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1622 W Park Ter (vault) % Av- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001395 Date 10/08/09 Property Address . . . . . . 1622 E PARK TER Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 7 FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ALLEN DAVID GRAY PLUMBING INC. 1622 PARK TERRACE EAST 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 744-7255 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 84 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/06/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 84 . 00 84 . 00 . 00 . 00 Plan check Total . 00 . 00 . 00 . 00 Grand Total 84 . 00 84 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH P -UM-BING PERMIT APPLICATION L ..... ..... Date- FWneProperty Address: 1,17-7- )?%le, Owner: -��'f5w A�-C-K - Telephone 4: Contractor: David Gray PIrumbing, Inc. Tellephon.e#: 9.850-Corporate Square Court Contructor Address: Jack-sonvifie,Florida 32216 Fax#: roperty A, r Contractor Contru, _tor Contractor Signature- CFC 022586 tnsideration of permit given for doing the work as described in the above statement,we hereby a00 perform said work in c'ozance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and ffiztures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type- If other construction is being done on this building or site, Ca , New list the building permitmumber Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer 'Water Heaters Sprinkler System Other Fees Permit Issuing,Fee: $35.00 Total Fixtures: Y X$7.00 $35.00 800 Seminole Road -Atlantic Seach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-584.5 - http:llwww.ci.atiantic-beach.fl.us Revised 1/04 08 09 1215p DAVID GRAY PLUMBING 904 723 5W P.1 0 CITY OF ATLANTIC BEACH PLUMBING PERINUT APPLICATION Date: Property Address: -;fo-�eq-f Arf 19-1,11,;- -1-ORe- Owner: Telephone#: per er 'y Contractor- Da\id 6-ay Plumbing, hic. Telephone 11tr N50 carpdnfe Square Coun Contractor Address- jatk-sonvift.Horida Fax#.- IZJ—54 ra CFC 022586 Contractor Signature: In consideraflor of penmit given for doing the work as described in sbove SW=en%we hertbY 00 pefam SaI3.-,.ozk in Eccordauce.with the attached p1sns-and specificrtions which art 1L-3art hereof and in accot4mce vnth the CitY of_A&zg�dr.BZWI ord-bance and 3candards of.good practic-c listed therein. 1USEa1l&6= Of UhimCmag and fb=ts must be in accordsact wft the mea rezent editon of%t Soulhern Sundard Plumbmg Code. Plumbing Type: if:>%a ccwtruction is being done on this b0ding or site: 0 New rist the buildng permit.-nunber Rp,pi-oc Number of'FLxtures: Bath Tubs Sihowers closets lo,hower Pans Dishwashers Sinks Disposals Urluals Roor Drains I Washing Machine Lavatory Water Sewer I 'Watter Heaters Sprinkler System Other Fees Permit Issuing Fee. S35-00 Total F-hxtures: X S7.00 + $35.00 Or7 800 Serninole Road-Atlantic Bear-h, Florida 32233-5445 Phone: (904) 247-68OG- Fax: (904)247-5845- http:iiwww.ol.attantic-beachfl.Lts Revised IJ04 P L Q T LOT I r5L0CK 12 UN17 3 L V 4 M A I f� A PROPERTY LINE 10.2 12.0 2�, 4 1 -011 3N, S W A L E .,2 T3 F— 1 .0 ro z �Ar m + CUNC - �WALK G E- 10-2 E 169 coi, c I \1 E 9.8 SEV.LR IN�\ \ 'LEV 4*2 t 7" y . .......... ............ `7 NOTES FOR WALL SAME 4 x 8 x 16 CONC.RETE BLOCK FIN, GARAGE FLOOR FINISHED GRADE ELEVATION 8" DEEP CONTINUOUg CONCRETE FOOTING WITH WELL .TAMPED FILL 7_11111 TWO # BARS 200 SEE ELEVATION FOR PITCH PREFAB TRUSSES FOR ROOFING SEE SPECS, TOP10F WOOD PLATE ANC+fOR EACH TRU",, PLYWOOD SHEATNING SPECS, FOR METAL DRIP lNiULATION x 2 2 x 4 BLOCKING FIN. I X TOP OF WINDOW I x 6 Y80 PLYWOOD WITH Vg*T's -FRIEZE BOARD SEE ELEVATION S _ET H I ROCK 2 x 4 FRAME WALL 16* ON CENTER SHEATHING (SEE SPECS.) AIR SPACE BRICK VENEER BRICK TIES 2 x 4 P.T. PLATE WITH ROUND BY 8" LONG SOLT$ 6 72" ON CENTER APPROVED 4" CONCRETE SLAB FLASHING Arch' Con I SEE 'SPECS. FOR WEEP HOLE .... ... . .. ...... ...... FINISHED FLOORING ................. ... 4,141 SHED FLOOR ELEVXT110 DATE-.. -7n 8 x 8 x 16 CONCRETE [fill BLOCK FOUNDATION 1111w, WALL CONTINUOUS - F NISHED GRADE ELEVATION -MIT- Jill 4 T 2D" X 8* DEEP CONTINUOUS CONCRETE FOOTING WITH I But- TWO # BAR$ WILL TAMPED FILL 200 CITY OF 4&4#d4'0 Be4CA-0;&%d* 4 Office of Building Official REQUEST FOR INSPECTION Date Permit No. 113j--l( Time Received 1A 16 Job Address Owner's Name Contractor BUILDING CONCRETE ELECTRICAL MECHANICAL Framing 0 Footing 0 Rough Wiring 0 Air Cond.& 11 Re Roofing 11 Slab 11 Temp Pole El To�p Out E /Heating Insulation 0 Lintel 0 Final 11 Sewer Place 0 Fab READY FOR INSPECTION A,M. Mon. Tues. Wed. Thurs. CFriday;:�— A.M. Inspection Made —A/ P.M. Inspector— Final Inspection F- 7 Certificate of Occupancy F Date FOR OFFICE USE ONLY Date..........A....P--..i.........../...P......19 Permit *----74d.......Fee CITY OF ATLANTIC BEACH Valuation Pt.0-- J, FLORIDA House #... .. ........ .........................................................JW.............. APPLIC TION 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 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, 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 City of Atlanfic 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 -__ ----- --- - - -- -----------------------------------1 192.0- ... ..... . .. . Owner. ----------------------.......