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                                     

 

Electrical Permit

BUILDING PERMIT APPLICATION
ELECTRICAL PERMIT INFORMATION AND CHECKLIST

Permit Fee is $50.00


ALL ELECTRICAL WORK MUST BE INSPECTED BY A THIRD-PARTY INSPECTOR APPROVED BY
THE TOWN OF EDEN. THE LIST OF APPROVED INSPECTORS IS AT THE BOTTOM OF THIS PAGE.

APPLICATION CHECKLIST

  A copy of the existing and most current and accurate survey OR site plan.
This is for service and generator projects. On a copy of survey or site plan plot the location of generator and service to home with measurements of the setbacks to all property lines.

√  WORKING PLANS (2 sets req’d)- an accurate set of working plans, drawn to scale when possible.

√  CONTRACTOR PROOF OF INSURANCE.   If a contractor is doing the work, provide a copy of their Worker’s Comp and Disability insurance certificate and list the Town of Eden and additional insured.

Building Permit - Electrical Permit

1. OWNER

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

2. LOCATION

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

4. CONTRACTOR INFORMATION

Address
Address
City
State/Province
Zip/Postal

5. PROPOSED PROJECT (check all that apply)

6. PROJECT DESCRIPTION (basic, use, size and cost of what is being proposed)

(length, width and / or height in feet)
$

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

Water
Sewer

8. 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

9. NATIONAL GRID SERVICE NUMBER (required for service work)

10. STARTED WORK

Has any work included in the application been started or completed

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.
Maximum upload size: 30MB