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BUILDING DEPARTMENT
Town of Aurora/Village of East Aurora
575 Oakwood Avenue, East Aurora, NY 14052
Phone: (716)652-7591
Permit Renewal: _ _ _ _ _ _ _ _ _ __
APPLICATION FOR BUILDING PERMIT
Please select one: See the separate applications tor: sign, pond, pool, and solar permits.
Occupancy classification: D one or two-fami~elling D commercial (including multi-family dwelling)
Permit type: D New Building ffiddition D Alteration D Fence
D Acce~sory Structure D Generator D O t h e r : - - - - ~ - ~ ~ - - - - - -
Property Owner Name: :1tM f" Si'll-A H G-klhJ'{}8'fv.ll ,-J 'i, Phone#: Lf'{?, - .f•{o - 3-+ ~ T
Property Address: 3-"2-') W/\'f/.-'?€1" 1}/2..-
SBL #: __________________ Zoning District: _ _ _ _ _ _ _ _ _ _ _ _ __
Applicant (if not the owner): 0~µ1::1/?- Phone#: 'l,,- 51.{.0 • ?:, 7-sr
I. Brief description of the scope of work: <l c»Jl.'Pe ~
12/\ tv'C,1~)2.... -od'TP,l,1JJT of' l\'IIIIA<:7 l-M "' iJ V/J t,t-1 /\~ 6(:fi) ,
2. Size of scope of work (feet): __ width ..1J,,_ length 1_ Height I Total sq. ft. __ linear feet (fence)
3. Demolition/Substantial Modification in association with a building permit for alteration or addition:
Village of East Aurora only - Where the threshold exceeds the value below based on the dwelling/structure size, and or a
0
ti:
li~;lrnttr:t:~~i?{e~~!e:!!~:\fyJ Jt;tt~s~:~~ff o,Ii,ficqtion permit.application. ViUage_Code §11.J,.3.
[Gross f!0Cl!~re~i "T - •••••• -·r j;Gea"o}~§ope of work:" r - • • • T f59fio(ihe gross floor area: - - ·o • ,
~"t1]
!Does
,·-
the
--·
scope ofworkeJ<Ceed the 4-0% theshold (yes orno):.
............. ,.,.... -·······-------- -----------,
1No
==------------------',
Dwelling/_Structure Ill~ 1,~01'~tiess _thali o~_.-<JUal to ~15 ·o ~quare re·et (sf): - -- - -- •• ·····•··• -- '
Gross fl,:,_c,rarea: j i 1Areaofsc_o11_e_ofwork: f I I J40% o_fthe gross floor area: . ,~•it··
Do~s t_~c_ sco:~ ofwor~ e_JCC ed the '!0% ~~~~_old @ r ~o): . . . _'-/IIFJt='-J~=e'i>~--_------------,
Dwelling/ Structure greater than 2,501 square feet (sl):
0ro·ss}10·or-are~a:·· •__ i •• ------ --, :lt\~a_·olscop~e ofWOf1(:_--~. r "l3"6%"0rtii"e-·gross fl.Oor area:· -
Li-_ _ _ _
- o·
Does the scope of work exceed the 30%. thesholcC(yes oi·no): No ·-· • • • - -· -- - -
4. c~-;;;tr11cti~;; c~st- - •• f18 lii~ oo· ........ --.. --
s. Electrical Inspection(s) by an approved Third-Party agency by the Town of Aurora: ~ □ No □ NIA
6. DPW Action Required: D Wat r Tap D Sewer Tap D Backflow Preventer D Grease Trap
7. Name of Architect: ~II ~ 1../ ;.,e 1{2- Representative: - - - ~ ~ - - - - - -
Address of Contractor: o i•• 'b 6A $'I ~ f t / I 1'1-jO,;--z_
Phone#: "11(, -'i:s'.l~- "1/.bff Email: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8. Name of Architect: _______________ Representative: ____________
Address of C o n t r a c t o r : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Phone #: _____________ Email: _____________________
IMPORTANT
• The work covered by this application may not be commenced before the issuance of the Building Permit,
• No building shall be occupied or used in whole or in part for any purpose whatsoever until the Building
Department shall have granted a Certificate of Occupancy.
APPLICATION IS HEREBY MADE to the Code Enforcement Officer for the issuance of a Building
Permit pursuant to the NEW YORK UNIFORM FIRE PREVENTION AND BIDLDING CODE for the
construction of buildings, additions, and alterations, as herein described. The applicant agrees to comply
with all applicable codes, laws, and regulations. The undersigned hereby cer ifies t at all of the
information contained in this application is correct and true. '11M. &1..I\.JiXMA1'1S@
,--r' I' I •vf.){:L\1>,t'l.
Owner Name: -~..L.ucM::_i__.::LT=-c,.....=--'_ __.,-,__,__ _:;,______
Emo;l
= . ~~~~~~2:2~~~,Ml\lL,(¢/-\
(Applicant or Corp/LLC must plete the affidavit on the next page to sign as the owner's agent.)