1601 E Park Ter (vault) CXTY OF ATLANTXC BF.ACH
APPLXCATXON FOR PLUI-MXNG PERMIT
JOB LOCATION: 1401 odark Te-rcoce- JE
OWNER OF PROPERTY: 0;jjapA So-A�OLC_fO3<E� TELEPHONE NO. 9ZO15-
PLUMBING CONTRACTORAe-ocan Plui,,anbl' "t
CONTRACTO R' S ADDRESS :
STATE LICENSE NUMBER: TELEPHONE: 7 0�--/6 F3
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
REPIPE OTHER
TOTAL FIXTURES : x $3 . 50 + $15 . 00
MINIMUM PERMIT FEE ��25 . 0
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:..
0�� I -
-----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
Permit Number: 19927 Address: 1601 PARK TERRACE EAST
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: REPLACMT PERMIT Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section:0
Square Feet: Subdivision: selva marina
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: Name: MR. SANTACROSS
Total Fees: 25.00 Address: 1601 PARK TERRACE EAST
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 4/21/2000 Phone: (904)223-3151
Work Desc: REPIPE
AMERICAN PLUMBING CONTRACT RS FL PERMIT 25.00
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC
SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$25.0014
c Date: 4/24/80 81 Receipt: 8852362
CASH
ATLANTIC BEACH WILDING DtPT. 00188063221888
77'
77 ,
DEPARTMENTOF BU11.01
CITY OFAtLAOC
WACH�
LOCATION, INFOPWATION '
t l4umber ii - 173,77 A WOSS:i, 160X PARK RAST
P" wit TYpe-04SCHMICAL ITLANT C BEAM, FLORIDA 32233
11-4 ot Work*ALTZRA?t*
,Co tr. Typia,li'CONCRETS
Lot., Twp:l
S,ubd:,O , R i
p Qsld Mich i
w 0 -bn:is,6 Iva marina
e lin4ltll ,
0-0-0,
rov s t
Cos
ot:ai F e 0 siii,, 45,00
ount. palid-� 45 �00
'Date Paid�i 1998 i
To Deso,,-
MAGE'' f1p:
--------- I cm
PERmill 451,00
kd i6o
I"T
ZAST
C F
IDA 3 221�i
-h
e
v4
1 all -
0
[a' ARLI VITIO�l
s X INDUS,T PKRY
il3i
1p
'Li Rmo 0 1 9
k,
S:
MUST.29 REQUEST15D AT LEA$T 24_HQ'
� ,M, ]PRIlOR TO INSOWMIN
-�Nol :
NG MATE )BBISHAND DESAISFROM,THIS WORK,MUST r 4 PLAce IN,PUBLIOSPA08,AND MJST BE,
",JAL RL
ED UP HAUL tN�llltk CONTRACTOR OR OW�
FR
-0
FAILUR C ''A
E .10"MIOLY�ll -�OAKAESUL
I , THE MECHANICS',LIEN ,"W ','T IN
'IT
PR
FER:
OVL#"jjjN
Tw
�p AYING 101Ef ul
'WH -ml SU TI
Ec LANS SP BJEIGT�TO REVOCAll
ACCOM�4G TO,APPAOVEIJ'�O ICH ARE PARTdF MIT
U
CABLE,P �'*F LAW.
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address: H120
LOCATION
OF Intersecting Streets: Between— And
BUILDING
Su6-d;v;sion
11. IDENTIFICATION — To be completed by all applicants .
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attacked plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
C tractor I Print) Master 3
on 2 2:r A? 0 )4
Name of /49 C 0
Property Owner r.5.5_S
Signature of Owner Signature of
or Authorized Agent t Architect or Engineer
OWERAL INFOlt ON
A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DOME ON
113-116sictric THIS BUILDING OR SITE? /,?o
C) Gas—[3 LP [3 Natural 0 Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION
0 Oil PERMIT
C) Other — Specify
IV. MICHANWAL tqUIPM1NT TO 81 INSTALLED NATURE OF WORK
(Provide complete list of componsinh on back of this form) V----Residential or El Commercial
Er-H-0811 0 Space 0 Recessed 1211--c—antrel 0 Aw El New Building
Er'�Air Conditioning: [3 Room EY'169nfral Existing Building
• Duct, System: Material Thiciness.— W,-feplacement of existing system
Maximum capacity cj.m. 11 New Installation(No system previously Installed)
• Refrigeration 0 Extension or add-on to existing system
El Other — Specify
0 Cooling towsir: Capacity 9-P.M.
• Fire sprinklers: Nurn6or of heads
• Elevator 13 Menliff 0 Escalato (number) THIS $FACE POR OFFICE USE ONLY
• Gasoline pumps —Inumber) I
E3 Tanks Inumbsirl Remarks
[3 LPG cents; Inumber)
13 Unfirod Pressure vossii,
0 Boilers Permit Approved y D4111116—
b other — Specify Permit Fee
Llffr ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Clanduallty A voylin
Number Units Eiescription Model Number Manufacturer
X"L' Xca-0 )z7;0 X17il D&O-1 6& ,1 1 15; uz—
DEPARTMKNT OF BUILDING,
CITY OF ATLANT C BEACH
Pf
INFORNATION' ---- LOCATION INFORMATION
Addrosoi 1601 PARK F-ROACE EAST
Or 01 t D-: NG
Y,p,��o OIL "It ATLANTIC REAC*#, , FLORIDA :a2233,
;W�10;( Woi'*et ft, SPAIR,� L90AL DC8,CRIPTION ------
6str.' Typo N/A
Lot i
'Section.+!
Plot '800k t Pa go t
0, C.
A libaim gubd*viislo z _401%Iiia *arias
iwa -------
E te-4 V lil, -0 il�,i
OWNER ------
100ray.,, C�6*tv
4
Total
160. , PARK TERRACE EAST
Arkou
IC,, 8KA'4N ' FLORIDA, �:32233
ATLAOT C
4� -2 t
4_gQA 2
'WN k,
�WC
4v
42 V ATIO)t FEES
h_ IC
7 rt4j] I .
A, R�$
WATER, j"p,
0
'low*
-A R #0.00
RADON
6A Sk
WATER TAP,
PO
iw
160
HkDRAULIC SHARE *0.60
RE4414SPECIr Fee 00. 00
V!
