82-84 W 11th St - Description of materials 4' U.S.OE PAR TME N7 Of HOUSING AND URBAN DE VELOP.IE NT
FEDERAL HOUSING AOM$NISTRA TION
FIIA Form 2005 For accurate register of carbon copies, form Form Approved
VA Form 26-1052 may be separated along above fold. Staple OMB No. 63-R0055
Rev. 2/74 •t completed sheers together in original order.
St Proposed Construction DESCRIPTION OF MATERIALS No.
(To be inserted by FIFA or VA)
o Under Construction
/o be /955/ . led / 1' ,� /
Property address _'_ 5 —
ify l//�Y�TiG /✓�C�l/1 state �/I
Mortgagor or Sponsor
(Name) (Adtlrest)
Contractor or Builder TOM WEST HOMES, INC. P.O. 1155, Ponte Vedra Bchq FL
(Name)
(Address)
INSTRUCTIONS
1. For additional information on how this form is to be submitted, unless required, then the minimum acceptable will be assumed W,,•,
manlier of copies, etc., sea the instructions applicable to the FHA exceeding minimum requirements cannot be considered unless specifrccll.
Application for Mortgage Insurance or VA Request for Determination of described
Reasonable Value, as the case may be. 4. Include no alternates, "or equal" phrases, or contradictory item.
2. Describe all materials and equlpaent to be used,whether or not (Consideration of a request for acceptance of .substitute materials ,.
shown on the drawings, by marking an X In each appropriate check-box equipment is not thereby precluded.)
and entering the Information called for in each apace. If space is S. Include signatures
inadequate, enter "See misc." and describe under item 27 or on an 6_ ctionrequiredilat the end of this fonc
attached sheet. THE USE OF PAINT CONTAINING MORE THAN FIVE- The CO T1 cc ficat shall be completed duringd in prose sin with theSFeist.
drawings and specifications,as amended drocessinbl The Specific,
TE7+I?TIS OF a�}lE PERCENT LEAD 13Y WEIGHT IS PRC1�FiiTED. tions include this Description of Materials and applicable Minimum Pn
3. Work not specifically described or shown will not be considered perty Standards.
1. EXCAVATION:
Bearing soil, type ' SANDY LOAM ,
2. FOUNDATIONS:
Footings: concrete mix Ready Mix ; Psi
strength 2,500
g Reinforcing Bars wre requires
Foundation wall: mtateria.,Masonry/Monolithic aired Reinforcing 2s-#4 as above
Interior foundation wall: material depressed slab where_/re E+arty foundation wall N.A.
Columns: material and sizes N.A. Piers: material and reinforcing,12" ?( 12" reinforced coned
Girders: material and sizer see Truss details Sills: material, Masonry when require
Casement entrance areaway N.A. Window areaways N.A.
Waterproofing N.A. , Footing drains, N.A.
Termite protection,. 5/o Aldrin Pressure Sprayed
Basementkss space: ground cover N.A. ; insulation N.A.
Special foundationsStructural Slab when fill ' xceeds 24" foundation vents
Additional information: 12-14' Minimum depth Monolithic Footing
3. CHIMNEYS:
Material Prefabricated(snake and rice)
flue lining: material Heater flue size Fireplace flue size
Vents (masena!and sit,): gas or oililheater ; water heater
i Additional information: OP//a/UAL
4. FIREPLACES:
Tyrie: 0 solid fuel; O gas-burning; 0 circulator(maks and size) Ash dump and clean-out
Fireplace: facing ; lining. - • ;• hearth mantel
Additional information:
5. EXTERIOR WALLS: --
Wood frame: wood grade, and species LLP#4 2 x 4 (16"0.C. ) S Corner bracing. Building paper or felt N.A.
