6 ADAMS ST - BUILDING INSPECTION V
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4 CITY OF SALEM, MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 3RO FLOOR
0DSALEM, MASSACHUSETTS 01970
STANLEY J. USOVICZ, JR. TELEPHONE: 978-745-9595 EXT. 380
MAYOR FAX: 978-740-9846
HOMEOWNER LICENSE EXEMPTION
Please Print.
Date -
Z U5
Job Location_�o r„
Home Owner Address �� m S-I r r P
Home Owner Telephone 92 p_ ?y l-,S , z 1
Present Mailing AddressJQAdam,,, S-Erf.4-
The current exemption of"Homeowners"was 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
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
strictures 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 L �.
APPROVAL OF BUILDING INSPECTOR
See other side for state code
HOMEOWNERS EXEMPTION
fates that: "Any Homeowner performing work for which a Building Permit is
des 09.1.1 —Licensing
The Co (Section 1
' section S .
rovisions of this
required shall be exempt from thep a person(s) for hue to
of Construction Supervisors); provided that a Homeowner engagesp
do such work, and that such Homeowner shall act as Supervisor.
Many Homeowners who use this exemp are Rules anunaware d t they
h y are la Regulations assuming
the
responsibilities of a supervisor(see Appendixof awareness often results in serious
rs Section 2.15) This lack
Supervisors, our
Construction Sup unlicensed persons. In this case y
problems,Particularly when the Homeowner hires unhc p
Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The Homeowner acting as supervisor is ultimately responsible.
To ensure that the Homeowner is fully aware of his/her responsibilities,many
ermit Application, that the Homeowner certify that
communities require, as a Part of the P
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.
go G 1301 zoo s'
CITY OF MAL9Nq MASSACMYfl7'Tf
PUBLIC PROP[II'fr DWANUKUT
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