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• r.
A.
i Phone No. GARFIELD COUNTY Address
945 -8241 BUILDING DEPARTMENT 2014 Blake Ave
0366 Mountain Shadows
J Job Address Lot 9, Block 1, Western Hills gyre OcmqanCY
i
Nature of Work Building Permit
i
Use of Building Residence
Owner I:Jj'eird Hors tman
Contractor 1:owland Construction
Amount of Permit $ 271.50 Date Anil 25, 1979
C 11 _ .3 �_- \rn -- Toni L Sherwood
S(q�y� � lerk
GARFIELD COUNTY
STATE OF Colorado )
.- Office of Building Official /�'-
• REQUEST FOR INSPECTION
Dates Permit No. /./7 ,. 9
Time / /
Received / ff - 3 � _ -- / q. ,[Dtstririict No. ,�
�t�-'S` -` =—r �a- 1 � -�-6 IA' -- �� /r S / y Locality ' i //S
Owner's 5
Name 1 t /67finil____Contractor
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation ❑ Wire ❑ Rough Wiring .0 Rough ❑ Rough ❑
Chimney ❑ Lath ❑ Finish Wiring Final ❑ Final ❑
'Framing ❑ Scratch ❑ Fixtures ❑ Sewers 0
Water Heater.. ❑
final ❑ Brown ❑ Motors. • ❑ Gas
` �/ Finish 0
Wallboard
❑ Cesspool ❑
/1Y0 7r/
READY FOR INSPECTION
Mon. rues A.M.
Wed. Thurs. Fri. P.M.
inspection ttion Made • S / /, 7 _7 4 es /Q. /d). SO
P NBe i
LOAM 300.1 '"
GARFIELD COUNTY
STATE OF _ COIOPdC10
Office of Building Official
f l / / REQUEST FOR INSPECTION
tate 1D /� ? / >Y Permit No. // 2 - 9
tieae /2 1 .� 0 /./ ( � __ / bp_ fie ./ /✓/
/ DistrictN o o
0 .
p� ,3 L 4 J // o o/ ,, ' [[ A / St a .t✓Qe Ve LI//! ocal adr
Name F•' ° - J4 !n Lira Contractor
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation .R Wire ❑ Rough Wiring") Rough ❑ Rough ❑
Chimney Lath ❑ Finish Wiring Final ❑ Final ❑
- Framing ❑ Scratch ❑ Fixtures ❑ Sewers 0
Water Heater.. ❑
13 f inal ❑ Brown Motors ❑ Gas
• Finish ❑ Cesspool ❑
Wallboard ❑
READY FOR INSPECTION A.M.
Mon. Tu_es. Wed. Thurs. Fri. P.M.
.Inspection Made___. /F /7j 2,,c?
_ E 3S' ,.4"W- SA:
`
Inspector 7. C .
ifaaM $00.1
GARFIELD COUNTY / /
STATE OF COI rado V 1/
I Office of Building Official •
Date - • REQUEST FOR INSPECTION •
a __I __I Permit No. /!! l 2. '7
ett ,,,(((/// / 7 if A, ,/' (District No.
Iv! 1'K ,S p iii �- tzc tone A 7 r
l ob Adores Locality
n y where p� / if ry eme Contractor
E BUILDING PLAS EKING ELECTRICAL ('L 1JMBING HEATING
Foundation ❑ Wire ❑ Rough Wiring .❑ Houprr Rough ❑
himneY ❑ Lath ❑ Finish Wiring-0 Final ❑ Final •• ❑
/aminp ❑ Scratch
❑ Fixtures ❑ Sewer. ❑ Water
� Inat ❑ Brown ❑ Motors. • ❑ Gas ❑
_. Finish ❑ Cesspool ❑
Wallboard ❑
UNb
i
READY FOR INSPECTION
Thurc. �q.✓D U ��
s/ A.M.
on. Tint Wee-, Fri. P.M. i nspection Made i- /B, " % / - , .f N - e t,i . OA
$rspector _X% .-LJ
-eau a0e.1 _
GARFIELD COUNTY 1
STATE OF Colorado 1
' . Office of Building Official ! ///
•
• • REOUEST FOR INSPECTION
Date /eJ a �, f 2-- 7 �M.
Received r - �� /,b � /� / District // o. /
fL ?/S � /i!_/ /L //2 c tr...., Lo -// //S
Owners Fd /70,S Tire contractor
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Fowndetton ❑ Wire ❑ Rough Wiring .0 Rough 0 Rough
Chimney l� " Lath ID Flnlsh Wiring .. Final ❑ FIm1
'F naming � Scratch ❑ Fixtures ❑ Sewers 0 Water Heater..
