Title Page
General Information
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Village
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Name of Village
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Prepared by
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Prepared by
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Person instructing Survey
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Advise on person instructing survey
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Conducted on
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KRT Reference
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Apartment / Villa No.
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Property type
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Floor level
- Ground Floor
- First Floor
- Second Floor
- Third Floor
- Fourth Floor
- Other
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Location
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Property status
Repairs and further investigations
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Are further investigations needed ?
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Are there external cut out patches
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Property Safe to Occupy
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Is air testing required ?
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Estimated cost of air testing
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Are repairs needed ?
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General photographs
Investigations
- Investigation
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Location and description of findings
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Are repairs needed ?
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Description of repairs needed.
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Will repairs require a Building Consent
Further Investigations
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Are Further Investigations needed ?
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Location and type of further investigations needed.
Air Testing Results
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Has air testing been previously undertaken
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Did the result confirm safe to occupy
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What works are required to allow occupation ?
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Is further air testing required
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Location of air testing
- Kitchen
- Kitchen/Living
- Lounge/Living
- Living
- Hall
- Bedroom 1
- Bedroom 2
- Bedroom 3
- Bathroom
- Garage
- Laundry
- Other
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State 'Other' Locations