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1924-12.indd
ICR 202605-0575-002 · OMB 0575-0189 · Object 169300600.
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Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | 1924-12.indd |
| Author | Brigitte.Sumter |
| Last Modified By | Acrobat PDFMaker 21 for Word |
| File Modified | 2021-07-01 |
| File Created | 2021-07-01 |
| Conversion State | complete |
Extracted Text
USDA Form RD 1924-12 (Rev. 02-18) INSPECTION REPORT Agency internal use only FORM APPROVED OMB No. 0575-0042 Exp. Date: MM/DD/YY PROPERTY ADDRESS: STATE: COUNTY: BORROWER ACCT#: PERCENT COMPLETE ITEM OF DEVELOPMENT ITEM OF DEVELOPMENT PERCENT COMPLETE Date & No. of previous inspection: PERIODIC INSPECTION This inspection is Number: The Agency will make final inspection of all development work and periodic inspections as appropriate to protect the security interest of the U.S. government. However, the Borrower or its representative is responsible for making inspections necessary to protect the Borrower's interests, and complying with State codes and any federal, state, or local requirements. The Borrower must not rely on this Inspection Report as assurance that the structures and/or infrastructure are built in accordance with plans, specifications, and applicable codes and requirements. This form is used for the benefit of the U.S. government, to provide general statements regarding any significant conditions observed related to the work, evaluate the progress of the work, and evaluate the status of any deficiencies previously reported. (See attached sheets for additional comments) DATE SIGNED Agency Representative FINAL INSPECTION For the purposes set forth in 7 C.F.R. 1924 subpart A, 7 C.F.R. 1780 and 7 C.F.R. 1942 subpart A, the above listed items of development shown as 100% complete have been certified by the construction contractor as completed in accordance with the contract documents. Health Department and/or other regulatory agency approval has been given for water and waste disposal systems. on (date) . Builder’s Warranty is dated A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 0575-0042. Public reporting for this collection of information is estimated to be approximately 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are voluntary. However, in order to obtain or retain a benefit, the information in this form is required under Section 7 CFR 1924-A, Planning and Performing Construction and other Development. Rural Development has no plans to publish information collected under the provisions of this program. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Rural Development Innovation Center, Regulations Management Division at [email protected] POSITION 6 GUIDE FOR INSPECTION OF CONSTRUCTION OF DWELLINGS AND BUILDINGS Agency Internal Use Only Notices, Labor and Occupancy Observations. Yes No - The required posters displayed? Yes No No - The facilities segregated? Any evidence of employment discrimination? Yes GENERAL. - Drainage conditions. Location of buildings with respect to property lines: Other buildings, water supply, sewage disposal, utilities, etc. Protection of materials on site. ELECTRICAL. - Location of meter. Number of circuits. Provision for future circuits. Location of outlets and switches. Power suppliers approval. EXCAVATION. - Earth bearing. Footing depths. Frost lines. Grades specified. DRYWALL. - Joints, sanding, filling, taping. CONCRETE AND MASONRY. - Concrete mix or strength, forms, placing. Mortar mix. Width and depth of footings. Reinforcing steel. Stepped footings. Drain title. Concrete slabs on ground: Bed under slabs, wire mesh, slab thickness, finish. Termite protection. Foundation wall and pier alignment. Anchorage preparation. Dampproofing. Waterproofing. Exterior masonry: Lintels, wall thickness, height, parging, furring, wall vents, basement windows, termite protection. Masonry veneer: Lintels, thickness, airspace, flashing, felt, bonding, weepholes. Interior masonry wall: Thickness, lintels. All masonry walls: Joints, tooling, pointing, flashing, prevention of mortar stains, cleaning. Masonry chimney and fireplaces: Flues, size of flues, height above ridge, thimble, chimney cap, smoke cap, smoke chambers, firebrick, hearth. Basementless areas: Clearance below joist, positive drainage. GLAZING. - Quality of glass, putty, application. LATHING AND PLASTERING. - Quality of lath, evenness, grounds, joints between work and masonry, finishing. MISCELLANEOUS METAL WORK. - Pipe rail, metal bucks, metal windows (setting, caulking and priming), painting. MILLWORK. - Trim, cabinets, windows and doors, thresholds. WEATHER STRIPPING. - Seal, joints (tight and smooth). FINISH FLOORS. - Dry storage, baseboard clearance, joints, nailing, finish, protection after laying. CARPENTRY MATERIALS. - Species and grade of lumber, moisture content. Shims. Preservatives. SCREENING. - Screen cloth, tightness, fit, operation, identification tags, paint splashes. FRAMING. - Fire stopping. Framing at chimney. Columns. Posts. Anchorage and moisture protection. Girders. Floor joists, double joists. Headers and trimmers. Subflooring. Ceiling joists. Roof pitch. Roof rafters. Hip and valley rafters. Collar beams. Flat roofs. Trussed roof construction. Studs, corner construction, corner bracing. Sill construction. Anchorage. Window and door openings. Plates. Wall sheathing. Roof sheathing. Termite protection. HARDWARE. - Materials, workmanship, operation, keys. EXTERIOR WALL FlNISH. - Type of paper or felt. Lap. Fit at: Corner boards, door and window casings, drip cap, water table, sills, nails and nailing. Miter. Corner finish. Stucco. ROOF COVERING. - Conditions of deck, underlay, starting course, exposure, nailing. INSULATION. - Fastening of boards. Fill (to top of walls and even distribution in ceilings). FLASHING AND CAULKING. - Flashing at: exterior heads of openings, chimneys, intersections of roof and walls, valleys, hips, ridges. Caulking around openings PLUMBING. - Quality of materials Workmanship. Excavation and backfill. Protection of pipes. Size of pipe. Cutting or notching. Joints and connections. Water supply lines: On solid ground below frost, shut-off valve, drain valve for entire system. Drainage system, vents and venting. Traps and clean outs. Hangers and supports. Quality and type of fixtures. Location of fixtures. Fixtures securely installed. Domestic hot water heating and storage, equipment, safety, capacity. HEATING. - Safety, capacity. Required tests, operating and maintenance instruction. Fuel storage. Check operation. GAS (Liquefied Petroleum). - Approval markings on tank. Tank Location. Meter installation (hung properly). Protection of exposed pipe. Leakage under pressure (smell joints). Location of shut-off valve inside building. Proper ventilation of system. LIGHTING FIXTURES. - Type, bulbs (light, clean). PAINTING AND DECORATING. - Surface preparation, washable materials, lead content, application (suitable weather), nailheads. BACKFILLING. - Around masonry, around trees. Finish grade 8 inches below wood. LANDSCAPING. - Planting, seeding, finish grades. FINAL. - Cleaning up: Masonry, crawl and pipe space, pipe chases, attic, vents in walls, floors, chimney bottoms, fireplace throat, glass, hardware and fixtures. Removal of debris. Closing of floor openings around pipes. Replacement of broken windows. Operation of doors and windows. WATER SUPPLY Location with respect to possible sources of contamination. Shaft. Protection from contamination. Construction. Watertight casing safe distance above slab and safe distance below ground surface. Grading at top of well to drain away in all directions. Size of concrete platform. Slope of concrete platform. Pump: Type, capacity, location, protection, pollution proof, frostproof. Capacity of pressure tank. SEWAGE DISPOSAL Location: Slope of grade, depth of ground water, existing and future water supply. Size and slope of house sewer to septic tank. Capacity of tank. Distance of tank from foundation wall. Construction of tank. Location of disposal field (unobstructed and unshaded area). Construction of fi eld. Minimum seepage area (determined by percolation test or recommendation of Soil Conservation Service and State Board of Health). Approval of State Board of Health. RD 1924-12 REVERSE