.Fin / 'LJ - Brown ❑ Motors_ 0 Gas ❑
pb/G / / OM Wallboard ❑ Cesspool ❑
READY FOR INSPECTION A.M,
-'Ion. Tugs. . Wed. Thurs. Fri. P.M.
Inspection Made 1 O - / ` / ' - C
/v
Inspector Cri-
/OaM SODA '
GARFIELD COUNTY
1 STATE OF Colorado /
Office of Building Official
�/^ �1 . +� REQUEST FOR INSPECTION
received a ' /
O c / Permit No. ) 1 •
7-1
E received 1 1 District No
! ob Address Locality
I �Wne1•s -•�j� L1l P ry t mn•a5 ronlractor Bn4?Qet (lll✓�4 •
N BUIL PLASTERING ELECTRICAL PLUMBING HEATING
Foundation ❑ Wire ❑ Rough Wiring.❑ Rough ❑ Rough D
Chimney ❑ Lath ❑ Finish Wiring..❑ Final Final ❑
Framing Scratch ❑ Fixtures ❑ Sewers 0 Water 11 .. ❑
Final Brown ❑ Motors. ❑ Gas ❑
Finish O Cesspool ❑
Wallboard ❑
READY FOR INSPECTION no Q O • M.
! Mon. Tues / � , Wed. a Thurs. [sits _4)
• Inspection Made._ . . W - txk,
Inspeccor
__
RESID ENTIAL
e 11 0 291 CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
if
- GARFIELD COUNTY, COLORADO
- Issued Without F t
Ausest 10. 194
Permission is hereby granted to Edward Horstman
- Bu ping Permit No. i 1 v9 7 one District
sit at Shadows Lot 9 Blk. 1
(Stan Nature of Use) Addition Western Hills
— fo a following purpose Residence
}r
Pe n t of Completi 1004
d
TAKE NOTICE
No ange shall be made in
the of this building with- OWNER'S GARFIELD COUNTY BUILDING DEPARTMENT
out for notice and ficiai- By "'� � + � f _
Gb mthe Building Official. ��f'"
h - :
{ Building Permit Application
N° 2484
Garfield County, Colo. /� /L _J , 19
Owner: —ems %hr <' _ix J
C ontractor or Builder: _ !IQ. MI rlo 71) -rc r Off✓
Location: — _AZ l4/ _ , Y : t / , t. „ 036( M
Purpose for which building is to be used: R.5
Size of Lot:
Distance of building from property line at:
Front - - - - -- Rear
Left side If' 41 - Right side .2a./
Distance from nearest building: ding: Number of stories: ///
Source of water supply: Gdo r zirtiv , I> 7 Number of rooms: 4
p
Type of sewage disposal: `22c tA'// , 4 Type of foundation: _ C�+eara
' / a.,, s�
Width of Building: —___ Material in outside walls:
to '�
Length of Building: G � —__ Exterior Finish:
1 Height of walls: Type of roof: `- D7s.Qo 'e Tioa✓
Floor space in sq. ft.: �4
Estimated Cost: $ — 7
Date construction will start: ,4rt'a/ 4 Date of completion: /f
Permit Charge: $ LS'11 L1 D per 1st $1,000 Valuation.
$ 90.i 0 — per each additional $1,000 Valuation.
TOTAL $ 27IJ-5D -
` And I /We hereby agree to build strictly to the terms of the above description, and also to clear the
grounds adjacent street or streets of all rubbish and debris caused by the construction of said building.
Respectfully •
sv ,,/1..- ert
The County Commissioners hereby grant the above permit as per terms therein stated. This A6
day of_- f -J -1 /
19 .
0
/� ice.
t;. Building Inspector
Clerk
tli
• U CALCULATION FOR WALLS 8 O
T ABLE w - 1 AREAS S QUARE FEET TABLE W
FRAMING & CAVITY AREAS
• 1. GROSS WALL AREA (A / o a t Co STUD FRAMING CAVITY
• 2.. WINDOW AREA (A4) i 4 0. 3 SPACING
q 3. DOOR AREA (Ad) 54 . L1 12" .17 .83
4. OTHER (SPECIFY) . 16" .15 .85 .
5.. OTHER (SPECIFY) - -- 24" .10 .90
6._ OPAQUE WALL AREA (Lines 1- q,y/ �// • a TABLE W -4
' ___( +3+ _ &' 71 WINDOWS
4 +SZA
7. FRAMING AREA (Ap (Line 6 x Table W - 2' /. 35--, z. ( 21. R VALUE
8. CAVITY ARF-A (A (Line 6 x Table W -2) 74 / , L a 22. U a 1/R = • - 4 9
TABLE W -3
TABLE W -5
OPAQUE WALL CALC. (FRAMING & CAVITY) DOORS,
q
} (R VALUES) FRAMING CAVITY • 23. R VALUE Z ,1 / 1
k.