-------------------------------------Addressf----------- ------------- ----------- --- ---- elephone No............................. Architect............... .......................Address,................................... .....Telephone No.......................... --- ------------------ ......... ------- -------Telephone No.2 Contractor Builder-- e. !_.ah-- ---- -------------------------Address./_.�/.., --------------- ..... .... Block No------ ----------_---Sub Division.. Zone...------ Lot ----------I --------_--_------_ ------------ ---------------- -------....Street---------------------.-.-Side Between------------_----------------_------------------and----------__........................................Sts. .............. Valuation $ �_ .�0 For what purpose will building be used.._------------ ---------.....Type of construction-.................................... I-------------------- Dimensions of Building---------------_-------___-------Dimensions of Lot- ---P6.Aize of Footings-................---------------- Size of Piers----------- ----------------------Size of Sills----_... ...... ------.-..GTeatest Sill Span in ft._..............-----.--Type Roof------............................. How will Building be Heated?----------___-----------------------_------............Will Building be on Solid or Filled Ground?........................................ Size of Ceiling Joists---------------------------- ------------ Distance on Centers...........I................................I Greatest Span............................................ ty Size of Floor Joists----------------------------------------------I Distance on Centers- __---------------------..... Greatest Span........................................... of Size of Rafters...---------------- _-------------------------., Distance on Centers ------ ----------------........... Greatest Span............................................ IF 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 3. When steel is in place and ready to pour beam. 4. When framing is completed. E-4 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. M 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 described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of AtlaAtic Biea�._ Signature of Builder. . .........d...................... Address_.__'/.�/ --------------------------------------------------------------------------- ........................... Signatureof Owner---- --------- ------------.......................------------------- Address-..-------------------------------...................................................... DEPARTIVIEW OF,SUR.1XNQ CITY OF ATLANTIC 1315 �H AC 1,0CAVON INFORNATIOR.,' Pun "r INFORMATrw ------ i4 21 PARK TERRACE EAST P*rini t Number: 11,354 Address TIC BEACH, FLORTDA 3 2 2 3 3 PLUMS INO Perm. t T ALTERA f, too; k. T10S, ------ IL: DZSCRXPT10N.- �Constr. 'Type: WOOD 'ORMP., Ald0k: 9,ejct i ont SISOL9 ,FAMILY RNO, A code. r*0 noo! f suhdivilii A MARINA '$O�,.00 rov:1. Cos t: Total �ia 00 Oz.* $21,51. Amount :"$(Z&�.06 :1/22/"96:, 1* rk 101! 711W FATION rits $25.00 Name vAfwj1T1( OF #E�w Add Val CT yet $0.00 TRA, 1140A OLLOft 33 XXPACT PER $0.00 !"Ph ON OADdN CAB S,% $0 000: 1wro Name CAPITAL INPROM 0 dies - 9 $02 19! L - I __t-1.102 i - r p 0 icensei- cril, 3 T-Y' # ImPACT Fitz .00 SURCHARGE Scit"AR'de/ANTL-BCH. NOTWE��,UL AND PO S UST Ow W, M 1W JINSP4010�1�89FORE POURING 'DA-T' MpI# S AFTEA. E_OF�ISSUE'� ' "DING MATERIAL,`AVSSISk�AW 'SWOAK MUST NOT4E-% SM 5 bEgkli F OM T f1LACEQv IN P Q 8MCE,AND MUST SIE :�OT* 0ONTRACTOR f,"AN- I OR bwNrzo AWAI IVS UEN' U AN TH -ME C _ :'RESU AN ,�cow`t 14, e, C H 4 wic R if jo 11W GT MME, ACC _,�"A�ijW6 *RD1NG-TOLAPP'A0' VtD PLANS'WHICHARE PART OF p MIT 0�11 BjF. t THIS Ii�jl AN U C OF A�ICABLE PROVIS F 1,AW. 77 R, F7 CH _- _:Sc�a"T 77T77 'EA04 ING DAEPARTMENT ' 4 Da law 10titl Nyted a CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 142-2 10AZ k/ -ro!�&A rX 6,4 1 OWNER OF PROPERTY: xj/4 Lo 41 t4 s -7-rz PLUMBING CONTRACTOR ilr-6 Kumaojc C o CONTRACTOR' S ADDRESS: 60AC9 4 vo. STATE LICENSE NUMBER: C 1CCO 2.2 ,112 TELEPHONE: 223- 3,SrS HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY -------YATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER -SfA,,c-ce &AACS G,.,T TOTAL FIXTURES: x $3 .50 + $15 .00 MINIMUM PERMIT FEE - $25 .00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR:. (Vk ----------------------------------------------------------------- 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 PRIOR TO COVERING UP - ( 904) 247-5834 DEPARTMENT OF,BUILDING OF ATLANTIC SCACK ''CITY ------ LOCATION INFOR14ATION EAST Addreusi,. 162,2 PARK TERRACE IC BEACH, PLORIDk =j3� �, mri t Types SUILDINO ATLA, #T L VZSCRIPTIOR - XR ' a *I works REPA T Lot% Sect ion v �yp* flat books Paget 0 0' OuOdiv cod , * ivion* jgati*at", vViluot *34160-010 Cost ITE j" i to Ad4r*Pv I PARK TERRACE: EAST t sEACdj,, 11�00IVA i2233 � *�7 -so 4TLIMITIC Amou 'V, Phone 2,49-3295 oi�k IST! gas CATION IF 0 7. 