INITIAL CONST CONTROL DOC 5/10/18 Initial Construction ControlDocument
4 To be submitted with the building permit application by a
Registered Design Professional
r for work per the 8"' edition of the
Massachusetts State Building Code, 780 CMR, Section 107.6.2
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Project Title: Retail and Kitchen Tenant Fit-up Date: May 10,2018
Property Address: 62 Wharf Street,Pickering Wharf, Salem, MA 01970
Project: Check(x)one or both as applicable: New construction X Existing Construction
Project description: Tenant Fit Up of 2, 600 SF I"floor Commerical use area into a combination M-Mercantile retail and
B-Business educational and commercial kitchen use per the attached drawings.
I, Richard W. Griffin, MA Registration Number: 7814 Expiration date: August 31,2018, am a registered design
professional, and hereby certify that I have prepared or directly supervised the preparation of all design plans,
computations and specifications concerning:
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Entire Project X Architectural Structural Mechanical
Fire Protection Electrical Other:
for the above named project and that 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 withthe progress and
quality of the work and to determine if the work is being performed in a manner consistentwith theapproved
construction documents and this code.
When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent
comments, in a forth acceptable to the building official.
Upon completion of the work, I shall submit to the building official a `Final Constructio ontrol Document'.
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Enter in the space to the right a"wet"or
electronic signatureand seal: o No.7814 7-
SALEM, k
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Phone number: 978-740-9979 Email: rchard@derbysq.com f
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Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other' is chosen,
provide a description.
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