High DTI makes it difficult to refinance.

I would highly recommend getting proper advice from a CPA. 

I highly recommend doing as much research as you can. 

I am concern with the high interest rates but even with those I managed to cash flow which is what I am looking for. 

Rents are high compared to property values so you can get good rent flow. 

if it was mine here is what I would do.1. walk in to planning department in the county and check zoning and any red flags they may have.2. should be simple enough to see if it has public water and sewer then call those agencies to make sure there are no moratoriums. 

My opinion for those that live in a high cost of living market is to continue living / renting in that market and invest in a different market that is affordable and provides both cash-flow and appreciation potential.The reason to stay in the HCOL market is because you will be paid(hopefully) a nice large salary.You can take this salary to then 'easily' invest in other markets.NYC is tenant friendly which can be a con for investors.Furthermore, NYC has appreciated historically.

It needed a new roof, new septic tank, water heater, well pump, hardwood floor refinishing, light reno in kitchen (paint cabinets, replace countertops, 1 new appliance), full bathroom renovation on 2 bathrooms cleaning up wood rot on siding, painting exterior.

Don't get me wrong, these come with their own challenges, such as the high minimum investment ($50-100K, although that's also about how much you'll need to buy a rental), and the difficulty in finding reputable sponsors.

I am thinking I will start by targeting Arnold/Imperial and work out from there if necessary, probably west toward Murphy/High Ridge/House Springs before moving south.