Bloom Township 8490 Lithopolis Road, Carroll, OH 43112 Phone: 614-837-4387 Fax: 614-837-7576 Email: adminoffice@bloomtwp.org

Application for Accessory Structure

Bloom Township Zoning Department · Fairfield County, Ohio

Application checklist

No packet can be accepted with items missing.

All applications must be signed by the property owner (not the builder); the only exception is power of attorney. Fill out on screen, then print and sign — signatures must be original or electronic, not faxed or copied. Make check or money order payable to Bloom Township. Cash is not accepted.

Setback requirements for an accessory structure

Twelve (12) feet from each side. Side setbacks are 25′ if the accessory structure contains living quarters; see Section 808.4 for dwellings as accessory uses. Fifty (50) feet from the front. Five (5) feet from the rear.

Accessory structures consist of outbuildings, storage buildings, barns, detached garages, covered porches, covered decks, and other structures having a roof overhead.

Application for Accessory Structure

Per Bloom Township Zoning Resolution 412–414, all permits are conditioned upon commencement of work within one year of filing. If work is not completed within 2 years of issuance, the permit shall expire. Applicant has received a copy of Bloom Township Zoning 808.3 (Accessory Structures) and agrees to comply.

Applicant and property
sq. ft.
acres
feet
Measuring from the building line, indicate how many feet your accessory structure will be from:
feet
feet
feet
feet
feet
sq. ft.
Will your accessory structure have plumbing?

This accessory structure will not be used for business purposes. Fees will be doubled if building begins without a permit.

Certification (sign in ink after printing)

I certify that the information supplied in this application is true and correct and that all information requested is attached to it. I further certify that no construction has begun without the proper zoning permits issued.

For office use only

Notice about Fairfield Department of Health plumbing permits

The Fairfield Department of Health requires any new structure to have a plumbing permit if plumbing is being added to the structure. In a collaborative effort, the Bloom Township Zoning Department provides this document to the Fairfield Health Department regarding all new construction in the township to obtain the necessary permits, if applicable. Call (740) 652-2800 to speak with a Department of Health representative. This form must be submitted and marked “yes” or “no.”

Plumbing notice
For example: new residence, residential addition, accessory structure, accessory structure w/ dwelling unit, rooftop solar panels.
I will install new plumbing with my new structure (required)

Accessory structures — Zoning Resolution 808.3

Requirements for accessory structures as amended by the Bloom Township Zoning Commission and the Board of Trustees. Section 808.3 is amended as follows:

Examples to follow: the original packet PDF includes example documents — a valid “to scale” site plan, and example well/septic and county address-letter documents. View them in the original PDF packet.