FIN CONST CONT DOC 03/12/2020 B-20-140 ( s
Final Construction Control Document
tTo be submitted at completion of construction by a
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Registered Design Professional
J for work per the ninth edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title:84 HIGHLAND Date:March 12,2020 Permit No.B-20-140
Property Address: 84 HIGHLAND AVE SALEM,MA 01970
Project: Check(x)one or both as applicable: New construction X Existing Construction
Project description:MINIMAL TENANT FITOUT FOR EXAM ROOMS AND OFFICES FOR LAHEY ON
THE THIRD FLOOR.
I ROBERT J, VERRIER MA Registration Number: 3779 Expiration date:8/31/2020 , 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:Describe
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 regaxdi><tg,the,provisions of 780 CMR 107.
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Enter in the space to the right a"wet" or n;' +
electronic signature and seal:
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Phone number:617-889-4402 Email:BVERRIER 7 ARCHI CTUI ALTEAM.COM
/ Building Official Use Only
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Building Official ame: Permit No.: Date: -3 (3 . 2 C 2 v
Version 01 01 2018