50 4 WATER ImIrACT, r 4 L *0. 00 11 0, 7�'5 CC saw I Paz .40 1 40 IA 6101 $0.Ovbi42 WAT RR TAP HYD *01, 00 RAULIC '00 "OPEC 40'.- Oq Ema Jio HER 77' 7,� �to v1"Ohm- 0 .41 NOTICE ALL CONCRET FOR S:A #4 N0 FOOTINGS MUtT�.'SE,IN$�f*.Ipt-,EO'IBEfORE POURING, PERMIT vot b:six MONTHS AFTER DATE,OF�ISSUE �B6LDtNG MATER' �` IAL,:RUBBISH ANoDEBRISTROM THIS WORK MUST'NOT EPLA04D IN PUBLIC SPACE,AND�MQST BE C Li A R ED U 0 AND,HAULED AwAyl BY EITHER.'CONTRACTOR OR OWNER6 'WITH THE IVIECHANICS' LI-EN LAW CAN RESULT IN 'TAILUPE TO COMPLY'-' R T PROPERTY 0 NE '�'PA ING TWICE. FORSUI.L'OINQi mpinovemENtsm HE ED PLANS WHICH ARE PART OF THIS PERMIT AND SUOJECT-MRE TtOKI VED ACCORDt-WiTO APPOOV , VOPA:, A' LATI '$OF:�AW, ON OF APPLIC E PAPVISION NTIC '0 t CITY OF A11AN1`IC BE,ACH APPLICfflON FOR BUILDING PF21,111' Owner 00"4L4 WjYI-74- Addres§ ' /&�2g, P,/h�,k zip. Phone A 19-3A 9S Architect Address zip Phone Contractor&RAs7oAj T&of1,,jC, Address_ j(,6,o raxgu,7 7/c. 5�,j)-7213kLA.4) Zip Phone.,7-F1?-oa,R Contractor-I s License Nuiber c-(no 3 les-Ll Expiration Date e) Copy on File Lot # Block or Section # Subdivision Zoning_ Street Between and side Valuation $— Type of Construction Purpose of Building Nunber of Units Fireplaces Utility Service: Water Sewer If the City if providing water or sewer service, do we need to make taps? DLTP-nsions : Building__ Lo't Size Footings Sz. Piers --Sz.. sills Greatest Span Sills Sz. Ceiling Joists Distance on Centers Greatest 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 HAZARD coffVlete page 2 Ar:=Aov":� "rrI4 2s -Jr.-h�e- SUBMIT: Two corrplete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1. Rion steel is in place ond ready to pour footings, 2. M-ien steel is in place and ready to pour colums/lin-tel. 3. Mien steel is in place and ready to pour beam. 4. Mien framing, mechanical, pluibing, electrical, .fireplace,. is coupleted and ready to cover up. 5. Final inspection. SETBACKS NO INSPECTION WILL BE MADE, IF BUILDING CARD IS NOT POSTED ON JOB.. In case of rejection, reLrispection MUST b-e called for after Re�r Lot Line corrections are made. In consideration of permit given for doing the work as described in the above statement, we ,hereby agree to perfonn said work in accordance with the attadied plans and specifications, w1iidi are a part hereof, and in accordance with the building regulations of Atlantic Beach. (D Signature Owner Signature Contractor For accurate register of carbon copim fares may be separated along above fold. 8 omplated shoots tegether In origlasil= Proposed Construction DESCRIPTION OF MATERIALS No............................................... El Under Construction (To be Inserted by FHA or VA) Property address SEE PLOT PLAN —------–-------- City----0 Aqt�§qNY I LL IE -------- State FLA. Mortgagor or Sponsor ------------------- -100 4EST BAY ST. JAX. , FLA. -------------- (Name) (Address) Contractor or Builder __f f�A_N K. ERH0.L:)___ -- ---------- ------------- —-———------------------------------- (Name) (Address) INSTRUCTIONS 1. For additional information on how this form is to be submitted, number minimum requirements cannot be wmsidered unless specifically described. of copies, etc., see the instructions applicable to the FHA Applico+ion for 4. Include no alternates. "of equal" phrases, or contradictory items. (Con. Mortgage Insurance or VA Request for Determination of Reasonable Value, sideration 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 on the drawings, by marking an X in each appropriate check-box and entering 5. Include signatures required at the end of this form. the information called for in each space. If space,is inadequate, enter "See 6. The construction diall be completed in compliance with Ae related misc."and describe under item 27 or on an attached sheet. drawings and specifications, as amended during processing. The specifications 3. Work not specifically described or shown will not be considered unless include this Description of Materials and the applicable Minimum Construction required, when the minimum acceptable will be assurne4l. Work exceeding Rcquiremen+s. 1. EXCAVATION- Bearingsoil,type ----5ANMY__LQA10------------------------ ----------------------------------------------------------------------------------------------------------- --------------------------------------------------------------- ------------- ------------------------------ ---------------------------------------------------------I-------------- 2. FOUNDATIONS: Footings: Cor%crete ------------------ ----------- Reinforcing -------------------------- Foundation wall: Material 40KC-RE-TE.-SLOM------ ---------------- Reinforcing-------------------------------------------------------------------------- Interior foundation wall: Material--------------------------------- -- ---- Party foundation wall------------------------------------------------------------ Columns: Material and size--------------------- ---------- __------------ Piers: Material and reinforcing----------------- ------------------------------ Girders: Material and sizes------------------------------- ------------------� Sills: Material---------------------_---------------------------------------------- Basement entrance areaway----------------------------------------------.