Sheathing_ ; thickness ; width ; Ci.Solid; spaced
Siding ,..; grade : type ; size ; exposure "; fastening —
Shingles ; grade _; type ; size ; exposure "; fastening
Stucco ; thickness , Lath ; weight lb
Masonry venter•_ Sills Lintels - - " Basco flasI g,,Mo i s t o_p 6 M i 1
Masonry: 0 solid 0 faced 0 stuccoed; total wall thickness "; facing thickness "; facing material
Backup material - ; thickness r,; bonding
Door sills Window sills _ Lintels . ,_ Base flashing
Interior surfaces: dampproofing coats of 1 furrin
Additions) information: EX ea-/ - On D/t73itYP -nrnh/ ; / _ /,K� 4s- • _-S/e /ham 4P___
Exterior painting: material,.,Standard Manufacture Exterior Grade sa _ • number orwats _
Gable wall construction: same as main walls; ❑other construction res
6. FLOOR FRAMING:
Joists: word, grade, and species N.A. ; other ; bridging ; anchors
Concrete slab: 0 basement floor; lafirst flood ® ground supported; 0 self-supporting; mix 7 500 psi ; thickness 411 "
reinforcing ; insulation ; membrane 6 Mil Visqueen
Fill under stab: material sand ; thickness AIR Additional information: Piers to Comply
to MPS if fill treater than 24"
7. SUBFLOORINO (Describe underflooring for special floors under item 21.)
Material: grade and species N.A. ; Laze ; type
Laid: 0 first floor; 0 second floor; 0 attic sq. ft.; 0 diagonal; 0 right angles. Additional information:
11. FINISH FLOORING: (Wood only. Describe offte( finish flooring under item 21.) NOT APPLICABLE
-
Loo'-A7lo+ Roww Cute Srrnu TNsmacsa WIDTH FILM. PArea Fuom
First floor _
Second floor 2x O's 011'O,C, LLP t,Fq P/UE Aiii ti rx g" p1nboo j
Attic floor "l. R.
Additional Information:
FHA Form 2005
VA Form 26-1e32 1 DESCRIPTION OF MATERIALS
DESCRIPTION OF MATERIALS
9. PARTITION FRAMING:
Studs: wood, grade, and species LLP #2 sire and spacing' 2 x 4 @ 24" 0.C. Other 6" Plumb Wall
Additional information:
10. CEILING FRAMING:
Joisu: wood, grade, and species Other Bridging
Additional information: Truss @ 24" 0.C. (See Truss Details)
11. ROOF FRAMING:
Rafters: wood, grade, and species Roof trusses (sec detail): grade and species
1 Additional information: Trusses @ 24" O.C. (See Truss details)
12. ROOFING:. .
She--thing: wood, grade, and spTda 7/16" Waferboard with clips ; E]soid; 0 spaced " o.c
s,00fing Asphalt shingles • ; vide Class C ;-size 12 x 3;6typc 3 - tab
Underlay 1- P1y 15# Felt ; weight or thickness 15# ; size 36" ; fastening _
Built-up roofing N.A A. ; number of plies,N N.A. ; surfacing material N.A.
2Q" Galvanized sheet 26 gage
Flashing:,material ; gage or w,ight ; ffgravel stops; ❑ snow guards
Additional.inforrnation: 6" FHA Galvanized Eave .Drip Seal Tab
13. GUTTERS; AND DOWNSPOUTS: , _ _-
Cutters: material ,. N.A. ; gage or weight ; size ; shape
Downspouts: material N.A. ; gage or weight ; size ; shape ; number
Downspouts connected to: 0 Storm sewer; 0 unitary sewer; 0 dry-well. 0 Splash blocks: material and size
Additional information: Gutters qr diverter over unprotected doors
A...,
14. LATH AND PLASTER
Lath 0 walls, ❑ ceilings: material N.A. ; weight or thickness Plaster: coats • finish_N.A.
