Attachment_2_Qualification_Checklist_20_Oct_docx.pdf

Attachment 2 Qualification Check List For Technical Capability Home Serial Number________________________________________

The following information is required for each manufactured housing units (MHU) provided for this requirement. Failure to provide this information for each manufactured home may result in an unsatisfactory technical rating for that individual home.

Duplication of this sheet is permitted. One sheet must be provided for each MHU.

Information to be provided for all MHU

1. Provided Manufactured Home Serial Number

2. Provided Manufactured Home Certification Label

Answer Yes or No for the following questions (No answers may disqualify the manufactured home.) Yes No

3. Was the home manufactured after June 1, 2015 before October 31,

4. Was the home purchased directly from the manufacturer

5. Has the home ever been installed, occupied or titled

6. Does the home meets HUD Code Zone of Minimum Wind Zone

II

7. Does the home meets HUD Code Zone of Minimum Thermal

Zone 1

8. Is the manufactured home is all electric

9. If the manufactured home is all electric, does the power requirement exceed 200 amps

10. Does the home have a vent hood over stove

Attachment 2 Qualification Check List For Technical Capability Home Serial Number________________________________________

Answer Yes or No for the following questions (No answers may

11. Does the home, as a minimum meet the HUD Code Zone for a

Roof Load of 20 PSF

12. Does the home have a water heater

13. Does the home have smoke detectors

14. Does the home have Range/Oven with at least 4 burners

15. Does the home have a refrigerator

16. Does the home have a microwave oven

17. Does the home have connections for washer/dryer

18. Does the home have washer and/or dryer (if the home has only one of the appliances please circle washer or dry)

19. Does the home have living room furniture

20. Does the home have dining room furniture

21. Does the home have bedroom furniture

22. Does the home have hard surface floors (e.g., tile, vinyl, hardwood, etc.) If no please identify the type of flooring in the home.

23. Does the home have window coverings (e.g., curtains, mini blinds, shades)

24. Does the home have exterior lights at all doors

25. Does the home’s heating/ventilation/air conditioning system include air conditioning

26. If the home does not have air conditioning is it set up so that air conditioning can be added

Attachment 2 Qualification Check List For Technical Capability Home Serial Number________________________________________

Answer Yes or No for the following questions (Yes answers may

27. Have any repairs been made to the exterior of the manufactured home

28. Have any alterations been made to the interior of the manufactured home

29. Has the manufactured home been transported other than from the factory to the current sales lot

30. Has the manufactured home ever been connected to any utilities

31. Are you aware of any 24 CFR 3282 the Manufactured Home

Procedural and Enforcement Regulations Subpart I investigations performed on the home by the manufacturer

Provide number or dimensions

32. Provide the width of the manufactured home

33. Provide the length of the manufactured home (excluding tongue)

34. Provide the height of the manufactured home

35. Provide the weight of the manufactured home in pounds

36. Provide number of bedrooms in manufactured home

37. Provide number of bathrooms in manufactured home

38. Provide number of axles on manufactured home

39. How many gallons is the water heater

Attachment 2 Qualification Check List For Technical Capability Home Serial Number________________________________________

For Questions 19 through 21 where the answer is “Yes” provide a list of all furniture included by room. Use the following identification for each room BR = Bedroom BR1, BR2, if needed BR 3, LR= Living Room, DR = Dining Room.

Example DR – table and 4 chairs

For Question 22 where the answer is “No” provide a description of the flooring material.

Attachment 2 Qualification Check List For Technical Capability Home Serial Number________________________________________

For Questions 25 through 29 where the answer is “Yes” provide an explanation (the first item for each explanation shall reference the question number)

Example: 25 – siding was loose due to heavy wind and was repaired.