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5 MAPLE AVE - BUILDING INSPECTION .Pljj* g jtgE fNionND D,PPROVED BY ME Jdsp4gj; j18 POM TD A P.EAUr AFM GRANTED CITY OF_SALEM Ni.1 OIMrol?in Wq,No ✓ AJ Is Pe"uty LoostAd in :• 90 ConoWndonAna? Yaq.No�V sumam PERMT APPLICATION POI: Permit to. (Grole whiolwwr apply) Roof. Reroof, IneW SWing, ©0� W Dock Shed, Pool. RspaidRsplaoe. OOer: PLEASE RLL OUST LEGIBLY&COMPLETELY TO AVOID DELAYS W PROCESSM TO THE INSPECTOR OF BUILDING& The ur«M sWW hereby applies for a permit to build aocwft to the followirlp speck abons. Owner's Name T(D f 40 Address& Phone j 9?j-1 �cL( <j7A' i�o7-95a3 Architect's Name Address 6 Phone j 1 Mechanics Name Address & Phone L Msw k n.p.po..w oWa+rol? C�ar��C Mae"of OuNdYp? Wm P N a dwsWg.for how awry germs?Tom_ Mal b m ft=ftm to rw? MOaros? Emmom ooa �200. — pp,uarw r N A ate um"• am Lam` XcL Cf Applicant SKiNED IJMDER TILE PENALTY OF PI1< LWM DESCRIPTION OF WORK To BE DONE — 12 Sja4L, ,�� �e �-icl (rce Is Y14 44ct r-Ld now MAIL PERMIT 70: No. APPLICATION FOR PERT TO LOCATION PERMIT GRANTED 2.6 AV , INSPE .OR OF BIIUDIM s CITY OF SALEM9, MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET, 3RO FLOOR SALEM. MASSACHUSETTS 01970 MAYOR BTANLaV USOVICZ, JR. 1 TELEPHONE: 978-744-9395 EXT. 380 M FAX: 978-740-9846 HOMEOWNER LICENSE EXEMPTION Please Print Date Job Location o W Home Owner Address__ C w Home owner Telephotte 97� �� �z�z ^ Z n Present Marling Address—_S yt�g ��1 (� f— c n 2f0 I 7.$a3 The current exemption of"Homeowners"_was alanded to include ownea-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 HOMEOWNER, a Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which then 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 consptucts 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 Permit work performed under the Building The undersigned "homeowner+'assumes responsibility for compliance with the State Building Code and other applicable by-laws and regulations. The undersigned"homeowner"certifies that hdshe understands the Cityof Salem Building Department minimum inspection procedures and requirements and Ihat he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING INSPECTOR z/ See other side for state code ' HOMEOWNERS EXEMP iI00N .�Code states that: Any Homeowner performing work for which a Building Permit is .. required shall be exempt from the provisions of this section(Section 109.1.1 —Licensing of Construction Supexvisora);Provided that a Homeowner engages a parsons)for hire to do such work,and that such Homeowner shall act as Supervisor. lion are unaware that they are assuming the many Homeowners who use this exemP Q,Rules and Regulations for Licensing responsibilities of a Supervisor(see Append m serious Construction SupervisoM Section 2.1 This lack of nlawareness often results '" when the Homeowner hires unlicensed persona. In this case your problems.Particularly the unlicensed pin as it would with a licensed a8�� responsible. cannot rest Board c P�� � sor is ulttmat�lY respo Su •sor. The Homeowner acting supetvi P� a i' 1 aware of his/her r •bilities,manY Homeowner is ful y that To ensure that the Hom hcation, st the Homeowner certify communities require, as a p�of the Pewit Application, the last page of this issue is a he/she understands the responsibilities of a Supervisor. amend and adopt such a form currently used by several towns. You may care to form/catification for use in your Community R� GISoIZooS