Town of Amherst Shed Permit Application

Job Address*

Street Address

Street Address Line 2

Postal / Zip Code

Property Owner Name*

First NameLast Name

Property Owner Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Estimated Value of the Work*

Date of installation:

Date

Contractor Name:

Contractor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Contractor Email:

example@example.com

Phone Number

Area CodePhone Number

Contact Person:

Please provide the dimensions of the proposed shed:

Length Dimension

Width Dimension

Height Dimension

X*

1.This application is limited to sheds 600 sq. ft. or less in floor area. 2.The contractor is responsible for scheduling the inspections. If the contractor does not schedule the inspection in a timely matter the property owner will ultimately be held responsible. 3.Work must be in accordance with the either the Residential Code of New York State for 1 or 2 family or attached single dwellings, or the Building Code of New York State for other buildings. 4.Contractors must provide proof of Worker’s Comp & NYS Disability Insurance

Section 57 (Effective July 1, 1922) Restriction on issue of permits unless compensation is secured. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing such permits, shall not issue such permit unless proof duly subscribed and affirmed as true under the penalties of perjury by an insurance carrier is produced in a form satisfactory to the chairman, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. Section 220, Subdivision 8 (Effective July 1, 1966) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined by this article, and notwithstanding any general or special statute requiring or authorizing such permits, shall not issue such permit unless proof duly subscribed and affirmed as true under the penalties of perjury by an insurance carrier is produced in a form satisfactory to the chairman, that the payment of disability benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed.