HomeMy Public PortalAboutHomewoner ExemptionTOWN OF
WATERTOWN
Department of
Community Development and
Planning
FACILITIES INSPECTION
DIVISION
Administration Building
149 Main Street
Watertown, MA 02472
Phone: 617-972-6480
Fax: 617-926-7778
www.watertown-ma.gov
HOMEOWNERS' EXEMPTION ELIGIBILITY AFFIDAVIT
I, (full legal name),
born (month, day, year) hereby depose and state the following:
1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the
Massachusetts State building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or
work on a parcel of land to which I hold legal title.
2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'
exemption, does not involve the field erection of manufactured buildings constructed in accordance with
780 CMR 110.R3.
3. I qualify under the State Building Code's definition of "homeowner" as defined at 780CMR110.R5.1.2:
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is or
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 home owner.
4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify
for and will abide by the Massachusetts State Building Code's requirements for the supervision of the
project or work on my parcel, I am not engaged in construction supervision in connection with any project
or work involving construction, reconstruction, alteration, repair, removal or demolition involving any
activity regulated by any provision of the Massachusetts Building Code.
5. If I engage any other person or persons for hire in connection with the aforementioned project or work on
my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work.
Signed under the pains and penalties of perjury on this day of , 20
(signature)