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D tion S ecifications � C�� �
p P
DATf DESCR�P110N � S�Ctlon
12-5-80 KITCHEN OPTION K - 3 � �
� Orawin�
REV DAIt ❑ KITCHEN OPTION K-3A 32-K3&3R �
•
Statesville Butcher Block � As Shown : �
Country Estate � Parchment Opposite
Mt. Vernon S.o.�55q3�
View 1 "
U1 eW 2 D�IONAL MOC 3034
�I W BCW 243 COtB W 3030
W 3030 15 3030
30,
OVERHANG
AT ISLAN� RANGE HO00
CABINET
BACK PANEL � �� � � AANGE ��
&OUTSIDE A�S I � SPACE nn ,
CORNER 8 24 SR 36-- 36 � i � �s,�u �
MDL"G BFS 3" i_ _J �_ UU
-^ EP 243,4
�
AT SINK AT RANGE
As Shown o ' e , As Shown - Either Case
-��sst 9� 24 026 ---� �❑ `-; r,�--�. L�,�z_r�v^�n—
247537P 475 — ' 247383P 221376P
� i osi
-- , 24 B
� 40
� �_-_� -
View 5 %. _
View 3 /�
V i ew 4 Q OPTIONAL MOC 303 / .
�3� � W 3 018 �
w2a9 243 �J W 3 0,
REFHIG. RAN HOOD
SPACE
C� C� O -_ � � AA " 0�
B 24 Ho ?4 flCB 68 � FHO�t S ACE 8 30
u � _ � WALL � F 3015
AT REFRIG. AT ISLANO AT D P-IN RANGE
AS SHOWN S --
Either Case ❑Std. K-3 �frfr9�8-- 24 A Shown O�posite
�$- 0 tion 247677P 4765 20655B 2206396
220582P K- 220647P 220620P
SIiOWN OPPOSITE
. K-3A 225 - �� 2236 �
225266P P •
�Itiit�00 nql mOM�X�tOx 60pNp
� 1 • .l • � . �.� � • �
DATE � S- T- g � �
NAME /�C�/ ADQRE S S
� ��- �
LOT ���' B LOC K �
WA
S UBD I V. �������v � .,c.� ZON E �—/.�
STREET N0._ �,f��� /�� �! ��� LOT DIMENS IONS ���� S O
�
� S I DEWALK EX I ST I NG YES � NO�!
�
BU I LD I NG GRADE ELEVAT(ONS STAKES SET AT S I TE �--�" � , 19 �� BY `�p`�
FEE: $2.00 �
G��?"�
���7U �y.'7�2.��
DEPARTMENT OF PUBLfC WORKS
I , the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced .
�
♦ �}.
�s68 �
� �iP- �'3���� S-
STATE OF WISCONSIN W ISCONSIN UNIFORM 7�
DE►ARTMENT OF INDUSTNY,LABON ANO P E R M I T N O.
HUMAN RELATIONS
OIVISIONOFSAFTVANDBUILDINGS BUILDING PERMIT
01%E�SMINGTONAVE. PARCEL NO.
MADISON,WI.W 707 A PP L IC A T ION
WISCONSIN STATUE9 107.0.1
PERMIT REOUESTED �CONST �HVAC �Ec ❑PLUMB
Owner's Name - Mailing Address Telephone
� ����Tt" =;�= �.3?,A7� / S���'. /��� ��L �'�'-� �.�-.3 i�
Contr ctor's Name Mailing Address Telephone
p' E�
PROJECT LOCATION v< r., SECTION , T N, R E(or1W
Building Address Sub ivisio^n Name Lot No. Block No.
��s ���G'��'� �.. r`i`.D�iJ '� �����v�� ��. `_"
Zoning strict Lot Area Front � Rear Left Right
" //� ���r� �' Sq.f2. Setbacks ,� ft. �'"� ft. �' ft. �¢/ ft.
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES
Entranc Panel �orced Air Furnace Fuel saace wace�
�New ❑Addition mgle family �C7 AMP H�e. H�e.
