Village of Aurora 
Codes Department 
ROOF APPLICATION PERMIT 

Name: 
-------------------- 
Address: 
----------- 

Date: 
------- 
Tax Map #: 	_ 

Proof of Insurance  ____________________________________
Contractor: 
---------------------- 

Type of Installing:  __ Shingle

___ Metal

__ Other

Number of layers on Roof:___ (limit one)

Briefly describe what you are doing to replace this roof: ____________________________________________________________________________________________________________________________________________________________________________________________*If you are replacing the roof with the same materials, and the structure is not an historic landmark, then no other action is required. However, a change of materials requires Community Preservation Panel review.  Please contact the Village Clerk with any questions. 315-364-7293

	Fee: 	$ 50.00 	

Signed: 							Date: