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1 t Builder Acknowledgement Form Permit #2016-01201 / 46. r r . rd Park Road Builder Representative Name: /!' Permit Conditions: Initials **NOTE CHANGE** Before scheduling an exterior insulation and/or drain tile inspection,a foundation as-built 14 survey must be submitted and approved by the City or a Stop Work order will be issued. Schedule a minimum of one hour for the framing inspection. Erosion control mechanisms must be installed and inspected by the City prior to any land disturbing activities. `l�/` The contractor must provide a minimum of a 24 hour notice prior to inspection. Erosion control shall be installed and maintained throughout the entire project and must remain until vegetation has been established. A haul route shall be submitted to the City Engineer for approval and inspection prior to commencement of r, hauling from the site.The property owner shall be responsible for cleaning and repair of roadways for any adverse impacts. Biologs or erosion control blanket should be installed in swale bottoms after grading is complete to minimize erosion potential. 9/I/ Contractor must exercise care during construction to not block traffic on Orchard Park Road. Clear drive lanes must be maintained at all times. All vehicles and equipment should be parked on site during construction. Prior to the issuance of the Certificate of Occupancy the four(4)accessory structures shown on the survey you provided with your building permit,dated 10-17-16(partial copy attached)will be removed. No underground sewer within 20 feet of well. Install Buffer Signage as noted on MCWD Permit#16-536. Prior to the issuance of a Certificate of Occupancy an as-built survey must be submitted and approved. In the event of winter or other extended unfavorable weather conditions(which prevent the completion of the exterior improvements 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 Al 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 4.�M lower wall require engineered plans and a building permit to be submitted and approved prior to construction. Kr w:\street files\orchard park rd\460\builder acknowledgement form 2016-01201.docx