Blueberry River ON-RESERVE First Nations HOUSING POLICY · Roof Covering Flashing Chimneys,...

B L U E B E R R Y O N - R E S E R V E H O U S I N G P O L I C Y 2 0 1 5 | 1

Blueberry River First Nations

ON-RESERVE HOUSING POLICY

Blueberry River First Nations PO Box 3009

Buick Creek, BC V0C 2R0

T: 250-630-2584 F: 250-630-2588

APPENDIX E – PURCHASE / OWNERSHIP AGREEMENT

PAGE LEFT BLANK INTENTIONALLY

P U R C H A S E A G R E E M E N T [ D R A F T ]


Purchase Agreement [DRAFT]

DATE: __________________ [dd/mm/yyyy]

PARTIES:

� This Agreement is between:

Party 1: Blueberry River First Nations (BRFN); PO Box 3009 Buick Creek, BC V0C 2R0; AND

Party 2: ______________________________________________________ [Name / Address]

UNIT

� This Agreement is regarding the following unit:

Lot # _______________________________________

House # ____________________________________

Address ____________________________________

� This unit is fully owned by BRFN and has been mortgage-free as of: _________________________________ [dd/mm/yyyy].

TERMS

� BRFN agrees to sell [Party 2] the above-noted unit for the amount of $1, in accordance with the BRFN Housing Policy.

� In accordance with the Housing Policy, [Party 2] agrees to assume ownership of the unit and

associated structures only; all land (and underground infrastructure) remains under the sole possession of BRFN.

� Once ownership has been transferred (with the signing of this Agreement), the new owner agrees to

meet all Homeowner responsibilities, as outlined in the BRFN Housing Policy.

CONDITION ASSESSMENT

� In accordance with the BRFN Housing Policy, BRFN has provided the prospective owner with the following:

� A Condition Inspection Report for the unit / structures; AND

P U R C H A S E A G R E E M E N T [ D R A F T ]

� Any relevant documentation, including:

� Site plan and building floor plans; � Repair history and prior inspections; � Notice of any illegal activity that’s occurred in the unit previously; and � Other: _____________________________________________.

� [Party 2] has reviewed the information provided and agrees to accept the unit in its current

condition (as of the date of this Agreement) and assume responsibility of all repairs and maintenance (among others), as outlined in the Housing Policy.

� Yes � No (if this option is selected, the sale shall not proceed).

BAND COUNCIL RESOLUTION (BCR)

� All sales shall be approved by Chief and Council through a Band Council Resolution. Band Council Resolution # _______________________ was passed on ________________________ .

SIGNATURE

� I understand and agree to the terms of this Agreement:

_____________________________________________

[Name] on behalf of Blueberry River First Nations

_____________________________________________

[Party 2]

APPENDIX F – REPAYMENT AGREEMENT

R E P A Y M E N T A G R E E M E N T [ D R A F T ]


Repayment Agreement [DRAFT]

DATE: __________________ [dd/mm/yyyy]

PARTIES:

� This Agreement is between:

Party 1: Blueberry River First Nations (BRFN); PO Box 3009 Buick Creek, BC V0C 2R0; AND

Party 2: ______________________________________________________ [Name / Address]

BACKGROUND:

� BRFN entered into an agreement [Name of Agreement] with [Party 2] on [dd/mm/yyyy] with regards to the unit located at:

Lot # _______________________________________

House # ____________________________________

Address ____________________________________

� [Party 2] agreed to pay BRFN monthly rent in the amount of _________________ to use and occupy the unit in accordance with the BRFN Housing Policy.

� [Party 2] currently owes BRFN ___________ in unpaid rent (Arrears).

TERMS

� [Party 2] agrees to repay BRFN the Arrears in accordance with the following schedule:

Payment # Amount to be paid Due Date

1 $ (dd/mm/yyyy)

2 $ (dd/mm/yyyy)

3 $ (dd/mm/yyyy)

4 $ (dd/mm/yyyy)

5 $ (dd/mm/yyyy)

6 $ (dd/mm/yyyy)

R E P A Y M E N T A G R E E M E N T [ D R A F T ]

FINAL PAYMENT $ (dd/mm/yyyy)

� Arrears will be paid through the following means:

� Direct debit; � Bi-weekly payroll deduction; � Credit card; � Electronic transfer; � Post-dated cheques; or � Cash.

� [Party 2] will continue to pay rent to BRFN as required under the original Agreement, and nothing in this agreement relieves [Party 2] of the obligation to pay rent or fail to meet any other obligations as outlined in the BRFN Housing Policy.

