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fonn RD 1924-2 (Rev, 7·99)

UNITED STATES DEPARTMENT OF AGRICULTURE U,S, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT·FEDERAL

HOUSING ADMINISTRATION U,S, DEPARTMENT OF VETERANS AFFAIRS

FORM APPROVED OMB NO, 0575·0042

o Proposed Construction DESCRIPTION OF MATERIALS NO,-....:...., __ -'-__ -:-_ (To be inserted ~y Agency)

o Under Construction

Property address --_____________ _ City Lanai City

MOrlgagOrorsponsor_c_o_u_n~t~Y_O~f~M=a=U~i ___ {;~~ _____________ _ (Name)

Contractor or Builder (Name)

INSTRUCTIONS

State~

(Address)

(Address)

1. For addltJonallnformatlon on how this form Is to be submitted, number of caples, etc" see the Instructions applicable to the FHA Applica­tion for Mortgage Insurance, VA Request for Detarmlnatlon of Reasonable Value or other, as the case may be.

required, then the minimum acceptable will be assumed .. Work exceeding minimum requirements cannot be considered unless speCifically described,

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 the Information called for In each space. If space Is Inadequate enter."See mise," and describe under Item 27 or on an attached sheet~ THE USE OF PAINT CONTAINING MORE THAN THE PERCENT OF LEAD

4. Include no alternates, "or equal" phrases, or contradIctory ilems, (Consideration of a request for acceptance of substitute materials or equip. ment Is not thereby precluded.)

5, Include signatures required at the end ofthls form.

BY WEIGHT PERMIITED BYLAW IS PROHIBITED.

3. Work not specifically described or shown will not be consldereci unless

6. The construction shall be completed In compllance with the related drawIngs and specifications, as amended durlng'proce'ssing. The specifl. cations Include this Description of Materials and th~pPlicable building code,

1, E€~,%~~Ih~[~~e To be determined by Geotech Engineer, GEOLABS, INC.

2, FOF UN" DATtONS: , Proportion Normal-Mix . st eng'h psi 3, ODD psi R " ' .G::r::a::d::e~6::0 ___________ _ 00 lOgS: concrete mix , r emlorcmg_ Foundation wall: material To be determined Reinforcing __ ,---:-_____________ _ '. To be determined .. To be determined Intenor foundation wall: material Party foundation wall ..:;:..::.:.:.:.:.:.:.:.:.:.::.:.=-____________ _

, ,'I'o be determined .. I. . ,12"x12" eMU Grade 60 Columns: matenal and sizes Piers: matenal and remforcmg ..:::..:::.:.=--=::.:~, -===...::.:.._------

. To be determined To be determined Girders: material and sizes Sills: material ..::.:.-:.;.-=c:.:..::.:.::.:::.:.::. Basement entrance areaway Window areaways

Waterproofing Footing drains Termite protection Type I Repellent Termicides such as Prelude, Dragnet SFR, Demon TC or Pr.evail FT

Basementless space: ground cover _________ _ ; insulation ; foundation vents

Special foundations ~~WQ!.lID jv..fu!:!Jl.!tign _ _ _ _ _

3. CHIMNEYS: Material Prefabricated (make and size)

Flue lining: material Heater flue size Fireplace flue size ___________ _

V~nts (material and size): gas or oil heater

Additional information:

------------- ; water heater - _________________ _

4. FIREPLACES: , Type: 0 solid fuel; 0 gas~buming; 0 circulator (make and size) _________ Ash dump and clean~out __________ _

Fireplace: Facing

Additional information:

; lining , heal1h ; mantel ________________ _

5. EXTERIOR WALLS: . stud Grade Douglas Fir I.l ., , Building Paper Wood frame: wood grade, and species ' L!J Comer bl'acmg. BUlldmg ,paper or felt ___ -''--''-_

sheathing ; thickness : width 0 solid; 0 space .. O.c.; 0 diagonal; _--.,."... __

S'd' PlYWOOd d Exterior Tl~ll. 4'x 8' 1 fi t' common nails I mg ; gra e ; type ; Size ; exposure ___ i. as enmbt