R R 24. U, = 1/R = • �C
- 9. OUTSIDE AIR / - TABLE W -6
f. FILM 1 I 7 , 1
_ OTHER (SPECIFY)
#., 10. EXTERIOR - ...........•.-....
3 FINISH 1 / t ( a•�� 25. R VALUE
• S • i..
11. OUTSIDE / 26. U 1/R =
SHEATHING i '�/4 , 4
27. ,
• - 7. R VALUE
,. 12. FRAMING - 4139- ® 28. 0 8 = 1/R =
, 13. CAVITY
(a) INSULATION I . / / , TABLE W -7
COL. A. COL.B. COL. C.
(b) AIR SPACE U A U x A
FROM FROM
14. INTERIOR L, L� • �/` 01 LINE 19 i I LINE 7 ' _ < '� 1 1 j g :
FINISH o -7 -SA ?
. ! U7 LINE 20 , LINE 8 53',0.3'
15, INSIDE AIR 1 C' / • c� �l U , 3 LINE 22 4 1 / s 7
FII.M -6 LINE 2 (� a'� / S"'
16. OTHER (SPECIFY) ...-- ^""' "'" U LINE 24 v 4/6. LINE 3 zo 1 '7
17. OTHER (SPECIFY) � "- U LINE 26 - LINE 4 -
18. TOTAL 9 thru 17) /, � �i f r I S� . U LINE 28 LINN .... q ry
TOTAL �d l APT I�'�r 1 J
19. U FRAMING = - - - - -
'' Z .- /. U0 a Ul + U + U + U + .
1 /RT .7
• A
20. 0 CAVITY =. -�" a 7 '
•
29. D o Wall = TOTAL COL. C. =I •
i6
J 1/
R , I , TOTAL COL. B. ` - . - -` - --
•
e
� w o CALCULATION FOR ROOF - CEILING II:
. TABLE R -1 AREAS SQUARE FEET TABLE R-2 • •
-
1. GROSS ROOF AREA (/ 0 0 OPAQUE AREA RATIOS
2. SKYLIGHT AREA FRAMING FRAMING CAVITY
SPACING RATIO RATIO
3. ROOF VENT AREA _
4. OTHER (SPECIFY) i 12 "• .13 .87
• 5. NET (OPAJQUE) ROOF AREA 16" .10 .90
(LINE 1 - LINES 2,3,&4)
I I 00 . 24" .06 .94
6:' FRAMING AREA (LINE 5 x FRAMING 4, d
RATIO TABLE R -2)
7. CAVITY AREA (LINE 5'x CAVITY •
RATIO TABLE R -2) /.D 31
111 1
. • ,
TABLE R -3 FRAMING & CAVITY CALC. . TABLE R -4
FRAMING CAVITY SKYLIGHT •
R R 20. R VALUE
8. OUTSIDE AIR FILM
9. EXTERIOR FINISH
-- 21. U = 1/R =
10. SHEATHING
11. FRAMING 413 0 TABLE R -5
12. CAVITY (a) INSULATIOD ` 3 Q { O ROOF VENT
• (b) AIR SPACE
22. R VALUE
• 13. INTERIOR FINISH - L di S , 45 - -.. 23. U 1/R -..
14. INSIDE AIR F l OP 1 1 4, •
15. OTHER (SPECIFY)
TABLE R -6
16. OTHER (SPECIFY) _. -
OTHER (SPECIFY) .--
17. R = SUM LINES 8 -16 S'•, • 3 i 1 04,
•
18. U FRAMING = 1 /Rr a ' 24. R VALUE .
+1- 25. : U 5 = 1/R =
19. U CAVITY 1 /Rr , 0i •
TABLE R -7 -
COL. A COL. B. COL. C.
•
• - U A U x A
FROM � FROM D o U 1 p 1 } U } ...
