Swimming Pool Permit Package

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Requirements for Swimming Pool Permit Applications

The following MUST be submitted with the required applications for a swimming pool permit application.

All sections of the application filled out completely
Contractor's License Information
Complete plot plan showing showing all existing and proposed conditions (including dimensions of house, driveway, service walks, patios, sheds, etc
If there is an existing fence on the property, height, gate swing direction, type and style of fence must be detailed to confirm compliance with barrier requirements for swimming pools
For in-ground pools, a complete topography plan signed by an engineer/architect
Complete construction details for all types of pools with list of materials being used
Storm Water Management proposal for all pools over 500 square feet in size

Pool Permit Application

Code Enforcement Department

TO THE BOARD OF COMMISSIONERS OF SPRINGFIELD TOWNSHIP:
I (We) hereby apply for a permit to construct the following work (give exact location)

Street Number *

Street Name *

Parcel Number *

City *

State *

Zip *

Dimensions of Lot

Pool Type

Pool Size

Less Than 500 sqft 500 sqft or Larger

Zero

Fee Base

Distance from Water's Edge to the Following Property Lines:

Left Side

Right Side

Front Line

Rear Line

Give Definite Particulars as to Work Proposed and Materials Used *

Estimated Cost of Pool Construction *

Permit Fee *

Units

Estimated Cost of Pool Construction *

Permit Fee *

Units

Permit Fee

Date Work will Commence

Prelim Fee

Extra Fee

Excavation and Filling of Ground Permit

Give Definite Particulars as to Work Proposed and Materials Used *

Disturbed Area (in square feet - if greater than 21,780 sqft, $10,000 Bond Required) *

Permit Fee

Stormwater Management Permit

Application is hereby made for review of the SWM Site Plan and related data as submitted herewith in accordance with the Springfield Township Stormwater Management Ordinance.

Plans

Application Type

*

Simplified Plan Full Plan

New/Replacement Impervious Coverage (between 500 square feet and 999 square feet)

Square Feet

Disturbance Limit (between 5,000 square feet and 1 acre)

Square Feet *

New/Replacement Impervious Coverage (1,000+ square feet)

Square Feet *

Limit of Disturbance (1+ acre)

Acres *

Project Information

Project Name *

Total Area (Acres or square feet) *

Purpose or Intent of Land Disturbance *

Other Properties: Does work back up or discharge water on or affect any other property in any way? *

Yes No

Note property address and to what extent. *

Schedule of Work:

Start Date *

Completion Date *

Permit Terms and Conditions

1. I agree that I will comply with all Ordinances, laws and Township policies regulating grading, land disturbance, erosion/sedimentation control, and storm water management.

2. I agree to allow access to said activities for inspection by Township of Springfield Code Officer and Engineer.

3. All erosion/sedimentation control measures will be installed before land disturbance activities begin and be properly maintained throughout the grading/land disturbing activities. 1 further agree to add any additional erosion/sedimentation control measures as requested by Springfield Township.

4. I agree that I will be responsible for any damage to any utilities, public right-of-way and city streets caused by this work.

5. PERMIT FEE COVERS ONE (1) HOUR ENGINEER REVIEW TIME, ONE(l) SITE VISIT BY CODE OFFICER AND ADMINISTRATIVE COSTS. I AGREE TO PAY FOR ADDITIONAL ENGINEERING REVIEW FEES AND SITE VISITS AS REQUIRED.

Permit Fee *

Fence Permit Application

Lot Features:

Corner Lot

Front Yard Setback

Flood Plain

Swimming Pool

Give Definite Particulars as to Work Proposed and Materials Used *

Estimated Cost of Fence Construction *

Permit Fee *

Units

Application for Electrical Permit

Application Type *

Item

Number

Ceiling Outlets

Ceiling Outlets Number

Switches

Switches Number

Plug Receptacles

Switches Number

Total Outlets

Switches Number

Air Heaters

Switches Number

Ranges

Switches Number

Signs

Switches Number

Water Heater

Switches Number

Lighting Circuits

Switches Number

Other Circuits

Switches Number

Total Circuits

Switches Number

Motors

Switches Number

Panel Size

Range Cond.

Sub Feeder Size

Describe the Work to be Performed: *

Estimated Cost of Electrical Work *

Permit Fee *

Units

Parties Involved

Not withstanding the issuance of this permit, all provisions of the Building and Zoning Codes will be complied with, whether specified herein or not.

Owner Name *

Owner Phone Number *

Street Number *

Owner Address *

City

State *

Zip

Architect Name *

Architect Phone Number *

Street Number *

Architect Address *

City *

State *

Zip *

Contractor Name *

Contractor Phone Number *

Street Number *

Contractor Address *

City *

State *

Zip *

Applicant Name *

Applicant Phone Number *

Applicant Fax Number

Street Number *

Applicant Address *

Applicant Email Address *

City *

State *

Zip *

Registered Engineer Name *

Total Fees Due

Upload Plot Plan *

Upload

Applicant is: *

Property Owner Contractor

Use the Drawing Tool to Sign Your Name in the Box Below

Applicant Signature

Application Date *

Payment Information

Payment of fees for this application will be requested via email once your submission has been reviewed. Please verify that emails from donotreply@springfielddel.co are not sent to your spam/junk mail folder. The email will contain a link to this form allowing you to make a secure payment by credit card.

Payment Amount Due

Swimming Pool Permit Package

Requirements for Swimming Pool Permit Applications

The following MUST be submitted with the required applications for a swimming pool permit application.

Pool Permit Application

Code Enforcement Department

Excavation and Filling of Ground Permit

Stormwater Management Permit

Plans

Project Information

Permit Terms and Conditions

Fence Permit Application

Application for Electrical Permit

Parties Involved

Payment Information

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