Dry`will walls,t2 ceilin : material ' Gypsum ; thickness 1/841
81x; finish. Stipple Ceilings
Joint treatment Tape-till and float
15. DECORATING: (Point, wullpoper, etc.)
Roosts. WALL. FINISH MATUt1AL AND APTUCATSON Q.IUNO FINISH MATUUAL ANC) A/TUCATION
Kitchen , 2 coats washable s--- 1ex't.ure
Bath 2 coats washable Texture
Othrr 2, coats interior latex Texture
........ ....--,—.....-----
4)
Additional information: ,
16. INTERIOR DOORS AND TRIM:
Doors: type, Fl ilsh ; material, •
1-3/8"
Door trim: type molded . materia; Pine Finger J ttype same • material same size 2"
Finish: doom 2 coats _. trim, Paint
Other trim (item, type and location) N.A. '
Additional information: N.A.
17. WINDOWS:
Windows: type Insulated . �� Kinco Aluminum .0125"
• material
sash thickness
Glass: rade • 1�•A
g D$S ; ❑ sash weights; 0 balances, type.... .; head nuttingb Integral
Trim;'tipe Wood s l 11 : material Paint - N..A• ; number coats N.A N.A.
Weatherstripping: type Integral ; material Neoprene -Storm sash, numberN•A•
Screens: 0 full; ®.half; type Frame Aluminum ,; number, all .; screen cloth material Fiberglass
Basement windows: type N.A. • material N.A. ; screens, number, N N.A. ;Storm sash, number N.A.
Special windows, N.A.
Additional information: .
18. ENTRANCES AND EXTERIOR DETAIL:
Main entrance door: material Fir ; w,dth 3" ; thickness 1-3/4'',Frame: material Fir , thickness
Other entrance doors: material Luan Solid ; width 2 '8" ; thickness 1-3/8"'Frame: material Fir ; thickness
Head flashing 1 x 3 Gal as required= Wutherstripping: type Alum Strip w/Vinyl ,addles Alum Strip w Vine
Screcn doors: thickness N N.A.A. number ; screen cloth material N•A• Storm doors: thickness •: number
Combination storm and screen doors: thickness,N•A• ',number ; screen cloth material
Shutters: 0 hinged; 0 fixed. Railings. N.A. ,Attu louvers 12" x 18" Aluminum
Exterior millwork. gridr and species Ponderosa Pine Treated ha;nt Exterior Enamel : number coats 2
Additional information:
19. CABINETS AND INTERIOR DETAIL:
Kitchen cabicabinets, Wood-Birch •bine
, wall urtica: material a _: lineal feet of shelves Plan , shelf width 12"
Base units: material Wood-Birch Plastic Laminate. Plastic Laminate
counter top : edging
Back and end splash same Finish of cabinets Lacquer number coats 2
Medicine cabinets: make N.A.
model N.A.
Other cabinets and built-in furniture. Linen closet shelves are 14" with lineal footage per MP
Additional information:
20. STAIRS:
TasAos Ruta Sr spa, HAvuua B.%Luartks
STAt■
Material Thickness Material Thickaos Material Size Material Size Material Size
Basement ,
Al Main
Attic _
Disappearing: make and model number
Additional information:
2
1
21, SPECIAL FLOORS AND WAINSCOT:
t oc"Tcon MnTuut„ C�t,t BoRou, Stzaa Gwoa, Ere T'tu'HOLD WALL B�sa �'noc►n-an.
,.--- MArsau. MAreatea MAtTsl.t.
t
Kitchen Vinyl Aluminum Wood . Concrete
8 Bath Vinyl • Aluminum Wood Concrete
' Uall Ma drosam Nylon Garpezt_ Et, Carpet f Wood Concrete
_Drher rhrrntgh near Aluminum "Wood Concrete
—41111111111.11.1111!---7loc.nMATERIAL, Cows, BORDER. CV, Stzsa, GAGE, ETC. Huctrr HEIGHT Huc,rr IN SHO..r•
Oyu Tus (Fsost Fwos;
Bath
Hall Glazed cermaic tile 5 '
Master Glazed cermaic tile 6 '
-4
Bathroom accessories: 0 Recessed; material ; number ;$22Attached; material Ceramic number LEL=
Additional information: bath
22. PLUMBING:
e,4 Fnrcv,ca - hl,
Mn ',aFl RI Iocrmncnnon No. Sul Coto
Sink 1Kitc en � American Std. 3284 241 33 x 22 Enam.
