159 BOSTON STREET - BUILDING JACKET ��'9 z3efs s���Y
Plans must be filed and approved by the Inspector before a permit will be granted.
Ury 1 •
No. %d1 nCity of Salem Wardq -
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Is Property Located in the �/
Historical District? Yes_ Non A r
• R Home Phone# 5aS-7�1-366a
Is Property Located in a .r S
Conservation Area? Yes_ No-1Y—\ ,�'�'ci .••�,yr' Bus.Phone# 0 7q 9502.4�
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APPLICATION
FOR
PERMIT TO CONSTRUCT POOL, MGM AND S+iM)S FRONT POPC H
Salem, Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby ap ies for a permit to build acco'rdin1g to the following specifications:
Owner's name and addresy L^�h�Tc s� 3as ST SAt_Er�
Architect's name —RIA
Mechanic's name and address
Location of building, No. 3 S S p
What is the purpose of building?
Material of building? W o e>
If a dwelling,for how many families? o N E , /
Will the building conform to the requirements of the law? �( GE S`
Estimated cost I e0o Contractors Lic. No.
Signature of applicant
Signed Under the Penalty of Perjury
REM RKS
�PP �o-ce Or s� -w �ion� �o -�� _ ��.� ��1 � Ae. j (70 0+'Z ?-S
L P� e �x`s•�-' .14 F 'YI � vw.Le�
No. Ward
APPLICATION FOR
PERMIT TO CONSTRUCT
SWIMMING POOL
Location
PERMIT GRANTED o�
19 J�
Zroved r
u�GCy %/ ii�y
Building Inspector
�a
- 0/9 .� .
%lichael S. DukDukakis
Governor
Kentaro Tsutsumt .4�o4low, �(amszcvsa. 08f08
Chairman
16171
Charles J. Dineno
Administrator
MEMORANDUM
TO: All Buildine Departmcetsnitatc Building Inspectors
FROM: Charles J. Dineao. Administrator
DATE October 31, 1788
SUBJECT. MGI. can, S54. Added fiv e584. S9 M the Acts of 1987
The above-mentioned statute requires that debris resulting Irem the dcmolioon. rcnoivaoon. rchabilitatwu
or nthcr alteration nl a budding or structure be disposed of in a properly ticenscd solid waste disposal
facthty as damned by MGL cl ll. S150A and that building permits or hccitses arc m indicate-the location
of the ucdity at which the said dchns IS to be disposed. THIS REOUIREMENT DOES NOT
APPLY TO NEW CONSTRUMON.
In order to simolifv the process and tat provide uniformity. we arc attaching a copy of a lorm which you
can either reproduce and use as it is since the completed form will be attached to the office wpy of budding
permits or licenses: or reproduce it on your Ieiterhead.
In ase of municipal,commercial.industria6 or multiunit housing construction. the contractor may not know
the dumpster subcontractor at the time of the budding Permit application. In such cases, the attatted copy
of an Affidavit an be used.
The complete law is rnntaind in the Nnvcmbcr issue of CODEWORD which will he matictl 10 vne in the
nest two weeks. If vets should have any question. please let us know.
CID/kut
AFFIDAVIT
As a result of the provisions of MGL c 40, 554, I acknowledge that as a condition of Building Permit
Number all debris resulting from the construction activity governed by this
Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL
c 111, S 150A.
I certify that I will notify the Building Official by I �O 1 a
(Two months maximum) of the location of the solid waste disposal facility where the debris resulting from
the said construction activity shall be disposed of, and I shall submit the appropriate form for attachment
to the Building Permit.
�v q3
Date Signature of Permit Applicant
(Print or type the following information)
Name of Permit Applicant
Firm Name, if any
15-9 S"(fIV, M4
Address
In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S
150A
The debris will be disposed of in:
0C A YCe�,Zc w IAC :- Rt Ll � 1
(Mcation of Facility)
Signatupf of Permit Applicant
Date
CITY OF SALEM
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE / ao q 3
JOB LOCATION l sy
NumberStreet address Section of Town
"HOMEOWNER _Q'q,L,eA -SS cjO-c -7 ,//-3662 7</S- e'oag
Name Home phone Work phone
PRESENT MAILING ADDRESS A
Sa \e w. NA O 70
City/Town State Zip Code
The current exemption of "homeowners" was extended to include owner-occupied
dwellings of six units or less and to allow such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor. (State Building Code Section 109.1 . 1
DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one to six 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 shall be responsible
for all such work performed under the building permit. Section 109.1 .1
The undersigned "homeowner" assumes responsibility for compliance with the State
Building code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the City of Salem
Building Department minimum 'nspection procedures and requirements and that
he/she will comply with said p ocedures and requirements.
HOMEOWNER'S SIGNATURE
dr
APPROVAL OF BUILDING OFFICIAL
NOTE: Three family dwellings 35,000 cubic feet, or larger, will be required
to comply with State Building Code Section 127.0, Construction Control .
HOME OWNER'S EXEMPTION
The Code states that: "Any Home Owner performing work for which a building
permit is required shall be exempt from the provisions of this section
(Section 109.1 .1 - Licensing of Construction Supervisors) ; provided that is
a Home Owner engages a person(s) for hire to do such work, that such Home
Owner shall act as supervisor."
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for Licensing Construction Supervisors, Section 2.15) . This lack of aware-
ness often results in serious problems, particularly when the Home Owner
hires unlicensed persons. In this case your Board cannot proceed against
the unlicensed person as it would with licensed Supervisor. The Home Owner
acting as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/her responsibilities,
many communities require, as part of the permit application, that the Home
Owner certify that he/she understands the responsibilities of a supervisor.
On the last page of this issue is a form currently used by several towns.
You may care to amend and adopt such a form/certification for use in your
community.