HomeMy WebLinkAboutWPO201700034 Bond Reduction 2020-04-17 Internal Use QnI
Date Received: <'oF�k�ti�
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Fee Paid: �_�""'6�i1L
Received by: •, A.
Intake:Forward to Management Analyst /Rcl`tt�
BOND INSPECTION REQUEST
APPROVED PLAN#:WP0201700034
PROJECT NAME(including Phase#): West View Farm Driveway,Addition and Property Improvement
(As listed on the approved plan)
This form is used to request a reduction or release of a bond.A fee is required for each inspection.Please
check the appropriate box below for the requested inspection(s).
Inspections for the purposes of bond reduction or release will require a separate fee for each bond.
® VSMP/VESCP Erosion Control,Stormwater Management and/or Mitigation per
Water Protection Ordinance sections 17-207& 17-208 $250
a Reduction a Release
❑ Subdivision(roads,drainage,etc.)per Subdivision Ordinance sections 14-435& 14-438 $269
❑Reduction o Release
❑ Water&Sewer bond per Subdivision Ordinance section 14-435 $269
o Reduction o Release
❑ Site Development Performance bond(Incomplete Site Work&Landscaping) $301
o Reduction(site work only) ❑Release
TOTAL FEES 250.00
Submit requests to:Department of Community Development,401 McIntire Road,North Wing,Charlottesville,
VA 22902,Attention:Management Analyst—Phone 434-296-5832;Fax 434-972-4126.All roads and
stormwater facilities will require construction record drawings,inspection reports,videos/photos,plats/esmts,
certifications,and completion processes through VDOT or DEQ(refer to County acceptance procedures).
Bonds will not be reduced or released without record drawings and inspection documentation per the state
requirements and County's published procedures.A minimum 20%of the original posting is held until
acceptance of all bonded improvements.For Site Development Performance bonds,if landscape installation is
part of the bonded site work,a request for reduction should only be made once all landscaping is complete.
If all required documentation is not received within 30 days of receipt of this request,this application shall be
deemed incomplete and shall be rejected.If rejected,a new application,supporting documentation and fee will
be required.Applications may be withdrawn for a full refund within 30 days of receipt.
If this is a reduction request,the revised estimate will be prepared by the plan reviewer and sent to the owner.
Please provide contact information.
EMAIL: apettit@alexandemicholson.com
OR REGULAR MAIL ADDRESS:
Ateze-
Signatureignature of Owner/Developer
Allan Pettit 4.17.2020
Print Name Date
Revised 7/15/2014,7/20/2015,11/3/2015,8/14/2017,1/28/2020
11=1.1111..111., DOCUMENT IS PRINTED ON CHEMICALLY REACTIVE PAPER-THE BACK OF THIS DOCUMENT INCLUDES A TAMPER EVIDENT CHEMICAL WASH WARNING BOX linigia=9
q .I � ALEXANDER . BLUE RIDGE BANK 006500
NICHOLSON LURAY,VA
P.O.BOX 2246
68 237/514
o " CHARLOTTESVILLE,VA 22902 6500 4/17/2020 5,
(434)296-7526 sir
IPAY TO THE
ORDER OF ALBEMARLE COUNTY ti ' ,arrr" $ 250.00
Two hundred fifty dollarsA*41.41-14.4%ieubizs ._y� .+ +� -Ii E'LIMY ""+YI► DOLLARS
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CHARLOTTESVILLE,VA 22901 ,aorel `user .a ii
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MEMO ' ^i. 'A AUTHORIZED SIGNATURE % 4' 1
ALEXANDER NICHOLSON 006500
Vendor Vendor Name Chedc Date Check Number
1014 ALBEMARLE COUNTY 4/17/2020 6500
Invoice Number Invoice Date Reference Invoice Amount Discount Amount Payment Amount
Westvlew Farm Road 4/17/2020 WES1VIEW FARM RD 250.00 250.00
Check Total 250.00 250.00