Beach Ave 2019 �*N
NADEEM ZEBOUN19 RE.
T*1: (904)28&9890
Fax:(904)273-4254 MOR
TO: City of Atlantic Beach DATIs July 14, 1994
800 Seminole Road
Atlantic Beach, Florida 32233 YOU REFERENCE: Enclosure Addition
OUR REFERENCE: 4115
ATTENTION: Mr. Don Ford
GENTLEMEN:
WE ARE SENDING YOU HEREWITH X DELIVERED BY HM UNDER SEPARATE COVER
VIA THE FOLLOWING ITIMSs
RED LINED DRAWINGS ESTIMATES FIELD ORDER X REPOM SHOP DRAWINGS X OTHER
PRODUCT LITERATURE PROPOSAL CALCULATIOKS SAMPLES CHANGE ORDER PJANP.
SPECIFICATIONS SURVEY TRACINGS LETTER COST ESTIMATE SEPT.A.9
COPIES DATE OR NO. RLESCRIPTION ACTION CODE
3 July 14, 1994 Enclosure.Addition Ro"rt A.E
1 N/A Building Application Material K
1 July 14, 1994 Invoice
ACTION CODE
A. FOR YOUR USE G. NO 1XCEPTIONS .TAKEN, M. RETURN CORRECTED PPTNT.q
B. FOR APPROVAL H. NOTE MARXINGS N. SUBMI-f -COPIES TO US
C. AS REQUESTED I. RETURNED FOR C0==IOKS 0. RESUBMIT COPIES TO US
D. FOR REVIEW AND COMMENT J. CONFIRM P. FOR YOUi KI-GNATURE
E. SEE REMARKS BELOW K. RETURNED AFTER LOAN TO US Q. RETURN ENCLOSURES TO US
F. COMMENT ATTACHED L. REJECTED R. PAST DUE
REMARKS: One copy van left loons no you can make addition& copies if you wish.
t a
a
cop
ie yo
------------------
;�7i
COPIES TO: Zebouni P.R.
4
200 EXECUTIVE WAY, BUITE 216 14efiiE VED Wk. FLORIDA 32082
CITY OF
A&94-e read - 574W-�a
800 SEMINOLE ROAD
ATLANTIC REACH,FLORIDA 32233-5"5
TELEPHONE(904)247-SM
FAX("4)247-5805
May 19, 1994
Mrs . Ann Marie Neary
160 Belvedere Street
Atlantic Beach, FL 32233
Dear Mrs . Neary:
our records indicate that you are the owner of the following
described property in the City of Atlantic Beach:
160 Belvedere Street
a/k/a Lot 582, Saltair
RE#170577-0300-6
Investigation of this property discloses and I have found and
determined that this property is in violation of the following City
of Atlantic Beach Ordinances: Chapter 6, Section 6-(108) (street
numbers required) ; Chapter 6, Section 6-(107) (attachment of
numbers to building) ; Chapter 6, Section 6-(108) (building official
to assign numbers) i.e. , the numbering system and attachment to
building is not as prescribed by the building official . The proper
number sequence is #160.
You are hereby notified that unless the conditions described
above are remedied within ton (10) days from the date hereof , this
case will be turned over to the Code Enforcement Board.
Under Florida Statute 162.09, the Code Enforcement Board may
impose fines of up to $250.00 per day for a first violation and
$500 .00 per day for a repeat violation.