EUGINISERI'NO
d",
7"N 7-5U7
31 u 11A
'c
NOTI AILLCONCRETt FORMS Akt)FOOTINGS MUST In 14SPE&E
RIEFORE�PQURINQ
�j PERMIT V61D SIX MONTHS AFTER DATE OF ISSUE
SU
DING MATERIAL RUBBISH AND DEBRIS,:FROM THIS WORK MUS1':NOT BE.PLACED IN PUBLIC SPACE,AND MUST BE
P AN `-C
'ED U 'A-�U wAWAY, ITH OR OWNER.
D� BY E ER ONTRACTOR
immy, -THE MECHAN 111LIt X,LAW CAN
0��WITH 'J"CS :
RIESU IN
0 'ING TWICE'FORA - IMPROV,
U EMEN
TOL
GTO A' H
CORDI r PPROVED�P.LANSVHICH ARE PART OF T 18+PERMIT AND SU
I Al''
4�� L I I - WECT REVOCAtIO
OFA
$1-E PR IQN'S,,OF LAW.
DiNG,
AtLA i4TIC BEAC Hr 13 L
44
f t
CITY OF A11AHrIC EACH
APPLICAT10N FOR BUILDING PERMIT
Owner Addresd PC,r 1K_ le-r(6s s S: Zip.— Phone
Ardiftect Addreds Zip Phone
' 1 zip,-z-z z -t Phone 23-DS1
C(nitractor Addre88 t n 5-10 C4 _�hCA V-1 e- 2-
Contractor's License Nuiber PC n Q'-I -? ci Expiration Date_aj 1Q_Lcj 0 Copy an File
Lot # Block or Section Subdivision Zoning_
Street_j_(p 7 etween and side
,_�j B
Valuation $
ipe of Cons tructim-1--ga�rf
Purpose of Building Nuiber' of Units *
UL111ty SCUVICC: WaLer Sewer
If the City if providing water or sewer service,' do we need to make taps?
Dimensions: Building_ Lot Size Footings
Sz. Piers _Sz.' Sills Greatest Span Sills
Sz. Ceiling Joists Distance on .Centers Greatlest Span
Sz. Floor Joists Distance on Centers : Greatest Span
Sz. Rafters Distance on Centers Greatest Span
Method of Heating Solid-Filled Ground Roof.
Flood Zone If located within. a FLOOD IAZMW conplete page 2
SUBMIT: Two coiiplete sets of plans, including a detailed site plan.
Florida Energy Efficien6y Code Slieets
Recent Survey
Inspections ReqLdred:
1. Mien steel is in place ond ready to pour foatings
2. When steel is in place and ready to pour colums/liatel.
3. Mien steel is in place mid ready to pour bean.
4. Mien franji)g, np-clianical, pluibing, electrical, fireplace, is cotTleted atid ready
to cover up.
5. Final hispecLion. SE TBAGKS
NO INSPECTION WILL BE MADE, IF BUILDING QU�6 IS Wr POSTED ON JOB..
In case of rejection, reLrispection 14UST b.q called for after Re�r Lot Line
corrections are made.
In consideration of pennit given for doing the
work as described in the above statenetit, we
,hereby agree to perfon-n said work in accordance (PD1 (D
with the attadied plans and specifications,
u4iich are a part hereof, and in accordance
with the building regulations of Atlantic Beadi.
,'D (D
'7
Signature Owner
Signature Contrac r %
Froi =11i—e
FOR OFFICE USE ONLY
Date----- -------- ..
Permit #A/�O_../Pee $ 02:4
Z
TOWN OF ATLANTIC BEACH
Valuation
FLORIDA House #16
----------------------------------------------------------------
APPLICATION FOR BUILDING PERMIT
------------- ------------------- ------------
Application is hereby-made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic
Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the Town 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------------------ --------------------------------------------- 19------------
----Address_,?,e. lephone No
Owner_--- ------
Architect---------------------------------------_--------------------_------- ------ --------Address-------- -----_-------------------------------------------Telephone No------- --------
ContractorBuilder---------- -----------------------_----------------------------------.-Address...... ......----------------------------_-------Telephone No-------- --------
Lot No.---.--- ------ Block No---------- ------------------Sub -------------------v---------Zone_------------
---------------------
----------------------------------------------.__.__Sts.
--.-Street----- Side Between-,
Valuation ----For what purpose will building be used.-We-�e 51,---------------Type of construction.
,#W Dimensions of Building-- -------------Dimensions of ......... .-.--Size of Footings---
j -e
-----------Size /27-------------Greatest Sill Span in
Size of Piera�_-U11,A.__, of Sill's---- ------------Type Roof c, g
How will Building be Heated?---- 11 44. - ------Will Building be on Solid or Filled Ground?---------- 1_k�---
Size of Ceiling Joists-------!_� -------- Distance on Centers-------------X/61 al 4........ Greatest Span----------------Z&-----------
c
Size of Floor Joists_-------- ---------------- Distance on Centers--- ---------------- Greatest Span------ ------
Size of Rafters---------------- ----------------------- Distance on Centers ...... .zer�------ 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 copiesof 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
4. When framing is completed. E-4 E-4
3. When steel is in place and ready to pour beam.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field is laid but before it is covered.
7. Electrical inspection by City of Jacksonville. V2
"inal inspection.
case of any rejection,re-inspection MUST be called forafter
i -tions are made.
FRONT OF LOT
T permit given for doing the work as described in the above statement, we hereby agree to perform said
.th the attached plans and specifications, which are a part hereof, and in accordance with the building
n(of t1antic�Beao.
...... .. ....
. ....... Address------
,,r------- -- ------------- ........�
/ner- ---- -------- -------------_------------------------------------- Address-----------------------_---
FOR OFFICE USE
DEPARTMENT, OF BUILDING
Date -J- 19,7/
CITY OF ATLANTIC BPJWN, FLORIDA, -gp
Permit #15 Fee 10
ML
Applicat Valuation 0 /Z a��_
ion for Permit for
Miscellaneous Alterations, HOUSE
and 'Repairs
D96CRISt.- JC�IAZCA �_'
isiatTif 'to re I ir, alter- add to
or move building, erect asoin 81
0 etc.
sign
ot
uildijig on: t No'..�5 ub.Div.
