ORANGE VILLAGE

BUILDING DEPARTMENT

4600 Lander Road

Orange Village, OH 44022

Phone: 440-498-4400 Fax: 440-498-4404

Kathy U. Mulcahy, Mayor Louis Hovancsek, Building Commissioner

Date: / Perm. Parcel No: 901-______- ______/ Sublot #: ______

Property Owner’s Name: ______

Property Owner’s Address:______

1st Floor Area: ______2nd Floor Area: ______3rd Floor Area: ______Basement: ______

(If Applicable) (If Applicable)

Phone: ______Cell Phone: ______

Estimated Cost of Work: $______Type of Work: rNew r Alteration/Remodel rRepair

Describe Work to be Performed: ______

Architect Name: ______Archt Phone: ______Archt Fax: ______

(If Applicable)

Contractor Name: ______

Contact Person: ______

Contractor Address: ______

City: ______State:______Zip: ______

Phone: ______Cell Phone: ______

Fax: ______

If applicable:

Date of PZ/ABR Meeting: ______

PZ/ABR Representative: ______Phone: ______

Application is hereby submitted for a permit to erect or alter a structure as described in this application and all accompanying paperwork/drawings which are part of this application. The undersigned agrees to build in accordance with all applicable codes, ordinances of Orange Village, and laws of the State, and to request inspections as required, and to adhere to plans and specifications as submitted with any corrections, and understand that any violation of these conditions voids the permit.

All contractors are REQUIRED: Proof of current Contractor Registration, Certificate of Insurance, RITA Tax Enrollment, State License (if applicable). Ord. 1329. Any contractor working without a permit is subject to all fees being doubled.

Contractor Print Name: ______

Contractor Signature: ______Date: ______

Please make checks payable to ORANGE VILLAGE. We do not accept Credit Cards. 7/09

RESIDENTIAL BUILDING PERMI

ITEM / QUANTITY / PRICE
NEW RESIDENTIAL dwelling structures (IRC), *per square foot of
gross floor area, all stories
Minimum / @ $.35
@ 1,250.00
ADDITIONS, *per square foot of gross area of all stories
Minimum / @ $.40
@ $175.00
ALTERATIONS (Interior & Exterior) Includes fixed equipment, damage repair, and fire damage repair. (IRC Residential Code) *per $1,000
Minimum /
@ $8.50
@ $75.00
DECKS, Exterior wooden *per square foot of gross floor area
Minimum / @ $.25
@ $100.00
BARNS, New / @ $100.00
SHEDS, All secondary, accessory & appurtenant structures or buildings
*per each square foot of gross floor area, all stories
Minimum / @ $.25
@ $50.00
SWIMMING POOLS
Residential—Above Ground
Residential—In Ground / @ $100.00
@ $500.00
Any Item not Included Above Requiring Inspection Services, New or
Innovated Systems or Equipment, Per Unit / @ $50.00
TOTAL / $
$

Note: See full fee schedule for electrical, plumbing and HVAC fees, which are not included above. (1327.02)

1/09