HomeMy WebLinkAbout633 ROMA VALLEY CT - MISCELLANEOUS - 12/7/2000Building and Zoning Department
281 N. College Ave.
Fort Collins, CO 80524
970/221-6760
INSPECTION OF RADON MITIGATION SYSTEM IN NEW CONSTRUCTION
HIRED BY A066 5 PHONE
INSPECTOR .4&-4A/ A/A/1s6'✓ CQRMC # X-0 - :77
ADDRESS OF INSPECTION All . 041.4-14.9l.GGt/ e7- 7IP
ADDI
CITY
ADDRESS
CITY
=0
STATE
STATE 1-A 7IP
I
Codes: Pass = ✓ Fail = O Not applicable =NA /
INSPECTION #1
TYPE OF FOUNDATION
/baswl space
ement
_slab on grade
TYPE OF SYSTEM BEING INSTALLED
P sive sub -membrane system
dive sub -membrane system
_Passive system -sub slab
_Active system - sub slab
_combined radon system
COM�NENTS - sub slab/ basement
_4 inches aggregate or perforated
,//
pipe or collection mat
_diffusion retarder (not required
here sealing has occurred)
e fitting
_perforated vent pipes (min. 10 ft.)
INSPECTIONS #2 and #3
SYSTEM APPROVED: YES
7- NO
DATE Z ' 7
Comment-
CONENTS
S aling of openings, penetrations,
ints
_perforated floor vent pipe
4" PVC radon vent pipe
diff on retarder membrane
embrane sealed to wall & fixtures
PVC pipe sealed at all penetrations
onnections
wall sleeves installed
ystem labeled inside and outside
_Sy em accessible for repair or
i stallation of fan
ec rival connections for fan
t ination of system meets
standard
_corrosion resistant screen at end of
�� discharge pipe ('% to'/2 openings)
bl/ft"fan properly installed outside living
—f— space
N 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 any conditions resulting from subsequent acts or
omissions of the building contractor, owner, or other s in connection with the installation, operation, or
maintenance of such radon mitigation syste
SIGNATURE OF INSPECTOR
/Z -_j7 -OD
White - Building Inspection Yellow - Inspector Pink - Customer Gold - Natural Resources