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pdfDescription of Materials
OMB Control No. 2502-0313
(exp. 06/30/2014)
U.S. Department of Housing
and Urban Development
Department of Veterans Affairs
Farmers Home Administration
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not collect
this information, and you are not required to complete this form, unless it displays a currently valid OMB control number.
The National Housing Act (12 USC 1703) authorizes insuring financial institutions against default losses on single family mortgages. HUD must evaluate the
acceptability and value of properties to be insured. The information collected here will be used to determine if proposed construction meets regulatory
requirements and if the property is suitable for mortgage insurance. Response to this information collection is mandatory. No assurance of confidentiality
is provided.
Proposed Construction
Under Construction
No.
(To be inserted by HUD, VA or FmHA)
Property address (Include City and State)
Name and address of Mortgagor or Sponsor
Name and address of Contractor or Builder
Instructions
1. For additional information on how this form is to be submitted, number of
copies, etc., see the instructions applicable to the HUD Application for
Mortgage Insurance, VA Request for Determination of Reasonable Value,
or FmHA Property Information and Appraisal Report, as the case may be.
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 each space. If space is inadequate, enter “See
misc.” and describe under item 27 or on an attached sheet. The use of
paint containing more than the percentage of lead by weight
permitted by law is prohibiited.
3. Work not specifically described or shown will not be considered unless
required, then the minimum acceptable will be assumed. Work exceeding
minimum requirements cannot be considered unless specifically described.
4. Include no alternates, “or equal” phrases, or contradictory items. (Consideration of a request for acceptance of substitute materials or equipment is
not thereby precluded.)
5. Include signatures required at the end of this form.
6. The construction shall be completed in compliance with the related drawings
and specifications, as amended during processing. The specifications include
this Description of Materials and the applicable Minimum Property Standards.
1.
Excavation
Bearing soil, type _________________________________________________________________________________________________________
2.
Foundations
Footings concrete mix _____________________________
strength psi _______________ Reinforcing ________________________________
Foundation wall material ______________________________________
Reinforcing ________________________________
Interior foundation wall material ________________________________
Party foundation wall ___________________________________________
Columns material and sizes ___________________________________ Piers material and reinforcing ____________________________________
Girders material and sizes ____________________________________
Sills material __________________________________________________
Basement entrance areaway ___________________________________ Window areaways _____________________________________________
Waterproofing ____________________________________________
Footing drains ________________________________________________
Termite protection _________________________________________________________________________________________________________
Basementless space ground cover _________________________ insulation ______________________ foundation vents ____________________
Special foundations ________________________________________________________________________________________________________
Additional information
3.
Chimneys
Material _____________________________________ Prefabricated (make and size) __________________________________________________
Flue lining material ____________________________ Heater flue size ________________________ Fireplace flue size _____________________
Vents (material and size) gas or oil heater _____________________________________ water heater _____________________________________
Additional information
4.
Fireplaces
Type
solid fuel
gas-burning
Fireplace facing ____________________
circulator (make and size) ______________________________ Ash dump and clean-out_______
lining _______________________ hearth ___________________
mantel _____________________
Additional information
Retain this record for three years
Clear Page
Page 1 of 6
ref. HUD Handbook 4145.1 & 4950.1 form HUD-92005 (10/84)
VA Form 26-1852 and form FmHA 424-2
5.
Exterior Walls
Wood frame wood grade, and species ________________________________
Corner bracing Building paper or felt __________________
Sheathing ___________________ thickness _________ width ________
solid
spaced _________ o.c.
diagonal_______
Siding ______________________ grade ____________ type _________ size _________
exposure _________ fastening _____________
Shingles ____________________ grade ____________ type _________ size _________
exposure _________ fastening _____________
Stucco _____________________
thickness __________ Lath _______________________________________ weight _______________ lb.
Masonry veneer _______________________ Sills ___________________ Lintels ___________________ Base flashing ___________________
Masonry
solid
faced
stuccoed total wall thickness ____________
Backup material ______________ thickness ___________
Door sills _______________________
facing thickness ___________
facing material ________
bonding _______________________
Window sills ______________________ Lintels ________________ Base flashing _________________
Interior surfaces dampproofing, _______ coats of _________________________________
furring ___________________________________
Additional information
Exterior painting material ___________________________________________________________________________ number of coats ______
Gable wall construction
6.
same as main walls
other construction____________________________________________________________
Floor Framing
Joists wood, grade, and species ___________________ other ___________________ bridging ___________________
Concrete slab
basement floor
first floor
ground supported
anchors ______________
self-supporting mix ___________________ thickness __________
reinforcing ________________________________ insulation _____________________________ membrane ___________________________
Fill under slab material _____________________________ thickness ______
Additional information
7.
Subflooring (Describe underflooring for special floors under item 21)
Material grade and species ____________________________________________________________ size _________
first floor
Laid
second floor
attic ____________ sq. ft.
diagonal
type __________________
right angles
Additional information
8.
Finish Flooring (Wood only. Describe other finish flooring under item 21)
Location
Rooms
First floor
Second floor
Attic floor
Grade
Species
Thickness
Width
Bldg. Paper
Finish
sq. ft.
Additional information
9.
Partition Framing
Studs wood, grade, and species __________________________
size and spacing _________________________ Other _____________________
Additional information
10. Ceiling Framing
Joists wood, grade, and species ____________________________ Other _________________________ Bridging _________________________
Additional information
11. Roof Framing
Rafters wood, grade, and species ______________________________
Roof trusses (see detail) grade and species ________________________
Additional information
12. Roofing
Sheathing wood, grade, and species __________________________________________________________
Roofing _______________________________
grade ______________
size _________
solid
spaced ______ o.c.
type ________________________________________
Underlay ___________________________________________________
weight or thickness ______
size _________
Built-up roofing ______________________________________________
number of plies _________
surfacing material ____________________
Flashing material _____________________________________________ gage or weight ______________
fastening _____________
gravel stops
snow guards
Additional information
Retain this record for three years
Clear Page
Page 2 of 6
ref. HUD Handbook 4145.1 & 4950.1 form HUD-92005 (10/84)
VA Form 26-1852 and form FmHA 424-2
13. Gutters and Downspouts
Gutters material ___________________________
gage or weight ___________
size _________
shape ________________________________
Downspouts material _______________________
gage or weight ___________
size _________
shape _______________
Downspouts connected to
Storm sewer
sanitary sewer
dry-well
number ________
Splash blocks material and size ______________________
Additional information
14. Lath and Plaster
Lath
walls
Dry-wall
ceilings material _______________ weight or thickness __________
walls
ceilings material _______________________
Plaster coats _____finish ______________________
thickness _______
finish ______________________
Joint treatment
15. Decorating (Paint, wallpaper, etc.)
Rooms
Wall Finish Material and Application
Ceiling Finish Material and Application
Kitchen
Bath
Other
Additional information
16. Interior Doors and Trim
Doors type ________________________________________________ material _______________________________ thickness _______________
Door trim type ___________________
material _________________ Base type ________________
material _______________
size ________
Finish doors _________________________________________________ trim ________________________________________________________
Other trim (item, type and location) ___________________________________________________________________________________________
Additional information
17. Windows
Windows type ___________________
make _______________________ material ________________________ sash thickness ____________
Glass grade ___________________
sash weights
Trim type ______________________
balances, type _______________________
head flashing ______________
material ___________________________ Paint _______________________ number coats ___________
Weatherstripping type ______________________________________ material ______________________________ Storm sash, number _______
Screens
full
half
type ___________________________ number _________ screen cloth material ____________________________
Basement windows type ___________________
material ___________________
screens, number ___________ Storm sash, number _______
Special windows ____________________________________________________
Additional information
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
hinged
fixed
Railings _______________________________
Attic louvers ______________
Exterior millwork grade and species ___________________________________Paint ____________________________
number coats ________
Additional information
19. Cabinets and Interior Detail
Kitchen cabinets, wall units material _______________________________________________ lineal feet of shelves _______ shelf width _________
Base units material _____________________________ counter top ____________________________ edging _________________________
Back and end splash ___________________________ Finish of cabinets ____________________________________ number coats ________
Medicine cabinets make ___________________________________________
model _________________________________________________
Other cabinets and built-in furniture __________________________________________________________________________________________
Additional information
Retain this record for three years
Clear Page
Page 3 of 6
ref. HUD Handbook 4145.1 & 4950.1 form HUD-92005 (10/84)
VA Form 26-1852 and form FmHA 424-2
20. Stairs
Treads
Stair
Material
Risers
Thickness
Material
Strings
Thickness
Handrail
Material
Size
Material
Balusters
Size
Material
Size
Basement
Main
Attic
Disappearing make and model number ______________________________________________________________________________________
Additional information
21. Special Floors and Wainscot (Describe Carpet as listed in Certified Products Directory)
Material, Color, Border, Sizes, Gage, Etc.
Threshold
Material
Wall Base
Material
Underfloor
Material
Material, Color, Border, Cap. Sizes, Gage, Etc.
Height
Height
Over Tub
Height in Showers
(From Floor)
Wainscot
Floors
Location
Kitchen
Bath
Location
Bath
Additional information
22. Plumbing
Fixture
Number
Location
Make
MFR's Fixture Identification No.
Size
Color
Sink
Lavatory
Water closet
Bathtub
Shower over tub
Stall shower
Laundry trays
Bathroom accessories
Recessed material ________________
number ________
Attached material __________ number _________
Additional information
Curtain rod
Water supply
Door
public
Sewage disposal
community system
public
House drain (inside)
Water piping
* (Show and describe individual system in complete detail in separate
Shower pan material _______________________________________________________________________
community system
cast iron
tile
galvanized steel
drawings and specifications according to requirements.)
individual (private) system*
individual (private) system*
other _________________
copper tubing
House sewer (outside)
cast iron
other ___________________________ _______
tile
other _________
Sill cocks, number ___________
Domestic water heater type ___________________ make and model ________________________ heating capacity _______________ gph. 100° rise.
