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� " ` Builder Acknowled ement Form � g <<° 1-��-r� �-c� ; � Permit #2016-00640 / 125.5 Qi.r�e�rr3`bn treet s�� Builder Representative Name: L�r� � � e �i,��G✓ Permit Conditions: Initials **NOTE CHANGE** Before scheduling an exterior insulation and/or drain tile inspection,a foundation as-built survey m st be submitted and approved by the City or a Stop Work order will be C�'',, issued. Schedule a minimum of one hour for the framing inspection. ,,��'�'' � Erosion control mechanisms ust be installed and inspected by the City prior to any land disturbing �� '� activities. The contractor mus provide a minimum of a 24 hour notice prior to inspection. � Erosion control shall be installe�,d and maintained throughout the entire project and must remain until vegetation has been establlished. �� A haul route shall be submitted to the City Engineer for approval and inspection prior to commencement of hauling from the site.The property owner shall be responsible for cleaning and �� repair of roadways for any adverse impacts. The survey lists the driveway as"conceptual". Any change in the design or location must be '�, reviewed and approved by the City prior to construction. �� The surve de icts a sli ht swale to the rear of the home directin surface runoff to the south. This Y P b g must be constructed in such a fashion so as not to increase the volume or rate for surface water �� toward the neighboring property. I� No under round sewer within 20 feet of well. g E � � Prior to the issuance of a Certificate of Occupancy an as-built survey and hardcover calculations �� must be submitted and approved. � �'�, In the event of winter or other extended unfavorable weather conditions(which prevent the completion of the exterior improvei!nents and/or as-built survey)a Temporary Certificate of �� Occupancy(TCO) may be necessary. A TCO requires a$10,000 escrow. Advisory Comments Any changes to the exterior/landscaping improvements, i.e. patios,grading, sidewalks, retaining walls,etc. not currently shown on the approved survey and landscaping plan will require a separate �"� Zoning Permit application to be submitted and approved prior to the work commencing. Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the height of the lower wall require engineered plans and a building permit to be submitted and approved �.ZZ prior to construction. w:\street files\dickenson st\1255\builder acknowledgement form 2016-00640.docx I