� Once the Final Payment has been made (i.e. all Arrears paid off), this Agreement will be considered terminated.

� Failure to meet the terms of this Agreement will result in appropriate action as outlined in the BRFN Housing Policy.

SIGNATURE

I understand and agree to the terms of this Agreement:

_____________________________________________

[Name] on behalf of Blueberry River First Nations

_____________________________________________

[Party 2]

APPENDIX G – HOUSING COMMITTEE TERMS OF REFERENCE

H O U S I N G C O M M I T T E E T E R M S O F R E F E R E N C E


Housing Committee Terms of Reference

Overview This Terms of Reference (ToR) shall serve the foundation for the Blueberry River First Nations (BRFN) Housing Committee (the Committee). It will be used to guide the effective, fair, and transparent functioning of the Committee, ensuring that decisions and outcomes are aligned with the spirit and intent of the Housing Policy and the needs of BRFN.

Role of the Housing Committee The Housing Committee is an independent, volunteer body comprised entirely of BRFN community members and is responsible for making important housing decisions on behalf of the entire BRFN community in accordance with the BRFN Housing Policy (see Housing Policy for detailed Roles & Responsibilities).

The Committee shall be comprised of one (1) representative from each of the five families, one (1) Council member and one (1) alternate.

The Committee also serves in advisory role to the Housing Coordinator and Chief and Council and acts as an overall champion of the Housing Policy and program.

Membership in the Committee � All Members of BRFN (as defined in the Housing Policy) are eligible to apply to join the Housing

Committee.

� Membership in the Committee shall be on a voluntary basis and shall last for as long as the member is willing and able to perform his or her duties.

� Initial membership in the Committee shall be determined by the Housing Coordinator. Once the Committee is established, membership shall be determined collectively by the existing Committee members.

� Committee members shall be selected based on their demonstrated commitment to the following core principles:

� Fair and impartial decision-making; � Advancing the best interests of BRFN as a whole; � Understanding the housing needs of BRFN; and � Upholding the BRFN Housing Policy.

� The Housing Committee shall, to the greatest extent possible, be comprised of a diverse mix of BRFN members that represent a broad range of ages, experiences, and perspectives.

� Individuals hoping to join the Housing Committee to advance personal, family, or political interests, shall be rejected.


Conflict of Interest � At times, conflicts of interest may arise. All Committee members shall follow the conflict of interest

policies and procedures as outlined in the Housing Policy.

Functioning of the Committee � Committee meetings shall be coordinated and chaired by the Housing Coordinator. However, the

Housing Coordinator shall serve in an administrative capacity only and shall be considered a non-voting member.

� The Housing Committee shall be comprised of seven (7) voting members. This will consist of one (1) representative from each of the six (6) BRFN families plus (1) member of Council.

� For a meeting to be considered official, there must be a majority of members present (i.e. a quorum). If there are seven (7) voting members in the Committee, at least four (4) members must be present to reach a quorum.

� The Committee shall strive to reach all decisions by consensus (i.e. all in agreement). If consensus cannot be reached, the Committee may decide by majority vote.

� Members are expected to attend all meetings, unless due to emergency circumstances.

� Members are expected to act in a professional and respectful manner at all times.

� Meetings shall be held at least once per month; additional meetings may be scheduled on an as-needed basis.

� The date for the next meeting shall be set at the close of each current meeting.

� An agenda for each meeting shall be distributed, by the Housing Coordinator for comments one week prior to the meeting date.

� Minutes for the meeting shall be recorded, circulated to all Committee members within 2 weeks of the meeting, and archived. Minutes shall reflect an accurate and transparent record of what occurred at the meeting (individuals in attendance, topics discussed, general spirit / content of discussion, decisions / outcomes), however shall exclude confidential personal information.

� In its first meeting, the Housing Committee shall:

x Review the ToR and make any necessary adjustments.

x Establish Ground Rules to guide internal Committee procedures, including (but not limited to):

o Procedures for talking and responding;

o Conflict resolution;

o Voting procedures and majorities (if consensus cannot be reached);

o Procedures for opening and closing meetings; and

o Other relevant topics as determined by Committee.

x Identify a secure (private) meeting location for future Committee meetings.


x Identify a meeting Secretary (to complete Minutes).

� A summary newsletter on the activities of the Committee shall be completed annually.

