CITY OF SPRINGFIELD, OHIO
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING REGULATIONS DIVISION -
76 East High Street Springfield, Ohio 45502 Phone: (937) 324-7389 Fax (937) 328-3558
Separate permits may be required for work involving electric, HVAC, plumbing, sign installation, and fire
suppression/detection.
Rev 03/18/15 jt Application Approved by ___________
Date _________
PLAN APPROVAL APPLICATION
RESIDENTIAL BUILDINGS
PROJECT NAME:
IWORQ #
ADDRESS DATE
OWNER PHONE
ADDRESS FAX
CITY STATE ZIP
EMAIL
CONTRACTOR PHONE
EMAIL FAX
PLANS PREPARED BY PHONE
ADDRESS FAX
CITY STATE ZIP
EMAIL
NATURE OF JOB
TYPE OF IMPROVEMENT TYPE FEE
TOTAL
NEW BUILDING APPLICATION FEE $ 40.00 $40.00
ALTERATION PLAN REVIEW – HABITABLE AREAS
(50% OF BLDG FEE/$100.00 MIN)
$100.00 min
ADDITION PLAN REVIEW – NON HABITABLE $ 50.00
REPAIR/REPLACEMENT BUILDING FEE (SEE REVERSE SIDE)
GARAGE CERTIFICATE OF OCCUPANCY $ 50.00
ACCESSORY/DECK TEMP CERTIFICATE OF OCCUPANCY $150.00
ENERGY CODE REVIEW $ 15.00
SIZE/MISC BUILDING SUBTOTAL
SQUARE FOOTAGE OBBS FEE (1% OF BUILDING SUBTOTAL)
CONTRACT COST ZONING $ 25.00
PROJECT VALUE INFORMATIONAL INSPECTIONS $ 45.00
INVESTIGATION FEE ($200 - $1000) $200.00 min
RECEIPT #
LESS DEPOSIT (Non-Refundable)
$90 NON-HABITABLE $140 HABITABLE
DATE
TOTAL FEES DUE
RECEIVED BY
SEE NOTES ON REVERSE SIDE
Separate permits may be required for work involving electric, HVAC, plumbing, sign installation, and fire suppression/detection.
Signature: Title:
P
rint Name:
Phone:
