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36 PHILLIPS ST - BUILDING INSPECTION (5) fi-MSiiM T-9Ef A94AD APPROVED BY T44E gWZCILIB pwaR TD A.PERMIT BEING GRANTED /�/ CITY OF_SALEM No.Y�/y7_t_6f \ Date Is Propwty Locstad in Location of vw mhoo D olddct? Yana No_ imili=s 3/n ,S a)em mA a 67-0 Is Propwty Located to do corM mmon Am? Y=No BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, Rercof, Install Slding, Construct Deck. Shed, Pool. Repair/Replace. Other: PLEASE FILL OUT LEGIBLY i COMPLETELY TO AVOID DELAYS W PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's Name Address & Phone Architect's Name Address S Phone I Mechanics Name ' Address & Phone f f �NO Is the p mpm of Im Wdkg? coy, Mal"of bttlk*g? B a dweikv,for taw many twin? c(( _ I/ , Wo brldkg callorm to law? Mbasbs? ,A\ Ealtaatad coat CRY umm r N A tan. « Bras Lpso�aaaat X C�� Ls`. I' S re of Applicant . Ra SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE ef,-Q me redo keatinr, h�c��,rot rn MAIL PERMIT TO: .t. No. ( �Z APPLICATION FOR PERMR TO LOCATION PERMIT-GRANTED _< 20©S� ROVED i ECFOR OF B LDINGS S ZI _,-_-rS'L'h}CCr t_0 authorat. h2 v CiT_ o r -- T - - - FTw vv >� -,, F-IM! PRJIECTi^R�rylrr¢. - --- - - ECT10NYfOR'CO A E WITH THE-T1F.E CODE. .. - - 1 - - l_ 1 3rLLSY4 1d 5_vc q ILi7 ti i i WOF Val oVN — — `ro : Aiv � _ - - -- _ --, 7x_41D11 t2i`i ill ) { ��1? 19'ryz,J> l '222i7f�7�7� .781-595-7556-Residence 111 978-473-6314-Business i ANDREW J. SAVY Plumbing,Heating&Gas Fitting Service. Fully Insured. Andrew J.Bevy 4 Clairmont Terrace owner,Lic 26456 - Lynn,Mass.01904 cit - 'F os3�y� •._ — -- ,— — z9 In ,,_ FIrPr BXPLANS ARE APPROM SC LELY,--C:l U, •-- - 5'iFE-AflO Lc�lyk'" T-ION OF 743E DC..O'Vwri0., G_.:C=3. FIRE PRJIECTM.D—VtCe&-AR" sw^,d'c-3i td A C ALETAND INSPECTION FOR CAM?LEIEC^P.ir;,(. T 5_ - O -- --- L6 _ 7 - Y T , I Our- �'--- am VT 46 �I 1 - l _- -- - --- - -- - 40 I - - t TT ® -- - -- - ---------- A - r � � I J y E- -`j �:��--r-ice--i'T,--r-• -�---r-r-r--r�-r-_-r-,-�.-__---__-,---.Y_-, _ -� --•----• ��•----r _ -,--� ---r- -.--fir �-��-,--.--T_ -,�-�-:-�- -.,_ ,_, -,-._-. _ ------------- ILI : - - - -- ---- --- - --- - 4 - -- 7 X-_9_) i I r z uv) 4 aCITY OF SALEM, MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET. 3RD FLOOR SALEM, MASSACHUSETTS 01970 STANLEY J. USOVICZ, JR. TELEPHONE: 978-745-9595 EXT. 380 MAYOR FAX: 978-740-9846 HOMEOWNER LICENSE EXEMPTION Please Print Date �O S Job Location to l"�71'1/1' s 51- F 2- a l e m Home Owner Address Home Owner Telephone Present Mailing Address .3 [o p h 1 I I i P S • C 1 F C� /o /� a 15}O The current exemption of"Homeowners"was extended to include owner-occupied dwellings Of two.Units or less and to allow such homeownefsto engage an individual for hire who does not possess a license,provided that the ownet?`acts as supervisor. DEFINITION OF HOMEOWNER.,,. Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official,on a form acceptable to the Building Official, that he/she be responsible for all such work performed under the Building Permit. The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable by-laws and regulations. The undersigned"homeowner"certifies that he/she understands the City of Salem Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and end HOMEOWNERS SIGNATURE ` APPROVAL OF BUILDING INSPECTOR See other side for state code HOMEOWNERS EXEMPTION The Code states that: "Any Homeowner Performing work for which a Building Permit is rettuired shall be exempt from the provisions of this section(Section 109.1.1 Licensing of Construction Supervisors);provided that a Homeowner engages a person(s) for hire to do such work, and that such Homeowner shall act as Supervisor. Many Homeowners who use this exemption are unaware that they reasumi forr'gc the responsibilities of a Supervisor(see Appendix Q,Rules and Regulations Construction Supervnsing isors+Section 2.15). This lack of awareness rinntthi �your problems,Particularly when the he unlicensed person as it unlicensedomeowner hires would with a licensed Board cannot proceed against responsible. Supervisor. The Homeowner acting as supervisor is ultimatgay All To ensure that the Homeowner is fully aware of his/her responsibilities,many communities require, as a part of the Permit Application,that the Homeowner certify that responsibilities of a Supervisor. On the last page of this issue is a he/she understands the towns. You may care to amend and adopt such a form currently used by several form/certification for use in your community. 0 CITY OF SALEM, MASSACHUSETTS Ulu a PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET, 3RO FLOOR SALEM, MASSACHUSETTS 01970 STANLEY J. LISOVICZ, JR. TELEPHONE: 978-745-9595 EXT. 380 MAYOR FAX: 978-740-9846 Salem Building Department Debris Disposal Form In accordance with the provisions of MGL c40 S 54, a condition of your Building Permit is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL Chapter I1I, S 150 A. The debris will be disposed of in: �rYll/t��1Ccl✓l �S�DSa (Location of Facility) a��, L� Signature of Applic t v oS Date