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6 SKERRY ST - BUILDING INSPECTION fL3tM431t W;r*E f*gE94AD WROVED BY 744E JLtIS ZCXM PSIGR TDA.PWAfT AIRING GRANTED CITY OF_SALEM No.,Llo 9-0 \ oae /e,k CDs Is Propwty Located in Location of VwFWAftDistrict? Yak No k Building Is Properly L.ocWmd in 00 COrAuvaaon Anx? Yek No f BUILDWG PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, i4, Install Siding. Construct DedL. Shed, Pool. RspatrOther: PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS W PROCEBSWQ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's Name IZ�bef C��era n Address S Phone 6 Sk rr y Sd 1 1 Architect's Name Address & Phone L 1 Mechanics Name Address & Phone l 1 Whet Is uw purpose of WNW m"m of buftw &6%d Pah.e 9 a dww",for how mmy fwnfts? 412 wo blr ft Wdoml to law? Ye 5 Astie"? N o fiE*Wlad cod qQQ city Llcarue rr N A sttle License tr Lic �Z f-� Hawa Ie�roaawent Signature of Applicant SW= UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE �x g4 X Ce-naaP gara MAIL PERMIT TO: No. 9-C APPLICATION FOR PERMIT TO Sv Qe-- LOCATION S/ s� PERMITGRANTED i7 o e.0 2 O ,5-- APFROVf D #PECTPR OF BOILDINGS f rrmr 'BJi�.AS��FGTR;Jdi ___ eav�i:. 'S�a�Pac eci. :3�X6 u4:e_49 c_ I Av000vac ov r4w reEEE MNPRW m,►I-BlIft U"WIAWO CITY OF SALEM i w nr. w fuA`�wimnm wLn. ✓ loww&" Wt`ST22�� SI'.� U=3 ArA..b eaamea SR.Le Mr M,}. WAMW PMW APPUCATM PM' PsmN tm �,p�p per, 8yy� p"who*m SW ftpr. ROW, M" 8W1At m,,,,lel kUi.S (.1_•� �'3� taw K�iriznt R.pv/N.pmw.OEMW w_ � 4 pLl BL OOT LZMUV A CCYKXMYTo AYOIO DMAYE M PRDOMM SAM f. TO THE&APECTOR OF 0"NOIL - ' TNA Wd.ngrrd h"W.pp%$fm•p.rmp to buNN p m Ing w m.tobWnp .ppcblSWe^c . j AWrM.APhen. A A4CNEfA s dill 47� lW3 S2R3 Wei,-NeW9�+t MhOt98S r��pS\lAul-�Y3Y i ACMw.A Phpru - V ! i t mo*wda.N.m. 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CUPAMMIXT 120 VAmim m SmsW 346FL w ` MLt1�MAOI01lO TR(f70171t►tM Ol!is0 STANATUL J DdlO�AL.Of DfLff X AI M&Vf f ti aesr�es ris plorfltost d11fi.s 44 Sx Z ilbawWmmw ad a s Good" atltild�lr■!f mA Amfim& t11loast - ll/d waft d*tl/lam st OI��Llidalkirmi etil m r Dot m��re� 1MM&wMbsAquedetas A�-rA_3)A Car ,9 /^ Zo atllriYOr Gw — t"o 7 ��T now QLtAU PRLf+H'CLLM LIf) f2oberf c1cwSon Nay W74M t AppMO FimNam�lts4► Ske�� Sr�P� lam MA Add Cig►A Smut lb 60"Id W r q*ft dW Mrft Do.dr dal Mbk Mmvg oq nf*a odkr sko do. dn-a mw.bs dflooal h t popa Scou d ww ftud illi ft a ddesl by um CA SIM&ad tst boa tsypssim a to indelt dt loadarr a«t Jlta� CITY OF SALEM9 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 �D r o S Job Location_( er^i 9ree f Home Owner Address SkerrN Sdreel Home Owner Telephone Present Mailing Address. ILQ dy S�ree� The current exemption oP'Homeowners'fwas extended to include owner-occupied dwellings of two Units or less and to allow such homeowners:to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor, DEFINITION OF HOMEOWNER: s Y 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 requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING INSPECTOR k See other side for state code HOMEOWNERS EXEMPTION The Code states that: ,Any Homeowner performing work for which a Building Permit is required shall be exempt from the provisions of this section(Section 109.1.1 —Licensing req re 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 Q Rulere that Regulations fthey are or Licensing the responsibilities of a Supervisor(see Appendix Construction Supervisors, Section 2.15). This lack of awareness often results in serious problems,Particularly when the Homeowner hires unlicensed persons. In this case your nsed Board cannot proceed against the unlicenseep s�lt�tely tensible. Supervisor. The Homeowner acting as sup _Y r To ensure that the Homeowner is fully aware of his/her rthaesponsibilities, comfy that communities require, as a part of the permit Application, he/she understands the responsibilities of a Supervisor. On the last page of this issue is a several towns. you may care to amend and adopt such a form currently used by form/certification for use in your community. g R� G 301 zoo S.