OMB Control No. 2900-0788
Respondent Burden: 30 Minutes
Expiration Date: 8-31-2015
DESCRIPTION OF MATERIALS
PRIVACY ACT NOTICE: VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or Title 38, CFR 1.576 for
routine uses (for example: Authorizing release of information to Congress when requested for statistical purposes) as identified in the VA system of records, 55VA26, Loan Guaranty Home,
Condominium and Manufactured Home Loan Applicant Records, Specially Adapted Housing Applicant Records, and Vendee Loan Applicant Records - VA, 17VA26, Loan Guaranty Fee
Personnel and Program Participant Records - VA, and published in the Federal Register. Your obligation to respond is required to obtain or retain benefits.
RESPONDENT BURDEN: We need this information to establish the value and or cost of adaptations or new construction before work begins. Title 38, U.S.C. authorizes collections of this
information. We estimate that you will need an average of 30 minutes to review the instructions, find the information, and complete this form. VA cannot conduct or sponsor a collection of
information unless a valid OMB control number is displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB control numbers can be
located on the OMB Internet Page at If desired, you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form.
PROPOSED CONSTRUCTION
UNDER CONSTRUCTION
CASE NO.
(Include City and State)
PROPERTY ADDRESS
NAME AND ADDRESS OF LENDER 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,
4. Include no alternates, "or equal" phrases, or contradictory items. (Consideration of
etc., see the instructions in the VA Lender's Handbook.
a request for acceptance of substitute materials or equipment is not thereby
2. Describe all materials and equipment to be used, whether or not shown on the
precluded.)
drawings, by marking an X in each appropriate check-box and entering the
5. Include signatures required at the end of this form.
information called for each space. If space is inadequate, enter "See misc." and
6. The construction shall be completed in compliance with the related drawings and
describe under item 27 or on an attached sheet. The use of paint containing more
specifications, as amended during processing. The specifications include this
than the percentage of lead by weight permitted by law is prohibited.
Description of Materials and the applicable Minimum Property Requirements.
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.
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
Basement space ground cover
insulation
foundation vents
Special foundations
Additional information
3. CHIMNEYS
(make and size)
Prefabricated
Material
Flue lining material
Heater flue size
Fireplace flue size
(material and size)
Vents
gas or oil heater
water heater
Additional information
4. FIREPLACES
(make and size)
circulator
Type
solid fuel
gas-burning
Ash dump and clean-out
Fireplace facing
lining
hearth
mantel
Additional information
26-1852
VA FORM
SUPERSEDES VA FORM 26-1852, OCT 1984,
Retain this record for three years
Page 1 of 6
JUL 2012
WHICH WILL NOT BE USED.