CITY OF NORMANDY
SWIMMING POOL QUESTIONNAIRE
Please complete this form and submit it with the building permit application.
1. Address __________________________________________
2. Pool location on lot Distance from side property line
_________________________
Distance from rear property line _________________________
3. Pool
size
Length______________
Width ___________________________
Diameter (if circular) _______________
4. Frame
type
Wood___________
(Above ground pools only)
Metal_________ (metal frame must be grounded)
5. Grade (check one) _____ Essentially level. No grading needed.
_____ Needs grading to level.
6. Fencing around pool (check one) _____ Completely fenced. (Minimum 4 ft.
fence with self closing and latching gate)
_____ Sides of pool are 4 ft. high with fold-up ladder.
7. Water (yes or no) _____Hose bib for filling is equipped with a back-siphonage preventer.
8. Electrical (yes or no) _____ Existing electrical receptacle has ground fault protection.
9. Drainage Indicate where pool water will be emptied.
10. Site Plan (yes or no) _____ A site plan with dimensions is submitted with permit application.
11 - Installation (check
one) _____ By
owner
_____ By contractor
APPLICANT'S SIGNATURE______________________________________________