Village of Minerva Park

2829 Minerva Lake Rd.  Columbus, OH  43231

614-882-5743  www.minervapark.gov

zoningofficer@minervapark.gov

POOL/HOT TUB/SPA PERMIT APPLICATION (Chapter 1476)

Applicant certifies that all information provided is true and accurate and is submitted to include the issuance of a Certified of Zoning Compliance. Applicant agrees to be bound by all provisions of the Village of Minerva Park Ordinances, to complete work in accordance and comply with applicable Federal, State and Local laws and regulations, and to allow for the inspection of improvements outlined in the Certificate of Zoning Compliance application. Applicant hereby acknowledges that all work described herein must begin in six (6) months of the date of issuance and be substantially completed within on (1) year. Failure to do so shall void the certificate and no work may commence until a new Certificate of Zoning Compliance is issued.

AUTHORIZATION TO VISIT PROPERTY-Must be completed by property owner

By signing below, the signee authorizes Village representatives to visit, photograph and post notice(if applicable) on the property as described in this applicaiton.

AGREEMENT TO COMPLY AS APPROVED- Must be completed by property owner

By signing below, the applicant agrees that the project will be completed as approved and any proposed changes to the approved plan shal be submitted for review and approval.

AUTHORIZATION FOR OWNER'S APPLICANT OR REPRESENTATIVE(s):if the applicant is not the property owner, this section must be signed.

By typing the representative's name in the box and signing below, the signee authorizes the representative to act on the signees behalf, and agrees to be bound by all terms and agreements made by the designated representative.