Address---!-
Valuation
0 wner "
ame 7"F., -4v&
BUILDINGS,AND 'OCCUPANCY
Buildipg� Use Resjdenti�aj�. oj Bujifts
What PlUmbing work to: bs done?
Size of �'1risent Bldg, Size
ot Size-w�
"o. of "stories, 0
nowAfter altered_..,..Xaterjja of
roo
Material of Pres4fit'-Building E
.Material of xtensio
W_Way 'PLANS TO as, St RREWITH
A
OIL BURNER OR QWOL� ja tqUIpMENT
amw of !Oil Burner or Gasoline PUMP-------�_Type or Model
Name a
n4 Address ofAanufacturer
In connection herewith, applicati
on to also made to install:
gal. C400city tank(s)� made by
i� of "metAl
ground. , (Name of Manufacturer) Wr-6-ir or Above)
4iuxide�_ Above)
of building. Por.
FuRNIS11 DRANING SHOWING ENTIRE rAyomou REVERSE SIDE
OF
-JIMIS �L�Aw ,
§16NS
Clas Ifitation,
Istate Wh Be
etner ground, rSlo_f,� wall, projectIfig,
UaOner)'
Materiali� ef Construction
F 1 uairsa Typo- of illuminati
ted
on
LWs,
(Mal e whether or Neon)-
Will all be over
public property?
UBNIIJ�ffi ���Wg
ETRUCT 0
OF MIGN AND METHOD OF,
WRITE ADDITIONAL I
(For canvas, 'awnings provide dime win n reverse side)
Darr
IM* 10TICZ
In consideration of permit given for- doing the work as described
in the above statement, we hereby. agree to perform said work in
accordance with theattached plans and specifications, which are a
of and in Occotdance with the buildi
tlatt- here
ng regulations of
� 'ty Of ItlaUtic Beach, outhern S s of
tandard jaui
Iding Code) .
tur*_
Or ,=
S*gna , I I"p, , ,�' , I'A
er,
v
W9,
CITY OF
4&4^&
Office ci:��Buldin; ici
REQUEST FOR INSPI i I ION
Date Permit No..
Time A.M.
Received P.M.
1601
J �Address ality
Own Contr
Name
BUILDING CONCRETE ELECTRICAL PLU BING MECHANICAL
Framing El Footing 11 Rough Wiring 2 Air Cond.& 13
Re Rooting C-1 Slab 11 Temp Pole E Top Out n Heating
Insulation 11 Lintel C Final 0 Sewer 0 Fire Place
Pre Fab
READY FOR INSPECTIO
Mon. Tues. Wed.
A.M,
Inspection Made RM.
Inspector Final Inspection E)
Certificate of occupancy Fj
Date
AWN
VA Form VB4-1852
FRA Form 2006 For accurate reigistef bf carbon copies,form Form approvid.
Jan.1965 may be separated along above fold. Staple Budket Bureau No. 6"055.9.
eamplOW*Ike* togeWer In original",der,
M P16posed Consfrueficin DESCRIPTION OF MATERIALS tv.. ...................-------------_-------_----
(To be inserted by FKA or VA)
0 Under Construcflon
Pfoperfyaddress --------------------------------------------------------------------- Cify................................................ Sfate..................
Mortgagoror Sponsor------------------------------------------------------------------------------- ....................................................................
(Nam) (Adiltem)
Confradoror Builder_.----------------------------------------------- ----------------
Maine) (Address)
INSTRUCTIONS
1. For additional information on how this form is to be submitted, number minimum requirements cannof be considired unless specifically described.
of copies, efc., tat the instructions applicable to the FHA Application for i
Mortgage Insurance or YA Request for Determination of Reasonable Yalue, 4. Include no alternates, 'or equal" phrases, or contradictory items. (Con-
as the case may be. sideration of a request for acceptance of substitute materials or equipment
2. Describe all materials and equipment to be used, whether or not shown is not thereby precluded.)
on the drawings, by marking on X in each appropriate chick-box and entering 5. Include signatures required a the end of this form.
the information called for in each space. If space is inadequate, enter "See 6. The construction shall be completed in compliance with the related
misc."and describe under ifern 27 or on an attached sheet. drawing S and specifications, as amended during processing. The specifications
3. Work not specifically described or shown will not be considered unless include this Detcription of Materials and the applicable Minimum Construction
r
requirdd, when the minimum acceptable Vill be assumed. Work exceeding Requirements.
i. zkcAvATIOlk:
110kringsoil,type----------------a----------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------—---------------- -----------------------------------------------------------------------
9. FOUNDATIONS:
2"0
Footings: Concrete mix---------- Reinforcing----- r---W-----VW9111111111-------------------------------------- ......
---IN-
Foundation wall: Material------ ------ Reinforcing-------------------------------------------------------------------------
interior foundation wall: Material ------- Party foundation wall-------------------------------------------------------------
Columns: Material and size--------------------------------------------------- Piers: Material and r * f
_;r------r,----------------------------------------
Girders: Material and sizes--------------------------------------------------- Sills: Material------- - 'At---------------------------------------
Basement entrance areaway--------- ---------------------------------------- Window areaways-----------------------------------------------------------------
Waterproofing----------------------- ----------- Footing drains---------------------------------------------------------------------
Termite protection__ 0 ------------------------------------------------------------ - - -----------
------------------------------ -----------------
Basementless space: Ground cover------------------------------ Insulation------------------------------- Foundation vents ----------------
Specialfoundations----------------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------I-------------------------------------------------------------------------------------------------------------------------------
--------------------------I----------------------------------------------------------------------------------------------------------------------------------------------------------
IMN
Ilyst
T
----------------------------------------- Prefabricated (make and size) ----------------------------------------------------------------------
Flue lining: Material-------------------------------------- Heater flue size--------------------------------- Fireplace flue size---------------------7-1-------
Vents (material and size): Gas or oil heater----------------------------7---------------------------------- Water heater------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
4. FIREPLACES:
4111sa'ab
Type: 0*olid fuel; M_"as- urning; [I circulator (make and size) --------------------- Ash dump and clean-out---AUM-------------
AIL" AN
Fireplace: Facing ----- -- -- -- -----------; lining ------% 1W --------------;hear ..11-7-7-M----------------; mantel-------- ----------------
jr- __
------------------------------------------------------------------------------------------------------------------------------------------------- --------------- --------------------
S. EXTERIOR WALLS: A
Wood frame: Grade and species----pl-aw----------------------- EFCorner bracing, Building paper or felt----------I&--------------
Sheath*ng wa---------; thickness width------------; 0 solid s aced--------------- o. c.; El diagonal; ----------------
1 -14va ' 1111".