Shingles ; grade : type ; size ; exposure ___ ; fastening _______ __

Stucco ; thickness ;. Lath ,weight i Ib, Masonry veneer Sills Lintels Base fl.ashing __________ _ Masonry: 0 solid 0 faced 0 stuccoed; total wall thickness 0 ; faCing thickness i facing material ______ __

Backup material ; thickness ___ ;' bonding Door sill~ Window sills Lintels Base flashing __________ _ Interior surfaces: dampproofing, coats of j furring ___________________ _

Additional information: ,,' ., '. Exterior 100% Acrylic 3

Extenor painting: matenal . number of coats .:..---''-Gable wall construction: 0 same as main walls; 0 other construction '

6. FLOOR FRAMING: . • Joists; wood, grade, and species Grade 1, DF ; other ; b~dging ; anchors Hurricane Ties Concrete slab: 0 basement floor; 0 first floor; [1] ground supported; 0 self~supporting; mix. ' thickness _4:..'_' __ _

'.c.. 6x6-l0/10 WWF t'nslll.,,'o b 60 mil polyethelene rClnlorcmg ; n ,mem rane

r'ju..l!!!~~!!~~~e£i~.:USh~~..:~:. _ _ __ : thickn~s!..!:_i..A..?~~OE.~~~l}!I!.1!£IE_ =_ =_ 7. SUB FLOORING: (Describe u.derflooringfor specia/floors under item 2/.)

Material: grade .nd species • size , type - ________ _ Laid: 0 first 'floor; 0 second floor 0 ·attic sq,' ft; 0 diagona1;D right angles, Additional informatiqn: ________ _

--------------------------------------~----------------------------~ 8. FINISH FLOORING: (Wood only. Describe other finish' flooring .under item 21,)

L,?CATION ROOMS GRADE SPECIES T:~CK. ESS WIDTH BLDG.PAPER FINISH

First floor Second floor Attic floor I sq, ft, Additional' intbrmation.~

According to Ihe -l'gperll'ork Reduc-I/on ACI 0/i995. an ggency may nol condue:1 orsponser. grid a person Is nor required 10 respond io a colkcrio/i-o!fn[rmllaiiOnul/k$s il displays a l'aiM OMS clmlrol number. The val/d OMB C(JII/ro/ number ftll·lhi.~ InfilfmQliO/1 cI)llec//(I/I/.I' OS7j.(J(U2. fhe lime required ItJ c(Jmpftue /hls in/ormation col/ec/lon 1.\' e.I·lima/ed IfI Ql'erage I j mim,le.Y pel' rf4.1polI.re, Incll/dlng (he! llme[or nll'iewillg ill,11n/Clkm.~, searr.·l!ilfJf, ~>Q'hllrllfg dolO .I'fJllrce.~, ga/her/III{ alld malma/nlllg the dala needed, and compleling Qlld 11I1'ie\lril~1! Ihe "ill/rM/rlll fi(lllfiJrmulirll1.

HUD,FHA 2005 VA Form 26·1852

RD J924~2 (Rev. 7.99)

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9. PARTITION FRAMING: , . Stud Grade,DF . ,2x4 or 2x6 @ 16" D.C. :Stllcis: wood, grade, and species size and spacing Other ___________ _

Additional information: ____ --'-_________________________________ _

10. CEILING FRAMING: Joists: wood, grade, and species Bott, chord of truss Other Bridging _____________ _

Additional information: __ '-___________________________________ _

11. ROOF FRAMING: o . Grade 1, Douglas Fir . . .

Rafters: wood, grade, and species Roof trusses (see detail): grade and specu::s Grade 1, Douglas Fir

Additional information: 12. ROOFING:

Sheathing: wood, grade, and species Rooting Asphalt/Carr. Metal

5/8" T&G cox APA rated sheathing, Exposure 1 0 solid 0 spaced __ " o.c,

; grade ; size : type ~A=rc:c::h:...::a.:O'_/G::.::l::v".:::l::u=m::e=___ __________ _ Roofing Felt

Underlay ---,,7-:---------------Bui1t~up roofing _M_._l_._r-:k"e.:y.,-. ,--.,-_,---,-________ _

