Riverbank, CA · Stanislaus County
Accessory Dwelling Unit (ADU) Utility Connection Acknowledgement
Property owners submit this acknowledgement with a building permit application for a proposed detached accessory dwelling unit in Riverbank.
What this form is
This form records a property owner’s acknowledgement of utility connection and other requirements for a proposed detached accessory dwelling unit. It states that separate utility connections, a separate water meter, a backflow device, and underground utilities are required, with connection costs assigned to the applicant or owner. The form also notes civil plan approval, an encroachment permit, off-site improvements, and deferred permit submittals that may affect final occupancy.
Who needs it
A property owner proposing a detached accessory dwelling unit must sign and submit this acknowledgement with the building permit application.
How to submit it
The form says to sign and turn it in with the building permit application submittal. It does not provide an address, email, portal, or fee amount.
About notarization
This document is signed without a notary; the property owner signs and dates the acknowledgement.
How to submit this form
- 1
Download the Form
Download the ADU utility connection acknowledgement.
- 2
Complete the Form
Enter the date, property address, APN, and building permit number, then provide the requested initials and property owner details.
- 3
Sign and Date
The property owner prints their name, signs, and dates the acknowledgement.
- 4
Submit With the Application
Turn in the signed form with the building permit application submittal.
Frequently asked questions
- What does the ADU utility connection acknowledgement cover?
- It records the owner’s awareness of separate utility connections, underground utilities, civil plan approval, an encroachment permit, and other requirements noted on the form.
- Who submits this acknowledgement?
- The property owner signs the acknowledgement and turns it in with the building permit application for a proposed detached accessory dwelling unit.
- Do I need a notary for the ADU utility connection acknowledgement?
- No. This document is signed without a notary; the property owner signs and dates the acknowledgement.
- How do I submit the acknowledgement?
- Sign the form and turn it in with the building permit application submittal, as directed on the document.