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BROADWAY
OF INgSS AS BUILT FOUNDATION PLAN
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GAIL L. m 15 BROADWAY
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SMITH
cn SALEM
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N0.35043
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PROPERTY OF
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BRIMPT S REALTY, LLC
I CERTIFY THAT THE BUILDINGS
SS"
A"
woS
HEREON ARE LOCATED ON SCALE 1" = 20' MARCH 16. 2018
THE GROUND AS SHOWN.
NORTH SHORE SURVEY CORPORATION
14 BROWN STREET — SALEM, MA
DATE PROFESSIONAL LAND SURVEYOR 978-744-4800 4406
Initial Construction Control Document
To be submitted with the building permit application by a
Registered Design Professional
for work per the
8a'
edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title:Clarke Workshops Date: 12/12/18
Property Address: 15 Broadway Salem MA
Project: Check one or both as applicable: X New construction Existing Construction
Project description: Project is to replace existing workshop with new slab on grade workshop
building on frost wall with wood framing and roof trusses. See sheets A1.1 and
S1.1 for drawings
I Thaddeus S Siemasko MA Registration Number: 6028 Expiration date: 8131119 ,am a
registered design professional, and I have prepared or directly supervised the preparation of all design plans,
computations and specifications concerning:
x] Architectural Structural Mechanical
Fire Protection Electrical Other
for the above named project and that to the best of my knowledge,information,and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted
engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to:
1. Review,for conformance to this code and the design concept, shop drawings,samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and
quality of the work and to determine if the work is being performed in a manner consistent with the approved
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent
comments, in a form acceptable to the building official.h<t<t_o aR,
Upon completion of the work,I shall submit to the building official a `Final Construction Con tr P ent . C,
NO.60
Enter in the space to the right a"wet"or o BE E Y
electronic signature and seal:
z
OF n1 PSS
Phone number: 978-927-3745 Email: thad@svdesign.com
Building official Use Only
Building Official Name: Permit No.: Date:
Version 06 11 2013
CITY OF SALEM
ROUTING SLIP
New Construction
Certificate of Occupancy
LOCATION j ) j34-.Z. U,),4/DATE )a-a/-
ASSESSORS
a-a/-
ASSESSORS DATEa-
93 Washington St.
p
CITY CLERK DATE
93 Washington St.
PUBLIC SERVICES DATE Z! z
120 Washington St.
WATER DATE z/ L!
120 Washington St.
CROSS CONNECTIO DATE
5 Jefferson Ave
PLANNING DATE
120 Washington St.
CONSERVATION DATE
120 Washington St.
ELECTRICAL DATE
48 Lafayette St.
FIRE PREVENTION DATE
29 Fort Avenue
HEALTH DATE
120 Washington St.
BUILDING INSPECTOR DATE
120 Washington St.