Housing Committee Members

The following is a list of the current Housing Committee Members:

Blueberry River Housing Committee

No. Member

1

2

3

4

5

6

7

APPENDIX H – CONDITION INSPECTION REPORT

Unit Condition Report

Street Address

Tenants Name

Home Phone

Other Phone

Email Address

Move in Date

Insert Photo of Property

Report ID# (N,E)

ROOFING Y N RRoof Covering □ □ □Flashing □ □ □Chimneys, Penetrations □ □ □Roof Drainage Systems □ □ □

Roof Material xx Viewed Roof From: xx3 Tab Fiberglass □ Ground □Asphalt Shingle □ Walked the roof □

Architectural □ Ladder □Roll Roofing □ Binoculars □

Half-Lap □Built-up □

Slate □Rubber Membrane □

Concrete □Tile □

Tar and Gravel □Cedar Shakes □

Metal □Asbestos □

Wood Shakes □Modified Bitumen □Ceramic / Clay □

Asphalt / Fiberglass □Corrugated Fiberglass □

SKYLIGHTS xx EXT. CHIMNEY xxNone □ None □One □ Masonry Stucco □Two □ Block □

Three □ Metal Flue Pipe □More than three □ Brick □

Ventilating □ Comp. Board □Fixed □ EIFS (Stucco) □

Homemade □ Metal Siding □Motorized □ Stone □Solar Tube □ Cement Fiber □

Custom Made □ Wood □Roof Windows □ Panels □

□ Other □

KEY: Y=INSPECTED N=NOT INSPECTED R=REPAIR / REPLACE

ROOFING

x x

x x x x x x

x x x x x x

x

x x x x x x x x x

ROOFING NOTES, DEFECTS, REPAIRS REQUIRED

x x x x x x x x

x x x x x

x x x x x x

x

EXTERIOR Y N RWall Cladding □ □ □

Flashing & Trim □ □ □Doors □ □ □

Windows □ □ □Decks □ □ □

Balconies □ □ □Steps □ □ □

Railings □ □ □Porch & Patio Floors □ □ □

Walkways □ □ □Patio □ □ □

Covers □ □ □Driveways □ □ □Vegetation □ □ □

Grading □ □ □Drainage □ □ □

Retaining Walls & Related Structures □ □ □Porches □ □ □Eaves □ □ □Soffit □ □ □

Fascias □ □ □

SIDING STYLE XX SIDING MATERIAL XXBevel □ Wood □

Channel □ Vinyl □Drop □ EIFS □Lap □ Cement Fiber □Log □ Masonry Panels □

Ship Lap □ Logs □Shakes □ Aluminum □Shingles □ Shingles □

Vertical Lap □ Cedar □Wood □ Shakes □

Block & Mortar □ Full Brick □Tongue & Groove □ Brick Veneer □

German Lap □ Asphalt □T 1-11 □ Stone □

Reverse Board & Batten □ Metal □Brick □ Corrugated Metal □

Cement Stucco □ Plywood □Batten □ Unfinished □


EXTERIOR

EXT. DOORS XX APPURTENANCES XXWood □ Deck □Steel □ Deck with Steps □

Hollow Core □ Sidewalk □Solid □ Patio □

Single Pane □ Porch □Insulated Glass □ Covered Porch □Plastic Comp. □ Ramp □Insulated Door □ Steps w/ Railing □

Fiberglass □ Balcony □Insul. Fibergalss □ Other □

DRIVEWAYS XXAsphalt □Gravel □Brick □Dirt □

Cobblestone □Street Parking □

Parking Lot □Shared Drive □Not Visible □

Other □

xx

xxxxxx

x

x

x

xxxxxxxxxxxx

EXTERIOR NOTES, DEFECTS, REPAIRS REQUIRED

xxxxxxx

xxx

xxxxxxx

x

xx

xx

STRUCTURAL COMPONENTS Y N RFoundation/Basement/ Crawlspace □ □ □

Floors □ □ □Walls □ □ □

Ceilings □ □ □Columns or Piers □ □ □

Roof Structure Including Attic □ □ □

FOUNDATION XX WALL STRUCTURE XX

Masonry Block □ Brick □Pressure Treated Wood □ Block □

Poured Concrete □ Wood □Brick □ 2x4 Wood □

Skirting □ 2x6 Wood □Concrete Slab □ Metal Studs □Aesthetic Block □ Diameter Logs □