Lavatiiry • 2 _Baths American Std. B3302 18 ' Enam.
...i Water closet 2 Baths American Std. 2122.059 B6421 Standard am.
Bathtub 1 Hall Bath American Std. 2267.375 B320 5' x 14" Enam.
Shower over tub' 1. 'Hall Bath Gerber ,' 4802
Stall'ahowerA ' 1_ liLL Bath Gerber • 4802
Laundry'trayi. '
•
•
. Curtain rod 60 Door la Shower pan: material Compotite
Water supply:0 public; 0 community system; 0 individual (private) system.*
Sewage d'uposal: 0 public; 0 community system; 0 individual (private) system.*
*Shan and describe individual system in complete detail in separate drawings and specificah'ats according la requirements.
House drain (Inside): 0 cast iron; 0 tile; 0 other PVC-40# House sewer (outside): 0 cast iron; 0 tile xher;.PVC-40#
Witer piping: ❑ galvanized steel; OF,Apper tubing; 0 other Sill cocks, number 2
Domestic water heater: type_ ds,crri gal .; make and model Rheem 666H-40 ) ; heating capacity 40 Gal .
Recovery 33.5 gph. 100' rise. Storage tank: material Glass
; capacity 40 40 gallon.
Gas service: 0 utility company; ❑ liq. pet. gas; ❑ other N.A.
Cati to
P P g: a cooking; ❑'house heatin
Footing drains connected to: ❑ storm sewer; 0 sanitary sewer; ❑ dry well. Sump pump; make and model N,A.
. ; capacity . ; discharges into
23. HEATING:'
❑ Hot water. 0 Steam. 0 Vapor. 0 One-pipe system. ❑ Two-pipe system.
❑ Ridiators._❑ Convectors. 0 Baseboard radiation. Make and model N.A.
Radiant panel: 0 floor; 0 wall; 0 ceiling. Panel coil: material N.A.
0 Circulator. 0 Return pump. Make and model N.A.
capacity gpc-,
Boiler: make and model N.A.
Output
Btuh.; net rating Btu':
Additional information: Air to Air Heat Pump
Warm air: 0 Gravity. J Forced. Type of system Electric forced warm air
Duct material: supply Duct Boar&; return Duct Board Insulation Fib ergIas4SiEknef11"
❑ Outside air intake
Furnace: make and model Carrier Input Btuh.; output, Btuh
Additional information:
❑ Space heater; 0 floor furnace; 0 wall heater. Input Btuh.; output Btuh.; number units
Make, model Additional information:
Controls: make and types Controls—
Additional information:
Fuel: ❑ Coal; 0 oil; 0 gas; 0 liq. pet. gas; 0 electric; 0 otherN•_ •
A
storage capacity
Additional information:
Finng equipment furnished separately: ❑ Gas burner, conversion type. ❑ Stoker: hopper feed ❑; bin feed ❑
•
Oil burner: 0 pressure atomizing; 0 vaporizing
Make and model N.A.
Control
Additional information:
Electric heating system: type jectric forced warm air , . Input sate,; @220 volts, output Stith
Additional information:
Ventilating equipment: attic fan, make and model
; capacity c&,
kitchen exhaust fan. make and model - Nutone S3185
Other heating, ventilating. or cooling equipment Heat maps in all baths compressor #
24. ELECTRIC WIRING:
Service: p _overhead; 0 underground. Panel: 0 fuse box; X circuit•breaker; make G.E.
