Transcription of Medina County Building Department
1 Ken NeumeyerResidential Building Official(330) 722-9220 Fax:(330) 764-8204 County Building DepartmentPermit Center791 W. Smith , Ohio 44256 RESIDENTIAL Building APPLICATION*Plan Review Fees Due with Application*Acceptable Payment is Cash or Check Made Payable to: Medina County Treasurer We can NOT accept Credit select one Plan Review Fee: New House - $ Fire Protection - $ All Others - $ Name: Township: Project Address: Project Estimated Cost: $City: Zip: Sub Lot#:Project Description: Permanent Parcel#: Water: Public Water Private Well Cistern Sewer: Sanitary Sewers Septic System Owner Name: Address: City: State: Zip: Received: Rcpt: O-_____-____**Provide the PROJECT square-footage below**Ph: ()--Cell: ()--Basement:Ft2 Contractor Name: First Floor:Ft2 Address.
2 Second Floor:Ft2 City: State: Zip: Attached Garage:Ft2Ph: ()--Cell: ()--Accessory Building :Ft2 Notification Preference (Required) **Email preferred**Decks (total):Ft2 Fax: ()--Porches (total):Ft2E-mail: Total Square-feet:Ft2 Plans Prepared By:Check all of the following that applies to the scope of this projectOther than Bldg: Electrical HVAC PlumbingFireplaces/Wood-Stoves ($ per unit) Total Count: *Separate Electrical, HVAC & Plumbing Permit Applications Required After the Building Permit Has Been Issued* * Building Department Use Only*$.09 /sq ft. Project:$$.03/sq ft. Sprinkler:$$.02/sq ft. Alarm:$ Base Fee:$ :$ Admin. Fee:$ Subtotal:$ 1% State Fee:$Total:$Comments: (optional)