U LINE 1F • y LINE 6 r�
U LINE 19 ,Q3 Line 3i h ot A o
•
•
U LINE 21 LINE 2 .
LINE 3 ✓
TOTAL COL. C. _ ,Q
U LINE 25 LINE 4 ( • U oROOF- CEILING TOTAL COL. B._ / •
_. y� �_yl �J p►
F
- M • �1) CALCULATION FOR FLOOR
.? .
.
TABLE F -1 AREAS SQUARE FEET TABLE F•=2
1. GROSS FLOOR AREA I ( 00 FRAMING 6 CAVITY AREAS
2. FRAMING AREA (LINE 1 x OPAQUE AREA RATIOS
FRAMING RATIO TABLE F -2) Ij. D JOIST FRAMING 1 CAVITY
3. CAVITY ARFA (LINE 1 x ' • I q q SPACING RATIO RATIO
CAVITY RATIO TABLE F -2) / ! 0
• 1 12" • .13 .87
4. OTHER (SPECIFY)
•
e — 16" .10 .90
5. OTHER (SPECIFY)
- — — - - • 24" .06 • .94
,.. TABLE F - FRAMING AND CAVITY CALCULATION TABLE F -4 -
FRAMING CAVITY OTHER (SPECIFY). -- -- .
4 R R 18. R VALUE
6. OUTSIDE AIR FILM - .. - 19. 0 3 -• 1/R •
7. EXTERIOR FINISH /• (combine 3)
• S. FRAMING _ //,St, '"' .
9. CAVITY (a)
INSULATION 1) ; a TABLE F -
(b) AIR SPACE OTHER (SPECIFY). •
•
, 10. DECKING . 44 I . 7 4 - 20. R VALUE
• 111 11. FLOOR FINISH --- 21. 0 - 1 /R
12. INSIDE AIR FILM i ea 1 I 161 -
- 13. OTHER (SPECIFY) - 1 -- •
14. OTHER (SPECIFY) --- -� -- _
15. R - SUM LINES 3 ' ' , I / y ,SS
6 -14 ,
' 16. U FRAMING a 1 /R P a 1 . • ti
17. ,U 2 CAVITY 1 /Rr I_1 Q ,
• • TABLE F-6 : .
. COL. A. , COL. B. • COL. C. •
J U A U x A U U h U i ...
_
FROM F ROM A O
s" •
U LINE 16 ' ( LINE 2 . g 7 4 .
U LINE 17 . o LINE 3 ' q•, z0 . • •
U LIVE 19 I - LINE 4 " U o Floor
r TOTAL COL, C. ° I , &V 1
TOTAL COL. B. •
. ! U LINE 21 I — LINE 5 E -5
x — � AD
J TOTAL /D ** p Zell‘ _
E_.
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• .. /--' U. S. DEPARTMENT OF HOUS NG AND URBAN DEVELOPMENT
FEDERAL 110U51' ADMINISTRATION
FIIA Fta':n 2005 For acrnntt register 11 carbon topin, form Form Approved
k. VA F ra: 26 (SO? may be sap aa . aa d ato, g above told. staple . Budget Bureau No. 63•R0055
(V..1 &13 , completed sheets togclher in original order.
to Proposed C Ntrruction DESCRIPTION OF MATERIALS No. (To be inserted by FHA or VA)
p Under Construction
(trap @fty mart > s - — — __.. _ _ -_ - --= - - - - Ob - ---- - - -- -- -- - _ • State Mortgagor or Sponsor _ _ _ •
(Name) • (Address)•
Contractor or Builder ' •
..__.— (Name) (Address)
INSTRUCTIONS
1. for additional information on how this form is to be submitted, number required, then the minimum acceptable will be assumed. Work exceeding
of copies, etc., see the instructions opplicable to the FHA Application for minimum requirements cannot be considered unless specifically described.
Mortgage Insurance or VA Request for Determination of Reasonoble Volue, as 4. Include no alternates, or equol" phrases, or contradictory items. (Con -
the case may be. siderotion of a request for acceptance of substitute materials or equipment is
2. Describe oil materials and equipment to be used, whether or not shown on not (hereby precluded.)
' the drowings, by mocking on X in each appropriate check -box and entering the , 5. Include signolurts required of the end of this form.
information col!ed for in each space. If spoce is inadequate, enter "See misc." 6. The construction shall be completed in compliance with the reloted drawings
and describe under item 27 or on an attached sheet. and specifications, as emended during processing. The spedlcotions include this
3. Work not specifically described or shown will not be considered unless Description of Materials and the applicable Minimum Property Standards.
