Rank: 20

Cleveland-Elyria-Mentor, Ohio
Building permits (year-over-year change): -18.9%
Median home price: $106,000
Home price change: -9.8%
Unemployment rate: 9.3%

Cleveland, home of the Rock & Roll Hall of Fame, Case-Western Reserve, top hospitals, professional sports teams, and one of the nation's largest performing arts centers, is facing the impact of home foreclosures and a weakened manufacturing industry. The metro's 18.6% year-over-year drop in building permits is relatively stable when compared with the rest of the nation's. Multifamily building permits in the Cleveland metro increased 296% this year.