Medina County Building Department
Permit Center
791 W. Smith Rd.
Medina, Ohio 44256
http://building.medinaco.org
RESIDENTIAL BUILDING APPLICATION
Please email this completed application to res_plans@medinaco.org
We will inform you by email when the plan review fee can be paid.
Alternately, you may upload your documents via the upload link on our website.
On-line payment is available on our website for credit card or E-check.
We will continue to accept cash, checks, and hard copies of documents at our counter.
Make checks payable to: Medina County Treasurer
Please select one Plan Review Fee:
New House - $65.55
All Others - $40.30
Applicant Name: Township:
Project Address: Project Estimated Cost: $
City: Zip: Sub Lot#:
Project Description:
Parcel: Email:
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: Email: Basement: Ft
2
Contractor Name: First Floor: Ft
2
Address: Second Floor: Ft
2
City: State: Zip: Attached Garage: Ft
2
Ph: Email: Accessory Building: Ft
2
Plans Prepared By: Decks (total): Ft
2
Porches (total): Ft
2
Total Square-feet: Ft
2
l
Check all of the following that applies to the scope of this project
Other than Bldg: Electrical HVAC Plumbing
Fireplaces/Wood-Stoves ($19.50 per unit)
Total Count:
*Separate Electrical, HVAC & Plumbing Permit Applications Required
After the Building Permit Has Been Issued*
Base Fee: $73.00
$.09 /sq ft. Project: $
$.03/sq ft. Sprinkler: $
$.02/sq ft. Alarm: $
