At the heart of Edmonton's urban development and infrastructure improvement endeavors lies the 171 3699D form, an essential document facilitating the final phases of developmental projects within the city. This form plays a vital role in certifying the completion of municipal improvements, ranging from utility installations to public works that enhance the city's livability and functionality. Issued by the Development Coordination Division situated on the 10th floor of 10250 - 101 Street NW, Edmonton, Alberta, the form requisites detailed submission including the development area, developer details, relevant servicing agreement dates, and contractor information. Its primary purpose is to document the consulting engineer's certification that the project complies with the specifications outlined in the servicing agreement, thereby recommending the project for the city's final acceptance. Furthermore, it encompasses procedural facets such as the application date, inspection approvals, and any potential causes for rejection along with the remediation of said causes, ensuring a comprehensive review process. The form also outlines the privacy considerations under various Alberta legislations, ensuring applicants are aware of how their personal information will be utilized. This document is a crucial step towards the integration of new developments into Edmonton's urban landscape, clearly outlining the path from project conception to final acceptance by municipal authorities.
| Question | Answer |
|---|---|
| Form Name | Form 171 3699D |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | example of certificate of acceptance, certificate of acceptance format, certificate of acceptance, certificate of acceptance template |
DEVELOPMENT COORDINATION
10th FLOOR, 10250 - 101 STREET NW EDMONTON, ALBERTA
T5J 3P4
FAX: (780)
FINAL ACCEPTANCE CERTIFICATE
DEVELOPMENT AREA:
DEVELOPER:
SERVICING AGREEMENT DATED: |
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AGREEMENT NO.: |
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CONTRACTOR: |
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MUNICIPAL IMPROVEMENT: |
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BOUNDARIES OF DEVELOPMENT AREA: AS PER ATTACHED PLAN |
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DATE OF APPLICATION: |
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PURSUANT TO THE CITY OF EDMONTON SERVICING AGREEMENT NO. |
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DATED _______________________ |
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I, |
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OF THE FIRM |
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(“CONSULTING ENGINEERS”) HEREBY CERTIFY THAT AS OF THE ABOVE DATE, THE SAID MUNICIPAL IMPROVEMENT
MEETS ALL THE REQUIREMENTS FOR FINAL ACCEPTANCE AS SPECIFIED BY THE SAID SERVICING AGREEMENT, AND I HEREBY RECOMMEND THIS MUNICIPAL IMPROVEMENT FOR FINAL ACCEPTANCE BY THE CITY OF EDMONTON.
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Project Engineer (Consulting Engineering Firm)
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Signing Officer (Consulting Engineering Firm) |
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Authorized City Inspector |
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SEAL |
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Approved on |
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Civic Department Engineer |
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Rejected on |
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Civic Department Engineer |
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Cause(s) for Rejection: (See attached report)
I hereby certify that the items listed as reasons for rejection have been corrected.
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Project Engineer (Consulting Engineering Firm)
Approved:Date
Development Engineer – Sustainable Development
Date Maintenance Period to End:
When you apply, personal information may be collected under the authority of Section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act, Section 652 of the Municipal Government Act and/or Section 63 of the Safety Codes Act. The information will be used to process your application(s) and your name and address may be included on the reports that are available to the public. If you have any questions, please contact a Service Advisor at the Current Planning Service Centre under the number
FORM