Rock □ □

FLOOR STRUCTURE XX COLUMNS/PIERS XX2x6 □ Wood Piers □2x8 □ Brick Piers □

2x10 □ Supporting Walls □2x12 □ Dry Stacked Stone □

Wood Beams □ Dry Stacked Brick □Engineered Floor Joists □ Dry Stacked Block □

Steel I-Beam □ Mortared Material □Slab Floor □ Block Supports □

Concrete Floor □ Steel Screw Jacks □Not Visible □ Steel Lally Columns □


STRUCTURAL COMPONENTS

ROOF STRUCTURE XX TYPE OF ROOF XXEngineered Trusses □ Gable Roof □

2x4 Rafters □ Gable w/Dormers □

2x6 Rafters □ Gable w/ Addition □2x8 Rafters □ Double Gable □2x10 Rafters □ Multiple Dormers □2x12 Rafters □ Hip Roof □Steel Trusses □ Shed Roof □

Lateral Bracing □ Gambrel Roof □Common Board □ Round □

Wood Slats □ Geodesic Dome □Plywood Sheathing □ A-Frame □

Collar Ties □ Flat Roof □Not Visible □ Other □

CEILING STRUCTURE XX CRAWLSPACE VIEWED FROM XX

2x4 □ Crawled □2x6 □ From Entry □2x8 □ Unsafe Conditions □2x10 □ No Crawlspace □

Diameter Logs □ Standing Water □Not Visible □ No Access □

ATTIC INFORMATION XX ATTIC VIEWED FROM XXAttic Hatch □ Entry □

Pull Down Stairs □ Walked □

Lighting in Attic □ Inaccessible □Scuttle Hole □ From Stairs □

Storage □ Partial Viewing □

x x

x x x

x x x x x x x x x x x x

x x x x x x x

STRUCTURAL NOTES, DEFECTS, REPAIRS REQUIRED

x

x

x x x x x x x x x

x x x

x x x x x x x

INTERIORINTERIOR INFORMATION Y N R

CeilingsWallsFloors

Windows (representative number)Doors

Counter Tops & CabinetsSteps, Stairways, Railings

FLOOR COVERINGS XX CEILING MATERIALS XXCarpet □ Drywall □Wood □ Sheetrock □

Hardwood T & G □ Wallpaper □Laminate T & G □ Wallpaper/ Painted Over □

Vinyl □ Ceiling Tile □Linoleum □ Plaster □

Unfinished □ Suspended Ceiling Tile □Wood Planking □ Comp. Mineral Fiberboard □

9" Tile (possible asbestos) □ Textured Sheetrock □T & G Planking □ Unfinished Ceiling □

Tile □ Wood □Stone □ Comp. Particleboard □

Self Adhesive Tile □ Plywood □

WINDOW TYPES XX BRAND XXThermal (insulated) □ □

Non-Insulated □ □Single Pane □ □

Jalousie □ □Awning □ □

Bow Window □ □Storm Windows □ □Tilting Windows □ □Double-Hung □ □Single-Hung □ □

Sliders □ □Casement Windows □ □

Both Insul. & Non- Insul. □ □


INTERIOR WALL MATERIALS XX INTERIOR DOORS XXDrywall □ Hollow Core □

Sheetrock □ Solid Core □

Plaster □ Masonite □Paneling □ Raised Panel □

Wallpaper □ Recess Sculptured □Wood □ Metal □

Unfinished □ Wood □Tile □ Homemade Doors □

Painted Wallpaper □ Particleboard □Wainscoting □ Sliding Pocket Doors □

CABINETS XX COUNTER TOPS XXNone Present □ None Present □

Wood □ Wood □

Veneer □ Veneer □Laminate □ Corian □

Plastic □ Marble □Melamine □ Composite □

Homemade Cabinets □ Laminate □Oak □ Granite □Pine □ Slate □

Other Material □ Other □

xxx

xxx

xxxxx

xxxxxxxxxxxxx

xxxxxxxxx

INTERIOR NOTES, DEFECTS, REPAIRS REQUIRED

xxxxx

xx

xxx

xx

HEATING / CENTRAL AIR COND. Y N R

Heating Equipment □ □ □

Normal Operating Controls □ □ □Automatic Safety Controls □ □ □

Cooling Equipment □ □ □Gas / LP Fireplaces □ □ □

Solid Fuel Heating Devices (woodstove, fireplace) □ □ □

Pellet Stove / Corn Stove / Multi-Fuel Stove □ □ □

Chimneys, Flues and Vents □ □ □Distribution Systems, Fans, Controls □ □ □

Presence of Heat Source in Each Room □ □ □

Presence of Cooling Source in Each Room □ □ □

HU & CU BRANDS HU CU

Unknown □ □None □ □

□ □

HEAT- ENERGY SOURCE xx FIREPLACES xxOil □ Conventional (wood) □

Natural Gas □ Stand Alone □

Propane □ Gas Non Vented □ Kerosene □ Gas Vented □

Solar □ Decorative Only □Electric □ Prop. Gas Log Vented □ Wood □ Prop. Gas Log Non-V □Coal □ Pellet Insert □

