HUD 52829 Physical Needs Assessment Capital Fund Financing Program
Public Housing Capital Fund Program
HUD 52829 SAC edits. convertxlsm and 508 compliance correct 5 8 2020 (1).xlsm
Public Housing Capital Fund Program
OMB: 2577-0157
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2577-0157 can be found here:
Document [xlsx]
Download: xlsx | pdf
PNA Summary
Tab 1
Tab 2
Tab 3
Tab 4
Tab 5
Tab 6
Tab 7
Tab 8
Tab 9
Tab 10
Tab 11
Tab 12
Tab 13
Tab 14
Tab 15
Tab 16
Tab 17
Tab 18
Tab 19
Tab 20
Overview
InstructionsPNA Summary
Tab 1
Tab 2
Tab 3
Tab 4
Tab 5
Tab 6
Tab 7
Tab 8
Tab 9
Tab 10
Tab 11
Tab 12
Tab 13
Tab 14
Tab 15
Tab 16
Tab 17
Tab 18
Tab 19
Tab 20
Sheet 1: Instructions
| INSTRUCTIONS for Physical Needs Assessment Form | |
| Instructions for Preparation of Form-Capital Fund Financing Program (CFFP) and Operating Funding Financing Program (OFFP) Physical Needs Assessment (PNA) | |
| Report Submission: Prepare a separate PNA form for each grouping of up to 20 developments in the HA's inventory, which are eligible for Capital Funding Program | |
| (CFP) funding, for all HA-wide non-dwelling needs, e.g., maintenance equipment, and for any development needs. Use a separate Tab for each property or HA-wide | |
| non-dwelling needs or any development needs. Submit these forms as part of the submission of a PHA Plan when pursuing a CFFP or OFFP Financing. On an as- | |
| needed basis, submit a revised form where physical needs have significantly changed since the last needs assessment and the HA wishes to revise its use of CFFP or | |
| OFFP proceeds to include uses not previously reflected in a CFFP/OFFP PNA. | |
| PNA Summary Instructions | |
| HA Name - Enter the HA Name | |
| HA Number - Enter the HA Number | |
| FY Of Assessment - Enter the year the assessment was completed. If the assessment spanned more than one year, enter the year that the Assessment was initiated. | |
| Original or Revision. Self-Explanatory. | |
| Date Prepared/Revised. Date Prepared is the date the Original Assessment form was completed. Date Revised is the date of the most recent Revision. If this is an | |
| Original submission, leave Date Revised blank. | |
| Tabs 1-20 Instructions | |
| Section 1 - Project Data | |
| 1.1 | Management Office Address - Address of Management Office from which the Project is managed. |
| 1.2 | Project Name - Enter the Name of the Development. |
| 1.3 | Development Number - Enter an 11-digit alpha numeric code as follows: Enter an 11-digit alpha numeric code as follows: two-digit State code (alpha); two-digit Field |
| Office code (numeric); P for Public Housing or B for Indian Housing; three-digit HA number (numeric); and three-digit development number (numeric). For example, | |
| VA05PO36001. In lieu of a development number, enter "HA-wide" for physical needs that are HA-wide in nature | |
| 1.4 | DOFA Date - Enter the Date of Full Availability (DOFA) in this format: MM/DD/YYYY. |
| 1.5 | Year of Last Substantial Modernization - Enter the FY when most recent substantial modernization occurred. For purposes of this form, substantial modernization is |
| defined as the replacement/repair of major building systems, which brought the development up to the modernization standards. | |
| 1.6 | Occupancy Rate - This is a calculated field based on the Bedroom Distribution table (1.11). |
| 1.7 | Latest PASS REAC Score - Provide the latest issued score, on a 100-point basis, for the development. |
| 1.8 | Total Buildings - Enter the total number of buildings (dwelling and non-dwelling) in the Development. |
| 1.9 | Occupancy Types - Check all occupancy types that apply. |
| 1.1 | Structure Types - Check all structure types that apply. |
| 1.11 | Current Bedroom Distribution - Enter the current number of occupied and vacant units, by bedroom size in 1.11a and 1.11b. This includes Rentable Units Only. |
| 1.11a | Occupied - Enter the occupied units, as of the date of completing this Form, by bedroom size, in the table. |
| 1.11b | Vacant - Enter the vacant units, as of the date of this Form, by bedroom size, in the table. |
| Section 2 - Summary Data | |
| 2.1 | PNA Conducted By: (PHA/3rd Party) - Select the applicable check box which best describes who conducted the PNA. Both selections can be chosen if applicable. |
| 2.2 | First Year Covered by PNA - Enter the first Calendar year that is covered in the PNA. This will be used to project the current needs and 20-year needs. |
| 2.3 | Length of PNA (in years) - Enter the length of time that the PNA covers. This will be used to project total PNA costs. |
| 2.4 | Unit Interiors Inspected (#) - This is calculated automatically, based on information provided at 2.14. |
| 2.5 | Inspector Contact Name: Enter the name of the contact person for the inspection. |
| 2.6 | Company Name or PHA Title: Enter the name of the company for whom the inspector works, or if conducted by a staff person of the PHA, enter the inspector's job title. |
| 2.7 | Inspector Contact Phone: Enter the phone number for contacting the inspector. |
| 2.8 | Data Source(s) for PNA: Check the applicable box or boxes indicating the sources of data for the preparation of the PNA. |
| 2.9 | Total Residential Buildings: Enter the number of residential buildings in the property. |
| 2.1 | Number of Building Exteriors Inspected: Enter the number of buildings for which the exteriors were inspected |
| (Reference HUD Handbook 7485.2 for PNA survey requirements). | |
| 2.11 | Total Off-Street Parking Spaces: Enter the number of off-street parking spaces on the site. |
