04-AF Form 66 - VGLZ 232004 Repair Building Envelope B507.pdf
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Text version
PROJECT NO.
VGLZ 232004
APPROVED DISAPPROVED
1 Selfridge Air National Guard Base (ANGB) Form 23 X
2 Structural Survey Report X
3 Construction Photographs X
4 Work Schedule X
5 Schedule of Values X
6 Site Safety and Health Plan X
7 Certificates of completion for AT Level I awareness training X
8 Soil Erosion Control Plan X X X X
9 Soil Erosion Control Permit X
10 Burn Permit X
11 Radioactive Source Permit X
12 Concrete Patch X X X
13 Concrete mix design X X
14 Reinforcement X X
15 Concrete Masonry Units X X X
16 Brick X X X
17 Repoint Mortar X X X X
18 Patching Compound X X X X
ITEM OR DESCRIPTION OF ITEM,
CONTRACT REFERENCE, TYPE OF
SUBMITTAL
DATE
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SCHEDULE OF MATERIAL SUBMITTALS (AF Form 66 Modified)
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SOLICITATION/CONTRACT NO.PROJECT TITLE
Repair Building Envelope B-507
NO. OF COPIES REQUIRED
TO BE COMPLETED BY PROJECT ENGINEER
19 Replacement Brick X X X
20 Masonry Mockup X X
21 Masonry cleaners X X X
22 Membrane Roofing X X X X X X X X X
23 Membrane Flashing Flashing X X X X X X X
24 Metal Flashing X X X X X X
25 Tapered insulation X X X X X X X X
26 Sealants X X X X
27 Metal Scupper X X
28 Doors and Frames X X X X
29 Door Hardware X X X X X
30 Glazing X X X X X
31 Door Louvers X X X X X
32 Paint X X X X X
33 Drain Pipe and fittings X
34 Roof Drains X X X X X
35 Dehumidification System X X X X X
36 Electrical Wiring X
37 Electrical Raceways and Boxes X
38 Light Fixtures X X X X X
39 Electrical devices X
40 Filter cloth X X
41 Drainage Stone X X X
42 Seed Mix X X X
43 Soil mix X X
45 Completed Punch List. X
46 Substantial Completion letter X
47 DD Form 1354 X
48 Record Documents X
49 Warranties X
50 Warranty of Construction X
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