HomeMy WebLinkAboutSUB201400207 Bond 2022-04-13Internal Cse OnlE I �n
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APPROVED PLAN
ECrON REQUEST
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PROJECT NAME (including Phase #): Cn ty Rikc I—�
(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). Fees includes 4% Technology Fee.
Inspections for the purposes of bond reduction or release will require a separate fee for each bond.
❑ VSMP/VESCP Erosion Control, Stomiwater Management and/or Mitigation per
Water Protection Ordinance sections 17-207 & 17-208 $294.32
❑ Reduction ❑ Release
i Subdivision (roads, drainage, etc.) per Subdivision Ordinance sections 14435 & 14-438 $307.84
❑ Reduction ipRelease
❑ Water & Sewer bond per Subdivision Ordinance section 14-435 $307.84
o Reduction ❑ Release
❑ Site Development Performance bond (incomplete Site Work & Landscaping) $344.24
c Reduction (site work only) ❑ Release
TOTAL FEES 433Z •84
Submit requests to: Department of Community Development, 401 McIntire Road, North Wing, Charlottesville,
VA 22902, Attention: Management Analyst — Phone 434-296-5832, Fax 434-9724126. All roads and
stomrwater 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 Applications may be withdrawn for a full refund within 30 days of receipt.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: Kla,asirrP 4aciilun-dpv2tD�r+1C'C+�
OR REGULAR MAIL ADDRESS: 7 t12 .5, ht Dr. CliartF r✓i !e irf# t24t I
Signature of Owner/Developer
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Print Name Date
Revised 7/1512014, h20%2015, 11312015, 9/1412017, 172812020, 711@021
Internal l'se llnl, `��Y�� `� `^�-1 1
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fee Paid
MIA,- Forward to Yraymm:tdlxurslearar F>;iV�D �I'(� Wao
BOND INSPECTION UEST
APPROVED PLAN #: - 22
PROJECT NAME (including Phase ##): P6 - F: rti
(As hs ed on thee 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). Fees includes 4% Technology Fee.
Inspections for the purposes of bond reduction or release will require a separate fee for each bond.
❑ VSMPNESCP Erosion Control, Stonnwater Management and/or Mitigation per
Water Protection Ordinance sections 1.7-207 & 17-208 $294.32
❑ Reduction o Release
M Subdivision (roads, drainage, etc.) per Subdivision Ordinance sections 14-435 & 14-438 $307.84
❑ Reduction lit Release
❑ Water & Sewer bond per Subdivision Ordinance section 14-435 $307.84
n Reduction ❑ Release
❑ Site Development Performance bond (incomplete Site Work & Landscaping) $344.24
❑ Reduction (site work only) in Release
TOTAL FEES A "3n-7•Ffy
Submit requests to: Department of Community Development, 401 McIntire Road, North Wing, Charlottesville,
VA 22902, Attention: Management Analyst - Phone 434-296-5832; Fax 434-9724126. 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: (�nnr-lef'xO cn�,LL—sm eQeQhJ�r-^.f" cnyn
OR REGULAR MAIL ADDRESS: I1 K2 . S ir+r t i
_ 1 -
Signature of owner/Developer
14, 4 I-#� cam. i& -
Print Name Date
Re%imd 711512014. 12012015, 11 3;2015. 8(1412017, i/2812020, N1/2021