|
Hujjat kuchini yo‘qotgan 29.07.2011
|
|
___________________________________________________________________________ | |
| “Boshdavarxitektqurilishnazorat” inspeksiyasiga | |
|
(Buyurtmachi) _____________________________________________________________dan | |
|
ARIZA | |
|
_____________________________________________________________ yer uchastkasidagi | |
| ___________________________________________________ ro‘yxatdan o‘tkazishingizni va ____________________________oy muddatga qurilish hamda montaj ishlarini bajarishga ruxsat berishingizni so‘rayman. | |
|
___________________________________________________________________________ | |
| M.O‘. | |
| | 20___ yil, “___”________ |
| Arizaning inspeksiya tomonidan ro‘yxatdan o‘tkazish tartib raqami va sanasi _______________. | |
|
___________________________________________________________________ viloyati | ||||
|
“Davarxitektqurilishnazorat” inspeksiyasi | ||||
|
I bo‘lim |
Statistika kodlari | |||
| 1. Qurilish obyektining nomi va joylashgan o‘rni |
MHOBT |
XXTUT | ||
| 2. Soha |
XXTUT |
| ||
| 3. Investor |
KTUT MShT |
| ||
| 4. Buyurtmachi |
KTUT MShT |
| ||
| 5. Ishlab chiquvchilar 5.1. TIA 5.2. LSH va/yoki TH (F.I.O., LBI, shartnoma va muallif nazoratining raqami va sanasi) |
KTUT |
| ||
| 6. Bosh pudratchi |
KTUT |
| ||
| 7. Mablag‘ bilan ta’minlash manbalari |
MShT |
| ||
| 8. Qurilishning me’yoriy davomiyligi: _______ yil ______ oy va ________ yil _______ oy ___________________________________________________________________________ | ||||
|
II bo‘lim | |
|
Quvvati ____________________________________________________________________. | |
| Umumiy smeta qiymati: 1991y. bazaviy narxlarda ____________ ming so‘m. Bundan tashqari loyihaning EAVdagi qiymati ___________ ming AQSh dollari. | |
|
Qurilish-montaj ishlarining smeta qiymati: 1991y. bazaviy narxlarda ________ming so‘m. | |
| Joriy kalendar yilida loyiha qurilishi qiymatini o‘zlashtirish prognozi: 1991-y. bazaviy narxlarda ________ ming so‘m (shu jumladan QMI _______ ming so‘m) va ro‘yxatdan o‘tkazish sanasida amaldagi narxlarda ____________ mln so‘m (shu jumladan QMI ________ mln so‘m). | |
|
III BO‘LIM | |
|
1. Investitsiya loyihasi _______________________________________________________ | |
| qaroriga muvofiq amalga oshiriladi. | |
|
2. Obyekt qurilishi __________________________________________________________ | |
| qarori bilan __________huquqida ajratilgan maydoni _________ga bo‘lgan yer uchastkasida amalga oshiriladi | |
| Yer uchastkasi ______________________________________________________ ajratilgan. | |
|
(dalolatnoma tartib raqami va sanasi) | |
|
3. AQBB Shaharsozlik kengashi protokoli ________________________________________ | |
| | (nomi, tartib raqami va sanasi) |
| 4. TIA tasdiqlangan _________________________________________________________ | |
|
(TIAni tasdiqlagan instansiyaning nomi, qaror tartib raqami va sanasi) | |
|
5. LSH yoki TH ekspertizadan o‘tdi _______________________________________________ | |
|
va tasdiqlandi ______________________________________________________________ | |
|
6. Qurilish turi _____________________________________________________________ | |
|
7. Qurilish usuli ____________________________________________________________ | |
| 8. Pudrat tashkiloti: | |
| tender komissiyasining___________yil “____” __________dagi, ________ son qaroriga ko‘ra pudrat savdosida tanlab olindi, kontrakt qiymati amaldagi narxlarda ____________ mln so‘m; | |
| to‘g‘ridan to‘g‘ri muzokaralar yo‘li bilan tanlab olindi, kontrakt qiymati amaldagi narxlarda ____________ mln so‘m; | |
| 9. Ruxsat berildi: | |
|
parallel loyihalashtirishga ___________________________________________________ | |
|
loyihani tendersiz amalga oshirishga ____________________________________________ | |
|