Size: ❑Radiant Baseboard or Panel
❑Alteration Two family
S rvice ❑Heat �m LP Gas ❑ ❑
�Garage ❑Other �Underground p P Nat.Gas � �
Attached ❑Boiler
Overhead FuelOil ❑ ❑
Detached ❑Central Air Cond. ❑ ❑
6. CONST.TYPE 7. FOUNDATION ❑Other Elec.
❑Other Wood ❑ ❑
❑Master plan no. �Site const. �oncrete $. PLUMBING Solar ❑ ❑
(ifapplicable) Manufactured �JMasonry Coal ❑ ❑
❑Treated Wood Sewer Other
9. AREA oucside �0. STORIES
oimenaion ❑Other �Municipal
u Septic
�Basement 1'"�-¢g sq.ft.�1-Story 11. USE ❑permit No. 12. WATER
(Z�� 2-Story
�Living Area sq.ft. ❑Other ❑Seasonal
Perma ent ❑Private
Garage �sq.ft. �0 e �Vlunicipal
he applicant agrees to comply with the Wisconsin Uniform Dw ing Code and other Municip Ordinances and with the conditions of this permit;understan s
that the issuance of the permit creates no legal liability,expre or implie ,on the D or Muni pality;and certifies that all the above information
is accurate.
SIGNATURE OF APPLICA - � DATE �-�/� � ��
CONDITIONS OF APPROVAL This permit is issued pursuant to the followi ' onditions. Failure to comply may result in suspension or �
revocation of this permit or other penalty.
13. ISSUING JURISDICTION ❑VILLAGE �CITY ❑TOWN ❑COUNTY ❑STATE
/ � v - � � �
NAME �SF�T���� MUNIC. NO.
FEES PERMITIS) WIS.UNIFORM PERMIT pERMIT ISSUED BY
ISSUED SEAL NO.IS►
PLAN REVIEW $ ��
INSPECTION �AC /� ¢¢ � NAME • �1.LK.K-
WIS.PERMIT SEAUS) � ELEC �3 �y—� DATE ��� ��
OTHER� 1 �pLUM6 CERTNO. �S —�-( �`�"
TOTAL$�
DI LHR-SBD-5823
ISSUING JURISDICTION/AGENCY
•� .
FMA ��r�n 2903 . . . u.t.o�r.��wwra���a�*ov�aMwvt�o�wNr 4/16/81
/�O��AI NOUIIMO�OMIM�IT��flal
• VA Form 26-leS� For �ccur�a n�l�ar o/c�r►s• coPln fsrs p'u� Approvad
form FinHA IZ4-4 rn�� b� �eo�ra��d •lon �Sr• �old. �h�v 1� OMF3 No. G3-R0055
R�v. 4/77 compleaA �Ae��� w�M�r Iw o�1�iM1 wd�r.
❑ Proposed Construction DESCRIPTION OF MATERIALS N�. �
(To be in,�,i�d 6r FF1A,VA a fmH�t
MODEi. �I
p Und�r Con:trvdion S.0. �i� �__
P�op�/ty oddr�u _^..� _ Cilp _ Stut�
Mortgagor or Sponsor
. �N.n,r� �AcMJ,e..l �
Controctor or Duilder
�w,,,�� ��.n.,
INSTRUCTIONS -
1. For edditionol fnformoiion on how thfs (orm ii �o b• tubmin�d, nu�nb�r ,.avt�.d,�h•n �h. TIOIlIIY111 OCHpfObl• will b�auum�d. Work ��c��dlnq
ol copi��, •�c., ��• IA� in�Ir�ctiom ep01ica61• �o th• fHA Applico�fon lor minln��m r•aui.•�•��� ean�.or w co�s�d•�.d �nt�at �p�cifieelly d�tsrib��
Mo�lpaq• In��ranc�, VA R•awa� (or ��I�rminollon el R��wnab�• V�Iv�, er 1. inelud� ns e1l�rnsl���'•m�O�el�� etirof��, a cantr�dittory h���.
fmHA Prop�r�y Inforn,orlon ond Appr�i�el R�port, •� *• ca��m�y b�• (Gmfd�rarlen ef o r�qu�s� (or �cc�p�one� o! wb�tiiu�� ma���iol� •r�Qu!
2. D�acnp� all mot�rials ond •Q�ipm�nr �o b� us�d whN6�r or nN �how� ��n1 f� no� rb..•by p•cl�.d.)
en tM drowlnq�, by m�.kinp en X in �ach aPp.opria�� c��ck-bor ond ��r�rinf S. Inel�d• tl�nplYh� r�oui.�d at tl+� �nd e(tl�l� lon�.
th� Inlorma�ion call�d for In wch ■pae�. 1! �poe• 1• Inod�quo��, �nl�r
'•S�� mlac." •nd d��crlb�vnd�r I��m 17 or ov� �n���ecl��d �i,��r. THE USE 6. Tb� c���nuc�l�w�1��11 ►� co�Pl�t�d In cemplienc� wid. �M r�loha
OF PA�NT CONTAINING MORE THAN 7NE PERCENTAGF OF LEAO dr+wlnp• •n1 ����ille��l�w�, �� �T�nd�J du�lnp •ree���inp. Th• �p�cll��
BY MEIGHT VERMITTE� BY LAW IS PROHIBITED. e��1en� I�elv�� �1�1• D��cA�N�e e(Mo+��iets end �h� �Ppllcabl�Mlnlmu�
�. Ww� nor •p�ei(Ieolly d�aerlb�d er ahown will no�b• eo��id�r�d unl��� P■o�•.ey Sfo�Io�ds.
1. EXCAVATtOf�k
durinE �oii� tYPc
.z. Fax�aAnoNs: .
poo�in�: ooncrcte mix ; urrn�th p�i ReinWrcin�
Foundacion wall: materia� Reioforr.iry
Intrrior foundation watl: mu�rial Pany found�tion wall
Column�: material and iim Pien: m�teri�t •ed reiefurcia�
Girden: matcrid and �im 4- 2�� x 1��� WOq(� 3i11�: m�teri�l
Baxmrn� entru�ct artaway Window �rtaw�y�
�Yaterprvofin� /oain� dniru
Tcrmite prwectio� —. �.
Baxmentku tp�u: �round corer _ ; inwlatior+ ; foundation v�nu
Sperial Wundatiocu
Additiocul �t�,,,uon: ❑ steel girders, 8 x 1_8 ❑ steel, other size ----
�. CHIMNEYS: .
Material __ d Me t a 1 Prcfabricaud(rwrb�u/nr.)
Flue linin�� material ' He��n flue •iu Fireplace Aue �izt �_ __
Venu (�+otme!�w/1rtiJ: 6a� or al hcu�r ; w��er hesler
Addilional Information: Q ('1aSS ��A�� ❑ C1aSS ��8��
1. RRFPLACP�
- TYpe: ❑ wl�d fuei; ❑ Su'burnin6; �circulator(n+�4�rw/i�,�) MA duenp �nd ekanow
F�rcplace: facin� ; Gnin� ; hearth ; mantel
Additional intormatan:
S. EXTERIOR WALLS: 2" x 4" 16" o.c. s td.
Wood framt: wood 6rsd�, and spcci�s f�rade or better � �`p� ��j�, Dyi{din� paper or klt
Sh�a�hin� Polystyrene ; ��cknns 1�� ; wid�M���;f] qlid; ❑ �Ppd " a t.; ❑ d'ia'ooal'
Sid;n� *(S e e B e 1 ow) ; 6r,d, : typ� : �y,e : ap,,,r,. : 6s�n6t� •
Shin�ta : Qade : tyPr � dae t '� �—_..�..-
$�uc�c� ; thictnni , l�A
� bel�it�,.,��
Ma�orty vrnoer Silb Lintel� VM I1a�64�
� �iawnry: ❑ wLd ❑ taccd ❑ ��uccoed; toul.watl �Aickneu '; deln� lhkknw "; faein� m,ateri�l
B�ckup m�teiial ; �hickneM "; Sondin�
Dax �illa Window �ilb lJMtb �� ���
Interior wrfun dampFxoofin6.� roaq of � �y��
A�,��i ;,,r�,r,,,;,,,. woud headers used ttirOU�;�IOIIC
Ex�;o, p�;,,u�: ,,,,,�,ui 1 coat primer on hardboard onlv : p,,,,,�, � � _
G�bk waU constnxtia►: � aame as main wallr, � aher oonKructiow
� R�R ���y; 12' Span s SP �2, 1200 fb, 1.6 MOF. '�" dia.
�o�.u. wo«1. [�de• .nd spK�n 2��h3" 2 �6"0.c..�;� Span = SP Il': b:�wsie� f bao�e7 M�F. ; .nchon anchor bol
Goncrete �lab: ❑ baumcn� floor, (] fint floor: ❑ `round ruppo►erd: � �elf-wpPorti�: m{r ; thj��q •
rcinlorcuf� —_ ; i�wlation ; enembrsnt
F�11 unde► tlaD: ma�rr�al ___._ lhicknn� ". Addi�iona) iefonw�l{on; PIyWOUd �;1�e-nail ed _
to floor framin� Per�11'A "Stur�3-I-Fluor" Stanclards.
7. SUdFLOORINO: (�escrib� und�rAoorinQ fw t�cial Aoo►y und�r il�wr ?1.)
Ma�crial: �rade and �pccits _3 4�� (�'}����� ) tinclerlavmE�iit (��Uu[� ��l PIyWOOd. ��4,x � . ir� T 6 C�
• (.,a�d [] firat Ooor; � �ccond floor, ❑ ����c �q Il., [] dia�onal; � ri�hl •n�td. Addi�bnal informatioa:
t. FlNISH ROORlN4: (wood onfr. D�:crib� olha� fwwsl► flowinp urdN i1«n ?1.)
