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BUILDING DEPARTMENT
Town of AuroraNillage of East Aurora
575 Oakwood Avenue, East Aurora, NY 14052
Phone: (716)652-7591
APPLICATION FOR DEMOLITION/SUBSTANTIAL MODIFICATION
PropertyOwnerName: ~ A,-,,J \;.J,.,._,.,.J Phone#:;/(,, ol4-{,J'l1
Property Address:,_~5:,,0e,0_,,N:,.,oe,r_,,,th"-----------------------,--=------
SBL #: I l 4 , I C. - ~ •• '> Zoning District: g, 1 PC">--' .,.-iKl--
Applicant (ifnot the Owner): MlicC Lu··>:::,AS7,lli-...,_Sl?I ,r ,Z,4- Phone#: -,,1., "rJ. "', !J 0 0
I. Brief description of the demolition: No ::o~..- b--l.H-n a.J 1Nv.,.,w:p - .,,..,,,., ~"
2. Size of demolition (feet): _width_ length_ Height __ Total sq. ft. or D Entire Building/Structure
3. Demolition Threshold (Village only): D 30% (>2,501) D 40% (1,201- 2,500) ISi 50% (<l,200)
4. Disconnection of services: D Water D Sewer D Electric D Gas Jif'N/A
5, Asbestos Survey: D Yes D No lg] N/A
6. Water use needed for dust control: D Yes ISi No lg] N/A
7. General permit NYS DOT (state) or ECPW (county) street/road: D Yes IS] No [gJ N/A
8. Name of Contractor: (J(l,rt!:l 1-1 ° r 1«-,,vS Representative: - - ~ - - - - - - - - -
Address of Contractor: / Z,,, / z ,,- {qA L--<E_f & u,vr C vi /1,- f'r,r / "1 o 7 •
Phone#: 'J)(,- '18~-\387~ Email: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
9. Name of Asbestos Contractor: _,t.J=.,_/.i,,l?-:==------------Representative: _________
Address of Contractor: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Phone#: _____________ Email: _____________________
10. Contractor's General Liability, Workers' Compensation, and Disability Insnrance Certificates with the Town of
Aurora & Village ofEastAnrora as Certificate holder: D Yes D N/A
IMPORTANT
Site Plan or Swvey showing lot and buildings on premises, relationship to adjoining premises or public
street~ 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 exterminator regarding extermination must be submitted with the
application, if applicable. t-,)1>
Written verification that all utilities (i.e., 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 in-ground storage tanks, 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 on normal workdays.
No explosives can be used in cmmection with the demolition of buildings or structures unless a special
pe1mit is first obtained by the Village Board of Trustees (village).
All cellars and basements of demolished buildings or structures shall be filled in and made safe. The
surface of the infill shall be level with the surrounding premises.
APPLICATION IS HEREBY MADE to the Code Enforcement Officer for the issuance of' a Building
Pe1·mit pursuant to the NEW YORK UNIFORM FIRE PREVENTION AND BUILDING COD.E 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 certifies that all of the
information contained in this application is correct and true.
vit on the next page to sign as the owner's agent.)
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