Contact Information:
Eden Town Hall
Attn: Building Department
2795 East Church Street
Eden, New York 14057

(716) 992-3576
(716) 992-4131 (Fax)

Code Enforcement Officer
David Rice 


Hours of Operation:

Monday - Friday  

8am-3pm                                     

 

Change Of Classification Or Use Group

BUILDING PERMIT APPLICATION
CHECKLIST FOR CHANGE OF CLASSIFICATION / USE GROUP

Permit Fee is $50.00


All of the following items MUST be submitted with this application in order to obtain a Building Permit:

  Completed building permit application

√  Documentation from a New York state licensed professional stating the building meets all New York state building and fire codes or upgrades are needed for the change of use..

√  If an upgrade is required 2 sets of plans of all work being performed.  All plans need to be prepared by a licensed professional.

√  Proof of insurance for any work being done: DB120.1 (Disability), U-26.3 (NYS Insurance Fund) C-106.2 (Workers Comp) OR Affidavit of Exemption (Eden Form AE-1)

√  A survey of the property with all buildings on it. The survey should show all buildings, parking lots, driveways and structures that are on the property with dimensions to the property lines.

Building Permit - Change Of Classification Or Use Group

1. OWNER

Address
Address
City
State/Province
Zip/Postal
Applicant Is:

2. CONTACT INFO (if same as above list “same”)

3. CONTRACTOR INFORMATION

Address
Address
City
State/Province
Zip/Postal

4. CURRENT CLASSIFICATION AND USE GROUP OF BUILDING

5. PROPOSED NEW CLASSIFICATION AND USE GROUP OF BUILDING.

6. NEW YORK STATE LICENSED PROFESSIONAL

Address
Address
City
State/Province
Zip/Postal
Check All that are applicable

7. EXISTING UTILITIES ON PROPOSED PROJECT PROPERTY
(determines zoning user group)

Water
Sewer

8. WILL THIS BUILDING NEED UPGRADES FOR THE CHANGE OF CLASSIFICATION OR USE GROUP

9. CONTRACTOR WORK

Are wages being paid for performance of this work (are you hiring a Contractor?)
IF YES, the contractor needs to provide proof of NYS Worker’s Compensation and Disability benefits.
ACCEPTABLE PROOF

  • - Form DB121.1 NYS Disability
  • - CEE 200 for NYS Disability & Workers Compensation Exemption
  • - Form C105.2 or U-26.3 Workers Compensation
  • IF NOT hiring a contractor or Doing the work yourself - An Affidavit of Exemption is required –
    CLICK HERE TO VIEW & DOWNLOAD AFFIDAVIT OF EXEMPTION FORM

10. IS BUILDING CURRENTLY BEING USED UNDER NEW CLASSIFICATION OR USE GROUP

11. APPLICATION CERTIFICATION:

In consideration of the permit applied for, the undersigned hereby agrees that he/she will comply with the Code of New York, Town of Eden Code and any other laws which may be applicable that he/she will preserve the establishment of lot lines, disclose all information to the Code Enforcement Officer, and that he/she will not use nor permit to be used the structure by the application until a Certificate of Occupancy (CO) or Certificate of Compliance (C/C) is legally issued.

12. INCLUSIONS

All documents and information required on the checklist MUST be submitted with this application.
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