ANTREPRENOR : ………………………………………………………………………………..

OBIECTUL : ..........................................................................................................................
ADRESA : ……………………………………………………………………………
TOPOMETRIST : ……………………………………………………………………………

PROCES – VERBAL
DE TRASARE A LUCRARILOR
Nr.____________Data______________

Trasarea a fost executata pe baza planselor nr._________________________din proiectul

nr_______________________
Elementul de reper si verificare este : ( borna, constructia invecinata, etc. )…………………………..
Indicativul bornei de referinta______________cota____________
Cota absoluta _______________________

borna 1 borna 2 borna 3 borna 4

x____________ _____________ ______________ ________________

Coordonata y____________ _____________ ______________ ________________
Z____________ _____________ ______________ _________________

Cota ±0.00 este materializata la………………….fata de cota absoluta………..

(Bornele 1,2,3,4 reprezinta punctele de intersectie a axelor in cele 4 colturi ale cladirii denumite axe principale
folosite ca reper in trasarea axelor sau punctelor intermediare)

Nume Prenume Semnatura

Beneficiar :… ing ………………………………….. …………………………

(diriginte. Santier)
Executat trasarea :………………………………………………………………………………………
(topometrist)
Verificat :… …………………………………………… ……..…………………
Proiectant General
Constructor :…ing. ……………………………….. …………………………
(sef. Santier)
R.T.E :………………………………………………………………………………………

Cod MMC – F44