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BUILDING DEPARTMENT
Town of Aurora/Village of East Aurora
575 Oakwood Avcmue, East Aurora~ NY 14052
Phone: (716)652-7591.
APPLICATION FOR QEMQLITIO!SlSUBSTANTIAL MQDIFICATION
U)LE . . . . Phone#~~-6Js. "''°9
PrOJ)erty Owner Name: Mrt:.f~(lfk:..,1-, . ~
Property Address: 151)
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Zoning DistrieF_-___________1_
Applicant (if not the Owner): _ _ _ _ _ _ _ _ _ _ _ _ _ Phone#:------~----
1. Brief descriptiovJ~e demoliti011: At£~N °f 1i\Al
,_J ai;;
-~LJJ___ t,cO f!E~~~-----_..-~_.lo._.;;...__ _________..............._
fU'01- q;iii~ fT5
2. Size of d<.~moHtion (feet): 1:i '
width }~length_ Height822-Total sq. ft. or D Entfre Building/Structure
3. Demolition Threshold (Village only): D 30% (>2,501) D 40% (1,201- 2,500) ~50% (<l,200)
4. Disco11nection of services: D Water □ Sewer □ Electric D Gas Cj1 NIA
5. Asbestos Survey: D Yes O N/A-Age of Structure: ~" S:b
6. Water use needed for dust control: D Yes rn!N/A
7. General pennit NYS DOT (state) or ECPW (county) street/road: □ Yes fl! N/A
8. Name of Contractor:Ml \lt ~ ) A ~ Representative: _ _ _ _ _ _ _ _ __
Address of Contractor:
------------------------
Phone#: :Jl le. {14, v\1:D l Email: _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
9. Name of Asbestos Contractor: _ _ _ _ _ _ _ _ _ _ _ _ _Representative: _ _ _ _ _ _ __
Address of Contractor: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Phone#: _ _ _ _ _ _ _ _ _ _ _ Email: _ _ _ _ _ _ _ _ _ _ _ _ _ __
1O. Contractor's General Liability, Workers' Compensation, and Disability Insurance Certificates with th-e Town of
Aurora & Village of East Aurora as Certificate holder: D Yes D N/A
IMPORTANT
• Site Plan or Survey showing lot and buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of the layout of the property must be submitted with this
application. Indicate the distance to the, nearest building on the adjoining lot.
• A written report from a licensed extenninatonegarding extennination must be submitted with the
application, if applicable.
• Written verification that all utilities (Le., gas, electric, water, and sewer) have been properly shut off and
disconnected must be submitted with the application.
• No work may commence until an asbestos survey is completed and filed with the commissioner of the
NYS Dept of Labor in accordance with the Industrial Code 56 and the rules and regulations of the Dept of
Labor (submit a copy to this Dept)
• Debris, including any jn. .ground storage tankst must be systematically removed from the site and not
allowed to pile up or cause any obstruction.
• Demolition shall be carried out during daylight hours only 011 nonnal workdays.
• No explosives can be used in connection with the demolition of buildings or stnmnu·es unless a special
permit is first obtained by the Village Board of Trustees (village).
• AH cellars and. basements of demolished buildings or structures shall be filled in and made safe. The
surface ofthe infill shall be level with the surrounding premises.
APPLICATION IS HEREBY MADE to the Code Entc>rcement Officer for the issuance of a Bu.Uding