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Builder Acknowledgement Form <br /> Permit #2016-01180 / 585 Orch, rd Park Ro,ad <br /> Builder Representative Name: �`�-kr\ j jz. 1C) <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 <br /> will be issued. <br /> Schedule a minimum of one hour for the framing inspection. E7g1 <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 /> Builder acknowledges and will comply with the requirements of the Agreement for Removal / <br /> and/or Retention of Existing Primary Structure and Accessory Structure During Construction of <br /> Principal Structure and Right-of-Entry. Signed, but unrecorded copy attached. <br /> No underground sewer within 20 feet of well. <br /> vAr. <br /> Prior to the issuance of a Certificate of Occupancy an as-built survey and hardcover calculations <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 /> The landscape plan does not match the survey. An updated landscape must be submitted and <br /> approved prior to any exterior/landscaping improvements, i.e. patios, grading, sidewalks, <br /> retaining walls, etc. 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:\street files\orchard park rd\585\builder acknowledgement form 2016-01180.docx <br />