Siding ---- -----------; grade --------------; size------- -- --- exposure--Trv-wmp;fastening---------------------
Shingles-----------------------------; grade----------------; type--------------; size--------------- exposure-----------;fastening---------------------
Stucco---------------------- - thickness--------------- Lath------------------------ ---------------------------------;weight---------------lb.
Masonry veneer---------=------------------------------------------ Sills ----------41*1 ---------------- Lintels -----------------------------------
Masonry: Facing backup thickness--------------- Bonding------------------------------------------------------
----------------V60
Door sills----- ---- Window sills ----------------------------------------------- Lintels-----------------------------------------------------
Interior surfaces: Dampproofing, ----------- furring------------------------------------------------------
r,xterior painting: Mate nrial ----------------IVIIIIIIIIIIII----------------------------------------------------------------------------------;number of coats---------
Gable wall constructi Aame as main walls; n other-------------- ------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------
6. FLOOR FRAMING:
Joists: Wood,grade and species----#-- other-------------------------- --; bridging ------f anchors --------------
Concrete slab: 0 E M t floor; Around supported; Ll Self-supporting; mix ------- ---------- 4h _17:
reinforcing------11--- insulation---------------------------------------------; membrane--------------W-Marn------------
Fill under slab: Material ------------------ ----------------------------------; thickness --------------- ------------------------------------------------------------
--------------------------------------------------:-----------------------------------------------------------------------------------------------------------------------------------
7. SUBFLOORING: (bescribe underflooring orgeciaLfloors under ifern 21.) & At--is.type-----------------------
Material: Grade and species-----�__V--------ks 1---------------------------------------------------------; size------------ __1
Laid: 11 Firs R El second floor- r-1 attic----- ------------sq.ft.; EAiagonal; El right angles- ----------------------------------------------------
------- ---- il Gi----- - -----4 0_0 I ft--------------------------------------------I---------------------------------------------------------------------
8. FINISH FLOORING: (Wood only. Describe ofher finish flooring under ifem 21.)
LOCATION Rooms GnAD% I- SPECIES THICKNESS WIDTH BLDG.PAPEa RNISH
I A A 4" & T&WO
First floor-------------------------------------------4----Y-6---V-----#"!-------PaY!------aw 34- --------------- ---------
Secondfloor-------------------------------------------------------------------------------------------------------------------------------------------------------------------
Atticfloor------- ---------------------sq.ft- ------------------------------------------------------------------------------------------------- -----------------------------
VA Form V84-1852
FNA Form 2005 DESCRIPTION OF MATERIALS'
DESCRIPTION OF MATERIALS
26. IWIftTIO
MATERIAL,TYPE,AND M ETHOD OF INSTALIATION VAPoa BARuma
Roof----------7--jo------------ ------- --------------------------------------------------------------------------------------------------------------------------
04
Ceiling---------------7------- -----------------------------------------------------—--------------------------—-----------------------------------------------
Wall--------------I----------------------------------------------------------------------------------------------------------------------------------------------------------------
tl6ot!--------
---------------
t Is
(Des a mai ell* ttgotion%ta here):------------------------------------------------------
Ott, via #;Wko;w JP" V"iw---------------------------------------------------------------
--------------I----------------------------------------------------------------------------------------------------------------------------------I------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------—----------------------------------------------------------------
----------------------
------------------------------------------------------- ii� MCA
14AkbWAkE: (Mdke, maWial, and Enish)---- _-'V_—_ X---------------------------------------------------------------------------------------
--------------------------------------I---------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
SPECIAL EQUIPMENT: (State material or make and model.)
Venetian blinds N b ---- Automatic washer--------------------------------------------------------------
Clothes drier------------------------------------------------------------------------
Kitchen range -------------
Refrigerator-----1W__,W_ftv"7---------------------------------------- Other-----------------------------------10- ' ---- ---------------------------
Dishwasher--------—------- ------------7------------ --------------------------------------------;-4- - --------------------
Garbagedisposal Unit --------- ........I------------------- -------------------------------------------- -- - -- --------------------
PORCHES': A:
M
0
-------------- -------------------- ---------------------- -------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------- - -- ---- -- - -------------
......---------------------
--------------------------------------------------------------------------------------------------------------------------------------
TERRACES: M
0"Wiete to $sip I""
-—-—-—------------- ------------- ---------------------------------------------------44�9- --------—--
I
----------------- ------- ------------------------------------------- ------------------- ----------------------- ----------------—--
----------------
-—------------ -------------------------------------------------- ---------------------------------------------------------z------
GARAGES;
G7
A* %
-------------------- ----------------------------------- ----------------t----- - -- - ------------------
------------------------------------------------------------------------------------------------------------------------------ --- ----------------------------
------------------------------------------------------------------------------------------------------------------------------------------ t -------------------------
----------------------------------------------- ----------------------------------------------------------------------------------- ----- --- -------------------
--------------------------------------- ------------------------------------------------------------------------------------------------- -------------------------------------
wALKS AND DRIVEWAYS:
Driveway:Width............ Base material------------_;thickness------". Surfacing material 49M-- ----------------; thickneSS44
Front walk: Width ......................;4,i�MeSS......... ger * walk: Width------ Material---------;thickness------
aterial ---------------------------------------; t e ( 4"T "- risers---- -------- Cheek walls ---------------------------------------------
Steps: k i &Is - ----- I
--—--------------------I-----------------------------------------------------------------------------------------------------------------------------------------------------------
OTHER ONSITO IMPIkOVEMENTS:
(Specify all exterior onsits improvements not described elsewhere, including items such as unusual grading, drainage structures,
retaining walls,fence, railings, and accessory structures.)
.......I---1___._1--------------—,------------------------------------------------------------------------------------------------------------------------------------------------
-—-------—-------------------------------------------- ----------------------------------------------------------------------------------------------—------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------7-----------------------------------------------------------------------------------------------------------------------
-----------------------------------I------------------------------------------------------------7----:----------------------------------------------------------------------------------
LANDSCAPING. PLANTING, AND FINISH GRADING:
Topsoil...........thick. 0 Front yard; side yards- [LreUyjrd tj....................I feet behind main building.