Sincerely,
ea-Kr-ol- e W��. n�e w a 1 d
Code Enforcement Officer
KWG/pah
cc: City Manager
Don C. Ford
VIA CERTIFIED 14AIL
RETURN RECEIPT REQUESTED
W AAKKA LO 1,AW;
0 21N I i.M,I t 1S
160 Belvedere
plea for M 040me bts bding A Opproved subjetv in mWOR shp
star A be =Qlato Met WOrAv WO
Iwo 50" solmnnj 101040musul INS Or
W A ruz sit" W0,I14 not Hare i lots 00 As-Kary
di ago SCOK nv Ovdi Von Y 0 to q K mW "11, 1 ed Oj sho
p0mod C04 05=0 an vvb-ot, oe47d'�c-s witlh
Ike t i to Q x 1 vuh.5 A Am 'n;e� ��"T 1"4 S"tf,d'o -iu'w "";Pja���"Kave, NO he at I OvY,
0;IRP i not aa%, '44* v�jd to mal Cm f1m SIR of Wask twelve Unkas belva
Ilya,
at I Zen? me WO. toe ef j I v swev., pm'r�hi
munh WOOP63AI3 INK US "WAYnNy Ald Wo NO Bef jea W spardr4h tomm,
5i"W' 1� souvrety vastam'd to
A P,j 1 We_d
ps
of reavvy punArKov NOW11, which we 4uppicalos as %tempht
SW par, SW I to avQjvd, into lost WOW V'-�xrl;11 SOW COW�
WIVAr Size and Quigie
ommj We;, vrvf, Wes Wh Werysin
IN WAy ON r�
to WKV WON Mae PoWpity
"= V'O'AV'4-'A�Ve6r'fv f Z've, alle 5 ttmfu' �1 4�
c* tact Wher, end stoth to ai least A 4 1
vi S i b 10 Ircm aq� q�Hhm� 5 &-V�e
Ovu? to VOK to Ito pmery
W"d W-'x"-' Wfier, se—mdve
cvmOnvilen Wk ftla A;* most bo ipsPenjed bv AV City W"A
boleg
A'g z
'The undeess SnC4 hersh =0'i�i�;es
orpi cNeWards list Q0
addOP&M SO* preve4me ON= ;mj xmirml Mal L a 1% ��'�'4 P�ims' and %-PvA I cv--S
"' d agreew to gmpoy WIN NO NAVOT & ANS WASOO.,
CITY OF ArLANn C BEA04
WhTst COMM ON Ck#WM
LI=T#M
PLUMING FIML—
WASTOt PUMML—
BLIOLDIM OR mlm�
TIM OF 9UILDI
2LBATH� GROUP CONSISTING OF AUM STALL, DOOESTIC C2 UNITS)
VAM CLOUT, LAVATORY & 9AVM
Oft iM� STALL (6 UNITS) --AVAM (GROW) P8t HM (3 UNOr.
—BAMS (WITH OR VITN%ff OVER SOW (3 UNITS)
WA MOM) (2 UNITS)
—sittv a umairs) —nmoms a#* SOW (s UNITS)
ICE SIW-TW STAND (3 tNl7S'j
—CMINATION SOW YMY (3 UNITS)
-p Tmp UN17s)
-�,SGWICE sow
ComiamON SOW 7,11AY WOOD DISPOSAL
Wer (4 UNITS) SCULLM
INK (4 UNITS)
' *IT)
JMMVAL ANOT OR CUSPIDOR C" —URIWL, PED957AL, SVPHON JET,
BLONOUT (a UNITS)
-01MAL LAVATOM 0 UNIT)
----dRl*llG FORMIN (4� UNIT)' —OUML, WALL LOP C4 UNITS)
--i—DISWSM (2 UNITS) URONAL STALL, Kk%W (4 UNITS)
—URINRL TPIOUM (EACH 2-FT. sEcn(*
JLC6t DPAIMS (I UNM� (2 UNITS)
—JOYMMIN SINK (2 UNITS)' W04106 WOOME (RES.) (3 UNITS)
-1-10thEN SINK W/FOM WASTE'- GOMM JWM SINK. VAM SET lCF FAUCM
0 MTS) (2 UNITS)
---jAvATcRY ti umen —MTO CLOSETs TANK-WEIMTED
(4 UNI 13)
-LAVATORY, MOM, MMM PARLOR
(2 UNITS) JVATIM CLOW, VALVE-MMTED
(a UNITS)
JAVATORY, SUMECMIS (I UNITS)
-LAUMM TOM (2 UNITS)
Wj,.,,�- �V,-L INV';
Atjt-I
0
of/W
07Y OF MAIM BEACH
OAA--L- ,�-�-L
Cirf/Muff Ow"TIML L9cm Mo.-�
STATE MWIFICATE
emu=
TWW- or
-Lsttm v —L*VAVS
_:L-MAvV,W -i—IATM WAYM
-I—wirw Tw --Lim Swam
VOWLS v
ONSWIS IMMINE
_Rm =INS -Gum
-2z—wft FIXTM Omw
INSTALLMOR OF RAMINIS AND FIXRM OW BE IN ACCOIDNI-l"M ldI7H INE on
RMN FOITION OF IM SMRWM SrANMW NAMING CM.
