Form Hud-92541 - Builder'S Certification
Download a blank fillable Form Hud-92541 - Builder'S Certification in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Hud-92541 - Builder'S Certification with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3U.S. Department of Housing
Builder's Certification
OMB Approval No. 2502-0496
Exp 01/31/2016
and Urban Development
of Plans, Specifications, & Site
Office of Housing
Federal Housing Commissioner
Property Address (street, city, State, & zip code)
Subdivision Name
Mortgagee's (Lender's) Name & Address (this is the lender who closed the loan)
FHA Case Number
Phone Number
NOTE: If any of 2,3 or 4 is not checked, the property is ineligible for FHA insured financing
1 Site Analysis Information: To be completed on all proposed and newly constructed properties.
YES
NO
a. Flood Hazards. Are the property improvements in a Special Flood Hazard Area (SFHA)?
1) Provide the community number and date of the Flood Insurance Rate Map (FIRM) used to document your answer.
Community Number
Map Date
2) Is the community participating in the National Flood Insurance Program and in good standing?
3) If "Yes" to 1a. above, attach:
(i) a Letter of Map Amendment (LOMA) or;
(ii) a Letter of Map Revision (LOMR) or;
(iii)a signed Elevation Certificate documenting that the lowest floor (including basement) is built in compliance with
24 CFR 200.926d(c)(4).
4) Is the property located within a Coast Barrier Resource System (CBRS)? (if yes, the property is inelgible for FHA insured financing)
Items b-f see additional instructions on page 3
b. Noise. Is the property located within 1000 feet of a highway, freeway, or heavily traveled road?
Within 3000 feet of a railroad?
Within one mile of a civil airfield or 5 miles of a military airfield?
c. Runway Clear Zones / Clear Zones. Is the property within 3000 feet of a civil or military airfield?
If "Yes," is the property in a Runway Clear Zone / Clear Zone?
d. Explosive /Flammable Materials Storage Hazard. Does the property have an unobstructed view, or is it located within
2000 feet of any facility handling or storing explosive or fire prone materials?
e. Toxic Waste Hazards. Is property within 3000 feet of a dump or landfill, or a site on an EPA Superfund (NPL)
list or equivalent State list?
f. Foreseeable Hazards or Adverse Conditions.
(1) Does the site have any rock formations, high ground water levels, inadequate surface drainage, springs, sinkholes, etc.?
(2) Does the site have unstable soils (expansive, collapsible, or erodible)?
(3) Does the site have any excessive slopes?
(4) Does the site have any earth fill?
If "Yes," will foundations, slabs, or flatwork rest on the fill?
If you marked "Yes" to any of the above questions in f, please attach a copy of the State licensed engineers' (soils and structural)
reports, designs, and/or certifications showing compliance with HUD requirements to ensure the structural soundness of the
improvements and the health and safety of the occupants. Refer to HUD Handbook 4145.1 and HUD Handbook 4140.3 pg. 64-92.
Complete this section for all properties. The property complies with:
HUD Minimum Property Standards in the Code of Federal Regulations at 24 CFR 200.926d.
2
HUD Handbook 4145.1, Architectural Processing & Inspections for Home Mortgage Insurance, including Appendix 8, Site Grading & Drainage Guideline.
3
IECC ( International Energy Conservation Code) 2006
4
Other Code or Local/State Code as follows:
5
Applicable Provisions
6
CABO One- and Two-Family Dwelling Code, as listed in 24 CFR 200.926b, replaced by IRC (International Residential Code)
Electrical Code for OneandTwoFamily Dwellings, as listed in 24 CFR 200.926b, or equivalent, name code:
7
This is a manufactured (mobile) home and was constructed in accordance with the Federal Manufactured Home Construction & Safety
8
Standards (FMHCS). The label on the manufactured home shows compliance with the FMHCS. I hereby certify that the plans and
specifications for all other construction (i.e., site, foundation) comply with the applicable building code or HUD requirement listed
above, including paragraph. 3-4, Handbook 4145.1,and the Permanent Foundations Guide for Manufactured Housing.
Previous Editions are Obsolete
Page 1 of 3
Handbook 4145.1 form HUD-92541 (10/2012)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Hud-50059 - Owner's Certification Of Compliance With Hud's Tenant Eligibility And Rent Procedures
Business
Form Hud-3111 - Mortgagee's Certification And Application For Interest Reduction Payments - U.s. Department Of Housing And Urban Development
Legal
Related Categories
Parent category: Business