20 CENTRAL STREET - AFFIDAVIT Final Construction Control Document
4 To be submitted at completion of construction by a
Registered Design Professional
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for work per the 8'edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title:Elevated Walkway Reconstruction Date:February 16,2021 Permit No.
Property Address: 20 Central Street,Salem,MA 01970
Project: Check(x)one or both as applicable: New construction X Existing Construction
Project description: Replacement of existing concrete and brickwork at elevated walkway at Central Plaza Condominiums
including selective demolition,concrete,masonry,flashing,miscellaneous repairs,and all related work as shown on the
Drawings and Project Manual.
I Raymond T.Guertin,Architect MA Registration Number: 8627 Expiration date: 8/31/21 ,am a registered design
professional, and I have prepared or directly supervised the preparation of all design plans,computations and
specifications concerning:
Architectural Structural Mechanical
Fire Protection Electrical X Other: Describe Entire Project
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.
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electronic signature and seal: �a KHOM�,p �o
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Phone number: 978-356-2749 Email: Ray@RTGArchitect.com
Building Official Use Only
Building Official Name: Permit No.: Date:
Version 06 11 2013