Loc..na+ Rc�w G�,oa Snnu T�wacuna W�crM koo. I�s /wrw
F�� n�.
� s��a n�.
n�� e�. ' M�. n.
�aai�..s ��a.�.c�: �M�-� S�D�N ('� _�...x..,
� U �(STD)TraIIi Flardbo�rd; ;rad�-coap; typ�-wd, d�n�itr, �is� 3/�" x 94" z 1" fut i ��
❑ �A4T�Cont1 7/6�� �Kah{ �r�d�-pr�a{ typa-lhi1. Haht �ls� �� x {��� a�po�ur�� full{ fMi�t�Ii�� �' ��
, D ULT)RustSct J/8 fSa�h. i C�dar aAak� •ce�a[ �' 1�'
t �rad�pra{ tpprPhil. Mahj �is�-4' x 9j �x�o�ur�,
Lull: C��tenint. 7.Qd.
It��v, Il�)/t�/f32 /�/ Ilr/t;l Itl';V. .'i/1U/82 �
DESCRIPTION OF MATERIALS
9. PI1RTiTION FRAMINO:
S�ud�: wt�d� Rndc, and tpccin f�t',ITiR1': hL�l OT liLi. �i:t �nd �p�cin�_)�� X 4�� lE��� p.C. Other n]ates- Std. OT
nJ�fui�x��l infonn�uon: Ilull I��. .it'III};: :il �l. i�r RI r. I(�" n.i•. ��la[c��; - Sfcl. ur I;l:r. Htr.
10. CEIUnK� fRAMlNO:
Juiiu: ..-a.d, �radc, and �p«iM I�� �'ti I ��� �; '''�L!���' - 1 O(1U h1(lh: - I .�► x 1 Of� Brid�in� y�n
AJb�uon�l In(�rma�i�e' ���� �' (�'� �'� ����� L> C- -
I1. ROOf FRAMWO: 1 Z' � J 3' s >.�ri 1 b = I 5(7U t�t�)I�: = I , 3O0,O00
1/i s�,�n �b = 177� MOT: = 1 70O fl�(�J ,
Raftrr�: w�ood, �rad�, and ��xcln koof fr�utt� (Zce deuil): �t�c1� Rna apccici
Aclditioeul informatlon: 2�� i: f���_lf��� O,C. __�
14. ROO��d:
5h��ihin�. wa�d, srMl�, �nd ��xrir�_ �s�� ('.I l. i I1 L. Ir'�l'XL. L;IIiL ,y I Vw!�:�cl ; (�] iolid: ❑ �p�ted "O.t.
Roofi., 235.�1 asnlial t sh i n��les : gr.de �- : .�ae 1 '3',.x"39',, rype se].f-sea_L i ny;
t
U�derlay oile l3yer 3����513 T}ltlCc� Ptlpei' ; wei�ht w thicicnes� ; •ize ��-��� ; ���tnin61�� St�le
Built-up roohns ; number of plie� ; �urf�cing maicrul
Flashin�� matrrial €;alv. ��D�� Ec1Q]ri�; ; pse or wci6ht 24 �;a. : ❑ Br�vcl �to�; ❑ �now euuds
AdJiewrul informat�oo:
�3. c,urrERs iwn �owr�srouTs:
Gutttrs: matcrial ; ga�e or wc��ht ; �ir.e ; �ha�x
��WAf`�Ul�. Illllffla� : Ba�e or wd�ht ; �i:e ; sfupe : numbet
Uawm�xwts conn�ctcd to: ❑ Storm uwrr, ❑ uniury sewer; ❑ dry•wetl. ❑ Spla�h blarkt: rtuterial and size
AdJitional informa�ion: �
i 4. ur►� nr�� PusTER
I��h ❑walli, ❑ cciling�: mntcnal_ , wei`h� or �hickn�u _� PlaNer. coau ; fini�h
Siim hn�r j ; �hKtcneu ti�� ; fini�h
Dry-wall� walls,� cc�linga: macrrul �'Xj2�' - - �
�o;�i trcatmcm._ t3ped as per manuf.acturers instructions _
1 S. DECORATINCi: (Poinl, walfpap�r, ♦k.)
R�,� w.0 FunsN I�t�ruu� �r+o AhIJC.�TqN Gn�ra P�Muw Metaau� ,v�o MucwnoN
Ki�chcn
B��h Vinvl wallPaper � Ta ed & texture finished w i
latex aint
Oih�r
Additi�nal in(ormaUon.
14. lNTER10R DOORS ANO TRIM: „
Dcx�n iy{X l�ol lrn•� i•nr� � materul �See� f�<ld. Info) ; thicicneu ]-3�8
Ck�r i��m � teard�-ol, ; mucru! �e Add.lnfoB.K: �ype Gt�indard ; maurial �See /1dd.Infq�u ��
YFx'
Fini�h: dours : trim
(hhcr tnm (ibm,!�M and lnrohon J -- .
P1:i[eri.� l I���r du��rs rincl Lrim: ����� Olaurm � ��rE�t ini�,'�ed, ernb��ssed oak
Additional in(orrnauon �--.-- _
17. WtPD01NS:
� Casement ��attern
Duuble ilun_;_,.' ; �na4e_._._ �'"YC<� ; mat�rial��l— , u�h ih�ckn�u �- ;1���� -
\`'inilowt t)'�K __ - —
Gt�ss: pracJt 13 _,; ❑ wh wrightr, ❑ 6alancei, tYpe --�.; Aced Ouhing f'�,l V. WfieTE IIOt
Trim. �y�x teardrop : ,„a,�.;,� WUOCi Paint }�Cc,��'f�t�eY ctYatf OV�T" 173I1g
Wrathrr��ii��pinR• �y�x � ]'i<'C1��tl ----^- --_: �terial vinyl _.J._ Siormauh, number W��3•
' S�rcrn��. [] I'ull; [� half: i��pe _ .tiC I l� � �i �u; �ui�Y�111�tt�umbrr.I�;;t.W�lk'.� �creen claA nuirrul ( i I��L'�;�tisr; mE'Sh -
Bairm�m Nindo�++. �) __; materia!_ _.; �creem, num6+er—_.__ ;Storm u�h, number
S�xc ial window�_ _ 7�I'1L I E' (:�L17 i 11}� --
Adili�ional in(urmauon: __ -
18. ENTRANCES AND EXTERIOR DETAII:
metttl c 1�tci(R-1.!� ' �� �1'4�� Frame: material wv��� , thicknes.,�.Lt_�'
htain cnuanrr door matrria! idth �: lAictneu
mc t:i 1 c lad (R-14�„ ?'8" �'lt�� Pr�mr m�tcrul wood ; ihickneu�i�'
U�h�r rnuanct duon. matrrial idth ; �Aicknea
as reqci. - �;a.l�'. Wead+ernri � � compression ; �,�k, ad,j,�stabl_e
I1cad Rashing� PP' i� YP�
Sircen cia>n: thic kn�u "; numhr� : �croen clolh nueeriul Ste�rm doon: thicknns "; numbet
ComGiru�ion uMm and scrarn daon. �h�c kn�si "�; numbcr ; arc�n clah materi�l
� Shun�n ❑ h�n��J, ❑ fixccl. Ra�l�ng+ �Attit bw�v�
Exi�nor �+,�Itw<xk. gradc anJ s�xcin_W<�OJ ('OT11CC5 PaiM � : numbc� coatt
� AdiJitionil �n(orm�lion: PlltiCiFl - �1ClI➢E'(j PIiIE: ❑ TOUQ�7 cedar
19. CABIFETS ANO INTERIOR DETAI� lla rdwood, Conner
hi�clxn cah�nn�, w�ll unit�. maltrul maFY� ANSI �11 fi1.1 Standards • Iineal f�t� of�hrtv�t����{±: �helf width 12"
��, �n,,, ,,,,,�,,.t hrirclw�od ; �,,,,�, ap, laminated nlastic ; rd�ins laminar_?�plasti_ _
Pa.4 an�i �nd �pta�h 1���»in��ted p1.�5tic Fini�h of ub�net• b�}:ed no1Y[ne1' ; number coau�_
rs��m�-c.tCCy ; model SP('-�n- ��
M��hc�n� iabiixtt mak�—_---
(hh�r rabinrlti �n�l buill-iq (urnilu�� V•in i t y - C�un l ry �.�+Y:t f C - ,O II 1T
rW�liuunal �n(urmauun t0O �lllCj S��LL`;�1 1<3R1IIlIICC�C� �1.'3St1C _
20. STAIRS:
-~ ' � Ruw Snu«:r � ll.vuuit S.iunwi
l��.in
ti�.i. -�- --_"- --------- ---- -
M���n.l ih�.lrrr �ta��rul ThrYn.� M.�rri�l S�r A1���i�l 5ut M��m�l Sbt
--_-. . ._-'- ------�- �--�-- �
-'..
