FINAL CONSTRUCTION CONTROL DOCUMENT UNIT 2 AND 3 Aft
Final Construction Control Document
4 To be submitted at completion of construction by a
' d Registered Design Professional
for work per the 91 edition of the
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Massachusetts State Building Code, 780 CMR, Section 107
Project Title Tenant Expansion For Highland Dental Group Date: April 13,2021
Permit No.
Property Address: 100 Highland Avenue,Suite 102& 103,Salem,MA
Project: Check(x)one or both as applicable: ( )New construction ( X )Existing Construction
Project description:Tenant expansion for Dentist office in an existing office Building.
I,James J.Jozokos Jr.,MA Registration Number: 201" Expiration date: August 31,2021, 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. 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` vet"or electronic signature and seal:
Phone number: 978-985-1813
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Email: i ozokos«r_comcast.net ` J.J�tp
Or is
,,,, Q Building Official Use Only 2
Building Official Name: (/fM Permit No.:_3 -do r43 Date:
Version 06 11 2013