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Residential Application Single Family Dwelling Pool or ProjectAddress:______

Applicant is:  Property Owner  Contractor  Architect  Engineer  Other ______

Applicant ______E-mail ______

Address ______Day Phone # ______

Contractor ______E-mail ______

Address ______Day Phone # ______

**Swimming Pool (barrier fence required under separate permit) ( permit required as needed)**  In-Ground Pool  Above Ground Pool  Hot Tub

Describe work: ______

Pool size: Length ______(ft) Width ______Diameter ______(ft)

Apron ( around pool) size: Length ______(ft) Width ______Diameter ______(ft) Attachments:  Site Drawing Setbacks (actual): Front ______Left Side ______Right Side ______Rear ______

Is this property in a flood plain?  No  Yes Minimum Elevation ______ Flood Plain Permit (if necessary) Contractor: ______Electrical Contractor: ______Mechanical Contractor: ______(for office use only): Legal Description: ______Zoning: ______Easements______Notice: Separate permits are required for electrical, plumbing, heating, ventilation or air conditioning. This permit expires 12 months from the date of issuance. The undersigned warrants that he/she has reviewed and is familiar with the provisions of the Ankeny construction and maintenance codes of the Municipal Code of the City and all applicable zoning standards and will defend, indemnify, protect and save harmless the City and its employees from any and all liability, from any claim or cause of action which any person may have or claim to have by reason of any actual or alleged failure on the part of the undersigned to comply with the terms and provision thereof. I hereby certify that I have read and examined this application and its attachments and know the same to be complete, true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. I agree to adhere to the plans as submitted and approved by the Architectural Review Board and City Staff and will provide notification of any change prior to construction. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.

Signature of Applicant ______Date ______Printed Name: ______ALLOW A MINIMUM OF 5 FULL WORKING DAYS FOR PERMIT REVIEW & APPROVAL

Office Use Only Date received ______Permit Fee $ 25

Approval Notification Date ______

Site Drawing:

Address: ______

Sketch diagram indicating:  Existing structures  North arrow  Dimensions of any additions or accessory structure o Width o Length o Height  Distance from property lines for any addition or accessory structure  Easements  Water Meter Location

Percentage of lot area accessory structure(s), including pool, will occupy ______

Residential Guidelines

Swimming Pools

Information for swimming pools for one and two family dwellings. Contact the Community Planning & Building Department for setback and other zoning requirements

SITE PLAN Submit accurate site plan for review and approval. Include:  Location of the proposed swimming pool, any decks and other structures on property.  Location of required pool barrier (see attached information)  Distances from and structures to property lines and to other buildings.  Show easements, drainage, and septic system.  Site plan approval is required prior to issuance of the building permit. BUILDING PERMIT REQUIRED  For all swimming pools as defined below. BUILDING PERMIT APPLICATION  Submit one set of pool construction drawings and/or manufacturer’s specifications  Submit detailed drawing of Pool Barrier construction (see attached)  Building Permit fees are based on a flat fee of twenty-five dollars ($25) for the pool -and- a flat fee of twenty-five dollars ($25) for the barrier fence. ADDITIONAL PLANS, PERMITS AND INFORMATION REQUIRED FOR:  Fence (separate permit required if applicable)  Decks and if applicable (separate permit required if applicable)  Other buildings or structures accessory to the pool (separate permit required if applicable) ADDITIONAL PERMITS REQUIRED  Separate Electrical, Mechanical, and Plumbing Permits are required for work performed in these trades. For example:  Electrical for branch circuits, GFCI protection, wiring, , grounding and bonding.  Mechanical or Plumbing for pool heaters and gas piping.  Contractors licensed in the respective trade must obtain these permits and perform the work.  A homeowner may qualify to obtain these permits and perform the respective work through testing. Inquire at the Community Planning & Building Department. INSPECTIONS REQUIRED  Footings, when applicable, before concrete is poured.  Electrical rough in for groundwork, rebar grid and metal parts bonding before covering.  Pool Barrier complete and approved prior to filling pool.  Final Inspection prior to use. Certificate of Occupancy is required. 190 DEFINITIIONS  “SWIMMING POOL” means any structure intended for swimming, recreational bathing, wading, or aesthetic purposes that is ‘capable’ of containing water over 24 inches deep. This includes in-ground, above-ground and on- ground pools, hot tubs, , fixed-in-place wading pools and landscape , but excludes manmade lakes or ponds created through the collection of storm water or drainage runoff. 191.09 SWIMMING POOL REQUIREMENTS. 1. Swimming pools shall be allowed as an accessory use in all zoning districts unless otherwise specifically prohibited.

2. All swimming pools located in residential districts shall be located in the side or rear yard and shall be setback a minimum of four feet (4’) from any property line. 3. All outdoor swimming pools shall be enclosed by a barrier to prevent unauthorized access by small children and to provide a degree of security. In the case of in-ground pools, this shall be accomplished using a fence or not less than four feet in height located not less than four feet from each side of such pool. In the case of aboveground pools, a combination of fence or wall and the water-enclosing wall of the swimming pool may be used, provided that the pool is reasonably secure and the effective enclosure height is not less than four feet. For all swimming pools, any opening to the swimming pool shall be equipped with a self-closing and self-latching device with locking provisions for keeping the or securely closed at all times when not in actual use.

Barrier Fence Minimum Height 48”

Electrical Permit Required to extend or install circuits and other wiring, lighting, grounding and bonding of all metal parts. Pool  At least one general purpose Equip GFCI protected outlet required at least 10’ and no Accessory structures more than 20’ from inside may not be located edge of pool. on or over  A locking and grounding easements. type GFCI single receptacle for pump motor or circulating equipment is allowed between 6’ and 10’ 4’ from the inside edge of min. pool. Pool  No overhead conductors above pool or above the area extending 10’ horizontally from the inside edge of the pool.  All metal parts and *No outlets closer than 6’ reinforcing steel shall be from inside of pool* bonded to a common grid with a #8 or larger solid copper conductor.

* Self-closing and self-latching Deck barrier gate(s)

* Pedestrian * gate swings door(s) and (s) < 48” out, latch on above the floor shall be self-closing and pool side self-latching -or- shall be alarmed with a water hazard entrance alarm in accordance with UL2017