� ti.Y.l'in • � I- I /;� ul,�_•ii -- - inc �> I'inc� '�=S �����
' .ti' I
fl�.f�n�n� - ---- --- --- -- - �_ ---- - -
�;.1'.��in� I- I '� ��I�,-t,��,�,�1 � S.Y .f'in 5 4x10 , v;_ ��!t_—
p ��,�� _ - - �' -- -- -
. ❑SPli�-� 5.1'.I��ii I__I�� I'!�'w��u�1 3/%a _ :;.1'.I'in 5 4xlU Iletnlc, .� _ ' ,��� _`
' UuaE��Kann6 mxk� an�l mMi�I numtr r------ -----
Add�uenal in(oimal��� ---='Lt i�_iy;��r=' `at�- f s � ,r�, m:;ii�ined to recclve �:f:iiSic�----- —
. y
�/16/»1
�}, �p� FLOORS APO WAik'iC�)escrib� Car a� aa listed in Certi ied Produces 1)�receory
�� TN�tJNOI.D w�,.�A..,� u«or..rwo•
� l.ocwraw Mwrau�u. Own�. Bn�nu. buu, Gwot, Lrc. Ri�nRi�� M�n�i�� M�rcw��
� K"`�"� Wo�ci 3 4" Plvwood
�c� std. 7nla
opt . ceramic tile 2 x 2 x 3 16 Ceramic 3 4" P1 ood
Loc:�no� M�n��w�, Csxn�, B�anu, Gv. Srtu, Cwa�. Er4 FIl1LNT ��ucNr liru:Kr i� S���wcRs
Che� T'��� (F�ow Fu��u�l
� Baih std. 1�our �iece mc>lded � _"' S��� •
7
3 �Z�� 72��
o t. ccram{c til.c w -
a �er holder �- ��� b th
Baihroom �c«�wrin: � Recwod materu) � � , aumtaer ; �Attached; nuterial _: �um�r
towe� b�ir; robe hook. Soa dish �nd xrab bar mouttted !n tub and shower uni
Addicional information: �
Z2. PL11Ml11Nt'f:
PixrvRt Nw�c� Loo�now M�ts Mn'� ►�xrv�a lotrmnu� No. &:i Cotn�
si4k 1 Kitchen Polar 332-5 33 x 22 St. Stee:
V�,�, � Batl� hol�ler K2904 ].9" x 16"
H,�, �� 13ar.h Kohl.es Watersave K3500 27" x 2"
Batfiwb � Std. BaCh Owens Cornin ET-60 tub shower unit 30" x 60��
Shower over tub� Ratlr Moen 2739 tub (j�.VE'_TCEI'
Suu .ho•rer� Batli (hacils Cornin � OCS [8 /�R" :; 34��
Laundry trays --
� Cerami
Tub I3ath Kohler K-7].5 �r K-716 ��0"
u ur- iower �
�� GLruio roc! �❑ Door ❑ Shower pan: ma�erial
Waeer wpplr: ❑ public; ❑ communiry �ruem; ❑ uulividua) (privaee) ryutm.*
Se.rase di,poul: ❑ pubJic; ❑ community �yuem: ❑ inditidual (private) �yetem.#
*SAnu und JrrtnA� irdiui�ra!ryi�rn� in ranpLl�d�lai/i� sr�ruti Jr�nu�i�r✓f�ri,/�nh�aiu xcwJin� to r�r�nnvnu.
Hou�e dr�in (inndc): � cait irwi; ❑ tik; � otlur /�BS Houie �ewv (ouuide): � caa� iron, ❑ tilc; � aher
Watcr pipirs�: ❑ galvani:od uocl; ❑ copptr wbin�; � dhcr Sill coc4�, numhcr t3Y Others
Uomcatic watrr hutcr: type ; make and model ; huting capacity
�h. 100' ri�e. Storaje tank: material ; upac��y 6alloro.
Gu arviu: ❑ utility campany: ❑ liq. pet. �ns; � �her Gu piping: [] co�IeinR; � houx hestinf.
Foain� dra�n� connactod to: ❑ ttorm uwc�; � �aniury �ewet; ❑ dry well. 3ump pump; malce •nd model '
; up�city ; dl�ehar=es Into
$). lfATiNp: QI'orced Air ❑ f?�ec-, f?�i�;eb�arcl ❑ Hydr��nic Ra�ehoarci
❑ Hot water. Q Serarn. Q VaF�� D �-P�P� �em. Q Two-pipe �ywcm. .
