
Ôîðìàò À3
Èçì.
Ðàçðàá.
Ïðîâåðèë
Óòâåðäèë
Ëèñò
N äîêóìåíòà
Ïîäïèñü Äàòà
Ëèòåðà Ëèñò
Ëèñòîâ
Ñîãëàñîâàíî
Çàêàç ¹ ______________
Ïîêóïàòåë ü __________ _____________ ___________ _____________ ___________ _____________ ___________ ______
Ìåñòî óñòàíîâêè çäàíèÿ ____________________ _____________ ___________ _____________ ___________ ________
Ïëàíèðîâêà çäàíèÿ _________________ _____________ ___________ _____________ ___________ _____________ ____
Êîëè÷åñòâ î áëîêîâ ____________ ___________ _____________ ___________ _____________ _____________ ________
1 Öâåòîâûå ðåøåíèÿ çäàíèÿ. Âíåøíèé âèä çäàíèÿ.
Íàèìåíîâàíè å Öâåò RAL Ïðèìå÷àíèå
Ñòîéêà áëîêà
Ëèöåâàÿ ñòîðîíà
ðàìû ïîòîëêà
Ëèöåâàÿ ñòîðîíà
ðàìû îñíîâàíèÿ
Ðàìà äâåðåé,
âîðîò
Ïàíåëè
Ôðîíòîâ
Ðàì îêîí
Êðûøà áëîêîâ
2 Öâåòî âûå ðåøåíèÿ çäàíèÿ. Âíóòðåííèé èíòåðüåð çäàíèÿ
Íàèìåíîâàíè å Öâåò RAL Ïðèìå÷àíèå
Ïîòîëîê áëîêà
Ïîë áëîêà
Îáðàìëåíèå äâåðåé,
âîðîò áëîêà
Îáðàìëåíèå îêîí,
áëîêà
Ñòåíû áëîêà
3 Íàëè÷èå â ìîäóëüíîì çäàíèè:
- îñâåùåíèÿ __________________ _____________ ___________ _____________ ___________ _____________ ________
- òèï ëàìï îñâåùåíè ÿ _________ ______________ __________ ______________ __________ ______________ _______
- âåíòèëÿöèè _____ _____________ ___________ _____________ ___________ _____________ ___________ __________
- îõðàííîé ñèãíàëèçàöèè ___________________ _____________ ___________ _____________ ___________ _________
- ïîæàðíîãî îïîâåùåíèÿ _________________ __________ ______________ __________ ______________ ___________
- ñèñòåìû îðãàíèçîâàíîãî ñëèâà ___________________ _____________ ___________ _____________ ___________ __
- ñòåïåíü îãíåñòîéêî ñòè çäàíèÿ ____________________ _____________ ___________ _____________ ___________
- ïëîùàäêà äëÿ âûâîäà òðàíñôîðìàò îðà â ðåìîíò ____________ ___________ _____________ ___________ _____
- âûñîòà ôóíäàìåíòà _____________________ ______________ __________ ______________ __________ _________
- ëåñòíèöû ___________________ _____________ ___________ _____________ ___________ _____________ ________
4 Êëèìàòè÷åñêèå óñëîâèÿ
- òåìïåðàòóð à îêðóæàþùåé ñðåäû _____________ __________ ______________ _____________ ___________ ______
- òåìïåðàòóð à âíóòðè çäàíèÿ:
â íîðìàëüíîì ðåæèìå ________ ___________ _____________ ___________ _____________ ___________ _______
ïðè ðàáîòå â çäàíèè ïåðñîíàëà îïåðàòèâíî-âûåçäíîé áðèãàäû _____________ ___________ _____________ _
- ñåéñìè÷íîñòü (áàëë) ____________ __________ ______________ __________ ______________ __________ ________
5 Òðàíñïîðò îòãðóçêè
____________ ___________ _____________ ___________ _____________ ___________ _____________ ___________ ______
____________ ___________ _____________ ___________ _____________ ___________ _____________ ___________ ______
6 Äîïîëíèòåëüíàÿ èíôîðìàöèÿ
____________ ___________ _____________ ___________ _____________ ___________ _____________ ___________ ______
____________ ___________ _____________ ___________ _____________ ___________ _____________ ___________ ______
7 Äîïîëíèòåëüíàÿ êîìïëåêòàöèÿ
____________ ___________ _____________ ___________ _____________ ___________ _____________ ___________ ______
____________ ___________ _____________ ___________ _____________ ___________ _____________ ___________ ______
____________ ___________ _____________ ___________ _____________ ___________ _____________ ___________ ______
- íîðìà âåðòèê àëüíîé îñâåùåííîñò è ïî ôàñàäó ÿ÷ååê (ïàíåëåé) __________________ ___________ ___________
â ïîìåùåíèè àïïàðàòóðû ñâÿçè _________________ _____________ ___________ _____________ ___________ _
- îòîïëåíèÿ ________________ _____________ ___________ _____________ ___________ _____________ __________
Ôîðìà îïðîñíîãî ëèñòà íà ÊÐÏÇ.
Ëèñò
Èçì.
Ëèñò
¹ äîêóì. Ïîäï.
Äàòà
ÍÊÀÈ.670049.028ÒÈ
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Èíâ. ¹ ïîäë. Ïîäï. è äàòà Âçàì. èíâ. ¹ Èíâ. ¹ äóáë. Ïîäï. è äàòà