23A-291 a3A- 9.91
Final Construction Control Document
) To be submitted at completion of construction by a
J ' 1
Registered Design Professional
•
for work per the 9th edition of the
IMPve Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Florence Hearing Date: 15 Dec 2021 Permit No.
Property Address: 190 Nonotuck St., Florence, MA
Project: Existing Construction
Project description:Add exterior canopy and entry modifications.
I, Thomas RC Hartman, MA Registration Number: 10448 Expiration date: August 31st,2022 ,am a re:,.stered design
professional, and I have prepared or directly supervised the preparation of all design plans, computations : d
specifications concerning:
X Architectural
for the above named project. I, or my designee,have performed the necessary professional services and as 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 • the building
permit and that I or my designee:
1. Have reviewed, for conformance to this code and the design concept, shop drawings, samples an• 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 applica•le.
3. Have been present at intervals appropriate to the stage of construction to become generally famili: with the
progress and quality of the work and to determine if the work was performed in a manner consist:nt 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:
�tiRED A+ei
ptiHERST
Phone number: 413.549.3616 Email: Tom@CandHArchitects.com
Building Official Use Only
Building Official Name: Permit No.: Date:
Version 06 11 2013