� D ����• O ���� O 8++��+n1 r,ci�.u«+. Make aod nwdel ❑Glec-Ravwal l D liydronic_-Contiental Mf;
Rxiiant paod: Q floor; ❑ wall; ❑ ceilinj. Panel coil: materW
❑ Circulator. ❑ Rcturnp.«.+p. M.ke .nd �.�odet �i.>> 1 & Gossett 100 T .R. or 'fr�c•�� O�/F .'��rtri< ge circu a o
pacity 6�.
Doikr. mak� and model ❑ 13:�-•�f�am pC'T }IVI��; plans putpW &uh.; nct ra�in� Btuh.
AdAiiionwl in(orrtucioa: � �
Wum ,�r: ❑ C.a�ier. ❑ Forced. Typs ot.y.�ero _
Duct material: iupply ; rcwrn lniutation , �hicknns � putiide air intake.
Furnue: rtuke and modcl Input_ Btuh ; outpui $��,
Additio�ul inlormation:
[] Space hentet; � floor furnue; ❑ waU htater. input $tuh.; output Btuh.; numlxr uai��
M�ke, r+K�del Add)tional infortnation:
Control�: make aad typa —
Additiorul inbrmatioa: _
Furl: ❑ Coal; ❑ al; ❑ 6ai; ❑ Gq. ptt. p�; ❑ elatric: ❑dhe� : ebraQe upaciry
' Additiotul informatian:
Firin� equijrnen� furniahed �cprntcly: � Ga� burner, convenion type. � gtok�t. hopt+er f.rd []; Ain f�cd ❑
O�1 Dursur: � prcMure atomi:in6; [� raporicin` --
Make ar�E modd _ Control .`__i_.
Addhiws�l inforn►atian:� — —------- -- ---
Elaclric hutinR �yftcm: type _ - --_� Input ----._w��t�; (,'r`-------�olt+, output___ gr�.
Additiontl information:
Vrntilatin� cquipment; attic fan, m�kt and mod�l_. __ _ ._ ^ � ; �apac�ty c6n.
Rr��au 7(,OU S��r-ics `lOb cfin '
kitchrn exhau�t fan, en�ke •nJ model �--_ -_ ^ _
O�fxr hueins, ren�iLein�. or coolins equipmen� �ti3tl�) 13r�an 16? c•c�mh. fan/he<�t ]�im� 70 r fin eac�i bar_h
21. E�I{TR1C VYIR1NOs � Q 1O0
Scrvice: ❑ overfitaJ: ❑ under�ro�ind. Pantl: [� fuw box; � circw�-Aveaker, make �'•I;. AMP'• �?OO No.tirtuitt "�� G
� Wirin�� � ormduit: ❑ arzrwred cable; 0 nonmetallic c�bk; � knoD anA wbe: ❑ o�heY
. Spccul ou�ku: � ran�e; ❑ watr�r huc�r; � aher SmukefLuaCd l�nize(� — SIIIOke ?��t���Tnr
❑ Doorbcll. [A (�irnes. PWh-b�ttow loc��io�t �rc)T1C & rear (�OOr$ /����ional infonnatioo �� 1 C1.CC'U 1 tS �rounded
I.igh 7n� loac = 14 wi�y;.;��pl iati.L;s, 1 �•, i = I �irP_ Rath, ext, and �ar�e re�ey�t�cle on ('FT ,
�s. u�Hrwa pxnrr�
Toul number of futura � '• Total �Ibwance for fixturea, iypiul irutall�tion, { L �
" Noarypiu! installation _
Additional iuformacioo:
� DES�R�PT�ON �f NUITER1A�s
��! I ��/R1
' DESCRIPTION OF AAATERIAL:
� ' __.,.—
�a. irnuu►nar:
I.lXaT10M T���caHw ---_---._- ---- M�re��t, Tr�t. �ao AI{f1N)O !N IrI/T�LLAT7[l11 —_—' �— V�►O� <AllKl
ROO� _ _""_ __ ____' "____"'_'
C��i�n _1�_ I'hr-�-�I,�tis hriec , ? 1:1yc,r�,__�:ncl lnver--I��Other� It-"fR Im re �. As ha].t
� — �
►�'au .� _ t `�/}'," I`I,r.:_i' I_i .>_ l,,i t l_� Il- I_i ;in�l I'�_ 1't� �Y::l�'_r1:11L�i���i I�_-_'O 1'u l v
f'Iwr -- - --- -
27. MISCELLANEOUS: (f�tcrib• anr main dw�U�ny mohnoh, �qviP�++�nf, w conitn�c►ion �f�mt nof �hown •l��wh�nj or u�• ►o pro�
addtionol informolion wh�r• fM rpoc�provid�d wai �nod�•��oN. /11w�ay� i�l��ir�c• br it�m num� lo conczpond ►o numb�AnQ
vi�d on thi� fo�m.)_ _ _ " •
HARDWARE: (mak�, mohrid, ondRnish.) �'•ntry lc�ck - [�'eiser Aristocrat style �E�� finish w/2-3/4" bac
7 112" nr�vPrtjnn on latcti bolt L�ttr,v locks front and rear entry and c�ara�e servi�e door
keved al ike . �i�it}i at�d bc�drooi�i:, }�,ive priv�icy .Lo�ks. Sta�n.rr�y lncl �.I��Sets h�ve passa�e
— _ —-- -- — oI-c�
SPKIAL EAUI►MENT: (SMh mat�s�ld or molr�, mod�l wd quanNty. Incfud� onJr pulpm�n► ond opplJanc�� which on occ�pt-
obi� br locol law, cvilom and applicabl� fHA tMnclards. Do nol lntlud� i►�mt �rNch, br ..robl;rh.d cu,�oM, ar� ruppli�d br
occupont ond nr»ov�d wh�n h• rocotsi pnn�bu w d►alN�w prohibihd br br /rwn b�cominy rool►r.)