10. Buyurtmachining texnik nazoratchisi: __________________________________________ (F.I.O., telefon raqami, buyruq tartib raqami va sanasi) | |
|
11. Mualliflik nazorati: ______________________________________________________ (F.I.O., telefon raqami, buyruq tartib raqami va sanasi) | |
|
12. Ishni bajaruvchi: _________________________________________________________ (F.I.O., buyruq tartib raqami va sanasi) | |
|
Buyurtmachining rahbari _______________________________________________________ (imzo, F.I.O., sanasi, muhr) | |
| Obyekt 20__ yil, “_____ ” _____________da ro‘yxatdan o‘tkazildi. | |
|
Inspeksiya rahbari ___________________________________________________________ (imzo, F.I.O., sana, muhr) | |
|
IV bo‘lim | |
| 1. Qurilish obyektiga 20____yil,“_____” _______________ da quyidagi o‘zgartirishlar bilan aniqlik kiritildi: _____________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ | |
|
Buyurtmachining rahbari ______________________________________________________ (imzo, F.I.O., sana, muhr) | |
|
Inspeksiya rahbari __________________________________________________________ | |
| 2. Qurilish obyektiga 20_____ yil, “_____” _______________da quyidagi o‘zgartirishlar bilan aniqlik kiritildi: _____________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ | |
|
Buyurtmachining rahbari _______________________________________________________ | |
|
(imzo, F.I.O., sana, muhr) | |
|
Inspeksiya rahbari ___________________________________________________________ | |
| 3. Qurilish obyektiga 20 ____ yil, “____” _________ da quyidagi o‘zgartirishlar bilan aniqlik kiritildi: __________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ | |
| Buyurtmachining rahbari |
___________________________________ |
| |
(imzo, F. I. O., sana, muhr) |
| Inspeksiya rahbari |
____________________________________ |
| |
(imzo, F. I. O., sana, muhr) |
|
____________________________________________________________________ viloyati (Qoraqalpog‘iston Respublikasi Vazirlar Kengashi, Toshkent shahri) | |
|
Qurilish-montaj ishlarini bajarishga | |
|
___________________________________________________________________________. | |
|
__________________________________________________________________________ga | |
|
__________________________________________________________________ ishlarini, qurilish-montaj ishlarining turlari va | |
|
___________________________________________________________________________ | |
| shuningdek bosh rejada bo‘lgan __________________________________________________ manzilda joylashgan ________________________obyektlar qurilishini bajarishga ruxsat berildi. | |
| ________________________________________________________loyiha hujjatlarining (loyiha tashkiloti va uni tasdiqlagan | |
| _____________________________________________________ tomonidan ishlab chiqilgan organning bank rekvizitlari ko‘rsatilgan holdagi nomi) | |
|
Texnik nazorat __________________________________________________ga topshirildi (tashkilot nomi, lavozimi, F.I.O.) | |
|
Mualliflik nazorati _____________________________________________ga topshirildi | |
| Bosh pudratchi tashkilot tomonidan ishlarni bajarish | |
|
_________________________________________________________________________ga (tashkilot nomi, bank rekvizitlari) | |
| topshirildi. | |
|
Ishlarning asosiy bosqichlari __________________________________________________ | |
| ___________________________________________________________________________ “Boshdavarxitektqurilish” boshqarmasi xabardor qilinadigan ish bosqichlari ko‘rsatiladi) | |
| Alohida shartlar:_____________________________________________________________ ___________________________________________________________________________ | |
| Ruxsatnoma berilgan sana _____________________________________. | |
| Inspeksiya rahbari ___________________________________________. |