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Іnvestuvannya - Peresada AA

Dodatok 3

Zatverdzheno

___________________________

the date is the number ___ rіshennya (behest, decreed) prіzvische, іm'ya at batkovі i posada individuals yak pіdpisala rіshennya (mandate, ruling)

od "___" _____________ p. ____________________________

mіstseznahodzhennya ob'єkta

Derzhavna priymalna front fee, yak priznachena rіshennyam (judgment, Therefore becomes) od "___" _________ 20___ p. number __________________________

(Loc body yaky priznachiv komіsіyu)

in skladі:

head _______________________________________________________

(Prіzvische, іm'ya that on batkovі, posada)

Chlenіv komіsії - predstavnikіv:

zamovnika (zabudovnika) ________________________________________

(Prіzvische, іm'ya at batkovі, posada)

ekspluatatsіynoї organіzatsії _____________________________________

(Prіzvische, іm'ya at batkovі, posada)

General pіdryadnika _______________________________________

(Prіzvische, іm'ya at batkovі, posada)

General proektuvalnika ___________________________________

(Prіzvische, іm'ya at batkovі, posada)

organіv Sovereign arhіtekturno-budіvelnogo control ____________

_____________________________________________________________

(Prіzvische, іm'ya at batkovі, posada)

organіv Sovereign sanіtarno-epіdemіologіchnogo lucid ____________

_____________________________________________________________

(Prіzvische, іm'ya at batkovі, posada)

organіv Sovereign pozhezhnogo lucid __________________________

_____________________________________________________________

(Prіzvische, іm'ya at batkovі, posada)

organіv Derzhavnoї іnspektsії s efektivnosti vikoristannya gas ________

_____________________________________________________________

(Prіzvische, іm'ya at batkovі, posada)

organіv Derzhavnoї ekologіchnoї іnspektsії ___________________________

_____________________________________________________________

(Prіzvische, іm'ya at batkovі, posada)

vikonkomіv mіstsevih Glad folk deputatіv ______________________

_____________________________________________________________

(Prіzvische, іm'ya at batkovі, posada)

profspіlkovoї organіzatsії _______________________________________

(Prіzvische, іm'ya at batkovі, posada)

bank, yaky fіnansuє (for ob'єktah Promyslova priznachennya) _______

_____________________________________________________________

(Prіzvische, іm'ya at batkovі, posada)

organіv s regulyuvannya vikoristannya that receptionists vodoymisch (for ob'єktah Promyslova priznachennya) _____________________________________

_____________________________________________________________

(Prіzvische, іm'ya at batkovі, posada)

keruyuchis rules SSMSC vikladenі in DBN A.3.1-3-94,

VSTANOVILA:

1. Zamovnikom (pіdryadnikom time іz zamovnikom) ______________

_____________________________________________________________

(Loc organіzatsії, її vіdomcha nalezhnіst)

pred'yavleny up of acceptance in ekspluatatsіyu ________________________

_____________________________________________________________

(Loc ob'єkta, view budіvnitstva - basis, rozshirennya, rekonstruktsіya, tehnіchne pereozbroєnnya)

The address ___________________________________________________

(Region, district, locality, vulitsya, budinku number)

2. Budіvnitstvo zdіysneno on pіdstavі rіshennya (behest, decreed) od "___" __________ 20__ p. number ____

_____________________________________________________________

(Loc body yaky vinіs rіshennya)

zgіdno s allowed to vikonannya budіvelno and assembly robіt od "___" __________ 20__ p. number ____

_____________________________________________________________

(Loc Derzharhbudkontrolyu authority, having seen yaky dozvіl)

3. Budіvnitstvo zdіysneno pіdryadnikom-General ______________

_____________________________________________________________

(Loc organіzatsії, її vіdomcha nalezhnіst)

yaky vikonav _______________________________________ (VD robіt)

іz subpіdryadnimi organіzatsіyami __________________________________

_____________________________________________________________

(Loc organіzatsіy, їh vіdomcha nalezhnіst, Vidi robіt, SSMSC Realized cutaneous organіzatsієyu; in razі kіlkostі organіzatsіy Ponad 3 їh perelіk induced to act in dodatku)

4. Design and koshtorisna dokumentatsіya on budіvnitstvo rozroblena

the General proektuvalnikom __________________________________

(Loc organіzatsіy, їh vіdomcha nalezhnіst)

yaky vikonav _________________________________________________

(Loc Chastain abo rozdіlіv dokumentatsії)

that subpіdryadnimi organіzatsіyami _________________________________

_____________________________________________________________

(Loc organіzatsіy, їh vіdomcha nalezhnіst, Realized that Chastain rozdіli dokumentatsії; in razі kіlkostі organіzatsіy Ponad 3 їh perelіk induced to act in dodatku)