DEPARTMENT OF BUILDING 3476
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date._812219__�7
Valuation$_.PLtM1NG _ Fee$....11-00
This permit not valid until above fee has been paid to City Treasurer, and is
s'JbJe4t to revocation for violation of applicable provisions of law,
This is to certify that Don Harris Plumbing Co., Inc.
has permission to built] tO inStall 1 sink, 2 lavatories, 1 bath tu
2,clesets, .1 water-heater, 1 dishwasher, 1
014rpozaL. and �.rsnlng machtnis*
Classification
owned hy__.;�acksonville Equities
Blo q/D
House No- 160 Belvedere
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX KONTHS
AFTER DATE OF ISSUE
x
lop 4—bw- 0 Building material, rubbish and debris
from this work must not be Placed in
public space, and must be cleared up
and haiiled away by either contractor
or owner.
R. C. Vogel
Building Officid.
FOR OFFICE PER M IT
USE ONLY_ NUMBER DATE CONTRACTOR
PLUMBING
AAMU-22-TY 9 1 2 8 8 34'16 11-00
ELECTRICAL
SEWER
E)
WAT
IA�-' vw_ed FOR OFFICE USE ONLY
Date./P�y... 77
,-9.
CITY OF ATLANTIC BEACH Permit ---------.........Fee$2�.................
Valuation
--------------------
FLORIDA House *--/
............
zv)
APPLICATION FOR BUILDING PERMIT Id, 9s:
.......................AP-,P'R'a'V'E_1D---------
CITY GF ATLANTIC BEACH
......................waruo frj G-aFrFT-CE-----------------
Application is hereby made for the approval of the detailed statement of the plans and specifications h
tA�;r
jgt[tds
ijr�,.ted for the
building or other structure described. This application is made in compliance and conformity wi I rdinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shal �clied '_,�whc ther
herein specified or not.
The Contractor or Owner-BuiIder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified. Date.......//./ 12...7.......................
Owner...--------V��24�_'ffl---------------- --------------............._Address_4�V..13_P.)(_,5 -----------Telephone No..Z..
Architect.................... ................--------------_----_---------...........Address_..-d.,4jU�4? L.Ld�E*Ie�ep'Dne No--------_-----_-----------
Contractor Builder---WrW,0_f_0---/1-----�4_V_,M_JEdress---------_----------------------------------------------Telephone No---------------------
Lot No....57.M. X__:5_7_k...1___...Block No------------------------------Sub Division.--- --------------------------......Zone-------_-------
---------------------------------------------___--------Street------- ---- -------..Side Between..............................---------------------and_---------------------------------------------------Sts.
Valuation ---For what purpose will building be used---- of construction.-----PTA Ce!644_2�4
Dimensions of Building---- of Lot--------5_,45�,6 ------,Size of Footings-----S_A:�:C Al
rr s Sill Span in ft......./_.4A_A/.Type Roof--------
Size of Piers---4)_�_,#_A�.........Size of Sills.------ __G eate t
How will Building be Heated?........C__ZF_C---7711_�.............Will Building be on Solid or Filled Ground?-.--------- ----------------
Size of Ceiling Joists.--- _,J�------ 'Distance on Centers- Greatest Span......5,,ee 4
Size of Floor Joists...... ...............
Distance on Centers........ ...........^/------.-, Greatest Span_
Size of Rafters---------__1V------------------ ....... Distance on Centers...- ............
..........�-,/...... Greatest Span....
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z Z
3. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered,
7. Electrical inspection by City of Jacksonville. W rn
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as dperibed in the above statement, we hereby agree to perform said
work in accordance with the attacha4 plans and spec' " ions, which are a part hereof, and in accordance with the building
regulations of the City of Atl a
Signature of Builde . . .............. - - __-- -- ----- ------------------- Address....
