0003A BUFFUM STREET - BUILDING JACKET _ 3A P.11E'ECiNi ..T.
Plans must be filed and approved by the Inspector before a permit will be granted.
No. — /"' City of Salem Ward
Is Property Located in the
Historical District? Yes_ No--V. i � T yr �4,;
>R Home Phone�
Is Property Located in a
Conservation Area? Yes_ No-L +�,�c •- Bus.Phone#
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APPLICATION
FOR
PERMIT T OL, ECK NBW"EQS-�1
Salem, Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following specifications:
Owner's name and address 4, &-w E S gN V rx -f-
Architect's
LES/ SS
Architect's name
Mechanic's name and address C1 EA✓
Location of building, No. '4 ✓f o F-�2 d /�7 3 CU 6LLi N/P
What is the purpose of building?
Material of building? U )Q e
If a dwelling, for how many families? :3
Will the building conform to the requirements of he law?
Estimated cost has o r/� er Contractors Lic. No. // ? Y 5-
Signature
Signature o£applicant
Si ed Under the Penalty of Perjury
c D '
REMARKS
No's�-/� Ward
APPLICATION FOR
PERMIT TO CONSTRUCT
SWIMMING POOL
Location
PERMIT GRANTED
19
Approve
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MO TGAGE INSPECTIO,
BAY STATE SURVEYING SERVICE INC.
234 CABOT ST., BEVERLY, MA.
LOCATION ° ...S�4 Ec YJ%�--- _F............... NOTES:
SCALE : I = qO FT. DATE /�Z2�90 • This is a Mortgage Inspection survey and not an
_-____
7 instrument survey,therefore this plot plan is for
REFERENCEK.. (�� .. _�G:_ 4j!__ mortgage inspection purposes only.
Z) X)."57.- ___ .___-__ • This survey is based on survey marks of others.
... .... .. .. . .. _. _........ ...._. _... .... • Bushes, shrubs,fences and tree lines do not
necessarily indicate property lines.
To .I' __. __t=1 V'Z- . _--- . In my professional opinion the building(s) are not
I hereby certify that I have examined the premises and that the located in the special flood hazard zone, as defined
building(s) shown on this plan are located on the ground as by H.U.D.
shown and that they conformed to the zoning setbacks of the •Whenever an offset is 1'± or less, an instrument
-------- when constructed. survey is recommended to determine prop. lines.
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:ITY
UILDING DEPARTMENT
OMEOWNER LICENSE EXEMPTION
:'lease Prinnt
DATE
JOB LOCATION j /� f55,_) ee�rU m E7- J�LE717
Number Street aadress Section or Town
"HOMEOWNER -All 6_7 �AN9VLew
Name Home pnone Work pnone
PRESENT MAILING ADDRESS S /GJ Ls
pity/Town ate LID Coae
-he current exemption of "homeowners' Was extenceo to include owner-occuoied
aweilinas of six units or less ana to ailow such homeowners to enaaae an in-
divioual 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 ail such work performed under the buiidino permit. lSection 109. 1 . 1 )
he unaersianed "homeowner" _ssumes responsibility for compliance with the Stat(
:uiidina cone and other Dpiicable cones . -y- laws. :-ules ana reauiations.
The undersignea "homeowner" certifies that he/she understands the City of Salem
Buildina Department minimum insp tion protea. es and requirements and that
he/she will comply with said pr edures anuirements.
a r a
HOMEOWNER 'S SIGNATURE
APPROVAL OF BUILDING OFF CIAL
NOTE: -hree family dwellinas 35.000 cubic 'eet. or larger. will be required
to comply with State Building Code Section 127.0, Construction Control .
HOME 01I.AER ' S EXEMPTION
-he Code states that: "-ny Home Owner performing work for which a buildina
oermit . s reouired shall be exempt from the provisions of this section
(Section 109. 1 . 1 - Licensing or Construction Supervisors ) ; provided that is
a Home Owner engages a oerson(s ) for hire to do such work , that sucn Home
Owner =_hail act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assumino
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for Licensina Construction Supervisors , Section 2. 15) . This lack or aware-
ness often results in serious problems . particularly when the Home Owner
hires unlicensed persons. rn this case your Board cannot proceed against
the unlicensed person as it would with licensed Supervisor. -he Home Owner
actino as supervisor is ultimately responsible.
D ensure that the Home Omer ruily aware cr his/her responsi[m ities.
many c-mmunities reauire . as part of the permit application. that the Home
Owner -ertiry that he/she understands the responsibilities of a supervisor.
On the last cage of this issue is a form currently used by several towns .
fou may care to amend and adopt such a form/certification for use in your
community.
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