1. EXCAVATION:
Bearing soil, rya tie See Soils reports
2. FOUNDATIONS: .
Footings: concrete mix _ - ; strength psi Reinforcing
Foundation wall: material - _-__concrete Reinforcing (2) 4 5 Rehar la T. R.
Interior foundation Nall: matrrlal Concrete Party foundation wall
e Conc. Per Engineer Drwqs.
Columns: material and slut __ _ Ler._ E Dg l llaer Cr wg C Piers: material and rein q
Girders: material and sizes Per Engineer Drwgs. sins: material 7 X 4 Fir Cnnrrete -
Baseinent entrance areaway _ Window areaways Gal v. I r nn
i Waterproofing - (1) Ct.Not Asphalt Spray Footing drains
Termite protection
Basnnentlrss space: ground rover _ _._ ; insulation ; foundation vents
Special foundations
• Additional information:
3. CHIMNEYS:
• Material Br i c.k,al_oC_k__ k Iles tar Prefabricated (aunts and rite)
- Flue lining: material C1 dy Tile Heater flue size Fireplace flue size 17 12
Vents (material and sqe): gas or oil heater 7" 0 Metal Restnc ; water heater 411 0 •
I Additional information: _—
f 4. FIREPLACES: Fn'' �
i
Type: ® solid fuel; ❑ gas- burning; ❑ circulator (make and site) 36" Heatal ator or 7 tt"CJmp and clean -out
Fireplace: facing _; lining ;hearth ; mantel
Additional information: _ Shadnw_Stone -
5. EXTERIOR WALLS:
Wood frame: woad grade, and spec iesC0LISt. Fir Ki 1 n Dried ® Corner bracing. Building paper or felt
1 /2 1 _
Sheathing - �s)Jh.— IInRr_g__; thickness ; width 48n [& solid; ❑ spaced :' o. c.; ❑ diagonal:
Siding Per Elevations grade • • ; type ; size ; exposure "; fastening Galy Nails
Shingles _ - ' . _; grade .• .. ; type ; size ; exposure "; fastening
Stucco - -- _: thickness p 1, Lath ; weight Ib.
Masonry veneer _— IL_
B _.._ s1Bs-.trrlck & Rani Linicle Base Bashing. Polyethylene
Masonry: ❑ solid ❑ faced ❑ stuccoed ;'toial wall thickness "; facing thickness facing material
Backup material ; thickness bonding _
Door sills Concrete _ Window sills Lintels Base Bashing
interior surfaces: dampproofing, coats of ; furring
Additional information: _
-
Exterior painting: material _Aery17G - ; number of coals. 2
Cable wall construction: [] same as stain walls; IN other construction - Gable Fnd Truce linit •
' Kiln Dried Const Fir
6 FLOOR FRAMING: . •
Joists: wood, grade, and species 1250 PSI other ; bridging _111. X 3" ; anchors 1/2" 0 X 10"
• Concrete slab: g] basement floor; ❑ first floor; II ground supported; ❑ self - supporting; mix 2500 PSI ; thickness _4_ -- ";
reinforcing 6 X 6- 10_WJ4. F ; insulation ; membrane
Fill under slab: material _ Natural ; thickness ". Additional information:
7. SUBFLOORING: (Describe underflooring for special floors under item 21.)
Material: grade and species _ _- _ Standard 32/16 - 3/4" T R G ____.. —__ ; size4!0 X 8 /0type Plywnd
n
Laid: u first floor; ❑ second floor; ❑ attic sq. ft.; ❑ diagonal; M right angles. Additional information:
8. FINISH FLOORING: (Wood only. Describe other finish flooring under item 21.)
t,OC..TIDN RDOMA GRADE SPECIES THICKNESS WIDTH BLDG. PAPLR FINISH •
First floor
Second floor __
Attic floor __—sq. ft.
Additional information:
FHA Form 2005 p DESCRIPTION OF MATERIALS
VA Form 26 -1852 .
i
• .. DESCRIPTION OF MATERIALS
?!. PARTITION FRAMING:
Studs: .tnud, grade, and spre is cons) Fir Hi1n Dr j Pdsize and spacing 2" X 4 "0 16" n c. Other •
Additional infon natlo' ' _ __
10. CEILING FRAMING: •
foists: stood, glade, and slier irs Ocher — Bridging__- • -
Atldicional in fm ni at ion: - -. _- - -
11. ROOF FRAMING:
i, Rafters: wood, grade, and species . • Roof trusses (see detail): grade and species Per Enai neer
I ',. - Ad ditional information: _ .
:, 12. ROOFING:
U'. Sheathing: wood, grad -, arid species • s s • E 1 i- 11 ' rind ; El solid; ❑ spaced_" o.c.
r
Roofing _Asphalt ; grade 235 # ; size ; type __ --
Underlay _Rolled _felt . ; weight or thickness 150 . ; size ; fastening -Ga l y Nati 1 s
*
Built-up rooting ; number of plies ; surfacing material
_. -_ •
Flashing: Material __Glil V Iron • ; gage or weight 28 : ❑ gravel stops; ❑ snow guards
•
Additional information:
13. GUTTERS AND DOWNSPOUTS: .
•
Cutters: material __Gale___ ron gage or weight _26 ' ; size 4 X 3_ shape __Ogee
Downspouts: material _Ga 1V• Iron _ ; gage or weight 26 ; size ...31':_l_211. ; shape — Revt... ; number .P.laflS—
om.nspxuus emir. trd lo: ❑ Storni sewer; ❑ sewer; ❑ dry -well. ❑ Splash blocks: material 'and size _
Additional infornlatn,L alv. Iron Downspout extension splash
14. LATH AND PLASTER •
Lath [] stalls, ❑ teilings• material - - -_ weight or thickness Plaster: coats - L__; finish
Dry -wall pg walls. f erilings: material _gypsum BrrI ; thickness 1 /2" .; finish smooth
Join' treatment _ Tape.,..Fj1L & Finish
15. DECORATING: (Paint, wallpaper, etc.) ._
•
Rsx WALL FINISH MSATERIA. AND APPLICATION CEILING FINISH MATERIAL AND APPLICATION
Kitchen _ _. _- (1) _Ct�Semi -Gloss — (1)___Ct ,emi -Gloss
•
Bath ______ WC Ct. Semi -Gloss • (1) Cts_Semi- G1os1_
Other - "___ - -- - __11) Ct. Glat (1) Ct. Flat - --
Additional information: - -- + •
16. INTERIOR DOORS AND TRIM:
DOOR: type Hollow core solid ; material Mahog thickness 1 3 /R"
—
Dom trine type- Detailed ___ material Pine Base: type Detailed_ material _Mlle._ —; size 2 1/4"
Finish: doors_ Stain 81 Seal trim. Stain & Seal or Same.._as_r9nm
Other trim (,Lori, OM and !oration) ' " --'
Additional information: __ • -
17. WINDOWS: • Windows: type - _ S11d1 IlJ ; makeAAcOOrn Or Egli&]. ; material Aluminum .; sash thickness
Glass: grade ___ Instil aXio_1 - -_; ❑ sash weights; ❑ balances. type ; head flashing - -
'trim: type Drywa.11 -_ ; material rvnsUBL Roard • Paint Same as Room number coats 1 -
Nrathrrstiiiping: type _ ; material Vinyl Storni sash, number__
Screens: ❑ full; psi half: type - ; number —al 1 ; screen cloth material Al umi AURI. -- .
Basement ..indoors: type_ 51 idPrs material Al um & Steel screens, number all ; Storm sash, number
Special windows __ —_._
Additional information: _ -
18. ENTRANCES AND EXTERIOR DETAIL:
Main entrance door: material - • ; width ' ; thicknes3 34' Fran)-: material line ; thickness _5/.4,
Other entrance doors: material __Pine_ ; i
w idth ; thicknesL_3 / 4 " Frame: material -Pine-- - ; thickness 5j4 "'
- -_
Head flashing_ -- Weatherstripping: type Rawl 7 e ; saddles - tsr4ock4 —
`r ,
Screen doors: thickness__. - ._. "; number screen cloth material- Storni doors: thickness _ - "; number -
Combination storm and screen doors: thickness __'; number ; screen cloth material - --
Shutters: ❑ hinged; Fo fixed. Railings SeP F1eyations , Attic louvers
Exterior millwork: grade and species -_- -- Paint Stain or Acrylic ; .number coals 2 -
Ad: lilional information: _ -_ See E 1 Pvattons_ for trim -appl i cation . .
19. CABINETS AND INTERIOR DETAIL:
Kitchen cabinets, wall units: ntatrrial Birch' "Master Craft" nr equal_; lineal feel of shelveshla lS.; shelf width 12"
Itase units: material __Dina __ ; counter top iormloa ; edging EnrllfiCa
Back and end splash __ Fornl &a Finish of cabinets — E &CtDry . _ —; number coats
Medicine cabinets: make _ - ; model
Other cabinets and built-in furniture ____-_—
Additional information:____ All Cabinei_s- _Finish Per_Owners Spar's
20. STAIRS: _ _ __ —__ — - --
y __ __• Tat Sus RISERS STRINGS HANDRAIL pu.OSI exs
St 501 .— "__....- - " — __
•
Haler l al Thickness Material Thickneu Material Sire Material Size Matrrial Site
Basement _ fir _5/4 pine pine • 2X12 _pine — t2/8 -- -- NONE - •- -.—
Main - - -- -
Attic - - - -- - - -
Disappearing: make and model nunticr •
Additional information:
• 2 .
•
; &mv,., awUACJ,k7 A', r, ti F i apott"t,e AN .' l it..a_ -, irk ' . R a + Y. " 3 1 • ir
27.'SPECIA1 F10DR5 AND WAINSCOT: • •
--
• I11R1 f11, 111, t \All I11fE IIA _ 1,r.R11 x,R
ILK'S, 101. NISI TRIAL., COLOR, Ik,RnER, SAES, GA r, IJt, NINFRIIL al 1111041 hlAI[RIA1
12 Ruches __ V.4ny o� -0n klet—
al—_Wood 5/8" Earl. BI
g B _ _ _ . _ V i ny i Carl on Metal Woad_ _ 5/R Part. Br
_.... -.. _. _ _____ . -- __ -.__ —_ - Illamlr 1 I ICCI IN SII0W1.113
IAA ell 1 h1ATRRIAL, COLOR, BORDER,. CAP. SIZES, GAGE, ETC. IIVl411r . (MK TUB (I'ROA1 Flom)
Bath _
•
Bathroom accessorics:U Recessed; material Chrome ; number ; aAttachcd material _-Shrgm(T ; number
Additional information: _ .
22. PLUMBING:
` rlxi dK1. - Num PER LOCAL ION MAKE MER'S VIM URE IDEMlFICATION No. Stu — (III OR
Sink _ __L ? __�_BJCitchen • £rare or equal yPS
Lavatory ath "I II
_ p'+
Water closet _ —_ —. _ -. _Bath I'1 II II – II •
Bathtub---- - - -1 -- _Ba_ d u th - 5 1 _0 u '
Shovler over tubL __Bath II II — - - II
Stall sholfcrt 1_ Bath 11 a — 32 —X�-
Laundry trays -- - --
An Curtain rod la[$ Door ❑ Shower pan: material ,
Water supply: Eci }addle: [3 community system; ❑ individual (private) system.* •
Sewage disposal: pi public: ❑ community system; ❑ individual (private) system.*
*Show and desrrthe and:vaunt s�stern in rompltft detail in separate drawings and specifications according to requirements.
House drain (inside): ❑ cast iron; ❑ tile; ® other PVC 'louse sewer (outside): ❑( cast iron; ❑ tile; ❑ other
Water piping: ❑ galvanized steel; la copper tubing; ❑ other PVC Sill cocks, number °2
Domestic water heater: type ; make and model __Crane or Pglldl_. —; heating capacity
gph. 100° rise. Storage tank: material Glass Lined . _ ; capacity gallons.
Gas service: utility company; ❑ liq. pct. gas; ❑ other- - Gas piping: ❑ cooking; 0 house heating.
• Footing drains connected to: ❑ storm sewer; ❑ sanitary sewer; ❑ dry well Sump pump; make and model
___; capacity ; discharges into
23. HEATING: •
❑ Not water. ❑ Steam. ❑ Vapor. ❑ One -pipe system. ❑ Two -pipe system.
❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model
Radiant panel: ❑ floor; ❑ wall; ❑ ceiling. Panel coil: material •
❑ Circulator. ❑ Return pump. Make and model ; capacity gpm.
Boiler: slake and model - Output Bath.; net rating Btuh.
Additional information: _ _ - -- -- --
\Varnl air: ❑ Gravity. [M Forced. • Type of system Perimeter`
Duct material: supply Gal V. Iron__; return_ V. Iran— Insulation , thickness_ ❑ Outside air intake.
Furnace: make and model - FQdders or equal Input_ Btuh.; output Btuh.
