Pool / Hot Tub Permit Application

Contact Information

* Owner:

* Applicant:

* Mailing Address:

* Province:

* Postal Code:

* Phone No.:

* E-mail Address:

Property Information

Zone:

R.M. of St. Andrews

R.M. of St. Clements

R.M. of East St. Paul

R.M. of West St. Paul

City of Selkirk

Village of Dunnottar

* Roll No.: (found on your tax bill)

Legal Description:

* Civic Address:

* Description of Work(s):

* Type of Pool:

Inground

Above Ground

* Description of how the pool / hot tub is to be enclosed to comply with safety regulations:
(height of fence, non-climbable barrier, railing attached to top of pool, etc...)

Pool / Hot Tub Information

* Size: sq. ft.	* Depth: ft.	* Estimated Value: $
Dimensions: ft. X ft.	Other:

Document Attachments

The following documents are required to be attached to your application.

Click here to attach a Site Plan.
Click here to attach a Status of Title. (current within 30 days of application)
Click here to attach Plans for Pool. (engineering will be required for all in-ground pools)
Click here to attach Plans for fence to enclose Pool. (if required)

The following documents may be required.

Click here to attach a Manitoba Infrastructure and Transportation Approval.
Click here to attach a Manitoba Conservation Approval.
Click here to attach a Department of Highways Approval.
Click here to attach a Developers Approval.
Click here to attach a Geotechnical Report.
Click here to attach a Letter of Authorization.

Documents Attached to Your Application

Notes

No change from the plans and specifications, building location or the terms of this permit, is allowed unless authorized in writing by the Red River Planning District.

Please be advised that all items noted as required, must be submitted to Red River Planning District.

Incomplete applications will not be accepted.

The non-refundable Plan Review fee and this application is only valid for 6 months from the initial date of submission.


Declaration
I, the undersigned, , am the authorized agent/owner named in this application for a building permit. I acknowledge that: All statements and representations contained in this application for permit and the plans and specifications are correct, accurate and adhere to all applicable legislation, by-laws, codes and standards I am responsible for searching all caveats registered on the title and ensuring that the construction complies with the caveats I am responsible for ensuring the construction complies with any development agreement registered against the title No change from the plans and specifications, building location or the terms of this permit, is allowed unless authorized in writing by the Red River Planning District The Red River Planning District is relying upon the statements and representations made in this application and in the plans and specifications in considering this application The issuance of a permit by the Red River Planning District does not waive, amend, or change any requirements in another by-law or provincial law and regulations; and I am responsible to ensure that the construction complies with any requirement in another by-law or provincial law and regulations. I understand that this may require me to apply to other agencies requiring permits/approvals The Red River Planning District is not responsible for any claim, loss or damage caused by (1) an error, omission, or incorrect information contained in this application or the submitted plans and specifications, (2) this application for permit and the plans and specifications not adhering to all applicable legislation, by-laws, codes and standards, or (3) my failure to comply with the terms of this permit I Agree

Declaration

I, the undersigned, , am the authorized agent/owner named in this application for a building permit. I acknowledge that:

All statements and representations contained in this application for permit and the plans and specifications are correct, accurate and adhere to all applicable legislation, by-laws, codes and standards
I am responsible for searching all caveats registered on the title and ensuring that the construction complies with the caveats
I am responsible for ensuring the construction complies with any development agreement registered against the title
No change from the plans and specifications, building location or the terms of this permit, is allowed unless authorized in writing by the Red River Planning District
The Red River Planning District is relying upon the statements and representations made in this application and in the plans and specifications in considering this application
The issuance of a permit by the Red River Planning District does not waive, amend, or change any requirements in another by-law or provincial law and regulations; and I am responsible to ensure that the construction complies with any requirement in another by-law or provincial law and regulations. I understand that this may require me to apply to other agencies requiring permits/approvals
The Red River Planning District is not responsible for any claim, loss or damage caused by (1) an error, omission, or incorrect information contained in this application or the submitted plans and specifications, (2) this application for permit and the plans and specifications not adhering to all applicable legislation, by-laws, codes and standards, or (3) my failure to comply with the terms of this permit

I Agree

Pool / Hot Tub Permit Application

Incomplete applications will not be accepted.

Plan Review Fee: $100.00