HomeMy WebLinkAboutWPO201600004 Other 2022-06-23Certificate of Completion
This certifies that I/We, Y"o ib k � G
developer(s) of aelook Subdivision,
have completed installation of all subdivision improvements and all construction conforms to the
requirements of the Albemarle County Code and to plans as approved by the County of
Albemarle, and any discrepancies have been documented and approved by the County. [/We
also certify that that all of the construction costs for the improvements, including those for
materials and labor, have
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to the person constructing the improvements.
O / (Signature)
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(Print Name)
Y11.awctEr: �rr6 7j;r3•-I .4 L
(PWht Title)
State of VIO IN I R
City/County of PWMAR( e
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The foregoing instrument was subscribed and sworn before me this day of
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Notary Public
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My Commission Expires: �pISTUyq IIII 1%,�
Registration #: S'412S NOTARY
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Infernal Ise Only
Date Received
Fee Paid:
Received by;
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APPROVED PLAN
a
BOND INSPECTION REQUEST
PROJECT NAME (including Phase 4): 00cs-100A
(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.
IJ VSMPNESCP Erosion Control, Stormwater Management and/or Mitigation per
Water Protection Ordinance sections 17-207 & 17-208 $294.32
❑ Reduction Ahelease
6/Subdivision (roads, drainage, etc.) per Subdivision Ordinance sections 14-435 & 14-438 $307.84
❑ Reduction ❑ Release
❑ Water & Sewer bond per Subdivision Ordinance section 14-435 $307.84
❑ Reduction ❑ Release
❑ Site Development Performance bond (Incomplete Site Work & Landscaping) $344.24
❑ Reduction (site work only) ❑ Release
TOTAL FEES 60Z e/6
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: _6tAA u*Q el/co OCJ Ile. cow,
OR REGULAR MAIL ADDRESS:
j / f1Xll]jnature of O
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err/Developer
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Print Name I Date
Revised 7/15/2014, 720/2015, 1113/2015, 8/14/2017, 128/2020, 7/l2021