HomeMy WebLinkAbout4909 Caravelle Dr - Special Inspections/Radon - 10/17/2005Building and Zoning Department
281 N. College Ave.
Fort Collins, CO 80524
)70/221-6760
City of Fort Collins
INSPECTION OF RADON MITIGATION SYSTEM IN NEW CONSTRUCTION
HIRED BY S /16me
INSPECTOR �='l 6p64,4
ADDRESS OF INSPECTION ilo
PHONE �Gy`ady
CQRMC #
PHONE L(o5-o8z
ADDRESS V190 N•
CITY Gd"X-4+N0 STATE SIP
RADON SYSTEM INSTALLER Rti°r PHONE
ADDRESS
CITY STATE 7I P
Codes: Pass = ✓
Fail = O
Not applicable =NA
INSPECTION #1
TYPE OF FOUNDATION
crawl space
b✓asement
slab on grade
TYP OF SYSTEM BEING INSTALLED
_tgassive sub -membrane system
.Aawe sub -membrane system
Passive system - sub slab
Active system - sub slab
combined radon system
COMPONENTS - sub slab/ basement
V4 inches aggregate or perforated
pipe or collection mat
diffusion retarder (not required
where sealing has occurred)
fitting
perforated vent pipes (min. 10 ft.)
INSPECTIONS #2 and #3
SYSTEM APPROVED: V(ES
NO
DATE /� 7 Z>S
Commen+a
COM�NENTS
Sealing of openings, penetrations,
/ joints
rforated floor vent pipe
✓ _4" PVC radon vent pipe
diffusion retarder membrane
membrane sealed to wall & fixtures
✓PVC pipe sealed at all penetrations
&
Firewall sleeves installed
System labeled inside and outside
System accessible for repair or
stallation of fan
ctrical connections for fan
termination of system meets
standard
corrosion resistant screen at end of
discharge pipe (% to'/z openings)
fan properly installed outside living
space
Manometer or other US EPA
approved monitoring device installed
Make-up air vents
CERTIFICATION: 1, the undersigned Inspector, certify that to the best of my knowledge and professional ability, I
have inspected the above -described radon mitigation system and have found it to be installed in accordance with
the building standards set forth in Section 1210 of the Building Code of the City of Fort Collins, unless otherwise
specifically noted above. This certification does not extend to any conditions resulting from subsequent acts or
omissions of the building contractor, owner, or other persons in connection with the installation, operation, or
maintenance of such radon mitigation system.
SIGNATURE OF INSPECTOR �%� DATE O /7 O —
White - Building Inspection Yellow - Inspector Pink - Customer Gold - Natural Resources