..... ��.X------ ......................
...........
ok-,(. ............)c _44.....3
Signature of Owner . . ........... ................. ......... ddress-----
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.- 3 4 8_0
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
D 8/22 19 77
valuation$ 23,000 Fee$ 69.00
This permit not valid until above fee has been paid to City Treasurer. and is
subject to revocation for violation of applicable provisions of law.
This isto certify that Wind$-Or HOMON
has permission to build a esidential
Classification S/F Dwelling
e----
ownedby Jacksonville Equities
Lot 582 & 581 Bloc S/D salf-A 4 y
House No 160 Belvedere
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
0 Building material, rubbish and debris
Z from this work must not be placed in
public space, and must be cleared up
and hatiled away by either contractor
or owner.
R. C.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
Cl 11Y OF AnANn C BEAM
nwrAnom BS MMMV MM IFDR 3/4" Tap WATER Cff-o m AT
TW FOLLOWIWS AGORM FOR 1 UNIT(S).
Ctyr-O N CWJW Of --9-5- 00 + 2.Q_Q const. water
STRMT W., A
160 Belvedere
LOT 582 581 im-
&OCK SUMVpSlo" Saltair
AC=NT W).
A)
MASTER PLUMER
Windsor Homes, P.O. Box 5003
Jacksonville Beach . FL 3225,Q
K%I LINO AODAW
OATE I USTALLED
�W;7/ 131A Of
oufov,q,c
160 Belvedere
LOT to. 582/581 Saltair
OW*gR _. Jacksonville Equities
Residential
UOM
By
HEM-FIR 2x4 Top 2x4 Bot FIR-LARCH __��2x4� 0 2%4 Dot SOUTHERN PINE 2x4
_�TT
Sel. Str. M 5 31 TOO' 35 '0" Sel. Str. Den
s MQ-1�51 35 ,01, e KD 35 It
Se r
___3 5 10 Ae I-_-0:t-_Q_
Sel. Str. D ry 301411 351011 S-911.--Str. Dense Dry ___34 1 011 __ 3 5 1 0 Se I . Dens Dry-' 34 IC
4t Str I_ ___
11 MC-1 5 2918"_ 35 '0 Sel. Str. MC-1 5_____ ____3_3_8 351011 ..Sel. Structural KD .' 3318 V
J1 Dry 281011 1 3510" Sel, Struct. Dry -32 ' 8" i 3510" Sel, tr Dry 3218ff
351011
#2 MC-1 5 26 T_4_�T -1 3310" #1 Dense 34 '01' Dense KD 11
_#2 Dry 241811 311411 1 __Dense Dr - ___ _ ____ 35 '011� -11 1 _-_ --_ 3-4 TO-- a5��O
1 33 '0" 3 5 : 0 Dense Dry 35 'O'l
_y - __ -I ____t_ - 3310"
,Webs to be 2x3 #2 Hem-Fir, 1 5 -3214" 35 0 1 KID 3214" 35 'O_f'
Fir-Larch, or Southern Pine ; 1#1 Dry 31 18" 35 '0" #1 Dry 311411 351011
or 2x4 #3 Hem-Fir, Fir-Larch, #2 Dense MC-1 5 311811 3510" #2 Dense KD 321011 35 'Of'
or Southern Pine . 2 Dense Dr 31 'Olt 351011 e Dry 31 ?0" 35 TO"
_#2 DeA��
#2 3OIO1q
2 MC 15 1 3 51011 _MG KD 35 1 Off
136135101 1#2 Dry J 28q4fI I 35 'Olt #2 MG Dry 28f4ll 3510"
135130181 2 KD 2714fl 3510"
#2 Dry 261011 331411
4 ` 3' �O
oj�4�_4430 8 1x4 Cont. Lateral Bracing
reqld. on spans over 281411
24 351011 for 2x3 and 30 '4" for 2x4.
