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Form HUD-92005 Description of Materials
ICR 201407-2502-002 · OMB 2502-0313 · Object 48490701.
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Description 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 |