10 LOVETT ST - BUILDING INSPECTION --m"Suchusetts"-T.titi.C(iinhioh.weilth:bf"., .
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usetts.1takeWE"ll,IiI MRROIZ�editjbw:�'�;-;-,:
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SECTION,,-,! SITE INFORMATION
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CITY OF SM-EA(I
PUBLIC PROPERTY
DEPARTMENT
Mwroa 130 WADUNGIUN S1 E=•SALSK MAMACHLserls 01970
7V.1:975•74S-9"S* FAx 976-740.9616
HOMEOWNER LICENSE EXEMPTION
Pies" Print
Date ,
Job Location
Home Owner Address /o N S J _Sig/a W)l 01970_
Home Owner Telephone
Present Mailing Address
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 hetshe 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 "homeownee'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 \
APPROVAL OF BUILDING CISPECTOR
See other side for state code
CITY OF SALEM
PUBLIC PRoPRERTY
DEPART'.10ENT
J1N V
III 'I'% '44. ':•;{
Constrttction Debris Disposal Aflicla% it
(rcLitmed for all dcmulition and rcnovatiun work)
In accordance \�ill, the sixth edition of the State Building Code, 750 CAIR section 1 11,5
Dcbris, and the provisions of NIGL c 40, S 54:
Building Permit it. is issued with the condition that the debris resulting front
this work shall he disposed of in a properly licensed waste disposal facility as defined by MOIL c
I I I. S 150A.
The debris will he transported by:
1 name ut haulm)
I lie debris will bedisposed of in
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DRAINAGE IMPROVEMENT PLAN
SALEM, MASS.
pREPAREG Br
+p EASTERN LAND SURVEY ASSOCIATES, INC.
'>.��' / / CHRISTOPHER R. MELLO, PLS
zwnrvc wsrRrcr RB �'� 1 .104 LOWELL ST. PEABODY, MA. 01960
(970)531-SIZ
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LOT I 'A 5 FE . fiF/NW. 9,2002
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L 'LIFG REFERENCES BB0.Y I2BlPPAGE'AT6 i �ram, u
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