Anexa nr.

1
la Regulamentul de recepie
a construciilor i instalaiilor aferente

INVESTITOR
PROCES-VERBAL
de recepie la terminarea lucrrilor
Nr. _______ din ____________

privind lucrarea __________________________________________________________________________

executat la obiectul ______________________________________________________________ n cadrul
contractului nr. _________ din __________________________________________________ ncheiat ntre
_________________________________________________________________________________ pentru
lucrrile de _____________________________________________________________________________
_______________________________________________________________________________________
1. Lucrrile au fost executate n baza autorizaiei nr. _______, eliberat de ____________ la ___________,
cu valabilitate pn la _____________________________________________________________________.
2. Comisia de recepie i-a desfurat activitatea n intervalul ______________________, fiind format din:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
(numele, prenumele)

3. Au mai participat la recepie:

____________________________________________ ___________________________________________
(numele, prenumele)

(calitatea)

4. Constatrile comisiei de recepie:

1) din documentaia scris i desenat, care trebuia prezentat, au lipsit sau snt incomplete piesele cuprinse
n lista-anex nr.1;
2) lucrrile cuprinse n lista-anex nr.2 nu au fost executate;
3) n lucrrile, cuprinse n lista-anex nr.3, nu s-au respectat prevederile proiectului.
5. Comisia de recepie, n urma constatrilor fcute, propune:
_______________________________________________________________________________________
_______________________________________________________________________________________
6. Comisia de recepie motiveaz propunerea fcut prin:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
7. Comisia de recepie recomand urmtoarele:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
71. Descrierea obiectului recomandat spre recepie:
Obiectul cu numrul cadastral ______, adresa potal _____, destinaia ______, compus din urmtoarele
construcii ______, suprafaa la sol _______, suprafaa total, _______, numrul de etaje_____, conform certificatului
despre rezultatele inspectrii bunului imobil, anexat la prezentul proces-verbal.
8. Prezentul proces-verbal, coninnd ______ file i ________ anexe numerotate, cu un total de _________
fie, a fost ncheiat astzi _________________ la _________________ n _________________ exemplare.
Comisia de recepie:

Specialiti:

Preedinte:__________________________________ ___________________________________________
Membri:_____________________________________ ___________________________________________
(numele, prenumele, semntura)

9. Concluzia Inspeciei de Stat n Construcii:

Lucrarea _______________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

"_______"_____________199
L.. ____________________

___________________________________

(semntura)

(funcia, numele, prenumele)

10. Lucrarea ______________________________________________________________________ este.

TRANSMIS:

PRIMIT:

EXECUTANTUL:
"_____"________________________199
L..______________________________

INVESTITORUL:
"____"__________________________199
L.._______________________________

(semntura)

(semntura)

[Anexa nr.1 modificat prin HG622 din 20.08.12, MO177-180/24.08.12 art.679]