Pellets □ Sealed-off Fireplace □Corn or Alternate Fuel □ None □

KEY: HU=HEATING UNIT CU=COOLING UNIT


HEATING & COOLING SYSTEMS

FILTER TYPES xx DUCT WORK xxN/A (None) □ Insulated □Washable □ Non-Insulated □

Disposable □ Both (I & NI) □ Electronic Air Cleaner □ Partially Insulated □

Cartridge □ Galvanized Ducts □

Multiple Filters □ Possible Asbestos Material □ Missing Filter □ No Ducts □

COOLING EQUIPMENT TYPE xx NUMBER OF FIREPLACES

Heat Pump Forced Air □

Air Conditioning Unit □NUMBER OF WOOD

STOVES

Window A/C Unit □

Swamp Cooler □TOTAL NUMBER OF

HEAT SYSTEMS

NUMBER OF A/C ONLY UNITS

HEATING UNIT TYPE(S) xx

Oil Fired Forced Warm Air □Steam Boiler □

Hydronic (boiler) □Gas Fired Forced Warm Air □

Radiant Floor Heating □Radiant Ceiling Heating □Electric Baseboard Heat □

Oil Furnace Converted to Gas □Coal Furnace Converted to Oil □Coal Furnace Converted to Gas □

Heat Pump Forced Air □Geothermal Convection Pump □

Outdoor Boiler □Space Heater □

Other □None □

xxx

xxxxxx

xx

xxxxxxxx

xxxxx

xxxxxxxxx

xxxx

x

HEATING & COOLING UNIT NOTES, DEFECTS, REPAIRS REQUIRED

x

xxx

xx

ELECTRICAL SYSTEM Y N RConductors - Service Entrance □ □ □

Main Distribution Panel □ □ □Main Over-Current Device □ □ □

Grounding & Polarity of GFCI Outlets □ □ □Operation of GFCI Outlets □ □ □Branch Circuit Conductors □ □ □

Compatibility of Over-Current Device to Branch Circuit Conductors □ □ □

Over-Current Devices of Each Branch Circuit □ □ □

Smoke Detectors □ □ □ Carbon Monoxide Detectors □ □ □

LOCATION-MAIN & DIST. PANELS xx ELECTRICAL PANEL

CAPACITY xxBasement Wall □ 60 AMP □ 1st Level Wall □ 100 AMP □2nd Level Wall □ 125 AMP □3rd Level Wall □ 150 AMP □

Garage / Carport □ 200 AMP □Hallway □ 225 AMP □

Bedroom □ (2) 200 AMP Panels □Closet □ (2) 150 AMP Panels □

Utility Room □ (2) 100 AMP Panels □ Other □ Inadequate □

ELECTRICAL PANEL MANUFACTURER xx OVER-CURRENT

DEVICES xx

□ Circuit Breakers □ Other □ Fuses □

ELEC. SERVICE CONDUCTORS xx BRANCH CIRCUIT MATERIAL xx

Overhead Service □ Copper □ Lateral Service □ Aluminum □

Aluminum □ Romex □ Copper □ Cotton Fiber Insulated □

220 Volts □ Shielded Cable □110 Volts □ Conduit □

Notes: □ Knob & Tube □


ELECTRICAL SYSTEM

xxx

xx

xx

xxxxxx

ELECTRICAL NOTES, DEFECTS, REPAIRS REQUIRED

xxxxxxxxxx

xxxxxxxxxxxxxxxxxxx

xxx

PLUMBING SYSTEM Y N RPlumbing Waste, Drain & Vent Systems □ □ □ Water Supply & Distribution System,

Fixtures □ □ □Main Water Shutoff Device □ □ □

Hot Water Systems, Controls, Flues & Chimneys □ □ □

Sump Pump □ □ □

WATER SOURCE xx WATER FILTERS xxWell □ Sediment Filter □

Spring □ Whole House Filter □

Public Water Supply □ Filter & Conditioning System □ Shared Well □ Faucet Filters Only □