I
12 FURMA
4
4
12 Is. Pine Hem
R Size Fir-Lar. Fir
29 � I
35 35 '0"
28 3510" 3414
38135 ' 27 'i T2 161 301011
INC
J� 26 1 271411 2518
--t— po"_ _t -__ ,
i �3 2114
Ue 11
351011 Max.
T
-Wsawaseta" a" W go" fal"aised ****I "A sleallso applied to bou rose. of tress each ].&at.
e =1 be laosted — oboes, either wastored, or located by circles (e) or diewasions. Tolerance IT Dr By MJM Chkd.Bv RM Date 8/3 11
or to 10% -or firm&m& is "Mitiod. requires equipwatVskich Vill reed.:.- Loading OV
ists at plate$. n ""log cash 0". bearing d the P to 8" my
Itties j "o— 4WOLP.
we"_19seth P to 8.. tb;rl i.ab to Drwg. W16980
perwittAft 1...9. daw
9"Visteow of �fttisaal Desiga,"*cifteation for Stress -Grade lamber L. and f
*DesigM SPOCifteAtiONS for Light Hotel Plot* C,,,,,%*d V,,d ?me"*- ( ?pl ). FI&J.P MACLUA i Top Chord 37 PS
respe"AbilitY of the %race designer, Plate manufactures, nor trans fabricator.li4raoss erveti;: Bot Chord 10 psf LENGTH 3
a" o"tiewed to seek Professional &&rise regarding erection brasing which in *Iowa 1'"Uired to r"'est 5 _Ott
od ro
or". roreses- bra-iss -bieb say be —'r - a tifie Tot. Load 47 Psf
at" a" t"" is a straight an&plamb Position. who" as sk"thiag
is AWL ad 41"OtlY to top chords, %boy shall be braced at 31-0" o.c. a". Vbem so rigid e*ilimw i PITCH 4/12
mesas bell be handled i t- Dur. Factor 3 3 71%,
&"LL" "Partly " b*tt-N chords. they "all be broeod at 101-0* ..c. was. T
TRUSS 16 &wiag fabriestles, shipping, and creation to preont excessive Spacing 2 t o it c . TYPE HOWE
DESCRIPTION OF MATERIALS
26. INSULATION:
Lor-A-i" THICKNESS MA-maiAL, Tyrr., At4 D 1.1x rmoD Or INSTAL,A rJON VAPOR
Roof
Ceiling Fiberglass Batts or 6:'�4 B!O-M_4
__n Kraf t
Wail 3"ol;_1 Fibergiass Batt-- 1�r a-F'�
Floor,
27. MISCELLANEOUS: (Describe any main..dwelling materials, equipment, or construction items-not shown elsewhere;or use to provide
adcfitional information where the space provided was inadequate. Always reference by item number to correspond to numbering
used on this form.)
HARDWARE-(mak*, material, and finish.) Weiser Brass Finish
SPECIAL EQUIPMENT. (State material or make, model and quantity. Include only equipment and appliances which are accept-
able by local low, custom and applicable FHA standards. Do not include items which, by established custom, are supplied by
occupant and rotnovocl when he vacates promises or chattles prohibited by low from becoming really.)
Kitchen Range Hotpoint RFLL9
Dishwasher Hot-point HDA952
Smolce Detector Alarm Nutone S 180 Direct WirQ Mount Close to Gjo-_
Rar,o�e Hood Nutone V. PO
POROiES: See Plans
TERRACES:
See Plans
GARAGES: Sheetrock Cig. & Finish Stud Walls as Main House
WALKS AND DITrA.YS: S
Driveway: width base mat%tql, and thickness—"; surfacing material Concrete thickness
3 material—.. ... e 4". Service walk: width—; matcrial�; thickness—"
Front walk: width Uoncret ; thickness
Seqn: material treads--_;—"; risers '% Cheek walls
OTHER ONSITE IMPR0VTM&*M*
(Sp4ri&all exterior onsitt improveintnts not described elsewhere, including items such as unusual grading,drainage structures,retaining uw1b,jin",railings,
and accessory structures.)
LANDSCAPING, PLANTING, AND FINISH GRAVA10:
Top-oil—" thick: CI front yard; 13 side yar& rear yard to reet behind main buildinF.
