72 FLINT STREET - AFFIDAVITS Final Construction Control Document
I � To be submitted at completion of construction by a
Registered Design Professional
for work per the Wh edition of the
Y
Massachusetts State Building Code, 780 CMR, Section 107
Project Title:HALSTEAD SALEM STATION, BUILDING 3 Date: 2/1/2021
Property Address:72 FLINT STREET, SALEM, MA
Project: Check(x)one or both as applicable: X New construction Existing Construction
Project description Townhouse-style residential use over 12,000-sqft aggregate. NFPA 13 automatic sprinkler system based on plans
dated 11/10/2020.
I Alison C.Brackett MA Registration Number: 52169 Expiration date: 6/30/22 ,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
ire 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 1, Section 116,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 116.3.
#� �t1C1 dip��4
�� IB�T.r�}}����i i•
Enter in the space to the right a"wet", NO.5216
electronic signature and seal: rw
o �lTIc7E�/��JrN
Phone number: 603-305-2680 Email: alison.brackett@gmail.com
Building Official Use Only
Building Official Name: Permit No.: Date: l
Version 06 11 2013
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: Halstead Salem Station-Building#3 Date: February 5,2021 Permit No. B-19-214
Properly Address: 72 Flint Street,Salem,MA
Project: Check(x) one or both as applicable: XX New construction Existing Construction
Project description:Phase 1 of Building#1 only.New construction of Building#3. Townhouse style
residental use over 12,000-SF aggregate. Please see attached punchlist.
I, Mark Schow, MA Registration Number:49223 Expiration date: 6-30-22,am a registered design professional,
and I have prepared or directly supervised the preparation of all design plans,computations and specifications
concerning:
Architectural Structural X Mechanical
Fire Protection Electrical 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,since 15-May-2020,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,since 15-May-2020,the duties for registered design professionals in 780 CMR Chapter
17,as applicable.
3. Have been present, since 15-May-2020, 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:
Phone number:724-561-6329 Email:mark.schow@edi.boston
Building Official Use Only
Building Official Name: Permit No.: Date:
Version 01 01 2018
Final Construction Control Document
I �
To be submitted at completion of construction by a
Registered Design Professional
for work per the ninth edition of the
V
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Halstead Salem Station-Building#3 Date: February 5,2021 Permit No. B-19-214
Property Address: 72 Flint Street,Salem,MA
Project: Check(x) one or both as applicable: XX New construction Existing Construction
Project description:Phase 1 of Building#1 only.New construction of Building#3.Townhouse style
residental use over 12,000-SF aggregate. Please see attached punchlist.
I, Mark Schow, MA Registration Number: 49223 Expiration date: 6-30-22, 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: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,since 15-May-2020,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,since 15-May-2020,the duties for registered design professionals in 780 CMR Chapter
17,as applicable.
3. Have been present, since 15-May-2020, 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:
Phone number:724-561-6329 Email:mark.schow@edi.boston
Building Official Use Only
Building Official Name: Permit No.: Date:
Version 01 01 2018
Final Construction Control Document
ti
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: Halstead Salem Station-Building#3 Date: February 5,2021,2021 Permit No. B-19-214
Property Address: 72 Flint Street,Salem,MA
Project: Check(x)one or both as applicable: XX New construction Existing Construction
Project description:Phase 1 of Building#3 only.New construction of Building U.Eight residential
townhouses will be rentals,not condominiums. Wood frame construction with one car indoor parking. Please
see attached punchlist.
I,Fadi Bark,MA Registration Number:34698 Expiration date:6-30-21,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 XXX EIectrical XXX Fire Alarm
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,since 15-May-2020,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,since 15-May-2020,the duties for registered design professionals in 780 CMR Chapter
17,as applicable.
3. Have been present, since 15-May-2020, 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 � z►+o�±�'`s
electronic signature and seal: °� FAOI AZaZ cy�.
BARK t�
ELECTRICAL
NG0.346ig
';sue
r- JZ NA
lL y` ✓
Phone number:508-951-6546 Email:fbark9@aol.com f
Building Official Use Only
Building Official Name: Permit No.: Date:
Version 01 01 2018