"W rear yard----------------------
Lawns (seeded,sodded, or 8p7igged): gFront yard'---- _.!!�:737bildie d ------a.
Planting: [I As specified and shown on drawings; [] as follows:
------------ Shade trees, deciduous- ----------------- caliper. ------------ Evergreen trees- ---------------- to-----------------B&B.
------------ Low flowering tiees,deciduous, ---------I to---------- ------------ hvergreen shrubs- ---------------- to---------------Pt B&B.
------------ High-growing shrubs,deciduous, ----------to---------- ------------ Vines,2-year --------------------------------------------------------
------------ Medium-growing shrubs,deciduous- ----------to---------- ----------------------------------------------------------------------------------------
------------ Low-growing shrubs,deciduous, ---------I to--------- ----------------------------------------------------------------------------------------
IDENTIFICATION�Thig exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the latter
is known at the time of application.
A—
Date................................................................................... Signature----------------------------------------------------------—----------------
Signature........................................
......................a.............
VA Form V84-1852 0016--WIS-5 U:S.CMUNNENir PRINTING OFFM
FHA Form 2005
21. SPECIAL FLOORS AND WAINSCOT:
LOCATION' MATERIAL,COLOR,BORDER,SuRs,GAGE,ETC. THRESHOLD 1B3 7A�sr, UNDERFLOOR
Kitchen-------- ----------------------------------------------------------------------- ...
Al inn* ---------21YNOAd----
Bath--------------aarvmLa---Ti1*------------------------------------------------------------)LarJAML---------TAS----------------------------
------------------------------------------------------------------------------------------------------------I--------------------- -------------------- -----------------------
LOrATION MATERIAL,COLOR,BORDER,CAP,Sims,GAGE.ETC. HEIGHT HEIGHT AT TuB HEIGHT AT SHOWER
---------------------------------------------------
ZBath------------44WNM"--!tUA-----------------------------------------------------------
-------------
------------------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------
------------------I-------------------------------------------------------------------------------------�M�W�!��M----------------- .r
Bathroom accessories:X Recessed; material--- -------;number-&--; r] attached;material-----------------------;number------
---------------------------------------------------------------------------------------------------------------------------------------------------------------------
22. PLUMBING:
FixTuEE NUMMB I LOCATION MAKE MFGR'R FIXTURE IDENTIFICATION NO- IZE 0
----------------------------------------------------------
Sink------------------------- ------ ------------------------
Lavatory---------------- - Ift AIAN80----------------------------------------------------
Watercloset--------------AS------- -11016111b[elm ------------------------------------------------------------------------------------------------------
Bathtub-------------------i------ -------------------------------------------------------------------------------------------------------------------------
Shower over tub*-------I------------------------- --------------------- --------------------
---7-7----7--------------------------------------------------------------------
8 1 tall shower"-----------AL-------------------------- -------------------------------------------------------------------------------------------------------------------------
Laundrytrays----------- -------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
A*-'W A&�
.................
—---------------------- ----------------- -----------
It a ------------------------------------------------
----------------------------I----------I------------------------------------------------------- --------------------------------------------------------------------------------------
*19 Curtain rod' *11I Door El Curtain rod
Water supply: sPublie; [3 community system; [] individual (private) system.*
Sewage disposal:X Public; [3 community system; [I individual (private) system.
*Show and describe i�dividual system,in complete detail in separate drawings and specifications according to requirements.
House drain (Miside):41 Cast iron; M tile; M other---------------- House sewer (outside): El Cast iron;J9 tile; 0 other------------------
Water piping: X Galvanized steel; L3'ciopper tubing; 0 other----------7---------------------------------------------- Sill cocks,number---4------
Domestic water heater: Type ---]n-- -----------------------; make and rn�odel -ft- --"*- ------------- --------------------------
recovery ---------------------gPh- 1000 rise. Storage tank: Material ----**-14#--------------------------------; capacity--U---------gallons.
Gas service: 0 Utility company; [I liq.pet.gas; C3 other------------------------------------------ Gas piping: El Cooking; 0 house heating.
Footing drains connected to: [I Storm sewer;.[]_sanitary sewer;F1 dry well. SUMP PUMP -7---------------1-7------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------------------------
29. "RATING:
[I Hot water. 0 Steam. [I-Vapor. 0 On ipe system. [I Two-pipe system.
o
0 Radiators.' 0 Convectors. [0] Baseb I d radiation. Make and model---------------------------------------------------------------------------
Radiant panel: El Floor; El wall; E]ceilint. Panel coil: Material--------------------------------------------------------------------------------------
El Circulator. [3,Return pump. Make a*d model-------------------------------------------------------------------; capacity --------------- gpm.
Boiler: Make and model ----------------------------2i��-------------------------------- Output------------------Btuh.; net rating------------------Btuh.
----------------------------------------------------------4----------------------------------------------------------------------------------------------------------------
Warm air: M Gravity. JU Forced. Type of sy*tem-41L-144-----------------------------------------------------------------------------------
Duct material: Supply----46�tv------- -------- Insulation -----jlajk4ohickness -4g-4--- 0 Outside air intake.
Furnace: Make and model.- ---160,-------------------------- Input---------------------Btuh.;output---I"----------Btuh.
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------
[I Space heater; [I floor furnace; [I wall heatir. Input--------------------- Btuh.;output--------------------- Btuh.; number units----------
Make,model --------------------- T ----------------------------------------------------------------------------------------------------------------
-----------------------------------------------7------------------------------------------------------------------------------------------------------------------------------
7 Controls: Make and types -----------------------------------------------------------------------------------------------------7------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Fuel: [] Coal; E] oil; []gas; [I liq.pet.gas; n electric; 0 other--------------------------------------; storage capacity ---gas---------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Firing equipment furnished separately: El Gas burner, conversion type. Stoker: 0 Hopper feed; 0 bin feed.
Oil burner: 0 Pressure atomizing; El vaporizing---------------------------------------------------------------------------------------------------------
Makeand model ------------------------------------------------------------------------ Control ----------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Electric heating system: Type---------------------------------------------- Input------------watts; @------------volts;output----------------Btuh.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Ventilating equipment: Attic fan, make and model ---------------------------------------------------------------------; capacity---------------------cfm.