___ Window areaways ------------------------------- -------------------- ------------ Waterproofing-----—---------------------------------------------------- ------ _ Footing drains----------------------------------------------------------------------- Termiteprotection--- ------- ------------ -- --------------- ------------------------------------------------------------------------- Basementless space: Ground cover _------------------ --------- Insulation -----------------------------. Foundation vents ---------------------------—_ Specialfoundations -------------------------_---- ------------------------I----------------------------------------------- ---------------------------------------------- --------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- I----------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------- 3. CHIMNEYS: Material------------------------------------------------------ Prefabricated (make and size) _AJ_fi__t1E1__.aEflJ_E.6__HLT---- Flue lining: Material -..: _TEPRA_ -DO-TA-----.-. Heater flue size----j6!!_.DJ_AAfETEEt------ Fireplace flue size------------------------------ Vents (material and size) : Gas or oil heater_.-------- ------------------------------------------------------ Water heater------------------------------------ ----------------------------------------------------------------------------------------I--------------------- ----------------------------------------------------------------------- 4. FIFEFLACES: IF APPLICABLE Type: IV Solid fuel; [] gas-burning; 0 circulator (make and size) -------------—---------------- Ash dump and clean-out_Y1.4-------------- Fireplace: Facing 5-—---------; lining FAAF-Aft I-Qn-------; hearth ...A RJ-JQJK---—-------; mantel --------------------------------------- -------------------------------------------------------------------------------------—----------------------------------------------------------------------------------------------- 5. EXTERIOR WALLS: BRi OK VERNEER (FACE UPI CK ALLOWANCE $60.00/M) . Building paper or felt I*--FEL-T------------ Wood frame: Grade and species ------------------------------- [J Corner bracing. I/--*§__; width 50 solid; 0 spaced ------------- o. c.; C] diagonal; ------------------ Sheathing---ZiPA.-LAP--------; thickness_41--r— Siding-------------------------------; grade --------------- type ---------------; size --------------; exposure----------- fastening-NA.LLED-------- Shingles-----------------------------; grade --------------- type --------------.; size ---------------;exposure----------- fastening---------------- Stucco-—------------------------------ thickness ............... Lath ---------------------------------------------------------------; weight ------- -------lb. sill.........SRI GK Lintels -----N_QNE-------_---------------- Masonry veneer -----FADE_-13H_LJQK------------------------------ - - ------------------------ Masonry: Facing------------—--------; backup --------_------------- thickness ------- ........ Bonding----------------------------------------------------- Doorsills ------ -------------------- Window sills ---------------------------------------------- Lintels------------------------------------------------------- -- -------- Interior surfaces: Dampproofing-—------coats Of---------------------------------------- --.; furring -------------------------------------------ts- Exterior-painting: Material ---------------------------------—---------------- --- -----------------------; number of coa Gable wall construction: 0 Same as main walls; Ig other ---------------- ---------—------------------------------------------------------------------------------------- ------ -------- -EE---El—F—V414-4144-------------------- 6. FLOOR FRAM11441- other ---------------------------; bridging ---------------------; anchors -------- ----------- joists-. Wood, grade and species ---------------------- orting; mix thicknes __4�_; Concrete slab: El Basement floor; J first floor; [)t ground supported; 0 self-suPP membrane 2,_PLY__1*-FF-L-T--------------- reinforcing ------; insulation --------------------------------a, ; thickness --- ------11- ----------------------------------------------------------- Fill under slab- Material --WE.LL ---------------------------------- ---------------------------------------------- -------------- 7. SURFLOORING: (Describe underflooring for specie/#cars undet;tsm 21J ---------------—----- size-----------------; type ------------- ------------------ Material. Grade and sPecie - r; C, attic ------------------ sq.ft. �ai; [3 right angles- -1----------------- Laid: 0 First floor; E] ,econd floo AMMED -- - ------------------------------------------------------ -----------------------------------------I-------------------------------------------- 4�.qontr 8. FINISH FLOORING: (Wood onfy. Describe other finish 0 F�00 R E LOCATION ------------------------ ------------ ---- --------- -------- ----------- -------------- -------—-------------------- First floor-----------—----------------- -------------------------------------------------- a,—islju species ----- %7 Tr Size and spacinz__�ex6_4__16*__C._c.