Fillable Medina County Building Department (Medina County)

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Medina County Building Department (Medina County)

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Fax: (330) 764-8204
Main: (330) 722-9220
**Please email this completed application to:
com_plans@medinaco.org
Medina County Building Department
Permit Center
791 W. Smith Rd.
Medina, Ohio 44256
http://medinaco.org/ building-department
PROJECT & LOCATION
Name:
Address:
City: Zip:
Township Village City:
DESCRIPTION
New Addition Alteration Change of Occupancy Other
TYPE(S) OF PLAN APPROVAL(S)
Building/Structural Mechanical Electrical
Exhaust Hood Sprinkler System Suppression System
Fire Alarm Hood Suppression Other
TYPE OF CONSTRUCTION
I-A I-B II-A II-B III-A III-B IV V-A V-B
OBC GROUP CLASSIFICATION
A-1 A-2 A-3 A-4 A-5 B E F1 F2
H-1 H-2 H-3 H-4 H-5 I-1 I-2 I-3 I-4
M R-1 R-2 R-3 R-4 S-1 S-2 U
APPLICANT
Name:
Ph.#: ( ) - - Fax#: ( ) - -
E-mail:
CONTRACTOR
Name:
Address:
City: Zip:
Ph.#: ( ) - - Fax#: ( ) - -
E-mail:
PROPERTY OWNER
Name:
Address:
City: Zip:
Ph.#: ( ) - - Fax#: ( ) - -
E-mail:
DESIGN PROFESSIONAL IN CHARGE
Name:
Ohio Registration #:
Address:
City: Zip:
Ph.#: ( ) - - Fax#: ( ) - -
E-mail:
Project Est. Cost:(Reqd.) $
Area of Construction
(Project Square Footage)
Applicable Floor(s)
Basement:
First Floor:
Second Floor:
Third Floor:
Other:
SQ. FT. TOTAL:
Number of Exterior Lighting Poles
**OFFICE USE ONLY**
Date Paid: _____/_____/_____
Cash Check # __________
Amount : $_______________
Receipt # ________________
Checks payable to: Medina County Treasurer
COMMERCIAL PLAN REVIEW FEE SCHEDULE
We will email amount due after we review your application
Area of
Construction
(square footage)
All Use
Groups
Base Fee
+
State
Fee
+
Technology
Fee
=
Total
0 – 499 $95.00 3% $10.00 $107.85
500 - 1,999 $195.00 3% $10.00 $210.85
2,000 - 3,999 $295.00 3% $10.00 $313.85
4,000 - 5,999 $315.00 3% $10.00 $334.45
6,000 - 7,999 $335.00 3% $10.00 $355.05
8,000 - 9,999 $355.00 3% $10.00 $375.65
10,000 – 19,999 $395.00 3% $10.00 $416.85
20,000 – 39,999 $435.00 3% $10.00 $458.05
40,000 – 59,999 $475.00 3% $10.00 $499.25
60,000 – 79,999 $515.00 3% $10.00 $540.45
80,000 – 99,999 $555.00 3% $10.00 $581.65
OVER 100,000 $595.00 3% $10.00 $622.85
IF ACTUAL COST OF PLAN REVIEW EXCEEDS SCHEDULE FEE LISTED ABOVE, THE
PLAN REVIEW FEE WILL BE ADJUSTED TO REFLECT ACTUAL COST.
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Medina County Building Department (Medina County)

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Completed 25 January 2021

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