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1350 Rest Point Circle, Mound, Minnesota <br />June 9, 2022 (Rev. June 16, 2022) <br />Page | 5  <br />  <br />   <br />  <br />  <br />  <br />Required Inspections of Retaining Walls  <br />(for City Building Official)  <br />  <br />Project Name/Address:  _____________________________________  <br />  <br />   _____________________________________  <br />  <br />Permit Number: _____________________________________  <br />  <br />  <br />Please choose one of the following:  <br />  <br />_____ 1.  No inspections are required.   <br />  <br />_____ 2. The city will perform all needed inspections.  <br />  <br />_____ 3. The retaining wall engineer‐of‐record must complete the following:    <br />  <br />_____ Final site visit with wall completion letter. Contractor’s Statement of  <br />Conformance is accepted in lieu of periodic site visits during construction.   <br />  <br />_____ Periodic site visits with a wall completion letter that includes documentation of  <br />the engineer’s construction observations.   <br />Number of inspections required by building official: ________________  <br />  <br />______________________________________________  <br />Signature of Building Official or Authorizing Personnel  <br />  <br />_____________________________________________________________________________________  <br />Printed Name/Phone Number  <br />  <br />________________________________  <br />Date  <br />