____ Other -------------------------------------------------------------�qLE PLATE TREATEI) 20 SYP -- --------------------------------7------------ 10. CEILING FRAMING: 7------------------------------------------------ Joists: Wood,grade and species-------------------------- - I " I I �, ---------- Other Bridging ------2x4 Jt!USSEq --------- ---------------------------------------------------------------------------------AIMATTA-C-HED__E_N_G I_NE-E-R I_NG_DE TA I L$ ---------------- 11. ROOF FRAMING: - - - - - - ------------------------ Rafters: Wood,grade and species------------------------------------------ Roof trusses (see detail) : Grade and species ------it---OTI�------------ ------------- 12. ROOFING: _pg_TA-1-1.1------------------------- Sheathing: Grade and species ----------------------------------; size AX5-----; type ---124-4-------; & solid; 0 spaced o.c. Roofing-------OP-H.A.0---15_d_tA(5U_6-----------; grade--A----------------;weight or thickness ; size UX36, fastening-NAILED----- Stain or paint ------------------------------------------------------------------- Underlay_Z_?!eY---t Built-up roofing ------------------------------------------------------------------;number of plies surfacing material--------------- Flashing:Material..GAL V. METAL ---- ------- ----- - ---- - - ----------------------------------------,; gage or weight --------; E3 gravel stops; C1 snow guards ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 13. GUTTERS AND DOWNSPOUTS: 0 V E R R E A R P A T 10 S Gutters: --------------; gage or weight----2,6-----,size___3X ;'shape Downspouts: Material_j4LV.__AETAL--------; gage or weight---2-6----;size__3%------; shape----139-0T--------------j nWnber----------- Downspouts connected to: D Storm sewer; C3 sanitary sewer; E]dry well. 11 Splash blocks: Material and size---IbXZ4----C-0-N-OR ZTJE --------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 14. LATH AND PLASTER: Lath E3 walls,[I ceilings: Material------------------------ weight or thickness--------------- Plaster: Coats finish----------------------- Dry-wall 91 walls, [S ceilings: Material ___"P_S-UU-----------; thickness__J-----; finish---VAO-Q-T-K---------; joint treatment---le_k4---- ---TDL--5 F-_T_E 9_T_VR_CP-------------------------------------------------------------------------------------------------AND-1-ILLED 15. DECORATING: (Point,wallpaper,etc.) Room$ WALL FINISH MATERIAL AND APPLICATION CRILING FINISH MATERIAL AND APPLICATION Kitchen------------------ ---- F i9k UNDERCOAT WITH ENAMEL FIN19H ------------------ .......... Batha-------------------- ---- ----------------- -----0-PERANATAI-11H---E14AMEL-FLNIMH------------- BALIAN&EI------------ ----T*Q---GDA_T_6__LA_TF.A__?A1V_T------------------------------ ------QE1L1h_Qf1__1EX1JUPM--------------------------------- ---------------------- --------------------------------------------------------------------------------------------------------------------------------------------------- -----------------------------I----------------------------------------------------------------------------------------------------------------------------------------------------- 16. INTERIOR DOORS AND TRIM: Doors: Type -------------F"Fx�l-------------------------------------; material ---- ----------------------------- thickness __LV0__ Door trim: Type ---IT-0-G&----------; material ---------- Base: Type----PLMM--------;material____"C;A__A_YP----;size JA3L Finish: Doors ------9hAYEL__?A1N_T--------------------------------------------; trim --- ---------------------------------------------------- Othertrim (item, type and location)--------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 17. WINDOWS: SINGLE HUNG Windows: Type---------------------- make -----AL-CO-----------------------; material -ALMILMM---------------; sash thickness Glass: Grade---ADSR------------------ [] sash weights; n balances, type -------------------------------; head flashing----LklkgLMIL------- Trim: Type------------------------------ material --------------------------------------- Paint-------------------------------------;number coats__ Weatherstripping: Type ---------------------------------; material ---kV.Lk_Y_tX%---------------- Storm sash,number-------- Screens: [I Full; &I half; type--- ------------; number -A&L---; screen cloth materW -AWMINVIM----------- Basement windows: Type ----------------------; material ---------------------_; [I screens,number---------; 0 Storm sash,number Specialwindows ----------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------- 18. ENTRANCES AND EXTERIOR DETAIL: Main entrance door: Material ---------------------;width------;thickness.