Lawns (seeded,sodded,or s�riggrd): Z front yard 2 a e d
�1,a.,d. ff., yard Sprig 201 a-070rox.
Piant7mv,-.C3 as specifird and shown on drawings; 13 as follows: — s s o t e a, s—L i ibs
CV__A_ .— A_:A...... " '.i; V�n tr� B & R'
21. SPECIAL FLOORS AND WAINSCOT:
TH&EsHoLi> WALL BASE UNDERFLOOK
LxicAT)oN
MATziuA.L, Gowk BORDER, SIZLs, GAGE, ETc- MATERIAL MATERIAL MA rzRIAL
Kitchen — 1/16" Vinr ,72, --sbestos, Til -, Sheet g-05; Alum- 14 n n C1 rnnc-nei7a
B,,,h— Ceranic ile _Ear1L1_e__ Q -T Cnnnylbihp
Fover 1/1611 A I i i rn� 11 n n d Cnnnrei�e_
C'4..
her Carnet-Life-StZie h�E 1-ionder Alun. . 1,1n n(i n.-o p 4-r,
' _r')G�) ) HEIGHT HEicwr ir4 SHowtits
LocAnoi,; MATERIAL,COLOR, BORDER,CAP.SIZES,GAGE, ETI_ HEICHT OvEit Tus (FRou FLOOR)
Bath 2 Ceramic tile Tub 8. Floor
Badiroorn accessories: 0 Recessed; material number— Attached; material C e'rnm c numb2 1_bat�
Additional information:
22- PLUMBING:
FixTuitz Numsest L=Anopq K4Axz MFR's FIXTURE IDVMFicATior4 No. SIZE COLD&
Sink __,I_ Ki alipn, . .. .El 1,-.qZ r-R3322 33-22 S cz
Lavatory - 2 Bath 18. �' Lao i i-a
Water closet 2 Bn i-,h I kf) Rri ggg A21n T,T;n 1 4--
Bathru 2 Bathel& ? Bri��s 2202 'w-ita
Shower over tub'�__ Bath 1& ? Washerless 3100
Stall shower&
Laundry trays
,L0 durtaia rod A C] Door [I Shower pan: material
Water supply:r] public; C] community system; [] individual (private) system.*
Sewagedisposal:.Z] public; [] community system; [] individual (private) system.*
*Shaw and describe individual Vstem in complete detail in stparate drawirgs andspec-ficatiors according to requirtmenis.
House drain (inside): 0 cast iron; tile; [Twther PVC House sewer (outside): 0 cast iron; 0 tile;fol,6ther T)Trf�
Water piping:n galvanized steel; copper tubing; [] other Sill cocks, number
Domestic water heater: type E1eCt3?iC make and model R11PPri heating capacity T-Ti
gph. 100* rise. Storage tank: material G 12 capacity :�.2 gallons.
Gas service: 0 utility company; [] liq. pet. gas; E] other Gas piping: C] cooking; O'house heating.
Footing-draim connected-to-0 storm sewer; C] sanitary sewer; n dry well. Sump liump; make and model
;capacity discharges into
23. HEATING:
0 Hot water. 0 Steam. 0 Vapor. E] One-pipe system. O.Two-pipe system.
0 Radiators. 0 Convectors. 0 Baseboard radiation. Make and model
Radiant panel: [-] floor; [] wall; C] ceiling., Panel coil: material
0 Circulator. 0 Return pump. Make and model capacity gpm-
Boiler. make and model Output Btuh.; net rating Btuh.
Additional inIbri-nation:
Warm air: E] Gravity. [3 Forced. Type of system --Qa
Duct material: supply return Insulation. thickness— 0 Outside air intake.
Furnace: make and model Input Btuh.; output Btuh.
