Pool Enclosure Permit Application | Township of Alfred and Plantagenet

Application submitted to:
Township of Alfred and Plantagenet, 205 Old Highway 17, P.O box 350, Plantagenet, ON, K0B 1L0.

T(613)673-4797 F(613)673-4812 | contruction@alfred-plantagenet.com

Project Information

Building number, street name

Unit

Town

Province

Postal Code

Lot/con.

Plan number/other description

Project value est. $

Enter estimated value in dollars

Pool dimensions

e.g., 20ft x 40ft

Type of pool

Above ground

In ground

Applicant

Applicant is

Owner

Authorized agent of owner

Last name

First name

Corporation or partnership

Street Address

Unit

Town

Province

Postal Code

Lot/con.

Telephone number

Cell number

E-mail

Owner (if different from applicant)

Last name

First name

Corporation or partnership

Street Address

Unit

Town

Province

Postal Code

Lot/con.

Telephone number

Cell number

E-mail

Contractor

Last name

First name

Corporation or partnership (if applicable)

Street Address

Unit

Town

Province

Postal Code

Lot/con.

E-mail

Telephone number

Cell number

Fax

Location Plan

Indicate where the pool and enclosure with access structures will be situated in relation to buildings, and lot lines.

Note: Minimum setbacks: 1.5M (5ft.) from septic tank and 5M (16'6") from tile bed.

Upload Location Plan

Please upload a location plan showing the pool and enclosure placement.
One file only.
64 MB limit.
Allowed types: pdf, jpg, jpeg, png, gif.

Description of Pool Access and Structures

Pool Type

Other pool type (please specify)

Other enclosure type (please specify)

Pool access type: Select type of access to be used.

Other access type (please specify)

GATES: Must be:

Non-climbable
Self-closing
Locking latch to be at top inside corner
Lockable
4 in. maximum spacing between pickets
4 ft. gate for above ground pool, 5 ft. height for in ground pool

Sketch of Pool Access Deck

Provide a sketch of platform deck, stairs, rails and guards or attach plans.

NOTE: Revised plans may be requested after submission is reviewed.

Upload Pool Access Deck Sketch/Plans

Upload sketch or plans showing platform deck, stairs, rails and guards.
One file only.
64 MB limit.
Allowed types: pdf, jpg, jpeg, png, gif.

Declaration of Applicant

Print name

I certify that the information contained in this application, attached schedules, attached plans and specifications, and other attached documentation is true to the best of my knowledge.

I have authority to bind the corporation or partnership (if applicable).

Signature

Sign above