--". Frame: Material -------;thickness--" Other entrance doors: Material-----------------------;width---------;thickness__". Frame:Material-____;thickness—" Head flashing ----------------------------------------------Weatherstripping: Type------- saddles---------------------- Screen doors: Thickness----------; number--------; screen cloth material----------------- Storm doors: Thickness_.";number— Combination storm and screen doors: Thickness number__.; screen cloth material ----------------------------------------------------- Shutters: 0 Hinged; El fixed. Railings----------------------------------------------------- Louvers -------------------------------------------------- F,xterior millwork: Grade and species ----A_YP----T&------------------- Paint__jt4_4D_ A ND 0 IJ---------------_; number coats-3 ___6QF_F__t.T__AND__M_T..CZ_tL1J4Q 0 pp_-__AQ__K&1KFL WO UPSON SCARI5 --------------------- --- tQf!j&)�WO ----------------- 19. CABINETS AND INTERIOR DETAW CUSTOM MADE Kitchen cabinets, wall units: Material lineal feet of shelves shelf width Base units: Material_P_L_Y_W_QDD__AJ4R_-F_IJ!L------; counter top ----F-9-aWSAL--------------------; edging_-Eg!WIP�--------------- Back and end splash__ FORM I CA Finish of cabinets PREFtNI$HED By MFG. - number coats Medicine cabinets: Make---- E -------; model ------------------------------------------------------------------- Other cabinets and built-in furniture EACH BATHROOM ---------------------------------- ------------------------------------------------------------------------------------------------------------—--------—---------------------- 2& STAIRS: TWCADS 87WNGN HA?4=mL BALUW� STAIR material Thickness Material Thickness Material size Material Size Material sin BasemenL._________ --------------- Main----------------- ------------------------- -------------------------------- Attic---------------------- - -------------- -------------- --------- ------------ Disappearing: Make and model number ---------------------------------------------------------------------------- ---—------------------ -------------------- -—------------------ 2 DESCRIPTION OF MATERIALS 2� INZATION: LIVA T.M.4 THICKNESS MATEPJAL.Typp.AND METHOD Of INSTALLATION VAPOR BARRIKS -------- ---------------- ----------------------------------------------------------------------------------------------------------------- --------------------------------- Ceiling----------4At------- -----4;bGK*00L--aATT-$-------------------------------------------- ---------------------------------- ----------------------------------- Wall—------ ----2-0------- ------ROCKWOOL--BATTS-------------------------------------------- --------------- ------------------ ----------------------------------- Floor------- ---------------- ------------------------------------------------------------------------------------------------------------- - ---------------------------------- ----------------11------------- ---------------------------------------- ------------- --------------------------------------------I----------------------------- 27. MISCELLANEOUS, (Describe any main dwelling materials, equipment,or construction items not shown elsewhere): --------------------------------------------------- ---------------------------- ------------------------ ---------------------------------------------------- --------------------------------------------------------------- ----------- ----_--------- ----------------- ------------------- --------------------------------------------------------------------------— ------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------ ---------------- --------------------------------------------------------------------------------------------------------- ---------------- ------------------------- -------------------------CARPET--- ---WALL--Tia-tv A I I --------------- ---------------------------------------------------------------------------------------------- ---------------------------------------------—--------------------------------------- ........3,L ROOM CONTAINS PREFLNISHED PANELLING , ------- ....E4_kjjrX------------------------------- ------------------------------ ---------- ----------------------------------- ----------------------------- ------------------__-------- ---------------------------------- ----------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------- "AR"Aitt: (Make,material,end gnih) ---------------------------------------------------------------------- I------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------ ------------------------------------------------ ------------------------- --------------------------------------------------------------------------------—------------- SPECiAL EQUIIPMt*T- jS#qk -make.,,d..del) Venetian blinds -----—-------------------------- Number _.