10 HARDY ST - BUILDING INSPECTION (2) iuvaimsiromme4Nfa &PPROVFA BY Ziff
PGM TDAP.Bi WBeam GRANTED
/ CITY OF_SALEM
No. 1 b -d l0 Dw
is PIGMIV LacWd in raantim of
ih.w.ado owa7 Y«No ./ asuios u a��- �=
Is Plamly Loa nd in
:� ar oon wamn Awe? Y«No
suma IG PGRWT APPLICATION FOR:
Psrmk to:
(CUole rihmm wr apply) Roof. _ - _install SWft Caw" DwK Shed, Pool.
PLEASE RLL OUT LEGIBLY fi COMPLETELY TO AVOID DELAYS W PROCEBSM
TO THE INSPECTOR OF SI MI NGS:
The undo agned hereby appbs for a pwmd to bWW aocwft to the blowup
Ownses Name
Address rl Phone l0a
AiohdeWs Name u �4
Address 6 Phone ( I
Msawnica Name N ,
Address A Phom ` ( I
No is as pupae d bWww TL2 '- y A nn\
himmim of O111dY1p4 M a , -, -,for how sang mms"?
wa bAft=Vwm to WN? N 1,25 Mwsws? n U
�c Clpr umm r N A am •
U9. i t
THE PENALTY
DESCRIPTION OF WORK TO BE DONE
Zed
MAIL PERMIT
NO.
APPLICATION FOR
PER l TO
LOCATION
16
PERMIT GRANTED
/z, 2005-
APPROVFD
OF WLDINW
l
9
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
Salem BuildinQ Department
artment
Debris Disposal
D sal Form
In accordance with the provisions of MGL c40 S 54, a condition of your
Building Permit is that the debris resulting from this work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL
Chapter III, S 150 A.
The debris will be disposed of in:
ClsAlk (Location of F O k-A,
4igna a 4ofpZ1ic=-nt
z
Date
t
4
CITY OF SALEM, MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 3Ro FLOOR
SALEM. MASSACHUSETTS 01970
STANLEY J. USOVICZ, JR. TELEPHONE: 979-743-9599 EXT. 380
MAYOR FAX: 979-740-984e
HOMEOWNER LICENSE EXEMPTION
Please Print.
Date Z �J
Job Location l 0 q�
Home Owner Address, i-
Home Owned Telephone 7
Present Mailing Address�. . -
The current exemption of"Homeowners"was extended to include owner-occupied dwellings of two Units or less and to allow such homed to engage an individual for
hire who does not possess a license,provided that the o as supervisor.
DEFINITION OF HOMEOWWNEB.:. -:a
Persons)who owns a parcel-of land on which he/she resides or intends to reside, on
which there is,or is intended to bee,a one or two family
amlly dwelling, attached or detache
d
ed
structures accessory to such use and/or farm structures. A
than one home in a two year period shall P°mon who e.r. Such
more ,
,. P� not be considered a homeowner.
homeowner' shall submit to the Building Official,On a form Such
Official, that he/she be acceptable B the Building
responsible for all such work performed under the Building
Permit.
The undersigned"homeowner"assumes responsibility for compliance with the S
Building Code and other applicable by-laws and regulations. rate
The undersigned"homeowner"certifies that he/she understands the City of Salem
Building Department minimum inspection adores
will comply with said procedures and will and he/she
ant
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING INSP
See other side for state code
aol�owrlEi�s
EXE—MmoH
The Code states that: "Any Homeowner performing work for whicb;a Building Permit is
required shalt be exempt from the provisions of this section(Section Licensing
required
of Construction Supervisors)
provided for hire to
that a Homeowner engages a person(s)
do such work, and that such Homeowner shall act.as Supervisor-
who use this exemption are unaware that they are assummg.the
Many Homeowners r(se Appendix Q.Rules and Regulations for Licensing
responsibilities of a Supervise •�lack of awareness often results in serious
Constnnctnon Supervisors.Section meo persons. In this case your
problems.Particularly when the Homeowner hires unlicensed
unlicensed person as it would with a licensed
Board cannot proceed against u1lY responsible.
Supervisor. The Homeowner acting as tr -$
To ensure that the Homeowner is fully aware of his/her responsibilities,many
communities require, as a part of the Permit Application,that the Homeowner of this issue is a
abilities of a Supervisor. On the last page
he/she by several towns. You may can to amend and adopt such a
form currentlyartifi at our community
forrdcettification for use in your.
R