Other (Identify) □ None □

WATER SUPPLY INTO HOME xx WATER DIST. MATERIALS xx

Copper □ Copper □ Black Hose □ Galvanized □

Pex □ Pex □ Poly □ Poly □ CPVC □ CPVC □

Galvanized □ PVC □PVC □ Other □

Not Visible □ Not Visible □

PLUMBING WASTE MATERIAL xx WASHER DRAIN SIZE xxCast Iron □ 1 1/2" Diameter □

PVC □ 2" Diameter □ABS □ No Washer Drain □

Copper □ Undersized □ Lead □ Not Visible □


PLUMBING SYSTEM

WATER HEATER CAPACITY xx WATER HEATER LOCATION xx

30 Gallon □ Basement □ 36 Gallon □ Attic □ 38 Gallon □ Downstairs Closet □ 40 Gallon □ Under Stairs □

(2) 40 gallon □ Utility Room □50 Gallon □ Washer / Dryer Room □ 65 Gallon □ Concealed in Wall □ 66 Gallon □ Crawlspace □ 75 Gallon □ Main Floor □

Two Heaters □ Garage □ Tankless Point-of-Use □ Upper Level of Home □Unknown (obscured) □ Bathroom Closet □

No Water Heater □ No Water Heater □

WATER HEATER POWER SOURCE xxElectric □ Gas □

Propane □ Solar / Electrical Auxilliary □

Zoned Hot Water From Boiler □None (Hot Water From Boiler Only) □

WATER HEATER MFR. xx WATER HEATER MFR. xx

□ □

xx

PLUMBING SYSTEM NOTES, DEFECTS, REPAIRS REQUIRED

xx

x

xxxxxxxxx

xxxxxx

xxxxxxxx

x

xxx

xxx

xx

xxx

x

xxx

INSULATION & VENTILATION Y N RAttic Insulation □ □ □

Insulation Under Floors □ □ □ Ventilation of Attic □ □ □

Vapor Retarders □ □ □

Vent Systems For Kitchen, Bath, Laundry □ □ □Ventilation of Foundation, Basement □ □ □Vents, Thermostats & Controls - Attic □ □ □

FLOOR INSULATION xx ATTIC INSULATION xxFaced □ Faced □

Unfaced □ Unfaced □

Fiberglass □ Fiberglass □ Batts □ Batts □

Foil Faced Reflective □ Foil Faced Reflective □ Vapor Barrier □ Vapor Barrier □

Encapsulated Fiberglass □ Encapsulated Fiberglass □Foam □ Rock Wool □

Netted Loose Fill □ Cellulose □R-11 □ Perlite / Vermiculite □R-19 □ Blown-In □

R-22 □R-19 or Less (poorly

insulated) □ R-25 □ R-22 □ R-30 □ R-30 □

None / Not Visible □ R-38 □

ATTIC VENTILATION xx DRYER VENT MAT. xxGable Vents □ Flexible Vinyl □ Soffit Vents □ Flexible Metal □ Ridge Vent □ Rigid Metal □

Passive Ventilation □ Rigid PVC □ Turbines □ No Dryer or Vent □

Thermostatically Controlled Fan □ Manually Switched Fan □

Solar Powered Fan □


INSULATION & VENTILATION

EXHAUST FANS xx DRYER POWER SOURCE xx

Fan Only □ 220 Electric □ Fan w/Light □ Gas □

Fan w/Light & Heater □ Propane □Unknown □ 110 Volt Stackable □

None □ No Dryer □

xxxxx

x

xxxx

xxxx

INSULATION / VENTILATION NOTES, DEFECTS, REPAIRS REQUIRED

xxxx

xx

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xxxxxxxxx

KITCHEN APPLIANCES Y N R Refrigerator □ □ □Dishwasher □ □ □

Built-In Microwave □ □ □Trash Compactor □ □ □Garbage Disposal □ □ □

Range / Oven / Cooktop □ □ □

BRAND xx BRAND xx

RE REDW DWMW MWTC TCGD GD


BUILT-IN KITCHEN APPLIANCES

x

MARK BRAND NEXT TO APPLIANCE CODE

KEY: RE=REFRIGERATOR DW=DISHWASHER MW=MICROWAVE

TC=TRASH COMPACTOR GD=GARBAGE DISPOSAL

APPLIANCE NOTES, DEFECTS, REPAIRS REQUIRED

x

x

xxxxxxx

xxxx

xxxxx

Photo No.: ______

Explaination:

Street Address: ________________________________________________________________________________

Blueberry River ON-RESERVE First Nations HOUSING POLICY · Roof Covering Flashing Chimneys,...

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