| 2.12 | Site Acreage: Enter the total number of acres included in the site. |
| 2.13 | Parking Area (in square feet): Enter the approximate area of the off-street parking spaces. |
| 2.14 | Units Inspected by Bedroom Size: Enter the number of units for which the interiors were inspected, by bedroom size, into this table. |
| Reference HUD Handbook 7485.2 for PNA survey requirements. Note that designated accessible units, exterior and interior paths of travel, and all common areas should be surveyed for compliance with the Uniform Federal Accessibility Standards (UFAS) and the 2010 ADA Standards. Properties covered by the Fair Housing Act should be surveyed in accordance with 24 C.F.R. 100.205). | |
| 2.15 | Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost: Check "Yes" or "No". For cost reasonableness, |
| the preliminary estimate of hard costs for work proposed at the development should be 90 percent or less of Total Development Cost (TDC). | |
| 2.16 | Development Has Long-Term Physical and Social Viability: Check "Yes" or "No" as to whether the HA has determined that the development has long-term physical |
| and social viability. Note: If "No" is checked, attach the viability analysis and an explanation of what actions are proposed regarding the nonviable development. | |
| Section 3 - Total Physical Needs Summary. This section is a summary that is completed automatically from data entered in Section 4.0. | |
| Section 4 - Physical Needs Cost Estimate | |
| Column Instructions: | |
| Needed Physical Improvements. This section should include the estimated costs of all current and future physical improvements that must be undertaken to bring the | |
| development (dwelling and non-dwelling structures, dwelling and non-dwelling equipment, and site) up to a level at least equal to the modernization standards, energy | |
| conservation and life-cycle cost effective performance standards and the lead-based paint testing and abatement standards. Also, include any replacements of equipment, | |
| systems and structural elements that will be needed, assuming routine and timely maintenance, within the timeframe of the PNA. Enter only physical improvements that are | |
| eligible for Capital Fund Program funding. | |
| Use the most appropriate line items for repairs related to: Site (4.9), Common Buildings (4.10), Unit Exteriors (4.11), Unit Interiors (4.12), Mechanical Systems (4.13), a | |
| and Other (4.14). If you have a unique item not accounted for in each sub-section, modify the "Other (Specify)" line or lines provided. Please note that in Section 4.15 | |
| (Special Categories) you are asked to estimate the amount of lead-based paint and asbestos removal costs, and Section 504, ADA, | |
| and Fair Housing Act (if applicable) compliance cost estimates. These are not additive to the PNA cost estimate. | |
| 4.16 | Section 4.16 should include all New Construction activities being proposed, which, since they are not "modernization" in a strict sense, are segregated from the |
| rehabilitation costs in Section 4.9 to 4.15. | |
| 4.2 | Estimate Useful Life (in Years). Enter the number of years the component is expected to be serviceable in your geographic area. This is the "life cycle" of the |
| component adjusted to your conditions. | |
| 4.3 | Useful Life Remaining (in Years). Based on the inspection, estimate the number of years that this component is expected to remain useful before it needs to be |
| replaced or renovated. | |
| 4.4 | Method. The method for calculating the cost of replacing various items differs. For some items, it is the "cost per square foot" or "cost per linear foot". For others, it |
| is a "unit cost". Some other items may be "lump sum". In this column, select the method from the pull down menu that is being used for estimating the replacement/repair | |
| cost of the line item. | |
| 4.5 | Total Quantity. Enter the quantity that will be required for each line item, which will then be multiplied by the Cost per Quantity (4.8) and produce the Total Long- |
| Term Need. | |
| 4.6 | Current Needs Quantity. In this column, enter the quantity of each line item that needs immediate repair or replacement. These are existing or backlog needs, and will |
| be treated as a "sub-set" of Year One Needs and will be reflected in the "Immediate" column in Section 3.0 of the PNA. | |
| 4.7 | Cost per Quantity. Enter the estimated Cost for each line item, based on the Method selected in Column 4.5. This estimate should exclude any management |
| improvements, administration, architectural/engineering fees, relocation or other soft costs. | |
| Total Long Term Needs: Long term needs will be automatically calculated based on the projected useful life, estimated useful life remaining, quantity and cost | |
| per quantity fields. | |
| The form has been designed to print in portrait mode on 8.5 x 11 paper and will only include the fields from columns A - J. To print the future cost projections, the print | |
| area command must be used to change the print area. |
Sheet 2: PNA Summary
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | PNA Summary | ||||||
|
||||||||
| HA Name | HA Number | |||||||
| 0 | 0 | |||||||
| Project Name | Project Number | Immediate Repairs | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total | Per Unit |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| 0 | 0 | $- | $- | $- | $- | $- | $- | #DIV/0! |
| Totals | $- | $- | $- | $- | $- | $- | #DIV/0! | |