; weight or thickness ~ ; size fastening _______ _

Flashing: material Prefinished Galvalume

. 3 Cap Sheet ~ number of plies : surface material ...,..::.. _______ ~---

; gage or weight 24 0 gravel stops; D snow guards Additional information: ;;-;;:;;:;:;;:;:;;;:-___________ -~-----_______ ~ _____________ _

13. GUTTERS AND DOWNSPOUTS; Gutters: material ; gage or weight : size ; shape _____ ~-----------

Dow"l1SPOUts: material ; gage or weight ; size ; shape ; numbe~ __ ----

Downspouts connected to: 0 Stonn sewer; 0 sanitary sewer; 0 dry-well. 0 Splash blocks: material and size ___________ _

Additional information: 14. LATH AND PLASTER:

Lath 0 walls, 0 ceilings: material ; weight or thickness Plaster: coats __ ' ; finish __________ _

D all r71 D· . . . Gypsum Bd. ry·w t.6 walls, ceilings: matenal 1/2" Paint , thickness ; finish ---

.Taint treatment Tape, mud and sand

15. DECORATING: (Paint, wallpaper. etc.l

ROOMS WALL FINISH MATERIAL AND APPLICATION CEILING FINISH MATERIAL AND APPLICATION

Kitchen Paint, Airless spray, Brush or Roller Paint, Airless sprayer, Brush or Roller

Bath Paint, Airless spray, Brush or Roller Paint, Airless sprayer, Brush or Roller

Other

Additional information: 16. ,INTERIOR DOORS AND TRIM:

Pre-Hung , , Wood . 1 3/8" Doors: type ; matenal , thickness -=-.::c.:.-'-_,..,-____ _ D ·· . B Top set , I Rubber " 4 II 001' trtm: type ' matenal ase: type ' materia ' size _____ _

, Finish: doors Paint ' ; trim Paint' •

'Other trim (item, Type and location) Additional information:

17. ,WI,NDOW5: Sliding To be determined Vinyl Wmdows: type ; make ; material _---' ________ ; sash thickness _______ _

Glass: grade Type 1, Class III 0 s~sh weights; 0 balances, type ; head flashing _______ _ , Prime Trim , MDF , Ext. 100% Acrylic 3 Tnm: type ; m@tenal PalOt ; number coats ______ _

Weatherstripping; type ; material Storm sash. number _____ _ Screens:, 0 full; 0 half-I type : number _T_"_D __ : screen cloth materia1.:F.:i=b::e::r=.9::1::as::s=-._~ ____ _ Basement windows: type ; material _______ _ ; screens, number Storm sash, number ------SpeCial windows ___________________________________________ _

Additional infonnation: .==:::::-:::::-:-:,-_________________________________ _ 1B.,ENTRANCES AND EXTERIOR DETAIL:

M · d . I Pre-Hung Wood ,3'·0", 1 3/4" F . I am entrance oar: matena ; wldth ___ ; thlckness . rame: materia

Oh ' . Pre-HungWood 3'-0" 13/4" 'I t er entrance doors: matenal' • width ___ Ithickness Frame: matena ; thickness --..

----_ i thickness --Head flashing Weatherstripping; type ; saddles _________ _ Screen doors: thickness __ ";, numbel' ; screen cloth material Storm doors: thickness _. __ ; number ____ _ Combination storm and screen doors: thickness--' number __ ._ j screen cloth material _,.--____________ -'-.,..-__ _

Shutters: 0 hinged; 0 fixed. Railings ; Atqc iouvers,..,-----------::------Exterior millwork: grade and species Prime Trim (MDF) Paint Ext, 100% Acrylic ; number coats .:3=___ ___ _ Additional information: ____________________ -:-___ ~ _______________ _

19."CABINETS AND INTERIOR DETAIL: Kitchen cabinets

j wall units: material Pressed wood ; lineal feetofshelves~ ; shelf width ~Tc:"::D:...... __ _

