0020 STATION ROAD - FINAL CONST. DOC. 08/20/2019 DocuSign Envelope ID: FA7D4197-92A7-4BA'5-B21A-1D3E49480F43
Final Construction Control Document
1 To be submitted at completion of construction by a
Registered Design Professional
for work per the ninth edition of the
Y `
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: 222R-020RIAl- Date: 8/20/2019 Permit No.
Property Address: 20 Station Rd, Salem, MA, 01970
Project: Check(x)one or both as applicable: New construction X Existing Construction
Project description:PV Solar System installation
I Jason R. Brown MA Registration Number: 55030 Expiration date: 06-30-2020, am a registered design
professional, 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 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:
a�PXZH OF M4SS
DocuSiyned by:
o`' JASON
BROWN
Phone number:7 TURAL s °110311M. Von.Brown@sunrun.com
Building Official Use Only
FSS
Building Official Name: Date:
Version 010l 2019