21 BELLEVIEW - BUILDING INSPECTION i
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ADDITION
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s =° MYSTIC ENGINEERS
LAIRD J. WALSH, JR., P.L.S. #36128 MEDFORD MASSACHUSETTS
1'=20"SCALE 8/15/05
JOB NO.\FILE NAME: DESIGNED BY:L.J.W. PLAN NO.
21-BELLVIEW.DWG DRAWN BY:L.J.W. 1 OF 1
CHECKED BY: L.J.W.
` CITY OF SALEM, MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
4D
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 oZq o5
Job Location 01
Home Owner Address Sic as
Home Owner Telephone 8- pr - a 1
Present Mailing Address_ S,"e
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
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 p Q
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
required shall be exempt from the provisions of this section(Sec 1
09
q erson(s) folr hire to
of Construction Supervisors);provided that a Homeowner engages a P
do such work, and that such Homeowner shall act as Supervisor.
Many Homeowners who use this exemption
are Q,Rules ar and that they are ionssumins for L g the
responsibilities of a Supervisor(see Appendix
nsing
Construction Supervisors, Section 2.15). This lack of awareness often results in serious
problems,Particularly when the Homeowner lures unlicensed persons. In this case your
censed person as it would with a licensed
Board cannot proceed against the unli
supervisor is ultimately responsible.
Supervisor. The Homeowner acting as
To ensure that the Homeowner is fully aware of his/her esponsib the Hilities, m ner certify that
any
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
form currently used by several towns. you may care to amend and adopt such a
form/certification for use in your community.
Ro 6 130 I zoo S
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