--------------------------------------------------------
Kitchen exhaust fan, make and model --------AMWum-V
Other heating, ventilating, or cooling equipment -------------------------------------------------------------------------------------------------------------------
It
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
24. ELECTRIC WIRING:
Service: ik Overhead; El underground. Panel: 0 Fuse box; =circuit-breaker ------------------------------------ Number circuits ---------
Wiring: [I Conduit; [] armored cable;it nonmetallic cable; D knob and tube; [I other ------------------------------------------------------------
Special outlets: *Range; Eavater heater; E] other ------ ---------- ------------------------------------------------------
Doorbell. [*Chimes. Push-button locations --------IWO14- ------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
25. LIGHTING FIXTURES:
Total number of fixtures---2-.2---------- Total allowance for fixtures, typical installation,
Nontypicalinstallation -------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------——------------------------------------------------------------------------------------;��
69-16-0816" 8 DESCRIPTION OF MATERIALS
DESCRIPTION OF MATERIALS
26. I=L Olt
IboAtwx Titlexxviss MATERIAL,TYPE,AND METHOD OF INSTALLATION VAPOR BARRIEs
Roof-------------iir------------111�------------------------------------------------------------------------------------------------------------------------------------
c6ilifig---------------------------- ----------------------------------------------------I-----------------------------------------------------------------------
Wall--------------I----------------------------------------------------------------------------------------------------------------------------------------------------------------
ribot-------- -----
----------------
2�. 9iidftLANib6t:
(Des ell' t . 4 t* n ita 7W
jgwowtju Where) --------------------------------------–--- ---
--------------------M--------M----------------M_------------
----------------M------------------------------------------M--------------------------------------------------M--------------M---------------------------------M-M-----M----–--------
-------M-------------------------------------------M-----------------------------------------------------------------------------M-----------------------M----------------–----M-M.
---------------------------------------------------------------------------------------------M-----------------------------------M---------------------------------------------
-----------------------------------------------------------------------------------------------------------------------M---------------------------------------------------
---------------- -------------------M----------------------------------------------------------------------------------------------------M----M------------M----------
-------------------------I--------------------------------------------------------------------------------------------------------M----------------------------------------------M----
----------------M-------------------------------------------------------------------------------------------------------------------------------------M-M-----------------------------
-----------------M-MM------------------------------------------M---------------------M--------------------------------------------------------------------------------------
-------------------M----------------------------------11113A ---------------------
FWEVAkll: rMdke, ma4iial, and finish,----ARW-----------I-------–---------------------------------------------------------------------------------------
-------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------
--------------------------------7----------------------------------------------------------------------------------------------------------------------------------------------------
SPECIAL EQUIPMENT:,(State material or make and model.)
Venetian blinds N b ------ Automatic washer--------------------------------------------------------------
Kitchen range___*W-------- o" whawic_ Clothes drier------------------------------------------------------------------------
Refrigerator----- ------------------------------- Other-----------------------------------10- % --- -------------------–------
Dishwasher-------------------W-W11111 ------------------7----------- ------------------------- _2>4- - ---------------------
Garbagedisposal unit ---------------- --------------------- --------------------------------------------In--- -- - -- --------------------
A:
PORCHES:
----------------------------------------------------------4------ -----------------
=2
-–---------- --------------------------------------------------------–-------------------------------------–------------------– X
j------------------------------------------------------------------- - -----–--------
-–-------–I---------–---------------------------------------- ----
e t
-—-----—----------I--------------------------------------------------------------------------------------------------------------
TERRACES: ft"Oeft 44 tow #tow rril
----------m------------------------------ ----- ---------------------------------------------
--- ----- - ---------------
Ln
-------------------------------------------------------------- -------------------- --------------------------------------------- --------------------
-–------------------ ----------------------------------------------------------------------------------------------------- ----------------–--
GARAGES; Z' 4D
As P" V&S" 4
----------- ---------------------------------------------------- ------------------
----------------------------------------- ------------------------------------------------------------------------------------- ----------------------------
--------------- -------------------------------------------------------------------------------------------------------------------- --------------------------
-----------------------------------------1-1------- ---------------------------------------------------------------------------------- ----------------- ..............
----------------------------- ---------------------------------------------------------------------------------------------------------- -------------------------------------
wALKS AND DRIVEWAYS:
Driveway:Width............ Base material---------------;thidkness,_____". Surfacing material -------; thickness4_11.
Front walk: Width--------j"al----------------------;ti.Wcness------It* S.e,,Ve walk: Width------ Mate I rial---------;thickness------It
Steps: Material ---___---------------------------; tiedda --------------; risen------------------ Cheek walls ------------------------------------------
--–------------------------ ------------------------------------------------ --------------------------------------------------------------------------------------------------
OTHER ONSITE IMPROVEMENTS:
(Specify all exteri&r on3ite improvements not described elsewhere, including iterns such as unusual grading, drainage structures,
retaining walls,fence, railings, and accessory structures.) I
----------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------
-–--------------------------------------------1_7----;--------------------------------------------------------------------------------------------------–--------------------------
---------------------–------------------------------------------;------------------------------------------------------------------------------------------------------
--------------------------------------------------------------7-----------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------ ----------------------------------------------------------------------------------
LANDSCAPING. PLANTING. AND FINISH GRADING:
Topsoil---------"thick; t] Front yard; ide yards; [':L*,re r ard t feet behind main building.
Lawns (seeded,soddud, or sprigged): 4 �__*2 [] rear yard------------------------------
1,
Front yaz T%a
Planting: 0 As specified andahown on drawings; El — -----ws:,W �w V�w
............ Shade trees, deciduous- ----------------- caliper. ------------ Evergreen trees- ---------------1 to-----------------B&B.
------------ Low flowering ttees,deciduous, ---------I to------4--- ------------ jEvergreen shrubs- ---------------- to---------------1p B&B.
------------ High-growing shrubs,deciduous, ----------to---------- ------------ Vines, 2-year --------------------------------------------------------
------------ Medium-growing shrubs,deciduous- ---------- to---------- ----------------------------------------------------------------------------------------
------------ Low-growing shrubs,deciduous, ---------I to---------I ----------------------------------------------------------------------------------------
IDENTIFICATION�This exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the latter
is known at the time of application.
Date----------–-------------------------------------------------------------------------- Signature-----------------------------I-----------------------------------------------
Signature-------------- -------------------
...................................
