Application for Zoning Permit for Pool

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Founded 1875 355 S. Center St. LaGrange, OH 44050 440-355-5555 FAX: 440-355-5250 lagov4@windstream.net To the Village of LaGrange, Application for Zoning Permit for Pool The undersigned hereby applies for a zoning certificate for the following use, to be issued on the basis of the representation contained herein, all of which the applicant certifies as true and correct: Property Owner: Address: City: Zip Code: Phone #: Fax #: Applicant Name: Address: City: Zip Code: Phone #: Fax #: Location Address: Zoning District: Permanent Parcel #: Contractor: Estimated Cost: Please attach the following: 1. A description of the pool including height and type. 2. A scaled drawing of the location of the pool including setback from property lines and location in reference to buildings and location of pump. 3. A description of safety precautions taken to provide for the security of children and other persons from accidentally or unknowingly trespassing on the pool and thereby being subjected to danger from drowning or injuries from a fall. 4. A statement that a 48 to 72 fence surrounds the yard or pool. Or the pool height is at least 48 from ground level to the top of the pool and lockable ladder is used for safety. 5. Pool must be at least 10 from the side yard property line. The filter/pump must be at least 20 from the side yard property line. 6. Prior to pool installation, the pool location must be staked out and prior approval given before the zoning permit will be processed. 7. Electrical connection to the filter/pump must be inspected by Building Department, and a separate application from the Building Department must be completed. It is the responsibility of the property owner to determine the property line through location of property pins. Home owner may also want to check with insurance carrier to comply with their regulations.

Pool Permit Application Page 2 In addition to the information provided heron, the applicant for this zoning certificate shall provide all necessary drawings, notes, specifications, approvals, and other necessary information as required by the Village of LaGrange Zoning Code, and Subdivision Rules and Regulations. Application fee of $35.00 is due to the Village of LaGrange at the time of the application. This permit shall become void if work is not started within one year and/or substantially completed within two and one-half years of the date of issuance. An inspection is required when the location of the pool is staked out and before any construction takes place. An inspection after the pool is installed will also be performed. The electrical inspection will be completed by the Building Inspector and submitted to the Village of LaGrange. LaGrange Utilities offers a once a season sanitary sewer credit for pool fills. A form must be obtained before the pool fill is started. After completion of fill, submit the form within a week to the Utilities Department for approval of your credit. Applicant Signature Date

Village of LaGrange Zoning Ordinance 103.07 PRIVATE SWIMMING POOLS Definition: A private swimming pool, as regulated herein, shall be any pool or open tank (including a hot tub), not located within a completely enclosed building, and containing, or normally capable of containing water to a depth at any point greater than one and one-half feet. No such swimming pool shall be allowed in any "Residential District except as an accessory use to a residence or as a private club facility and unless it complies with the following conditions and requirements. Exclusive Private Use: The pool is intended and is to be used solely for the enjoyment of the occupants of the principal building of the property on which it is located and their guests. Distance Requirements: The pool may be located anywhere on the premises except in required front yards, provided it shall not be located closer than 10 feet to any property line of the property on which located; provided further, that pump and filter installations shall be located not closer than twenty (20) feet to any property line. Fencing: The swimming pool, or the entire property on which it is located, shall be so walled or fenced as to prevent uncontrolled access by children from the street or from adjacent properties. The minimum height shall be four (4 ft.) feet. Fences are not required for above ground pools with walls that are four (4 ft.) feet or higher above the grade and have a lockable gate ladder or retractable or removable ladder. Covers: Any tank such as a hot tub shall have a lockable cover. Drainage: Adequate provision for drainage shall be made subject to approval by the Responsible Authority. Lighting: Any lighting used to illuminate the pool area shall be so arranged as to deflect the light away from the adjoining properties. Permit Required: No person, firm or corporation shall construct or install a swimming pool or make any alteration therein or in the appurtenances thereof without having first submitted an application and plans therefore to the Responsible Authority and any other applicable agency.

Codified Ordinances of LaGrange Chapter 1319 Swimming Pools 1319.01 Permit Required 1319.03 Fence required 1319.02 Application for permit 1319.04 Penalty CROSS REFERENCES Power to regulate fences See Ohio R.C. 715.27 Swimming pools See OAC Ch. 3701-31 Powers of Administrative Board See P. & Z. 1115.01 1309.01 PERMIT REQUIRED Any person, firm or corporation intending to install or construct a swimming pool within the corporate limits of the Municipality shall first obtain a swimming pool permit from the Mayor. (Ord. 416. Passed 9-16-76.) 1319.02 APPLICATION FOR PERMIT (a) the person, firm or corporation applying for a swimming pool permit shall submit with the application for the permit information or plans which shall show the design or description of the pool which show the measures taken to provide the security of children and other persons from accidentally or unknowingly trespassing on the pool and thereby being subject to danger from downing or injuries from a fall. (b) The Mayor shall issue a permit only when he is assured that the installer or constructor of the pool has taken or will take precautions to provide for the safety of all person s (Ord. 416. Passed 9-16-76.) 1319.03 FENCE REQUIRED (a) the owner, or his agent, of a permanent swimming pool or pond in the Municipality is required to completely enclose such pool or pond by a fence of sturdy construction of not less than forty-eight inches nor more than seventy-two inches in height, measured from the level of the ground to where located. Such fence shall be of such design and construction as to effectually prevent a child from crawling or otherwise passing through or under such fence. Each gate in such fence shall be provided with a secure lock and shall be kept locked at all times when the pool is not in use or is not under immediate observation of a responsible person. No part of such fence shall be located between the front building line and the street on which the lot or parcel containing the swimming pool abuts. (b) The owner, or his agent, must secure a permit for erection of a fence required by this chapter from the Building Inspector. (c) The Administrative Board is given the authority to make exception to and modifications of the requirements herein for fences around existing swimming pools and ponds in cases which, in the Board s opinion, such requirements are not essential to safety and the enforcement thereof would work hardships on the owner (Ord. 371 Passed 5-17-73) 1319.99 PENALTY Whoever violates any provision of this chapter shall be fined not more than one hundred dollars ($100.00). (Ord. 371. Passed 5-17-73.)

LaGrange Utilities Application for Sanitary Sewer Credit on Pool Fill IMPORTANT! IMPORTANT! IMPORTANT! IMPORTANT! IMPORTANT! To Receive Credit: 1. All questions must be answered 3. Utility bill must be current. 2. Application must be returned within one week of fill. 4. Form MUST be signed NO EXCEPTIONS! Date (s) of Fill: Name: Address: Dimensions of Pool: Depth of Water Before Start: Depth of Water After Fill: Meter Reading Before Start: Meter Reading After Fill: I certify that: 1. The above information is accurate to the best of my knowledge. 2. I understand that I am allowed only ONE sanitary sewer credit per pool season. 3. All rules for pools have been observed. 4. The pool was installed with the proper permit in place. 5. Village employees have permission to come on my property to inspect the pool. Signature Date OFFICE USE ONLY: Account #: Usage: Approved: Sanitary Sewer Credit: Date Credit Applied: