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31 HANSON ST - BUILDING INSPECTION .r EMI; U•'{�aip" ' ZY VED BY T44E +t fCR D�pE T U NG GRANTED �? CITY OF SALEM N P'Wmty Looided in Location of Iha Hotab oNIdcY1 YM_No ✓ souasna 311/Anson N Piwo w Loa"in ~ rn oww vaftn Mal Yam No 1-1 BUILDING PERMIT APPLICATION FOR: Pwmk to: (Clrole whlchewr M*) Roof, Imtall Sid Conwm.Deck, Shad Paul, ,ap�. PLEASE FILL OUT LEGIBLY A COMP LETELY TO AVOID DELAYS W PROD TO THE INSPECTOR OF BUILDINGS: N nby applies for a pwmk to build a=fdkp to the toW&*q Owners Name G AddrMs 6 Phone ! ct o OTh IL14- s 8 4 AmhkoWs Name Addnas & Phone ( 1 Mechanics Name Addnas & Phone W d Is to Papas if bVaafov fiMINIU a1 kldnp4 M a dwaaU 9,for how nary andNs4 Try `S WE bA*v adorn b kw? U eS ..Ad~ A40 ;' 3 l�Ilafad soot.W a2 -42,mno atr UJ 0 N A ekdo Lbm r k: / saw I�twarnt /J� Lie. / Y Signature of A Rant SIGNgD UNDER THE 1Ilmo v' DESCRIPTION OF WORK TO BE DONE OF PERJURY 3 ; 4-� A-cok Vtri I St � k, r LJ, b e e-A o i s q. Hilly, �r ` I;"` MAIL PERMIT TO• r ' NO.'� APPLICATION FOR PERWT TO . LOCATION /. PERMIT GRANTED T . A7• _ . INSpECTOIR OF BUILDINGS s CITY OF SALEM BUILDING DEPARTMENT HOMEOWNER LICENSE EX anm Please Rat DATE IOBLOCAnON 3i /�Qr+5on S . HOMF.OWm ADDRESS HOMEO*m TELEPHONE r� PRESENT MAIL N.G ADDRESS tg l'.©rn M e r C n �a . P l 9?0 The ntrrcrd.excmpdon of`bomeow=C was euunded to imludc owacroceupied dwcMvp CfTWO Units of less and w allow such homwwmn a engage an individual for hire who does sat posses i license,.provided that the owner set as supervisor. DEFINMON OF HOMEOWNER Person(s)who oww a pw=l of land on which Wshc resides or butsids to reside,On which these i;OF is intended w be,s one to two hndV dwelling,arrached of detadted svucnocs so cmM to such use andlot farm srrucwmL A pcnon who constructs more than one home at a two-year pmod sha➢mt be emWmkmd s homcaw m. Such`homeowner" sh-J'subn*to the Budding Official,on a form saxpabk to*A Building Official,that bUshc be rt sponmble to sill such work paformed tardy the building perud6 The undenigned'homeow•net"asstmsa tcsponn'bility for compr==with the State BnIldwmg Code and other applicable goes by-Iaws,rules and regulatiotti The tmdcsig cd'hoouowncr"ocrti5a that hdshc tmdemands the City of Salem Bmldmg Deparanmt mimmttrn inspeocion proc rdum and rctlutrancros and that hlshc will comply with said ptooedwu sad TWA HOMEOVINER'S SIGNATURE APPROVAL OF B=ING INSPECTOR Sec other side for state code . .,: HOMEO"ER'S EXEA'I MON The code state that: "any homeowner performing work for-which a building permit is mq»med slvM bt exempt from the pro isions of this section (Section 30P1.1-liaosing d Construetioa SuperrTwt7); Provided that is s horrmm ntr engages a person(s)for hire to do.such work,that sueb bomeowaet sb aU ad to avpe>YUW.'. Many Lomeownien who use this cxcmpdm arc Gvm=that they arc assuming the Md=of t m suprsor (set Appeudh Q,Rules and)ZegulatlOOa for UczUsing Coustruetlon Supervisor,Secakem .1.]S} 711is lade of awarrness oftrn resale in acrious problems,parueular},y when the horaeopaa Lint uniianscd persons In this case your Board cannot prvcud a&ainst the WXMUsed put-on to k wvold wllh liccurd Supcnjsor. 7U homt"-Dcr setiag as supervisor B uWwateiy responsible, To curare that the homeowner is fully aware of M4WF rnpor`s%llities,many eom=urdda regdM'as past of the permit application,that the homcmvncr ccrufy that hc$hc wrdersrands the respoasibil$ia da supcnism. You may care to amend and adopt such a formkcrdfieadm for use in yom eommtm - • PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET, 9RO FLOOR SALEM,MA Ot 970 ' TEL (976)746-9593 EXT. 880 FAX (978) 740-9646 STANLEY J. USOVICZ, JR. MAYOR DISPOSAL OF DEBRIS AFFIDAM In accordance with the provisions of MQ,c 40,S34,I acknowledge that as a condition of Building Permit# ,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 III.SiSOA. The debris will be disposed of at: L-1 I /j _� 2h l Location o a /u Signature of Permit Applicant Da FULLY complete the following Woruntion: (PLEASE PRINT'CLEARLY) Name of Permit Applicant Firm Name, if any .31,4anSorn 5 , Sodeni l Address,City&State The above statute requires that debris from the demolition, renovation,rehab or other alteration of building or structure be disposed in a properly-licensed Solid-waste disposal facility as defined by MGL cIlL S 150A, and the building permits or licenses are to indicate the location of the facility.