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DEPARTMENT OF BUILDING INSPECTIONS ,).� -,-
P 212 M a i n Street • Municipal Euilding �Pt - `
Northampton, MA 01060
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INSPECTOR P - 2- 013 — 6 [S
Louis Hasbrouck Fax: 413 -587 -1272 Charles Miller
Building Commissioner Phone: 413- 587 -1240 Assistant Commissioner
CONSTRUCTION CONTROL DOCUMENT
(For professional Engineers/Architects responsible for Entire Project)
Project Title: Northampton High School Black Box Theater Date: August 20, 2012
Project Location: 380 Elm Street, Northampton, MA Map: Parcel: Zone:
Scope of Project: Renovation of an Aerobics room into a Black Box Theater
In accordance with the sixth edition Massachusetts State Building Code, 780 CMR Section 116.0:
I, Charles Roberts Mass. Registration # 10107 ,
being a registered professional Engineer /Architect hereby CERTIFY that 1 have prepared or directly supervised
the preparation of design plans, and specifications concerning:
PROJECT AS NOTED
for the above named project and that to the best of my knowledge, such plans, eemia4taitions and specifications
meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices
and all applicable Laws for the proposed project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that
the above mentioned portions of the work proceed in accordance with the documents approved for the building
permit and shall be responsible for the following as specified in Section 116.2.2:
1. Review of shop drawings, samples and other submittals of the contractor as required by the
construction documents as submitted for the building permit, and approval for the conformance
to the design concept.
2. Review and approval of the quality control procedures for all code - required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with
The progress and quality of the work and to determine, in general, if the work is being performed
' In a matter consistent with the construction documents.
I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent
comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory
completion and readiness of the project for occupancy.
Signature and seal of registered design professional, and date: r �g �' '' ',
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