VA Form VB4-1852 U�C GOVIUMENT PRIKTING Wki
FHA Form 2005
*ftw
VA Form VB4-1852 For accurate register bf carbon copies,form Form approV9.
FRA Form 2006 may be separated along above fold. Staple Budget Bureau No.63-11055.9.
Jan. 106 completed sheets together in original order;
r-1 Pmpoted Consfrucfion DESCRIPTION OF MATERIALS No- _-------_-------------------------------_-
(To be inserted by n1A or VA)
Fj Ultder Construction
Properfyaddress --------------------------------------------------------------------- City................................................ Sfafe------------------
Modgagor or Sponsor------------------------------------------------------------------------------- --------------------------------------------------------------------
(111ma) (Ad&eft)
Confrdeforor Boilder----------------------------------------------------- -------------- ----------- --------------------------------- ----------------------------------
Maine) (Address)
INSTRUCTIONS
1. For additional information on how this form is to be submitted, number minimum requirements conno� be considered unless specifically described.
of copies, efc., set the instructions applicable to the FHA Application for 4. Include no alternates, 'lor equal" phrases, or contradictory items. (Con-
Mortgage Insurance or VA Request for Determination of Reasonable Value, siderofion of a request for acceptance of substitute materials or equipment
as the case may be. is not thereby precluded.)
2. Describe all materials and equipment to be used, whether or not shown 5. Include signatures required of the end of this form.
on A' drawings, by marking an X in each ap ropriate check-box and entering
the il-11formation called for in each space. l7space is inadequate, enter "See 6. The construction shall be comp'eted in compliance with the related
misc." and describe under itern 27 or on an attached sheet. drawings and specifications, as amended during processing The specifications
b ini
3. Work not s eicifically described or shown will not be considered unless include this Description of Materials and the opplica It M, mum Construction
required, when At minimum acceptable will be assumed. Work exceeding Requirements.
1. FJ(CiVATIOR:
Ilearingsoil,type------------------ ----------------------------------------------------------------------------------------------------------------------------
7----------------------------------------------------------------------------—---------------- ---------------------------------------------------------------------
2. FOUNDATIONS: A"*__n6&AA.
Footings:Concrete mix---------- NIZ--- Reinforcing-----—1-73--- #R F-I.R.&------------------------------------
Foundation wall: Material------------M !==m--------------------- Reinforcing-------------------------------------------------------------------------
Interior foundation wall: Material ------- Party foundation wall------------------------------------------------------------
Columns: Material and size--------------------------------------------------- Piers: Material and re' iforcing -------------------------------------
Girders: Material and sizes--------------------------------------------------- Sills: Material --------4A-------------- ---------------------------------------
Basement entrance areaway--------------------------------------------------- Window areaways -----------------------------------------------------------------
Waterproofing------------------------ --------- looting drains---------------------------------------------------------------------
Termiteprotection--------------------------------n------------------------------------------------------------------------------------------------------------ -------------
Basementless space: Ground cover------------------------------ Insulation------------------------------- Foundation vents _1 I—----------------
Specialfoundations----------------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------ -I------------------- ----------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------
4IMNEYS.
.*ate'rial ----------------------------------------- Prefabricated
(make and size) ---------------------------------------------------------------------
Flue lining: Material------------------------------------- Heater flue size--------------------------------- Fireplace flue size----------------_ ----------
Vents (material and size): Gas or oil heater---------------------------- ---------------------------------- Water heater------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
4. FIREPLACES:
type: [3*olid fuel; 0 jas- ng; [I circulator (make and size) ------------------------- Ash dump and clean-out---Ift-------------
MAUNA
------ --- ----------------; mantel------V_�----------------
Fireplace: Facing ----- --------- lining------T-A-Vor----------------; hearth
----------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------
S. EXTERIOR WALLS: Ago 1p 4 ft&
Wood frame: Grade and species----jM-----!T!!!E----------------------- [fCorner bracing. Building paper or felt----------X&--------------
Sheathing -------- thickness width------------ solid aced-------------- o. c.; 7 diagonal; ----------------
fastening---------------------
Siding------fto------------ grade_-JO-A1191,k�pe-------------- size----- exposure AIIII-111-L&M,
Shingles----------------------------- grade----------------; type-------------- size--------------- exposure---------";fastening---------------------
Stucco------------------------Ni,= thickness--------------- Lath---- ---- --- --- --------------- -----------------;weight---------------lb.
SWUM -------- - -
Masonryveneer ---------- ----------------------------------- Sills ----------- -W.11;ft-------------------- Lintels -----------------------------------
Masonry: Facing----jjf W_ -------; backup -----------------V--- thickness ------------- - Bonding-----------------------------------------------------
I
Doorsills-------------------------- Window sills-----------"a---------------------------. Lintels-----------------------------------------------------
at
jof6__X__#,*jW__*jj-----------; furring------------------------------------------------------
Interior surfaces: Dampproofing,
Exterior painting: Material--------------------------------------------------------------------------------------------------------------;number of coats---------
Gable wall constrac E?tame as main walls; n other----------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------1------------------------------------------------------------------------------------------
6. FLOOR FRAMING:
loists: Wood,grade and species--- ----J?-1-------------;other-------------------------- --; bridging ------ anchors --------------- ---
Concrete slab: r-1 Erm fl rt flnoor; Around supported; El self-supporting; mix -----4-P W_TT------
----it It e n -------------RAW-------M-------------
reinforcing ------ ----------- insulation---------------------------------------------; m mbra e
Fillunder slab: Material ----------------------------------------------------; thickness --------------- ------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------
----------------------- --------------
7. SUBFLOORING: (Describe underflooring orlec;aLfloors, under ifern 21.) type-----AR----------------
Material:Grade and species-------- -------k's 11------------------------------------------------ ------I size------------
Laid: 9 Firsifl * El second floor F tti
gor a ic------------------sq.ft.; [Aiagonal; EJ right angles- ----------------------------------------------------
U, - SAUN& �. &_
ST IN A-"
