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35-224 (7) - �•�•.-evsrr �.�nnar PT 0 0 (TiQ I cry ar#lltt»ipfolY afXiits OR(11uartIs DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION r� (Please Print ) DATE: JOB LOCATION: ( Map) ( Parcel ) ( Subdivision) HOMEOWNER: _1z)1A IN " 1-tv (L l"GYL Ll L M)4 ;5t,I P L YL-'� (Name & Address ) ( Home Phone ) (Work Phone ) The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one ( 1 )or two (2) fami 1 ies and to allow such homeowner to engage an individual for hire who does not possess a license , provided that the owner acts as supervisor . CMR780 Section 109 . 1 . DEFINITION OF HOMEOWNER: Person ( s ) who own a parcel of land on which he/she 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 shall be responsible for all such work performed under the building permit . As acting Construction Supervisor your presence on the job site will be required from time to time , during and upon completion of the work for which this permit is issued . Also be advised that with reference to Chapter 152 (Workers ' Compensation) and Chapter 153 ( Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General La'me's Annotated, you may be liable for person( s ) you hire to perform work for you under this permit . The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code , City of Northampton Ordinances , State and Local Zoning Laws , and State of Massachusetts General Laws Annotated . HOMEOWNER SIGNATURE v�'V BUILDING PERMIT # ��