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� ' Builder Acknowledgement Form <br /> Permit #2017-00146 / 1 Dickey Lake Drive <br /> Builder Representative Name: � �'`� �� �S�IE- 1^ <br /> Permit Conditions: Initials <br /> **NOTE CHANGE** Before scheduling an exterior insulation and/or drain tile inspection,a <br /> foundation as-built survey must be submitted and approved by the City or a Stop Work order �i�� <br /> will be issued. v <br /> Schedule a minimum of one hour for the framing inspection. �� <br /> Erosion control mechanisms must be installed and inspected by the City prior to any land � <br /> disturbing activities. The contractor must provide a minimum of a 24 hour notice prior to � ` <br /> inspection. <br /> Erosion control shall be installed and maintained throughout the entire project and must � <br /> remain until vegetation has been established. � �� <br /> A haul route shall be submitted to the City Engineer for approval and inspection prior to �`�� <br /> commencement of hauling from the site.The property owner shall be responsible for cleaning <br /> and repair of roadways for any adverse impacts. <br /> No underground sewer within 20 feet of well. � <br /> Prior to the issuance of a Certificate of Occupancy an as-built survey and hardcover calculations ��/ l <br /> must be submitted and approved. ��— <br /> In the event of winter or other extended unfavorable weather conditions(which prevent the � <br /> completion of the exterior improvements and/or as-built survey)a Temporary Certificate of � <br /> Occupancy(TCO) may be necessary. A TCO requires a$10,000 escrow. <br /> Advisory Comments <br /> Any changes to the exterior/landscaping improvements, i.e. patios,grading,sidewalks, retaining ` '/ <br /> walls,etc. not currently shown on the approved survey and landscaping plan will require a �� <br /> separate Zoning Permit application to be submitted and approved prior to the work <br /> commencing. <br /> Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the <br /> height of the lower wall require engineered plans and a building permit to be submitted and �/� <br /> approved prior to construction. <br /> w:\applications,license or permit applications\builder acknowledgement form.docx <br />