(This certificate is required for bond release.) Re: ____________________________________________ Name of Subdivision and Section No. ____________________________________________ Planning Commission Docket No. NOTICE ANY FALSE STATEMENT MADE IN THIS CERTIFICATE IS PUNISHABLE UNDER THE PROVISIONS OF KRS 523.030 AND ______ OF THE METROPOLITAN SUBDIVISION REGULATIONS. Certificate of Field Inspector The undersigned certifies as follows: 1. I personally inspected this subdivision on ______________, 20 ______, and to the extent that can be determined from what is visible, the inspection showed that all improvements, including private streets, required by the approved construction plans dated ______________, 20 ______, (except sidewalks on unimproved lots) have been installed in a good and workmanlike manner and that they are in good repair and functioning properly. 2. Unimproved lots refers to those on which no primary building has been constructed, and the number of such lots remaining in the subdivision does not exceed 20% of the total number of lots in the subdivision. 3. I have no knowledge or information which would reasonably indicate that any of the required improvements have not been installed in a good and workmanlike manner or that any of these improvements are not functioning properly. ____________________ Date ____________________ Signature of Field Inspector ____________________ Print Name |
Certificate of Engineer/Land Surveyor (This certificate is required for bond release.) 1. _________________________, the field inspector for this subdivision, was employed under my supervision at the time of such inspection and is fully competent to perform it in a manner which is in keeping with the standards of the engineering profession, and I assume full responsibility for any inaccuracies in the inspector’s inspection and certification. 2. I have no knowledge or information which would reasonably indicate that any of the required improvements have not been installed in a good and workmanlike manner or that any of those improvements are not functioning properly. The undersigned licensed and practicing land surveyor certifies as follows: 1. Reference monuments have been installed at all points of change in direction of all exterior boundary lines of the subdivision or subdivision section. These points shall include but not limited to PC (point of curvature), PT (point of tangency), PI (point of Intersection), and POT (point on tangent). _________________________ _________________________ Date Date _________________________ _________________________ Signature of Land Surveyor Signature of Engineer _________________________ _________________________ Name P.L.S.# Name P.E.# _________________________ _________________________ Address Address _________________________ _________________________ Seal Seal |
(LDC § 7.9.40)