Additional information:
C3 Space heater-, E] floor furnace; C] wall heater. Input Bmh.; output Btuh.; number units
Make, model Additional information:
Controls: make and types
Additional information:
Fuel: Ej Coal; [] oil; [3 gas; 0 liq. pet. gas; E] electric; C]other storage capacity
Additional information:
Firing equipment fumished separately: E] Gas burner, conversion type. C] Stoker: hopper feed [3; bin feed 0
Oil burner: C] pressure atomizing; [I vaporizing
Make and model Control
Additional information:
Electfic heating system: type Input—watts; volts; output Btuh.
DESCRIPTION OF MATERIALS
9. PARTITION FRAMING: Pole 2 X 1 2 Other
Studs: wood, grade, and species- 21 SYP or Lodge size and spacing -_4�11—0.C
Additional information:
10. CEILING FRAMING:
joists: wood, grade, and species Other Bridging
Additional information. Prefab Trusses
11. ROOF FRAMING:
Rafters: wood, grade, and species Roof trusses (see detail): grade and species
Additional information: Prefab Trusses
12. ROOFING: it
Sheathing- wood, grade, anclgpccics_:�� CDX. Plywood ES solid; 0 spaced O.C.
r
Roofing-- Ashpha hi-,zles grade size 12x36 ; type
Underlay Felt weight or thickness:��E, fastening Tin T
Built-up roofing number of plies—; surfacing material
Flashing- mlateriaj Galy. Steel gage or weight 6 C1 gravel stops; [3 snow guards
Additional information:
13. GUTTERS AND DOWNSPOUTS:
Cutters: material gage or weight size shape
Downspouts: Material gage or weight size shape number
Downspouts connected to: [] Storm sewer; sanitary sewer; [] �ry-well. [] Splash blocks: material and size
Additional information:
14. LATH AND PLASTER
Lath 0 walls, 0 ceilings: material weight or thickness Plaster: coats finish
S .1. 1
Dry-wall e9 walls, cet ings: tertal 92T)SIM BOard ; thickness finish Paint
joint treatment Tu,- -Mpill
15. DECORATING:(Point, wallpaper, ek.)
Roo.ms WALL FiNisH MATERIAL AND AppuCATION CEILING FINISH MATERIAL AND APPLICATION
Kitchen Pa irit Texture
Bath Wallpaper & Paint Texture
Other Latex Paint Texture
Additional information:
16. INTERIOR DOORS AND TRIM:
Doors: type Flush Holl W Core material LUan thick.,.
Door trim: type Stock material Fir 3tock Fir
Base: type material size
Finish: doors seal & 7a-Y—nish trim Semi-Gloss Enamel
Other trim (item,type and location)
Additional information:
1 7. WINDOWS:
Windows: type S i ng 1 e_Hu make Kinco _; material Alurainum sash thickness .06L�
Glass: erade SSB 0 sash weights; abalances, type- Spring head flashing Int e�zr al
material— Paint— _; number coats 2
Trim. type Gypsum Corner Bead Latex
Weatherstripping: type Integral V i r-71
material Storm sash, number—.
Screens: 0 full;-E] half, type number screerr cloth material Al=i nun
Basement Windows: type material screens, number—;Storm sash, number
Special windows
Additional information:
18. ENTRANCES AND EXTERIOR.,DETAIL: Fixed 'Panei
Main entrance door: ma terial a ne 1 e d width thickness!_—I& Frame: material Fir thick.n 5/—L,,
Other entrance doors: material—Fir width 2 t 811 ;'thickness1_—_V'h Frame: material Fir thickness.5ZL11
Head flashing Weatherstripping: type V—invl _; saddles Aluminum
Screen doors: thickness_"; number_; screen cloth material Storm doors: thickness_"; number
Combination storm and screen doors: thickness number—; screen cloth material
Shutters: E] hinged; 0 fixed. Railin I Attic louvers
9 & Better Syp E.-r,'-e r i or Latex—; number coats 2
Exterior millwork: grade an(Lspeci Paint U
Additional information: Yascia Woodlife Treated
19. CABINETS AND INTERIOR DEr kIL: Wood 12"Inin.
Kitchen cabinets, Wall Units: rnaalCri- lineal feet of shelves—; shelf widt..
