1 UNITED CHURCH OF CANADA NEWFOUNDLAND & LABRADOR CONFERENCE EAST DISTRICT MANSE COMMITTEE MANSE INSPECTION REPORT PASTORAL CHARGE MANSE ADDRESS VALUE OF PROPERTY VALUE OF FURNISHINGS PRESENT LIABILITIES INSURANCE CARRIED FAIR RENTAL VALUE MONTHLY ESTIMATED ANNUAL HEATING COST DATE OF INSPECTION INSPECTED BY: Revised: 2010
2 LOCATION: Rural Urban MISCELLANEOUS INFORMATION Apartment Bungalow 2 - Storey Split Level Mobile Home Residential Commercial Industrial Paved Roads Sidewalks YEAR BUILT: BUILDING SIZE: EXTERIOR SIDING: LOT SIZE: SHED: SIZE: GARAGE: Yes No SIZE: attached detached PROPERTY FENCED: Yes No HOME WHEELCHAIR ACCESSIBLE? Yes No HEATING SYSTEM: Electric Oil (Air) Oil (Water) Other IF OIL, IS TANK UP TO STANDARD CODE? EMERGENCY HEATING ALTERNATIVE? Wood Stove Fireplace wood propane VENTILATION SYSTEM: ELECTRICAL SYSTEM: Amps Breakers Fuses HOT WATER HEATER: Electric Oil Propane WATER SERVICES: Municipal Well SEWER SERVICES: Municipal Septic Tank INSULATION TYPE: DISTANCE TO: Schools: Primary ROOF COVERING: Health Care Centre: Churches on Pastoral Charge: Elementary High Major Shopping Centre: Public Transport: UCC Ministry Colleagues: LAWN MOWER : CLERGY RESPONSIBILITY? SNOW BLOWER: CLERGY RESPONSIBILITY? CABLE TV AVAILABLE? INTERNET: Dial Up Highspeed DECK: LOCATION: SIZE: Location of Smoke Detectors: Location of Fire Extinguishers: Location of Carbon Monoxide detector:
3 BEDROOMS 1. 2. 3. 4. Floor Covering 1. 2. 3. 4. List Furniture 1. 2. 3. 4. Adequate Lighting & Outlets? Phone Jack? Adequate Closet Space? Ensuite bath/shower? BEDROOM: Other Comments Please comment specifically re: draperies/blinds, walls coverings & conditions, windows, etc. PLEASE RATE BEDROOMS USING: G - Good; F - Fair; P - Poor BEDROOM: Overall Rating 1. 2. 3. 4. Floor Covering KITCHEN Dishwasher? List Other Appliances Adequate Cupboard Space? Phone Jack? KITCHEN: Other Comments Please comment re: sink, windows, curtains, cupboards, appliances, etc. KITCHEN: Overall Rating PLEASE RATE KITCHEN USING: G - Good; F - Fair; P - Poor
4 DINING ROOM Any Furniture? Floor Covering Phone Jack? DINING ROOM: Comments draperies, wall covering & conditions, etc. DINING ROOM: Overall Rating PLEASE RATE DINING ROOM USING: G - Good; F - Fair; P - Poor LIVING ROOM Any Furniture? Floor Covering Phone Jack? LIVING ROOM: Comments draperies, wall coverings & conditions, etc. LIVING ROOM: Overall Rating PLEASE RATE LIVING ROOM USING: G - Good; F - Fair; P - Poor
5 FAMILY / RECREATION ROOM : Location: Any Furniture? Floor Covering Phone Jack? FAMILY ROOM: Comments draperies, wall coverings & conditions, etc. FAMILY ROOM: Overall Rating PLEASE RATE FAMILY ROOM USING: G - Good; F - Fair; P - Poor BATHROOMS 1. 2. 3. Circle appropriate choice: Full / Half Full / Half Full / Half Location 1. 2. 3. Floor Covering 1. 2. 3. Indicate appropriate choice: [A] Bath [B] Shower Stall [C] Tub with Shower [D] Both Adequate Medicine Cabinet or Vanity? Adequate Closet Space? BATHROOM: Comments curtains, showers, wall covering & condition, etc. PLEASE RATE BATHROOM USING: G - Good; F - Fair; P - Poor BATHROOM: Overall Rating 1. 2. 3.
6 LAUNDRY ROOM Location Appliances Laundry Sink? LAUNDRY ROOM: Comments wall covering & condition, age of appliances, etc. PLEASE RATE LAUNDRY ROOM USING: G - Good; F - Fair; P - Poor LAUNDRY ROOM: Overall Rating Please Indicate: PASTORAL CHARGE OFFICE or STUDY/DEN Location SEPARATE ENTRANCE: Floor Covering Phone Jack? List Furniture Computer Available? Internet Access? Dial Up High Speed Fax Machine? Photocopier? Adequate Shelving? OFFICE: Comments accessibility, wall covering & condition entrance concerns, etc. OFFICE: Overall Rating PLEASE RATE OFFICE USING: G - Good; F - Fair; P - Poor
7 BASEMENT Circle Choice: Finished / Unfinished Floor Covering Phone Jack? BASEMENT: Comments draperies, walls, accessibility, usage possibility, etc. BASEMENT: Overall Rating PLEASE RATE BASEMENT USING: G - Good; F - Fair; P - Poor Location IDENTIFY GENERAL STORAGE SPACE STORAGE SPACE: Comments Please make any necessary comments PLEASE RATE STORAGE SPACE USING: G - Good; F - Fair; P - Poor STORAGE SPACE: Overall Rating ENTRANCES & PORCHES BACK: SIZE: DOORBELL Closet STORM DOOR FRONT: SIZE: DOORBELL Closet STORM DOOR
8 GENERAL OBSERVATIONS & RECOMMENDATIONS We consider the Manse large enough and adequate for a family of five. We recommend the following: 1. 2. 3. 4. 5. 6. OTHER COMMENTS:. EAST DISTRICT MANSE COMMITTEE CONVENOR EAST DISTRICT PASTORAL RELATIONS CONVENOR