B . t' I Pressed wood Post formed plas. lam d' .:P"o"s:;t"f::o::r"m::e::d_p"l::.::s:::. . ..;l::a=m::..:......_~ ase umts: rna ena ; counter top ; e gmg Back and end splaSh Plastic Laminate Finish of cabinets melamine ; number coats

Medicine cabinets: make Nutqne ; model ·::.T::.o-=b.:e-=d"e"te".r:..m"i::. .. ::.e::.d:...... ____ --'-_________ _

, Other cabinets and built-in furniture ,··Add'iti6'nal inforrflatfcin:

20. S: ;TAlRS~

TREADS RlSERS STRINGS· HANDRAIL ,BALUSTERS STAIR

Thickness Material Thickness Material Thickness Material Material Thickness Matenal Thickness

Basement Main Attic

Disappearing: make and model number -----------------------------------------­

Additional information:

HUo.FHA 2005 VA·Form 26·1852

2 RD 1924.2 (Rev. 7.99)

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21. SPECIAL FLOORS AND WAINSCOT: (Describe carpet as listed in Certified Products Directory.) -

Location Material, Color, Bo~dcr, Sizes, Gage. Etc. T~~esh~,d Wall B~s,e Underfloor

Kitchen VCT, Earth tone" 12 "x12" Aluminum Rubber f 8 Bath VCT, Earth tone, 12 1 x12" Aluminum Rubber ;;;

'0 Location Malerial. Color, Border, Sizes. Gage, Etc. Height Height He:~hl in Showers 0

! OvcrTub From Floo,'

Bath CUltured Marble, Off-white 7'-0"

Bathroom accessories: 0 Recessed; material number--,..; D Attached; material number ____ _

Additional information:

22. PLUMBING

Fixture Number Location Makt Mfr's Fixture Identification No. Size Color

Sink Kitchen To be determined To be determined Stainl~88

Lavatory Bathroom To be determined To be determined White

Water clo5:et Bathroom To be determined To be determined White

Bathtub Bathrqom To be determined To be determined White

Shower over tub Bathroom To be determined To be determined White

Stall shower Laundry trays Laundry Rm To be determined To be de,termined Whit~

A [2] Curtain rod A D Door 0 Shower pan: material ---------'--------------:-_____ ~ ___ _

Water supply: 0 public; 0 community system: 0 individual (private) system. '" Sewage disposal D public; O. community system: 0 individual (private) syste~. '" '" Show and describe Individual system in complete detail in separate drawings and specifications according to requii·ements. House drain (inside); D cast ir,on; 0 tile; 12] other ABS House sewer (outside): 0 cast iron; 0 tHe; [2] other _A_B_S ____ _ Water piping: 0 galvanized steel; !2J copper tubing; 0 other Still cocks, number ___ ..,.-__

Domestic water heater: type Electric ;'make anc;! model To be determined ; heating capacity To be determined

To be determina gph. 100' rise. Storage tank: material Steel ; capacity eo gallons.

Gas service: 0 utility company; 0 Iiq. pet. gas; D other Gas piping; 0 cooking; 0 house heating. Footing drains connected to 0 ,storm sewer; 0 sanitary sewer; 0 dry well. Sump pump; make and model

23. HEATING capacity discharges into _____________ '-______ ~ ____ _

o Hot water. o Radiators. Radiant panel:

o Circulator.

D Steam, D Vapor. 0 One-pipe system. 0 Two-pipe system.

o Convectors. 0 Baseboard radiation., Make and model ------------------------o floor; D wall; 0 ceiling. Panel coil: material _________________________ _

o Return pump. Make and model ________ ~ ___________ _ ; capacity gpln.

Boiler: make and model Output Btuh.; net rating Btull.

Additional information: Warm air: 0 Gravity. 0 Forced. Type of system ________________________ ---___ _

Duct material: supply ______ _ return Insulation; thickness ____ 0 Outside air intake.

Fumance: make and model Input Btuh.;output Stuh.

