application date: swimming pool permit application and...swimming pool permit fee: $40 + $6 per...
Post on 05-Jun-2020
2 Views
Preview:
TRANSCRIPT
Swimming Pool Permit Application6161 Belmont Ave NE Belmont, MI 49306
616-364-1190
Job Location Information
Applicant
Type of Pool
Signature of Applicant
Application Date:
Swimming Pool Permit Fee: $40 + $6 per $1000 value
Performance Bond (Refundable):
$200
Name of Property Owner:
Street Address:
City : State: Zip:
Lo __ Homeowner Contractor If you are a contractor, please fill out the following information:
Contractor Name: Expires:
Address:
City: State: Zip:
Phone: Cell: E-Mail:
License #:
Above Ground: Sidewall Height in Inches: _________ Minimum Depth ___________ Maximum Depth ___________ In Ground: Length x Width: __________ Minimum Depth __________ Maximum Depth __________ Soft Side: Sidewall height of pool in inches: __________
Construction Type: Cement Metal Plastic Other _____________________
Value of Project: $______________________
Pool water discharge must be contained on-site.
Decks require a separate building permit with a site plan, detailed prints, and gate/barrier information.
Name (Signature) Date:
Name (Printed)
New pools may NOT be used until a final inspection has been done to insure all codes and compliances are correct and written notice of final approval is issued.
This application must be accompanied by 2 sets of construction drawings and a site plan. This application will not be reviewed unless complete. Once the permit has been issued, contact the Community Development department to schedule the required inspections 616-364-1190. You will be notified via email when your permit has been approved.
In ground pools and pools with less than 48” sidewalls require a separate barricade or fence.
Type of Fence (Material): ________________
Email Address:
Phone:
*Note: Separate applications for electrical and mechanical permits are required and must be pulled throughCascade Township. www.cascadetwp.com 616-949-3765
revised Jan 2019
PLAINFIELD CHARTER TOWNSHIP COMMUNITY DEVELOPMENT DEPARTMENT
PLANNING, ZONING & BUILDING SERVICES6161 BELMONT AVENUE NE BELMONT, MI 49306 PHONE 616-364-1190
PERFORMANCE BOND FOR SWIMMING POOL INSTALLATION
DATE_________________ DEPOSIT AMOUNT:_________________ INVOICE #_______________
PAYEE NAME:____________________________________________________________________________________________
ADDRESS: _________________________________________________________________________________________
_________________________________________________________________________________________
JOB LOCATION: ____________________________________________________________PERMIT #_______________
JOB DESCRIPTION: __________________________________________________________________________________
SIGNATURE OF PAYEE:_____________________________________________________ DATE _____________________
Deposit will be returned to the payee listed above upon proper inspection and final approval of swimming pool installation.
BOND WILL BE FORFEITED IF THE ABOVE IS NOT COMPLETE
Date approved: ________________________________
Inspected By: _________________________________
Bond number: ______________________________
Date of refund: ______________________________
Check number: ______________________________ Date of Inspection: _____________________________
OFFICE USE ONLY:
$200.00
Notes: ____________________________________________________________________________________________
Authorized Personnel:_______________________________________________________________________________
revised January 2020
top related