| Category | Immediate Repairs | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total | Per Unit | |
| Site | $- | $- | $- | $- | $- | $- | #DIV/0! | |
| Common Buildings | $- | $- | $- | $- | $- | $- | #DIV/0! | |
| Unit Exteriors | $- | $- | $- | $- | $- | $- | #DIV/0! | |
| Unit Interiors | $- | $- | $- | $- | $- | $- | #DIV/0! | |
| Mechanical | $- | $- | $- | $- | $- | $- | #DIV/0! | |
| Other | $- | $- | $- | $- | $- | $- | #DIV/0! | |
| Total Preliminary Estimated Cost | $- | $- | $- | $- | $- | $- | #DIV/0! | |
| Amount of PNA relating to Lead Paint/Asbestos | $- | #DIV/0! | ||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance. | $- | #DIV/0! | ||||||
| New Construction | $- | #DIV/0! | ||||||
| Total Physical Needs | $- | #DIV/0! | ||||||
Sheet 3: Tab 1
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| Revision | Date Revised: | |||||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) | 
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504 Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0) Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Unit | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Other | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Other | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Other | $- | ||||||||||||||||||||||||||||
| Administrative Building | Other | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Other | $- | ||||||||||||||||||||||||||||
| Shop | Other | $- | ||||||||||||||||||||||||||||
| Storage Area | Other | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Other | $- | ||||||||||||||||||||||||||||
| Day Care Center | Other | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Other | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Other | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Other | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 4: Tab 2
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 5: Tab 3
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0) Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Other | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Other | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Other | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Other | $- | ||||||||||||||||||||||||||||
| Administrative Building | Other | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Other | $- | ||||||||||||||||||||||||||||
| Shop | Other | $- | ||||||||||||||||||||||||||||
| Storage Area | Other | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Other | $- | ||||||||||||||||||||||||||||
| Day Care Center | Other | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Other | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Other | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Other | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 6: Tab 4
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 7: Tab 5
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | |||||||||||||||||||||||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 8: Tab 6
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 9: Tab 7
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 10: Tab 8
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| Sample PHA | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 11: Tab 9
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| Sample PHA | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 12: Tab 10
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| Sample PHA | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 13: Tab 11
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 14: Tab 12
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 15: Tab 13
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 16: Tab 14
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 17: Tab 15
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 18: Tab 16
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | 
|
(1.3) Development No. | (1.4) DOFA Date | |||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 19: Tab 17
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 20: Tab 18
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 21: Tab 19
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
Sheet 22: Tab 20
| Physical Needs Assessment | U.S. Department of Housing | OMB Approval No. 2577-0157 | ||||||||||||||||||||||||||||
| Capital Fund Financing Program/ | and Urban Development | (exp. 1/31/2017) | ||||||||||||||||||||||||||||
| Operating Fund Financing Program | Office of Public and Indian Housing | |||||||||||||||||||||||||||||
| HA Name | HA Number | FY of Assessment | Original | Date Prepared: | ||||||||||||||||||||||||||
| 0 | 0 | Revision | Date Revised: | |||||||||||||||||||||||||||
| (1.0) Project Data | ||||||||||||||||||||||||||||||
| (1.1) Management Office Address | (1.3) Development No. | (1.4) DOFA Date | ||||||||||||||||||||||||||||
| (1.2) Project Name | ||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||
| (1.9) | Elderly | (1.10) | S-F Detached | |||||||||||||||||||||||||||
| (1.5) Year of Last Substantial Mod | Occupancy | Family & Disabled | Structure | Semi-Detached | ||||||||||||||||||||||||||
| (1.6) Occupancy Rate | #DIV/0! | Type(s) | Elderly & Disabled | Type(s) | Row or Townhome | |||||||||||||||||||||||||
| (Rentable Units Only) | (Check) | Not Applicable | (Check | M-F/Walkup | ||||||||||||||||||||||||||
| (1.7) Latest PASS REAC Score | all that apply) | Official Designation: Elderly | all that | Elevator | ||||||||||||||||||||||||||