5. Vihіdnі danі for proektuvannya vidanі ________________________

_____________________________________________________________

(Loc NAUKOVO-doslіdnih organіzatsіy, їh vіdomcha nalezhnіst, subject vihіdnih danih; in razі kіlkostі organіzatsіy Ponad 3 їh perelіk induced to act in dodatku)

6. Budіvnitstvo zdіysnyuvalos for the project (types іndivіdualnim, re zastosuvannya) __________________________________

_____________________________________________________________

(Number project serії room (standard projects) for the project іndivіdualnogo vkazuєtsya Hosting Project Authority, yaky allowed zastosuvannya this project)

7. Design and koshtorisna dokumentatsіya zatverdzhena ______________

_____________________________________________________________

(Loc body yaky learned by rote the documentation)

8. Budіvelno-montazhnі robots zdіysnenі in termіni:

cob robіt _______________;

(Mіsyats, Year)

zakіnchennya robіt ____________ at trivalostі budіvnitstva, months at:

(Mіsyats, Year)

the norm for PSP abo ___________ _________ factuality.

9. Derzhavnіy priymalnіy komіsії presented dokumentatsіya _____ _____________________________________________________________

(Perelіk dokumetіv vіdpovіdno to Nos. 2.7, 2.10 DBN A.3.1- 3-94 abo number dodatka to act)

Vkazanі document and Je obov'yazkovim dodatkom to tsogo Act.

10. Pred'yavleny up of acceptance in ekspluatatsіyu ob'єkt (for vsіh ob'єktіv, krіm zhilih budinkіv) Got takі osnovnі pokazniki potuzhnostі, produktivnostі, virobnichoї ploschі, protyazhnostі, mіstkostі, obsyagu, propusknoї zdatnostі, provіdnoї zdatnostі, kіlkostі robochem mіsts i ., etc. (zapovnyuєtsya on vsіh ob'єktah in odinitsyah vimіryuvannya vіdpovіdno to tsіlovoї produktsії abo Main vidіv poslug).:

Key infrastructure produktsії (nadannya poslug), yak peredbachena project in obsyazі scho vіdpovіdaє standards osvoєnnya Project bearing-down in Pochatkova perіod __________________________________________________

(Fact cob Key infrastructure produktsії іz zaznachennyam obsyagu)

Pred'yavleny up of acceptance in ekspluatatsіyu zhily Budinok Got takі pokazniki:

11. Tehnologіchnі that arhіtekturno-budіvelnі rіshennya on ob'єktu toil takі danі: _____________________________________________________

_____________________________________________________________

(Korotkі Performance specification Especially schodo yogo rozmіschennya, planuvannya kіlkostі poverhіv, mainly materіalіv i konstruktsіy, іnzhenernogo that tehnologіchnogo ustatkuvannya)

12. ob'єktі vstanovleno peredbachene project ustatkuvannya in kіlkostі zgіdno s acts of acceptance about Yogo pіslya іndivіdualnogo that complex viprobovuvannya (perelіk vkazanih aktіv imposed in dodatku).

13. Come s receptionists pratsі, zabezpechennya vibuhobezpeki, pozhezhobezpeki, receptionists navkolishnogo natural seredovischa antiseysmіchnі that come in, peredbachenі project ________________________________.

(Vіdomostі about vikonannya)

Feature zahodіv hovering in dodatku to act.

14. Zovnіshnі nadvіrnі komunіkatsії cold that garjachego vodopostachannya, kanalіzatsії, teplopostachannya, gazopostachannya, energopostachannya that zv'yazku zabezpechuyut Normal ekspluatatsіyu ob'єkta that priynyatі mіskimi ekspluatatsіynimi organіzatsіyami. Perelіk dovіdok mіskih ekspluatatsіynih organіzatsіy imposed in dodatku to act.

15. Nedorobki that defects SSMSC viyavlenі robochem komіsієyu, lіkvіdovanі.

16. Robot landscaping, vlashtuvannyu upper pokrittya pіd'їznih dorіg to budіvel, trotuarіv, gospodarskih, іgrovih i maydanchikіv sports and takozh ozdoblennya fasadіv budіvel povinnі Buti Realized:

17. Koshtorisna vartіst for zatverdzhenoyu design koshtorisnoyu dokumentatsієyu:

vsogo ________ yew. . UAH, in fact chislі: Reference vartіst budіvelno and assembly robіt ________ yew. UAH., ustatkuvannya, іnstrumentu that іnventaryu _______ yew. UAH.

Rіshennya Derzhavnoї priymalnoї komіsії.

Pred'yavleny of acceptance to ___________________________

(Loc ob'єkta)

priynyaty in ekspluatatsіyu

Head Derzhavnoї priymalnoї komіsії __________________

(Pіdpis)

The members of Derzhavnoї priymalnoї komіsії ___________________

(Pіdpisi)