Base units: material V.ood counter top ; edging
Back and end splash Laza. Pl as tic Finish of cabinets 3 t,ain & Lacquer number coats
Nledicine cabinets: make model
1.S,DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
FEDERAL HOUSING ADMIH61RATICIN Foirn Approved
FHA Focm 2005 For accurate registtt of Carbon COPiCS, form
VA Form 26-1352 may be separated along above fold. Staple ONIB No. 63—ROOSS
Rev. 2,75 completed sheets together in original order.
Am f"111,111 OF 1111ATERIALS No.
Z] Proposed Construction DUCRIPTKA19 (To be inserted by FKA or VA)
C] Under Construction
State
Proloerty address Be i yedere St
Mortgagor or Sponsor (Namr) (Address)
Contractor or Builder (Narne) (Address)
INSTRUCTIONS
1. Far additional information on how t�is form is to be submitted, number required, then the minimum acceptable will be assumed. Nork exceeding
of copies, etc., see the instructions apolic=-ne to the FHA Application for minimum requirements cannot be considered unless specifically described.
Mortgage insurance or VA Request for Dete��inction of Reasonable Value,as 4. Include noaltemotes,"or equal" phroses,or coirtradictory items.
the Cos& may be. (Consideration of a request for acceptance of substitute materials or equip-
2. Describe all materials and equipment to be used, whether or not shown ment is not thereby precluded.)
on the drowings, by morking on X in each aazar3priote check-box and entering 5. Include.signatures required at the end of this form.
the informorion called for in each space. If s'pace is inadequate, enter 6. The construction sholl be completed-in compliance with the related
-So*misc." and describe under item 27 or an an attached sheet. THE USE drawings and specific:it-ions, a s amended during processing. The specifi-
OF PAINT CONTAINING MORE THAN ONE HALF OF ONE PERCENT Description of Materials ana the applicable Minimum
*HT IS PROHIBITED. cations include this
LEAD BY WEIG
3. Work not specifically described or shown will not be considered unless Property Standards.
1. EXCAVATION: Sandy Loan
Bearing soil, type —
2. FOUNDATIONS:
Footings: concrete mix 2500 PSI strength psi Reinforcing ( 2) #)<rods
Foundation wall: material Norwegian Brick one b�� 6tt
M Reinforcing
Interior foundation wall: material Party foundation �;all
Columns: material and sizes Piers: material and reinforcing
Girders: material and sizes Sills: material
Basei-nent entrance areaway Window areaways
waterproofin Soil Poison Footing draim
Termite protection
Basementless space: ground cover insulation foundation vents
Special foundations
Additiortal information:
3. CHIMNEYS:
2--laterial Prefabricated(Piake and size)
Flue lining; material Heater flue size Fireplace flue size
Vents (malerioil and size): gas or oil heater water heater
Additional information:
4. FIREPLACES:
Type- 0 solid fuel; 0 gas-burning; C]circulator(make and size) Ash dump and clean-out
Fire-place: facing lining hearth mantel
Additional information:
5. EXTERIOR WALLS:
Wood frame: wood grade, and species #SYP jS Corner bracing. Building paper or felt Felt
Sheathing thickness width solidi �C
,�sfaceA—" o. c.-, El diagonal;
Siding Cedar grade C type SH size -- K ; exposure—"; fastening nailed-
Shingles grade—; type_; size_; txposure�"; fastening I
Stucco thickness—"; Lath ; weight—lb.
Nfasonry veneer Sills Lintels Base flashing
Aw�nry:
solid 0 fared 0 stuccoed; totial.�wall thickness facing thickness—"; facing material
Row1ock Backup material th�m9l:an bonding
Norwegian Br —ia-ie' Base flashin
Door sills I - Window sills RoWlock..119r/ I-11 is P.T. 1X2 s rilDs
Interior surfaces: dampproofing,— coats of furring
Additional information:
Exterior painting: material number of coats.—
Gable Aall construction: F] same as main walls; C3 other construction Frame Wall aboVe plate line
6. FLOOR FRAMING:
jotits! wood, grade. and Species other bridging anchors
Concrete slab: F1 bascment floor� ��- first floor. Q ground supported;0 self-supporting; mix 2500 PSI . thickness