Washington, NY · Dutchess County

No notary required

Swimming Pool, Spas, and Hot Tub Barrier, Enclosure and Alarm Agreement

Pool, spa, and hot tub building permit applicants sign this agreement to acknowledge the Town of Washington’s barrier and alarm requirements.

What this form is

This agreement explains barrier, enclosure, gate, and alarm requirements for swimming pools, spas, and hot tubs. Applicants for a building permit must read the requirements, sign the agreement, and submit it with their building permit application. It asks for the applicant’s printed name and address, signature, and date, and states that no Certificate of Occupancy will be issued until the standards are met.

Who needs it

Applicants for a building permit for a swimming pool, hot tub, or spa in the Town of Washington need to read and sign this agreement.

How to submit it

Sign and date the agreement, then submit it with your building permit application to the Town of Washington Building Department. The document does not provide an address, email, portal, or fee.

About notarization

This document is signed and dated without a notary; the signer just signs and dates the agreement.

How to submit this form

  1. 1

    Download the Agreement

    Download the pool barrier, enclosure, and alarm agreement PDF.

  2. 2

    Read the Requirements

    Review the listed barrier, gate, enclosure, and pool alarm requirements.

  3. 3

    Complete and Sign

    Print your name and address, then sign and date the agreement.

  4. 4

    Submit With Your Permit Application

    Submit the signed agreement with your building permit application to the Town of Washington Building Department.

Frequently asked questions

Do I need a notary for the pool barrier agreement?
No. The agreement asks the applicant to sign and date it; it does not require a notary.
How do I submit the pool barrier agreement?
Sign and date the agreement, then submit it with your building permit application to the Town of Washington Building Department.
Who should sign this agreement?
The applicant for a building permit for a swimming pool, hot tub, or spa should read and sign the agreement.
What information does the agreement ask for?
It asks the applicant to print their name and address, then provide a signature and date.

Need something notarized?

This Swimming Pool, Spas, and Hot Tub Barrier, Enclosure and Alarm Agreement doesn’t need a notary — but if you have another Washington form that does, a commissioned online notary can help.