F - __w- ------------------------------------------ ---------------
8. FINISH FLOORING: (Wood only. Describe other flnish flooring under ifem 21.)
LocATiox Rooms GRADE , SPECIES THICKNESS WIDTH BLDG. PAPER FINISH
First floor------------------------------------------01406ir 04, ----------
.Y-------------------------- -------3-----------
Secondfloor------------------------------------------------------------------------------------------------------------------------------------------------------------------
Atticfloor------- ---------------------sq.ft- --------------------------------------------------------------------------------------------------------------------------------
VA Form VB4-1852 DESCRIPTION OF MATERIALS
FHA Form 2005
DESCRIPTION OF MATERIALS
9. PARTITION FRAMING:
Studs: Wood, grade and species ----V&ft"------------ Size and spacing -------------------------------
-------------------------------------------------—-----------------------------------------------------------------------------------------------------------------------------------
10. CEILING FRAMING:
Joists: Wood, grade and species ------ -------- Other -------------------------------------- Bridging ___1%*--------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
11. ROOF FRAMING:
Rafters: Wood, grade and species _#-4-24"------------------ Roof trusses (see detail): Grade and species------------------------------
----------------------------------- --------------------r---------------------------------------------------------------------------------------------------------------------------
12. ROOFING:
Sheathing: Grade and species -------- ----------------------; size),_-a-4; type-----a--------; El solid; [I spaced......... 0.C.
Roofing ----------AAkfLik"lk---------------------; grade -------A-----------; weight or thickne8s:Lj$__; size fastening ------------------
Stain or paint---------------------------------------------------------------------- Underlay SaA--J*
IWWW3A---------------------------------------------------
Built-up roofing __-----------------I-----------------------------------------------; number of plies -----------; surfacing material--------------------------
Flashing: Material --------#0_4--------------------------------------------; gage or weight J*----------------; n gravel stops; [3 snow guards
--------------------------------------------------------------- -------- -------------------------------------------------------------------------------------------------------
13. GUTTERS AND DOWNSPOUTS: -
Gutters: Material--------- *-------------------- gage or weight size---*4k------;shape -------0,0---------------------------------------
Downspouts: Material ---------------------- gage or weight---- size----------------;shape-------ft*-------------- hu mber-----------
Downspouts connected to: 0 Storm sewer; El sanitary sewer; [I dry-well.X3 Splash blocks: Material and size_4401we-----------
------------------------------------------------------------------------------------------------------------r------------------------------------------------------------ -------
14. LATH AND FLA STER:
LathX walls,,V ceilings: Material__AWA�------;weight or thickness --- Plaster: Coats---&-;finish ----------
�Wwqmww- - -09 -----------
Dry-wall E] walls, El ceilings- Material-------------------------; thickness ---------; finish-------------------------;joint treatment-------
-------------------*---------------------------------------------------------------------------------------------------------------------------------------------------------------------
15. DECORATING: (Pa;nt, wallpaper, etc.)
Rooms WALL]FINISH MATERIAL AND APPLICATION CEILING FiNisa MATERIAL AND APPLICATION
Kitchen------------------- ----------------
-J946007-7-1--------------------- ---------- ---- ---- --------------
Bath------------------ 40 '_ __ I----------------------------------- ---------
- -- -------------------------------------------------- -------------------
----------------------------------------------------------------------------------------------
----------------------------- ---------------------------------------------
-------------------—-------------------------------------------------------------------------------------- ----------------—-----------------------------------------------
16. INTERIOR DOORS AND TRIM:
Doors- Type ---112ILS&------------------------------------------------; material --—----------------------------------------; thickness
Door trim: Type -----it-----------------; material AIM---------------- Base: TypcVW"__1%4j4W material 211W--------; size-!ILL0,-
Finish: Doors ------- --------------------------; trim ---------------------------
Othertrim (itein,type and location) -----------------------------------------------------------------------------------------------------------------------------------
-------------------------------77------------------------------------------------------------------------------------------------------------------------7-----------------------
17. WINDOWS: 1�t
Windows: Type make_XA%4J"__4*#_4gqV"materia1 ----------------------; sash thickness ---------------
Glass: Grade --,US&----------------; 0 sash weights; 0 balances,type ------------------------------------; head flashing -----------------------
Trim.- Type 4-041V--------; material --------------------------------------- Paint------------------------------------------; number coats-------
Weatherstripping: Type ------------ -----------------------------------------; material --------------------------------------- - Storm sash� number--------
Screens:J0 Full; [I half; type ---------------------------------------------; number ------------; screen cloth material ----------------------------------_
Basement windows: Type -------------------------; material ------------------------; El screens,number---------; 0 Storm sash,number---------
Specialwindows --------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------- -----------------------------------------------------------------------------------------p---------------------------------------------------------
11L ENTRANCES AND EXTERIOR DETAIL:
Main entrance door: Material..ZAJIL-----------------;width thickness Frame:Materlal#�---;thicknes4V*_11
Other entrance doors.Material A-----------------;width 3V----- thickness Frame: Material_-*---------.thickness-16......
Headflashing---------------------------------------------- Weatherstripping: Typo A160AWK00------------------; saddles --------------
Screen doors: Thicknes VA - __ww"7477
s4ly-.- ;numbS------; screen cloth material-A%900---- Storm doors: Thickness---------;number-------
Combination storin and screen doors: Thickness----------; number-------; screen cloth material ------------------------------------------------------
Shutters: C] Hinged;*fixed. Railings------------------------------------------------------ Louvers --------------------------------------------------
Exterior millwork: Grade and species _-WAAL-RAft------------------------- Paint ----*W------------------------------; number coats
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
19. CABINETS AND INTERIOR DETAIL:
Kitchen cabinets,wall units: Material ------------------------------------------------; lineal feet of shelves ------------; shelf width-------
Base units: Material-----ftst---------------------; counter top --J**Au&--------I-------------; edging --l"IkAki --------------------
Back and end splash -----A11090d-------------- Finish of cabinets _JINUIPA--------------------------------; number coats
Medicine cabinets: Make-----Maw"A-b"Anihmal-------------; model ------------------------------------------------------------------------
Other cabinets and built-in furniture------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
20. STAIRS:
STAIR TREADs Risizas STRINGS HANDRAIL BALusTERS
Material Thickness Material Thickness Material Size Material Size Material Size
Basement-------------------------------------------------------------------------------------------------------------------------------------------------------------------
Main---------------------------------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------I--------------------------------
Disappearing: Make and model number--------------------------------------------------------------------------------------------------------------------------
--—-----------------------------------------------------------------—--------------------------------------------------------------------------------------—