1) • �w•�tilii�r
Garba�,e 1)isnoti��l
PORCHfS:
THt1�ACfS: � .
OAR1aCiE,S: (0}�t iona.l) .
E:,t w't ]s: 2 x 4 o�en stud . 1 (��' r�.c . st<l. nr[��1e: `' 3 £i" C]) i'Iva�n���1 �/e::t.
� _.�.Ls,:;ltlLins��- —
g�ue coverecl , " 1 ' . ❑ ((1�t. ) S/H" rout�h r;.iwn �tI�U I.ieci directlY�
studs. Roof • 1/'�" CI) int w/�xt s�lue � �' �i��£tcrti l.h" c� c' . � �' f� 1ic't�cr5 tiv insulnti
WALKS /1N0 DitlVEWAYSr
Drivcway: widi� ; ba�t m�itrl�l ; t�icknw �; wrf�cin� nutcriai ; lhkkneat �
Froo� walY: widiA : m�tcrial ; Ibieknea� . Se'rvkt w�lk: wkf�h�_: ma�crial_, ; thk.�iwt �
Str�M: maMfi�l ; tI'aa� �� f�tf7 . Q1!!� wau�
O� � �l7Y R0•CR�i7��71
� ($�iifj �!!iil�n�� �n�i(i �r��r�ryw���h +ul /�ur�Ai/il�n�Ain, �wrfu/�� �hwu rr�A �t �nr�rol(r�/��, /r����ji ��rrrlrr��, rr���w�nr n,r!!t,f'�aar, tiilrw�t,
.�.�r.ulry ,rnurr.n.J
--------- - -- -
lJ1AlUSCAP1f�iU� r1JlNTiNO, AAlD HAIISN O�t/lDlNtjt
'T'��I " thict: ❑ (nx,t yard: ❑ ��de rud�: ❑ rev ra►d �o_ fcri behind main b�ikiin�.
La..ru (�r+J.�I, iala.J, a fp�u�/). � frun� yud _: ❑ ��ck yrrtt� _; ❑ n�r vud.�_ --
Pl�ntin�' ❑ u ��ifird an� �1�own on Ar�w�np; ❑ u fullow�
.`it�lt trtxs, d�c.iduou�. _" uGyrr. ----- 6vrrsre�n �ran -_-------- �o__— �. �.k 8
l.ow Aowcrin� �rco, dn�duc..w, ' �o-----.� �_---. EvrrTn�ea �M+tr._ _____._� b . _�. 6 a 0
_, Hqh-Erow�ns �hrul�a, dr<�ducr,ti �__..._� M`___� .�.____ Vinea, 9-yhr_--------------- -
A1tv�i�im trtiwin( ah�uW. il�ridu�wt. ---- w"-- -- ---------"-�__� �.-------------
_ Low-6ro..in� �hrub+. dcc�duoua, -.--- b�— -- -- r__
tnarmncsnon.--"il+i� achibit ahall br �ouCud by the �I�L(VR d tAe IwilAn, or ryon�zr, •�+rf/w �he �rnprre+ci rruxtp{or if the laloa' �
� knowo •t tAc t�me o(applwti�n.
Uatt ----- -------------_ Si�nai�rr — ------ ------ ____
S��iu�urr ----------- - —
FHA Form �DOS
VA Form 26-185a �
Form FmHA 124-7
� ��., ,,,, ,, .�,�..:�
-.. • .