------- Automatic washer ----------- --------------- --------------------------------- Kitchenraze ———-—---------------------------------------------------- Clothes drier -------------------------------------------------------—----------— adrigerator --------------------- Other ----fmlai--------------- Diollwasher DALMD!!DJN__FA1AiDA_L?ALAjk:_ftUA_L----------- --------- Oarb*V dispoal unit ThEfiMA=BF____rXTS-22--------------------- ------------------------------------------------------------------------------------ ------------- ------------------------------------------------------------------------- ---------------- -—----------------------------------------------------- ---------------------- ----------------------------------- -----------------—-------- -------------- -----------------------------------I-------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------- --- TIRRACM —-- ------—_--19MW_Tjjj_G IN-K-J-0 E__F O-Q,-T-1-UJG------------- -—----—------------------------------ --------------------------------- ------------------------ ----I--—---------------------------—-------------- -—----------- -———----------------I---------------------------------------------------------------------------------—-—------------—-——----— GARAGES: I -------------------- ----------------MCjUf".F_ ------—- -------------------------—----------------------------------------------------------------------------- ---------------------:------------ ------------- --------- -------------------------------------------------------------------- --------------------------------------------------- - —---—-------------—---------------------------------------------------------------------------- ------------------— -------—----------------------- ---------------------- ------------------------—------—--------------- -------------------------------------------------- 'LOf PLA14 icliness WALKS AND 9 nts 1E I ND------ thickness Surfacing material--caftfiREIE-—-------—; th !.ro_ Base materid–AA----- ---–-------;thickness........ Driveway:Wil id ZQ",R thickness Service walk,Width------ Material Front walk: Width 3""Mator, Cheek walls----------------------------------------------- Steps- Material ———--—-------------------—-----I-; treads -----------; risers ------------ ------------------------------------------------------ --------------------- —----------------—---------------------------------—-———-—------------------- OTN[It ONSITIE 110*0"MENTS: t described elsewhere, including items such as unusual grading, drainage struc'ures' exterior onsite improvements " VpecifY all 8"and accessery structures.) retaining Walls, fene, railing --------------- -----------–----------------------------- --------------- - -------------- ---- - - - -------- ------------------------------------------------------------------------------- -------------------------------------------------- -------------------- ---------- ----------- ------------------- - ---------------------------------- ------------------------------ ---------------------------------------- ---------------------------------------- -----------------------------------------I-------–------------ -------------I------------------ ----- -------------------- ----------------------------------------------------- -----------------------------I––-------------------------------- ----------- -- ----------------- ------------------------------------------------------ --------- ------------- --------------- —--------------------—------— ---—------Flt&,SH GRADING: ALLOWAN CE S LANIDSCAPING- 'PLAWM6. AND ---IJ�l------- feet behind main building. F, thick: ki Front yard; W side yards; W rear yard to _G=_-; 4 rear yard _SP_04Q4U----- Topsoil Qj side yards SP-Rl sod ,jed, oreprigged) X1 Front yardSPIR44"ZI Lawns: (seeded,pecified 04 shown on drawings; L1 as follows: -------------to--------------B&B. planting- Oss 11 ;", deciduous........_"caliper. ------------Evergreen trees, B&B. -----------Shade trees, ---------to------ ------ ------------Evergreen shrubs- -------------to-------------I —--------Low fiowering trees#deciduoust 'to-------1.___' --—--------Vines, 2-year ---------------------------—-------------------- High.g"Wing shrubs, dedduOust -------------to------------I -- ------------------------------------------- --------------------------- ------------ Medium-growing shrubs, deciduous- -------------to------------- ------------------------------------------------------------------ -----I----- ------------Low-imwing shrubs, deciduous* ------------ of the builder, or sponsor) and/or the proposed mortgagor if the Istt0r is p.1hibit shall be identified by the signature IDNNTInCATION.—Th is known at the time of applit-ation- ----------------- Signature ----------—----------—----- Date ------------—-—-----—----—----- Signature ----------------------- 4 Bathq----- CEFj#RLCQ—T .............. M I W-L ---------------- ---- ---------—-----—----—- ---------------—-—-—- LOCATION MAMIA4 00-16 B-236 C",8=2M6 GAG%RM Hx—-Tva Hnew AT Saweg 4t—oso Q—Q� —-------------------------------------—-------—---------------- ------—---— ----—------------ Bathroom accessories: R) Rft�; material number [M attached;Material_4EBAUjr,__;number —------------------------- 0NE--8ET--JPER-QAj�j------------------------------------------- 2L PLUMBING: FIXTUU Numm LOCATION M—'8 FiXTUM bWWrUWATWX XO. 00"s Sink-----------------------I-------- -KQhLER—ka---E� VAL---- Lavatory------------ AJL Water closet-------- -jJAT .... ............. —---------------- ----------—V*u.29Q0L--------18!1ar, a COLOR —--------- Bath tub------------- --- Shower over tub*- Stall shower"----- ---- Laundrytrays-----.