Application for Certificate of Plan Approval

APPLICATION FOR CERTIFICATE OF PLAN APPROVAL

Village of Mariemont -- Building Department, 6907 Wooster Pike, Mariemont, OH 45227 513-271-3315 building@mariemont.org
Project Address:
Name of Owner:
Owner Phone #:
Phone Number

Street Address

CityState / Province

Postal / Zip Code
Contractor:
Contact Person:
Phone Number

Street Address

CityState / Province

Postal / Zip Code
Designer:
Phone Number

Street Address

CityState / Province

Postal / Zip Code
Applicant:
Phone Number

Street Address

CityState / Province

Postal / Zip Code
Applicant Email Address:
example@example.com
Applicant Fax #:
Type of Work

HVACAlterationAdditionAccessory StructureRoofingWindow ReplacementFencingOther
Description of the Work:
Estimated Cost of the Work
Estimated Start Date:

MonthDayYear
Date
Estimated Finish Date:

MonthDayYear
Date
- Mechanical Information: A separate permit is required for all HVAC work. All heating equipment shall be sized to achieve and maintain an inside
  temperature of 70 degrees F at 36 inches above the floor in habitable rooms when the outside temperature is 0 degrees F.
- All electrical work shall be separately applied for, inspected and approved by the Inspection Bureau, Inc. (IBI) covering the Jurisdictions of the City
  of Cincinnati and Hamilton County by calling 513-381-6080.
- All plumbing installations shall be separately applied for, inspected and approved by the Plumbing Division of Hamilton County Public Health by
  calling 513-946-7852.
- This application for permit shall be deemed to have been abandoned 6 months after the date of filing unless such application has been completely
  and properly submitted by the applicant and the permit has been issued.
- All work shall be completed within 12 months, unless the project scope with continuous construction activity requires a longer time frame from the date of issuance. In all other cases the work shall be completed within 12 months of the date of issuance of the permit unless the applicant has requested in writing a maximum of (2) 6-month extensions. If the foregoing time limitations are exceeded the permit will be revoked.
- No premises may be occupied until a duly executed Temporary Certificate of Occupancy and Use or a Certificate of Occupancy & Compliance has
  been issued to the property owner by the Village of Mariemont Building Department.
The owner of this building and undersigned, do hereby covenant and agree to comply with all of the laws of the State of Ohio and the ordinances of the
Village of Mariemont pertaining to building and buildings, and to construct the proposed building or structure or make the proposed change or alteration
in accordance with the plans and specifications submitted herewith, and certify that the information and statements given on this application, drawings
and specifications are to the best of their knowledge true and correct, and to relieve the Village of all claims for damages resulting from negligence on
their part.

NOTE: FILING THIS APPLICATION DOES NOT

CONSTITUTE PERMISSION TO BEGIN WORK.
Signature of Owner/Agent

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Applicant's Name

First NameLast Name
Date of Application:

MonthDayYear
Date
Should be Empty:

APPLICATION FOR CERTIFICATE OF PLAN APPROVAL