Additional information:

o Space heater; 0 floor furnace; 0 wali heater. Input Btuh.; output Btuh.; number units ______ _

,'Make, model Additional infonnation:

Controls: make and types -----------------------------------~------­Additional information:

Fuel: 0 Coal; 0 oil; 0 gas; 0 liq .. pet. gas; 0 electric; 0 ,.her ____________ ; storage capapity

Additional information: Firing equipment furnished 'separately:

Oil burner: 0 pressure atomizing; o Gas burner, conversion type. o vaporizing _________________ ..,.-___________ -_

o Stoker: hopper feed o :bin feed-O

Make and model ___________________ _ Control

Additional informatiqn: Electric heating system: type Input ___ watts;@ volts; OLltput Stuh.

Additional information:

Ventilating equipment: attic fan. make and model ------------------"---------Kitchen exhaust fan,lOake and model To be determined

, capactty ctin.

Other l)eating, ventilating, or cooling equipment -_------------------------------------24. ELE<;:TRH( WIRING; " . . To ce determ' d I 100 ..

Service; \.LJ. overhead; 0 underground. Panel: 0 fuse box; 0 clrcult~breaker; make AMP s ___ No. CIrCUits ---

Wiring: 0 conduit: 0 armored cable; [2] nonmetallic cable: 0 knob and tube; 0 either -------0'----------Special outlets: 0 range; 0 water heater; (2] other Dryer ~ o Doorbell. [2] Chimes. Push-button locations. Entry Additional information:

25. LIGHTING FIXTURES: 0 Total num.ber oftixtures .:... _____ Total allowance for fixtures. typical installations, $

Nontypical installation Type of installation and allowance for fixtures to be determined

3 RD 1924·2 (Rev. 7·99) VA Form 26·1852

26. INSULATION' Location Thickness Material. TVoe, and Method or Installation VaDor Barrier

Roof 6 1/4" Kraft Faced Fiberglass, Type III, Class A, Intall over ceiling

Ceiling

Wall 3 1/2" unfaced Fiberglass, 'Friction fit between studs Tyvek

Floor

27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere; or use to provide additional information where the space provided was inadequate. Always reference by item number to correspond to numbering used on this form.)

HARDWARE: (make, material, and finish.) To be detennined

SPECIAL EQUIPMENT: (State material or make, model and quantity. Include only equipment and appliances which are accept­able by local law, custom and applicable FHA standards. Do not include items which, by established custom, are supplied by occupant and removed when he vacates premises or chattels prohibited by law from becoming realty.)

To be determined.

PORCHES:

TERRACES:

GARAGES:

WALKS AND DRIVEWAYS: 4" TED S4C 4" -&'. ' • I Concrete

Driveway: width ; base material : thickness "sun.acmg matena -=-==-=--'-..,-___ ; thickness . TBD . Concrete . 4" S' Ik' 'dth . Cone. . Front walk: Width , ; material thickness __ ' ervlce wa . WI ; matenal ; thickness

4"

Steps: material Wood ; treads Wood ,risers wood '; Check walls __________________ _

OTHER ONSITE IMPROVEMENTS: , (Specify all exterior onsite improvements not described elsewhere, including items such as unusual grading, drainage structures, retaining walls, fence, railings, and accessory structures.) To be determined.

LANDSCAPING, PLANTING, AND FINISH GRADING: Topsoil __ "thick: 0 front yard: 0 side yards: 0 rear yard to feet behind main building. Lawns (seeded. sodded. sprigged):. 0 front yard I D side yards I D real' y'ard __________ _ Planting: 0 as specitied and shown on drawings: D as follows: ____ Shade trees, deciduous. ___ II caliper. _____ Evergreen trees , to " a & B.

. ____ .Low flowt:ring trees, deciduous. ____ , to ___ ' __ ' __ ...:.. __ Evergreen shrubs to ',B & B . _____ High-growing shrubs, deciduous, , to ____ . _____ Vines, 2-years

____ Medium-growing shrubs; deciduous, , to ___ _ ____ Low-growing shrubs, deciduous. , to ___ _

IDENTIFICATION. This exhibit shall·be identified by the signature'ofthe builder, or sponsor, andlor the proposed mortgagor if the latter is known at the time of application.

Date __________________ _

HUD-FHA 2005 VA Form 26-1852

4

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RD 1924·2 (Rev. 7.99)

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