--------------------------- ---------------—---------- ---------------- --------------------- --- ------------ -------------- --------------------- ---------- ------------- --------------------------------- ---------------------------------------- --*A.M L AN 1) *IJ Curtain rod **R) Door 0 Curtain rod Water supply: 0 Public; il community system; El individual (private) system. Sewage disposal: 0 Public; k] community system; 0 individual (private) system. *Show and describe individual system in complete detail in separate drawings and apeoiftoati~ae,0&rdig to requirsments. House drain (inside): [j Cast iron; 0 tile; 0 other-------------- House sewer (outside): 0 Cast iron; 0 tile; R]othe Water piping: jo Galyanized steel; 0 copper tubing; 0 other ---------------------------------------------------- Sill cocks, number ---4--- Domestic water heater: Type --AUTa,- F1 r rT-R.LCL--------; make and model RdEEhL-----------4Q--HLCjj--9F-rQY Eay--------- recovery--------------------- gph. 100* rise. Storage tank: Material---------GLA-58--L-LXEZ------------------;capacity----4o-------gallons. Gas service: 0 Utility company; 0 liq.pet.gas; El other------------------------------------------- Gas piping: 0 Cooking; 0 house heating. Footing drains connected to: 0 Storm sewer; 0 sanitary sewer; 0 dry well. Sump pump ------------------------------------------ ------- ----------------------------------------------------------------------------------------- 23. HEATING: D Hot water. 0 Steam. 0 Vapor. 0 One-pipe system. [I Two-pipe system. 0 Radiators. [I Convectors. 0 Baseboard radiation. Makeandmodel----------------------------------------------------------------- Radiant panel: 0 Floor; 0 wall; 0 ceiling. Panel coil: Material-----------------------------------------------------------: El Circulator. 0 Return pump. Make and model------:-----------------------------------------------------------------; capacity --------------- SPUL Boiler: Make and model --------------------------------------------------------- Output ------------------ Ntuh.; net rating ------ ---------- Btuh. ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Warm air: [I Gravity. [j Forced. Type of system RED-fURNA49--44444"T4-44-ra CAA- ------- -------- Duct material: Supp,IyQALY1AET-&L-.-, return GALY-MET&L- Insulatiolf4al7RGIA-94thickne"-4�-"-,-VIY*,'F L , Furnace: Make and model —--------------- Input-------------------Btuh.; output Btuh. -N=,E4---- --------------------------------------------- Space heater; 0 floor furnace; [I wall heater. Input--------------------- Btuh.; output-----------------Btuh.;number units — Make,model ---------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------- -------—------------------ Controls: Make and types ---THEPAQ-6-TA-T---------------------------------------------—---------------------------------7--------- ---------------------------------------------------------------------------------------------------------------------------------------------------------- Fuel: 0 Coal; J] oil; 0 gas; 0 liq. pet. gas; [I electric; 0 other------------------ storav capacity 1�0---Q&LL-0X-". --------------------------------------------------------------------------------------------------- --------- ----------------------------- Firing equipment furnished separately: 0 Gas burner,conversion type. Stoker: 0 Hopper feed; 0 bin feed. Oil burner: C1 Pressure atomizing; 0 vaporizing ----------------------------------------------------------------------------------------------------- Makeand model ------------------------------------------------------------------------- Control ---------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Electric heating system' Type ------------------------------------------ Input ------------ watts; @ ------------volts; output------------------ Btuh. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Ventilating equipment: Attic fan,make and modeI.S4,A4&Q4- 'SEFAF-S--H=--QR--E4UA.L; capacity--------------------- cfnL Kitchen exhaust fank make and model---------------------------------------------------------------------------------------- Other heating,ventilating,or cooling equipment -F-0"/0 --- ------------------------------------------------------------------------------- —--------------------------------------------------- 24. ELECrRIC WIRING: PER OODE Service: rl Overhead; underground. Panel: 0 Fuse box; 10 circuit-breaker-1-5-Q-—--------------------- Number circuit5116A;6_2 Wiring: C3 Conduit; C1 armored cable; W nonmetallic cable; 0 knob and tube; 0 other -------------------------------------------------------- -- Special outlets: [R Range; ljo water heater; [I other -------- [] Door bell. R] Chimes. Flush-button locations --------------------------------------------------------------------------------------------- -----------------------------------------------—------------------------------------------------------------------------------------------ 2S. LIGHTING FIXTURES: Total number of fixtures Total allowanci for fixtureb, typical installation, $Z0.= Nontypical installationPOLF.-..LAUP--JLN--F-RQN-T--YABD+--WAIEM-MO-F---OffWMPLE.--Ll--P-gLll-"--fiLQgI -------------------------------JbL-ALL--jGLQSE-TS-------------------------------------------------14�r'"Iom elqt-------------------------------- 6V W-- RIPTION OF MATERIALS