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BUILDING DEPARTMENT
ToMl of Am·oraNillage of East Aurora
575 Oakwood Avenue, East Aurora, NY 14052
Pllone: (716)652-7591
Permit Renewal: _ _ _ _ _ _ _ _ __
APPLICATION FORBUILDING PERMIT
Please select one: See the separate app//cations for: sign, pond, pool, and solar permits.
Occupancy class\flcatlon: ~ one or two-family dwelling D commercial (including multi-family dweliing)
Permit type: 0 New Building g Addition O Alteration O Fence
0 Accessory Structure O Generator O Other: _ _ __ _ _ __ __ _ __
Property Owner Name: f'I\A..L MAS, ~1f..l:\-~( C'o {e Phone #: JI/, S::48-oSC..'t'
Property Address: 15& ...Jes.t: 'i=1-II M.Q a, L.:-• t.......A-J)a<ILA, iU'(
SBL #; _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ Zonillg District: _ _ __ __ _ _ __ _ __
Applicant (if not the owner): M1 i;. U.A-e( A (.A)Aq,ww,Mc Phone#: 1 t £6 - 4;)'7 4'.- 4JO I
l. Brief description of the scope of w rJc ~ .t:',; ' •
( 6 ...-1 Joi.tr ,~~ lo(/) • ~ ,
2. Size of scope of work (feet): L
width _a length _ _ Height 2 . ~otal sq. ft. _ linear foet (fence)
3. Detnolition/Substantial Modification ill association with a building pennit for alteration or addition:
Village <1 east A.11ror<1 01t{1 Where the threshold exceeds lhe. value below based on the dwelling/structure size, and/or a
1-
'}es" is determined, complete rhe separate Demoli.tion/Substanlial Modification pemzit application. Village Code §112-3.
.nwelli:ng/ Structure less tlrnn or equal to 1,200 sq11are feet (sf):
Gross floor area: ( Of,,;, . $ Area ofscope of work 82 -z. 50% of the gross floor area; ').... 9 :> f .
Does the scope of work exceed t}le 50% the-Sh.old (yes or no); .!(cS
Dwelling/ Structure greater thao 1,201 but less lban or equal to 2,500 sq_u_,al,...
·e-t-ee-t-(s- l)_:_ _ _ _ _ _ _ __ _ _
Gross floor area: _ _ _ _ Area of scope of work: _ _ __ 40% of the gross floor are.a:
Does the scope of work exceed the 40% theshold (yes or no):
Dwelling/ Structure greater tl1an 2,501 square feet (sf):
Gross .floor area; - -- ~ Arca of scope of work: _ _ __ 30% of the gross floor area:
Does the scope of work exceed the 30% theshold (yes or no):
4. Construction cost: ) 0 >000.5
5. Electricallnspection(s) by an approved Third-Party agency by the Town of Aurom: Li"Yes ON/A
6. DPW Action Required: D Water 'fapf"I D Sewer Tap O Bacldlow Preventer O Grease Trap .
7. Name of Contractor: M., "'-' A-L.lc-d..., ..v,t ~t:11to()/2t"~, 'Cc.. Representative: rt-\LcU.-..Rl l).'.}~u-J ,A..c.'-
Address of Contractor: '1 -3.:z.9 'Ul)<M.c,vJt . 'll.tl.L Ro
6,?A-o
Phone #: '11l.o ~'11f-47o r
8. Name of Architec.t: \lOI..""'"'~
Address of Architect:~Le 3'1 h"'~ _™- Co\~en
!
Email:Mw i\-c...lLQ,~o~tU...
= ftC-. .
L.., Cow--
Representative: _ _ _ __ _ __ _ __
Phone #: ll)Ug - qo, - \C?,oo Email: _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
IMPORTANT
o The work covered by lhis application may not be comme~ced before the issuance of the Building Permit.
• No building shall be occupied or used in whole or in part for any purpose whatsoever antil the Building
Department shall have granted a Certificate of Occupancy.
APPLICATION IS ,,...~T>,,,.. forcement Officer for the issuance of a Building
Permit pursuant to the PREVENTION AND BUJLDING CODE for the
construction of buildin as herein described. The applicant agrees to comply
with all applicable cod undersigned hereby certifies that all of the
information contained nd true.
Owner Name: _ __ __ __ _ _ _ __ _ _ _ _ _ Email: _ _ _ _ _ __ __ _ _ _ __
(A-pplican1 or Corp/LLC must complete the affidavit on the next page to sign as the owner's agent.)
Owner Signature: _ __ _ _ _ _ _ __ _ _ _ _ _ _ Date: _ _ _ _ _ _ _ _ _ _ _ _ __