Storage tank material _______________________________________ capacity __________ gallons
Gas service
utility company
Footing drains connected to
liq. pet. gas
storm sewer
capacity _____________________________
other _____________________________
sanitary sewer
dry well
Gas piping
cooking
house heating
Sump pump make and model ________________________
discharges into _________________________________________
Additional information
Retain this record for three years
Clear Page
Page 4 of 6
ref. HUD Handbook 4145.1 & 4950.1 form HUD-92005 (10/84)
VA Form 26-1852 and form FmHA 424-2
23. Heating
Hot water
Steam
Radiators
Convectors
Radiant panel
Circulator
Vapor
One-pipe system
Baseboard radiation
floor
wall
ceiling
Two-pipe system
Make and model ______________________________________________________
Panel coil material _____________________________________________________
Return pump Make and model __________________________________________________
Boiler make and model _____________________________________________
capacity _________ gpm.
Output _______________ Btuh. net rating ___________ Btuh.
Additional information
Warm air
Gravity
Forced
Type of system __________________________________________________________________________
Duct material supply _________________
return _________________ Insulation __________
Furnace: make and model _____________________________________________
thickness ________
Outside air intake
Input _______________ Btuh. output ______________ Btuh.
Additional information
Space heater
floor furnace
wall heater Input ______________ Btuh. output _______________ Btuh. number units ______________
Make, model __________________________________
Additional information
Controls make and types ___________________________________________________________________________________________________
Additional information
Fuel:
Coal
oil
gas
liq. pet. gas
electric
other _______________________
storage capacity _____________
Additional information
Firing equipment furnished separately
Oil burner
pressure atomizing
Gas burner, conversion type
Stoker hopper feed
bin feed
vaporizing ________________________________________________________________________________
Make and model _________________________________________________________________________________________________________
Control _____________________________________________________________________________________________________________________
Additional information
Electric heating system type ________________________________________ Input ________ watts @ ________ volts output ____________ Btuh.
Additional information
Ventilating equipment
attic fan, make and model ________________________________________________
capacity __________ cfm.
kitchen exhaust fan, make and model ______________________________________________________________
Other heating, ventilating, or cooling equipment ________________________________________________________________________________
Additional information
24. Electric Wiring
Service
overhead
Wiring
conduit
Special outlets
Doorbell
range
Chimes
underground
Panel
armored cable
water heater
fuse box
nonmetallic cable
circuit-breaker make ______________ AMP's _______ No. circuits ___
knob and tube
other ____________________________________
other __________________________________________________________
Push-button locations ________________________________________________________________________
Additional information
25.Lighting Fixtures
Total number of fixtures ________________ Total allowance for fixtures, typical installation, $ ____________________
Nontypical installation ____________________________________________________________________________________________________
Additional information
Retain this record for three years
Clear Page
Page 5 of 6
ref. HUD Handbook 4145.1 & 4950.1 form HUD-92005 (10/84)
VA Form 26-1852 and form FmHA 424-2
26. Insulation
Location
Thickness
Material, Type, and Method of Installation
Vapor Barrier
Roof
Ceiling
Wall
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.)
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 chattles
prohibited by law from becoming realty.)
Porches
Terraces
Garages
Walks and Driveways
Driveway width _________
base material _________________ thickness _______
Front walk width ________
material ______________ thickness ______ Service walk width _______
Steps material ______________________________ treads _______
risers ______
surfacing material ____________________ thickness ______
material __________ thickness ______
Cheek 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.)
Landscaping, Planting, and Finish Grading
Topsoil _______ thick
front yard
Lawns (seeded, sodded, or sprigged)
Planting
side yards
rear yard to ________________
front yard _______________
as specified and shown on drawings
feet behind main building
side yards _______________
rear yard ___________________
as follows:
_______ Shade trees deciduous__________ caliper
_________ Evergreen trees _____________ to _____________ B & B
_______ Low flowering trees deciduous
_________ to _________
_________ Evergreen shrubs _____________ to _____________ B & B
_______ High-growing shrubs deciduous
_________ to _________
_________ Vines, 2-year ____________________________________
_______ Medium-growing shrubs deciduous
_________ to _________
_______ Low-growing shrubs deciduous
_________ to _________
Other
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 (mm/dd/yyyy)______________________________
Signature
Signature
Retain this record for three years
Clear Page
Clear All
Page 6 of 6
Print
ref. HUD Handbook 4145.1 & 4950.1 form HUD-92005 (10/84)
VA Form 26-1852 and form FmHA 424-2
File Type | application/pdf |
File Title | 92005 |
Subject | 92005 |
Author | ELK |
File Modified | 2011-06-22 |
File Created | 2002-02-07 |