| Total Units | 0 | Official Designation: Disabled | apply) | Non-Dwelling | ||||||||||||||||||||||||||
| (1.8) Total Buildings | Official Designation: Mixed | |||||||||||||||||||||||||||||
| Occupied Units | 0 | |||||||||||||||||||||||||||||
| Vacant/Rentable Units | 0 | (1.11) Bedroom Distribution | ||||||||||||||||||||||||||||
| Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||||
| (1.11a) Occupied | ||||||||||||||||||||||||||||||
| (1.11b) Vacant | ||||||||||||||||||||||||||||||
| Total Units | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||||||||||||||
| Avg Bedrooms per Unit | #DIV/0! | |||||||||||||||||||||||||||||
| (2.0) Physical Needs Assessment Summary Data | ||||||||||||||||||||||||||||||
| (2.1) PNA Conducted By: (PHA/ 3rd Party) | PHA Internally | (2.5) Inspector Contact Name: | ||||||||||||||||||||||||||||
| 3rd Pary Independent | (2.6) Company Name or PHA Title: | |||||||||||||||||||||||||||||
| (2.2) First Year Covered by PNA | (2.7) Inspector Contact Phone: | |||||||||||||||||||||||||||||
| (2.3) Length of PNA (in years) |
|
|||||||||||||||||||||||||||||
| (2.4) Unit Interiors Inspected (#) | 0 | (2.8) Data Source(s) for PNA | ||||||||||||||||||||||||||||
| Units Inspected as % of Total | #DIV/0! | Contractor | ||||||||||||||||||||||||||||
| (2.9) Total Residential Buildings | REAC Inspections | |||||||||||||||||||||||||||||
| (2.10) Number of Building Exteriors Inspected | ||||||||||||||||||||||||||||||
| (2.11) Total Off-Street Parking Spaces | (2.14) Units Inspected by Bedroom Size | |||||||||||||||||||||||||||||
| (2.12) Site Acreage | acres | Eff | 1BR | 2BR | 3BR | 4BR | 5BR+ | |||||||||||||||||||||||
| (2.13) Parking Area (in square feet) | SF | |||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||
| (2.15) Physical Improvements Will Result in Structural/System Soundness at a Reasonable Cost | No | |||||||||||||||||||||||||||||
| (2.16) Development Has Long-Term Physical and Social Viability | Yes | No | ||||||||||||||||||||||||||||
| (3.0) Total Physical Needs Summary | ||||||||||||||||||||||||||||||
| Major Category | Immediate | Years 1-5 | Years 6-10 | Years 11-15 | Years 16-20 | Total Needs | ||||||||||||||||||||||||
| Site | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Common Buildings | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Exteriors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Unit Interiors | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Mechanical | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Other | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Totals | $- | $- | $- | $- | $- | $- | ||||||||||||||||||||||||
| Amount of PNA relating to Lead Paint/Asbestos | $- | $- | ||||||||||||||||||||||||||||
| Amount of PNA relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | $- | $- | ||||||||||||||||||||||||||||
| New Construction | $- | |||||||||||||||||||||||||||||
| TOTAL PHYSICAL NEEDS | $- | |||||||||||||||||||||||||||||
| (4.0)Physical Needs Cost Estimate | ||||||||||||||||||||||||||||||
| (4.1) Category | (4.2) Estimated Useful Life | (4.3) Useful Life Remaining | (4.4) Method | (4.5) Total Quantity | (4.6) Current Needs Quantity | (4.7) Cost per Quantity | (4.8) Immediate Repairs Needed | Total Long Term Needs | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | ||
| (4.9) Site | (in yrs) | (in yrs) | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||
| Asphalt/Concrete | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Seal Coat | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Striping | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Curb & Gutter | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Pedestrian paving | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Signage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Water Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Sewer Lines/Mains | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storm Drainage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landscape | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fencing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fence Painting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dumpsters & Enclosures | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Playground Areas/Equipment | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Site Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.10) Common Buildings--Rehab Only | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Community Building | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shop | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Storage Area | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Boiler | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Central Chiller | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Family Invesment Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Day Care Center | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Laundry Areas | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Washers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Common Area Finishes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Common Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.11) Unit Exteriors | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Carports/Surface Garage | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Foundation | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Building Slab | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Roofs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Canopies | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Tuck-Pointing | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Paint & Caulking | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Soffits | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Siding | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Stairwells/Fire Escapes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Landings & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Balconies & Railings | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Mail Facilities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Windows | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Gutters/Downspouts | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Columns & Porches | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Decks & Patios | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Exterior Lighting | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Exterior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.12) Unit Interiors | Years 1-5 | - | Years 6-10 | - | Years 11-15 | - | Years 16-20 | - | ||||||||||||||||||||||
| Interior Painting (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Interior Doors | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Flooring (non routine) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Shower/Tub Surrounds | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Commodes | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Vanities | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Faucets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Bathroom Flooring (non cyclical) | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Kitchen Cabinets | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Ranges | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Range Hoods | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Refrigerators | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Counters and Sinks | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dishwasher | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Microwave | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Washing Machines | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dryers | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Call-for-Aid Systems | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Stairs and Handrails | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Unit Interior Subtotals | $- | $- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | $- | |||||||
| (4.13) Mechanical | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Water Distribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Heating Equipt/System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Electric Disribution | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Hot Water Heaters | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Sub-panels | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Trash Compactor | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Cooling Equipt/Systems | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Smoke/Fire Detection | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Unit Reconfiguration | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Security/Fire Alarm | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Fire Suspression System | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Generator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Elevator | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Mechanical Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.14) Other | Years 1-5 | $- | Years 6-10 | $- | Years 11-15 | $- | Years 16-20 | $- | ||||||||||||||||||||||
| Site Acquisition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other Fees and Costs | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Demolition | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Dwelling Unit Conversion | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Contingency | Per Sq. Ft. | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | ||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other (Specify) | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| Other Subtotals | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| GRAND TOTAL | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | $- | |||||||
| (4.15) Special Categories | ||||||||||||||||||||||||||||||
| Amount of PNA Relating to Lead Paint/Asbestos Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Amount of PNA Relating to Section 504, ADA, and Fair Housing Act (if applicable) Compliance | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| (4.16) New Construction | ||||||||||||||||||||||||||||||
| Dwelling Units | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Administrative Building | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Community Building or Facility | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Shop | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Storage Area | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Family Investment Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Day Care Center | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Laundry Areas(s) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | Per Sq. Ft. | $- | ||||||||||||||||||||||||||||
| Other (Specify) | $- | |||||||||||||||||||||||||||||
| New Construction Subtotals | $- | |||||||||||||||||||||||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
© 2024 OMB.report | Privacy Policy