AMP', 150 ,No. circuits
Wiring: ❑ conduit: 0 armored cable; 0 nonmetallic cable; ❑ anob and tube;. other ReiBe f= - -:Le
A
Special outlets: 0 range; 0 water heater; ffiother' Washer Dryer
❑ Doorbell. 0 Chimes. Push-button locations Front Door Additional information:
Smoke Detector
25. UGHTING FIXTURES:
Total number of fixture" plan Total allowance for fixtures, typical installation, 5400.00
Nontypical installation
Additional information:
3 DESCRIPTION OF MATERIAL`
DESCRIPTION OF MATERIA
.476. INSULATiOPIr"! "-,
LOCATION - Tuscieus MaTtau,t,Tvrt, AND MIT/400 or Irar,uatiON .- VAros BAaatta
Ceiba -•`l 6'.' B19 Fiberglass Batts ---5!'—Celuloses or 8-3/4" Fiberglass
.g
`gall
3-172" R-11 Fiberglass Batts with Kraft
floor .'F •
r },
HARDWARE'�' ''•'r(moki, motsrial, grid finish.) Weiser 11—E Finish
SPECIAL EQUIPMENT:.(State materiel or make, model and quantity. Include only equipment and appliances which are accept
able,by local law, custom and.applicable FHA standards. Do not include items which, by established custom, are supplied b;
occupant and removed when.ht_'vacates premises or chattles prohibited by law from becoming realty.)
Magic Chef Std. range 358—All • --
- 414tic Chef Undercounter dishwasher UD-258 -
ilgUtone S-180 Direct—Wire Smoke Detector
-'Fit,i'ld Carpet ETL 18526
Pddine National SDong_e Cushion #UM72-60—#A-1
'B#dge't 'Diposer 5
1'base't Maid shelving throughout — per plan
27, MISCELLANEOUS: (Describe any.main dwelling materials, equipment, or construction items not shown elsewhere;or use to proviot
additional information.where the space provided was inadequate. Always reference by item number to correspond to numberin
used ori this form.),
x. 11 Roof Framing: Box cornice W/3/8 BC Plywood and Aluminum H Mould
Energy Package Including:
1) Thermo Pane Windows
2) Insulated Wood Front Door
3) R-19 Ceiling, Insulatin
4) Heat Pump •
5) Calk Sill Plate
, 6) Sheetrock Clips
Drop Ceiing • COST OF ENERGY PACKAGE $3,000.00 ADDI'i'iUNAL
PORCHES;
'40." of 2,500.0 PSI Concrete same construction as main house — Box ceil
'rssure treated post where applicable. •
TERRACES:
4" of 2,500.00 PSI Conrete turn down edges
GARAGE'S:
2,500 PSI Concrete finished
drytaall to house and ceiling, ceiing sprayed, all walls finished and
painted.
WALKS AND DRIVEWAYS:
Driveway: width 12 14au material .Natural ; A/R concrete
thickness.— ',; surfacing material thickneu
Front walk: width 31 ; material concrete ; thickness 4ir Service walk: width N,A_; material ; thickness
Steps: material N.A.
; treads "; risers '. Check walls
OTHER ONSITE IMPROVEMENTS:
(Specify all exterior omits improwrnents not deterbed elutohere, including itenrt such of unusual grading, drainage tlruelures, retaining n•allt,fence, railings,
and arceudry ttrsrctures.)
LANDSCAPING, PLANTING, AND FINISH GRADING:
Topsoil 1 S t In k: ❑ front yard; ❑ side yards; ❑ rear yard to. a 11 feet behind main building.
L.awns,(tepid,sodded,or ipriggrd): front yard Sod • : ❑ side yards, sod ; ❑ rear yard sod
Planting: 0 as specified and shown on drawings; ❑ as follows
Shade trees, deciduous. " caliper. Evergreen trees. ' to ', B & N
Low flowering trees, deciduous, ' to 2 Evergreen shrubs. 2 to 3 B &
3 High-growing shrubs, deciduous, 1 5 ' to 2 Vinci, 2-year
4 Medium-growing shrubs, deciduous, 1.5 to, 2/5:
2 Low-growing shrubs,deciduous, 1 .2 to 1.7 . 1250.00 allowance for landscaping
IoatrrtrtCATION. h►s exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the latter �:
known at the time of application_
Date Signature
Signature
FHA Poem 4003
VA Form 26-1132 4
• U.S. C3PO: 1974.B4A ATprsats