Appendix H. City of Byron Foundation Elevation and Grading Certificate

This Certificate relates to Lot ____________ in Block ____________ of ____________ Subdivision, City of Byron, Illinois also known as _____
(street address).

I, ____________ , owner or principal of the firm listed below hereby certify that the foundation on the lot listed above is not below or does not exceed twelve (12) inches above the minimum foundation elevation shown on the approved drainage plan for this subdivision or as otherwise approved by the Building Department. I further certify that the as-built elevations meet the grades and drainage patterns as shown on the overall subdivision site grading & drainage plan approved by the City Engineer and City Building Department.

Approved Foundation Elevation: _____

As-Built Foundation Elevation: _____

Approved Grading Plan: ____________ Yes ____________ No

Engineers/Surveyor Certification: _____

SEAL

Contractor's Name: _____

Address: _____

_____ Dated

_____ Signature

 

Note: As-built drawing must accompany certificate.