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r 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,�j
Date_ Z � 06
Job Location
Home Owner Address
Home Owner Telephone 178
2 7
Present Mailing Address_8 Cro 5 S S c p T
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 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 an/d�requirements.
HOMEOWNERS SIGNATURE C GGf
APPROVAL OF BUILDING INSPECTO
See other side for state code
1
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HOMEOWNERS EXEMPTION
The Code states that: "Any Homeowner perfornvng work for which a Building Permit is
—Licensing
required shall be exempt from the provisions Of this section(Section ided tha a Homeowner engages a person(s)of Construction Supervisors);po(s) for hire to
do such work, and that such Homeowner shall act as Supervisor-
Many Homeowners who use this exemption aTe unaware
that they atiore as for L ssumintensing
the
responsibilities of a Supervisor(see Appendix Q>Rules
and 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
Board nsed person as it would with a licensed
p rvisor The Homeowner acting g aspervi he supervisor Ss ultimately responsible.
To ensure that the Homeowner is fully aware of his/her
responsibilities,spthe omeowner certify that
communities require, as a part of the Permit Application,
understands the responsibilities of a Supervisor. n the last page t of this issueis a
she ad
he/ d and
form currently used by several towns. You may care to amen p
our commu
nity.tY.
form/certification for use in y
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