Additional information: See Merhan al nra^�ings
❑ Space heater; ❑ floor furnace; ❑ wall heater. Input Btuh.; output _ Btuh.; number units •
Make, model __ _- _ Additional information:
Controls: make and types_ ioieywP Apr equal . . —
Additional information: - - - ---
Fuel: ❑ Coal; ❑ oil; ❑ gas; ❑ lig. pct. gas; ❑ electric; ❑ other _; storage rapacity
Additional information:
Firing equipment furnished separately: ❑ Gas burner, conversion type. ❑ Stoker: hopper feed ❑; bin feed ❑
' Oil burner: ❑ pressure atomizing; ❑ vaporizing .
Make and model _ • Control - Additional information: —
. Electric heating system: type Input Watts; C volts; output Btuh.
Additional information:
# Ventilating equipment: attic fan, make and model ; capacity cfm.
kitchen exhaust fan. make and model _ ______P_ragCE55_nr —PgUdl -
Other heating, ventilating. or cooling equipment . Rernsaire or equal
24. ELECTRIC WIRING:
Senora: ❑ overhead; ® underground. Panel: ❑ fuse box; ® circuit - breaker; make AMP's No. circuits require
\t "icing' ❑ conduitp ❑ armored cable; ®nomnetallic cable; ❑ knob and tube; ❑ other _
i . Silt(i.11 ouden: ❑ range; in water heater; El other 1) s 1 • • • _DW ra R9P Etc
'' �� ' ❑ Duoncm. Q) Chimes. Push - button locations Front Door Additional information:
i
i 25. LIGHTING FIXTURES: -
?' Total number of fixtures PlafS Total allowance for fixtures, typical installation,'$ A
... Nom nty
Nopical installation
e` <'Additional information: _ .
3 DESCRIPTION OF . MATERIALS
•
{ DESCRIPTION OF MATERIMSS
24. INSULATION:
LOCATION THICK \'Lis MATERIAL, TYPE, AND ME [HOD OF INSTALLATION VAPOR BARRIER
.r, Rror_ R - 30 Brown Rock Wool
ceilin _ R -11 Fibre -Glass Batts _
Wall
Floor
HARDWARE: (make, material, and finish.) KWIK -SET or Eggal •
SPECIAL EQUIPMENT: (State material or make, model and quantity. Include only equipment and appliances which are accept-
able by local law, custom and applicable FHA standards. Do not include items which, by established custom, are supplied by
occupant and removed when he vacates premises or chattles prohibited by low from becoming realty.)
_ Disposer - Waite Kilo
— � jJ washer - RCA or Egua
Hood -ACA or Fqual
;:.s.• / -r - s - - -s ss s -
•
•
fi
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.) _
Pipe Drain 9, flryar Vent
Deck- ?X4 Redwood flecking -(Sep Plans)
Smoke_Detector •
•
PORCHES: •
4" Un(rptp Slab wJ 6 X 6 1.4J1 -4 w -w -f- •
TERRACES:
•
GARAGES:
4" Concrete Slab _w/ 6 X 6 1 4 c I I I s •• • • B • 111113 •
16/0 X 7/0 Overhead wood sectional door •
WALKS AND DRIVEWAYS:
Driveway: width _.1.6_111—; base material natural ; thickness '•; surfacing material �onrr Pt e ; thickness 4
Front walk: width 3 D ; materi Concrete ; thickness _A_ ". Service walk: width ; material ; thickness "
Steps: material ; treads "; risers . Cheek walls
OTHER ONSITE IMPROVEMENTS:
• (Specify all exterior onsite improvements not described elsewhere, including items such as unusual grading, drainage structures, retaining walls, finer, railings,
and tawdry structures.)
•
LANDSCAPING, PLANTING, AND FINISH GRADING:
Topsoil " thick: ❑ front yard; ❑ side yards; ❑ rear yard to feet behind main building.
Lawns (seeded, sodded, or sprigged): ❑ front yard— ; ❑ side yards ; ❑ rear yard
•
Planting: ❑ as specified and shown on drawings; ❑ as follows:
Shade trees. deciduous. " caliper. Evergreen trees. ' to ', 13 & I3.
. Low flowering trees, deciduous, ' to Evergreen shrubs. to ', 8
High-growing shrbs, deciduous, ' to _ Vines, 2 -year
•
Medium-growing shrubs, deciduous, ' to
Low-growing shrubs, deciduous, to
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
•
Signature •
FHA Form 2005 •
VA Form 26 -1852 4 • us GOPCI RRINT PUNTING MICR : 117E C -)rl -ve
•