FINAL CONST CONTR - 3 STORY, 17 UNIT BLDG Final Construction Control Document
w To be submitted at completion of construction by a
Registered Design Professional
for work per the 8'h edition of the
Massachusetts State Building Code, 780 CMR, Section 107.6.4
Project Title: Harbor Lafayette Homes Date: 3-25-2019 Pemnit No.B-18-2
Property Address: 15-17 Harbor Street, Salem, MA
Project: Check one or both as applicable: New construction k Existing Construction
Project description: Renovation of 3-story apartment building including 17 apartment units.
I Janis B Mamayek MA Registration Number: 7399 Expiration date: 8-31-2019 ,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:
[ ] Entire Project [X] Architectural [ ] Structural [ ] Mechanical
[ ] Fire Protection [ ] Electrical [ ] Other:
for the above named project. I certify that 1,or my designee,have performed the necessary professional services and was
present at the construction site on a regular and periodic basis to determine that the work proceeded in accordance with
the requirements of 780 CMR and the design documents prepared by me and approved as part of the building permit and
that I or my designee:
l. Have reviewed, 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. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Have been 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 was performed in a manner consistent with the
construction documents and this code.
Enter in the space to the right a"wet or
electronic signature and seal:
Phone number: Email: — �l ` )n q W%.0. e
Building Official Use Only
Building Official Name: Permit No.: _ _ Date:_____
Trial Version 10 09 2012
Final Construction Control Document
To be submitted at completion of construction by a
Registered Design Professional
for work per the ninth edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Harbor Street Renovation Date: 03-20-19 Permit No.B-18-2
Property Address: 15-17 Harbor Street,Salem,Massachusetts
Project: Check(x)one or both as applicable: New construction X Existing Construction
I
Project description:Renovation of a 3-story building including 17 apartment units.
I,Terry A.Louderback MA Registration Number: 28641 Expiration date: June 30,2020, am a registered structural j
engineer, and I have prepared or directly supervised the preparation of all design plans,computations and specifications
concerning:
Architectural X Structural Mechanical
Fire Protection Electrical Other:Describe
for the above named project. 1,or my designee,have performed the necessary professional services and was present at the
constriction site on a regular and periodic basis.To the best of my knowledge, information,and belief the work
proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building
permit and that I or my designee:
1. Have reviewed,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. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable:
3. Have been 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 was performed in a manner consistent with the
constriction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
Enter in the space to the right a"wet"or
electronic signature and seal: of iL�ass�
o TEARY ASHTON an
o r„
Phone number: 617-926-6100 Email: tiouderback@souzatrue.com
Building Official Use Only
Building Official Name: Permit No.: Date:
i
Final Construction Control Document
To be submitted at completion of construction by a
Registered Design Professional
for work per the 8th edition of the
Massachusetts State Building Code, 780 CMR, Section 107
r
v
Project Title: Harbor Lafayette Homes Date: March 26, 2019 Permit No. B-18-2
Property Address: 15-17 Harbor Street Salem MA 01970
Project: Check(x)one or both as applicable: [ ] New Construction [X] Existing Construction
Project description: Renovation of 3-sto1y building including 17 apartment units.
I, Zbigniew M. Wozny, MA Registration Number: 34029 Expiration date: June 30, 2020, am a registered design
professional, and hereby certify, to the best of my knowledge, information and belief, that I have prepared or directly
supervised the preparation of all design plans, computations and specifications concerning:
[ ] Architectural [ ] Structural [X] Mechanical
[ ] Fire Protection [ ] Electrical [X ] Other: Plumbing
for the above-named project. I,or my designee, have performed the necessary professional services and was present at the
construction site on a regular and periodic basis. To the best of my knowledge, information, and belief the work proceeded
in accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that
I or my designee:
1. Have reviewed, 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. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Have been 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 was performed in a manner consistent with the
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
Enter in the space to the right a"wet"or
electronic signature and seal:
�ySH OF
Phone number: 781-826-4144 ZBIGNIEWM
Email: zwozny@wbaengineers.com WOZNY
MECHANICAL (a
No.34029
b FIDAA E. BARDl�,2024
NOTARY PUBLIC
COMMONWEALTH OF MASS
My Comm Ex"Oct 1
Building Official Use Only
Building Official Name: Permit No.: Date:
J 15082 Harbor&Lafayette- Design`.Affidavits♦Harbor BuildingWinal Affidavit NV 03-26-19.docx