32
33
34
37
39
40
41
43
45
46
47
48
49
51
52
53
54
55
55a
57
60
62
63
Evaluator: (print) Neil Saltzman Date 10/19/2020
If "RR" items noted, permits may be required, see attached "Most Common Repair Items."
Property Address:
338 Madison Avenue
Page 4 of
4 D
EVALUATION CODES: M: = Meets Minimum Requirements B: = Below Minimum Requirements C: =Comments
N/A: = Not Applicable/Does Not Apply SC: = Suggested Correction RR: = Repair/Replace Y: =Yes N: = No
Any item with the words "SEE HANDOUT" in the comment column refers to the "MOST COMMON REPAIRS" handout (rev2003) that
should be attached to this report. Contact the evaluator if it is not attached. SEE COMPLETE KEY PAGE "B"
PORCH/SUNROOM/OTHER ROOM
Foundation
M
64.
Walls & ceiling components
NA
64
65.
Evidence of dampness or staining ( Y* or N)
N, NA
65
66.
Floor condition/area/ ceiling height
NA
66
67.
Window & door condition
NA
67
68.
Electrical outlets & fixtures
NA
68
ATTIC SPACE (f visible)
69. Roof boards & rafters / Mech. Vent. SC 69
a) Attic insulation
TYPE(s fiberglass DEPTH 12 inches
70. Evidence of dampness or staining ( Y* or N) N, M 70
71. Electrical outlets & fixtures M 71
EXTERIOR(Items visible at time of evaluation only)
Item number / Code / Comments
64 69. SC -Bath fan vents not fully
insulated.
66 82. RR Main electrical connectors
67 missing insulation protection.
68 Call X -Cel Energy.
69
71
72.
Foundation
M
72
72
73.
Basement windows
M
73
73
74.
Drainage (grade)
M
74
86
75.
Exterior walls
M
75
75
76.
Doors (frames/storms/screens/deadbolt locks)
M
76
76
77.
Windows (frames/storms/screens)
M
77
77
78.
Stoops
M
78
78
79.
Cornice & trim
M
79
80.
Roof covering & flashing
M
80
81.
Chimney
M
81
81
82.
Electrical outlets/fixtures
82
RR 82
83.
Two-family dwelling egress
NA
83
OPEN/UNHEATED TYPE PORCHES
84.
Floor
NA
84
84
85.
Walls
NA
85
85
86.
Roof /ceiling
NA
86
86
87.
Doors /screens /windows
NA
87
87
88.
Electrical outlets / fixtures
NA
88
88
GARAGE /Accessory Building (Automatic garage doors
that don't reverse upon striking an object pose a serious deficiency
and should be corrected immediately).
89. Roof structure & covering M 89 89
90. Wall structure & covering M 90 90
91. Garage doors M 91 91
a) Automatic garage door opener M 91a
92. Electrical outlets & fixtures M 92 92
MISCELLANEOUS
93. Clutter M 93 93
94. Sanitation M 94 94
95. Vermin M 95 95
LICENSED CONTRACTOR REQUIRED TO REPAIR OR EVALUATE (safety check or certify) :
Heating System: Yes ❑ NoX❑ Water Heater: Yes ❑ No ❑X Plumbing System: Yes ❑ NoX❑
Electrical System: Yes ❑ NoX❑ Structural System: Yes ❑ NoX❑ Other: Yes ❑
EVALUATOR TO RETURN TO COMPLETE THE EVALUATION DUE TO: utility shut-off, heating plant not on, locked
areas, etc. Yes ❑ NoE] (The evaluator will charge.)
Evaluator. (print) Neil Saltzman Date 10/19/2020
If "RR" items noted, permits may be required, see attached "Most Common Repair Items."