Fillable Va Form 26-1839 - Compliance Inspection Report printable pdf download

OMB Approved No. 2900-0041

Respondent Burden: 15 minutes

CASE NUMBER

COMPLIANCE INSPECTION REPORT

NOTE TO BUILDER - Unapproved report left at site for builder's convenience is subject to change. Consult lending institution for OFFICIAL REPORT.

PROPERTY IDENTIFICATION (Include lot and block)

NAME OF BUILDER

NAME AND ADDRESS OF LENDER (Complete mailing address including ZIP Code)

NOTE - The VA case number and other identification (address, lot and block

number) assigned to the property shall be posted on the site and be so located

that the notice can be read from the street. Inability to identify the property may

prevent inspection.

RESPONDENT BURDEN: We need this information to determine, establish or

verify the dwellings compliance with the Minimum Property Requirements and

eligibility for VA Specially Adapted Housing grant stage disbursement. Title

38, United States Code, allows us to ask for this information. We estimate that

you will need an average of 15 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.

PRIVACY ACT INFORMATION - The 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 5,

Code of Federal Regulations 1.526 for routine uses (for example: Authorize release of information to Congress when requested on behalf of a Veteran who purchased the home that we

inspected) 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 and published in the Federal Register. Your obligation to respond is mandatory.

1. INSPECTION OF ONSITE BUILDING IMPROVEMENTS WAS MADE AT INSPECTION STAGE CHECKED BELOW

EXCAVATION COMPLETE AND READY FOR

FOUNDATION WALLS COMPLETE

FIRST

FOOTINGS AND FOUNDATIONS

AND READY FOR BACKFILL

BUILDINGS ENCLOSED, STRUCTURAL MEMBERS STILL EXPOSED AND ROUGHING-IN FOR HEATING, PLUMBING, AND ELECTRICAL

SECOND

WORK IN PLACE AND VISIBLE (Individual water supply or sewage disposal system complete and ready for backfill is included in this stage)

ALL DWELLING CONSTRUCTION, INSTALLATION OF EQUIPMENT, UTILITY CONNECTIONS, AND ANY SPECIFIED ACCESSORY

THIRD

BUILDING GRADING, DRAINAGE PROVISIONS, LANDSCAPING, WALKS, DRIVES, STEPS, OR RETAINING WALLS REPORTED BY THIS

BUILDER AS COMPLETE IN ACCORDANCE WITH THE CONDITIONS OF THE CERTIFICATE OF REASONABLE VALUE

REINSPECTIONS

SPECIAL

CONDITION OF CONSTRUCTION AT THIS INSPECTION

A. NO EVIDENCE OF

C. NONCOMPLIANCE-BUILDER WILL

E. DWELLING HABITABLE, BUT COMPLETION OF CERTAIN IMPROVEMENTS

NONCOMPLIANCE OBSERVED

COMPLY WITHOUT DELAY

WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. INSPECTION BY

VA COMPLIANCE INSPECTOR REQUIRED

B. SUBSTITUTIONS

D. NONCOMPLIANCE-BUILDER DOES

OR DEVIATIONS

NOT INTEND TO COMPLY

ITEMIZED AND DESCRIBED AS FOLLOWS:

ABOVE ITEMS WILL BE INSPECTED AT NEXT REGULAR INSPECTION

REINSPECTION REQUIRED

COMPLETE THIS ITEM WHEN MAKING THIRD INSPECTION

REVEALED CONDITION

2. INSPECTION OF OFFSITE IMPROVEMENTS

AS DEFINED IN ITEM 1, AND DESCRIBED

AS FOLLOWS:

REINSPECTION REQUIRED

3. REINSPECTION OF WORK PREVIOUSLY INSPECTED AT

FIRST

SECOND

THIRD

SPECIAL INSPECTION

REVEALED CONDITION

AS DEFINED IN ITEM 1, AND DESCRIBED AS FOLLOWS:

ESTIMATED COST

PROBABLE DATE OF COMPLETION

4. ESTIMATED COST OF INCOMPLETE ONSITE WORK AS REPORTED AT THIRD

INSPECTION OR THEREAFTER UNDER CONDITION E, IN ITEM 1 OR 3 ABOVE

CERTIFICATION - I CERTIFY THAT I have carefully inspected the above property in which I have no interest, present or prospective, and that I have reported

herein all conditions observed to be at variance with VA Minimum Property Requirements, approved plans and specifications, and any specific requirements for offsite

improvements relating to the property inspected.

DATE

SIGNATURE OF DESIGNATED COMPLIANCE INSPECTOR

6. VA REVIEW OF INSPECTION REPORT REVEALED CONDITION

A. PREFINAL REPORT APPROVED

B. ALL IMPROVEMENTS

ACCEPTABLY COMPLETED

DATE

SIGNATURE OF VALUATION OFFICER, OR DESIGNEE

VA FORM

EXISTING STOCKS OF VA FORM 26-1839, APR 2004,

VA FILE COPY 1