71 King Street final affidavitVersion 01_01_2018
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: Professional Office Suites Date: 7/1/19 Permit No. BP-2019-0971
Property Address: 71 King Street, Northampton, MA
Project: Check (x) one or both as applicable:
New construction X Existing Construction
Project description: New shed dormer to provide more ceiling height. Reconfigure interior partition walls to
provide 5 units of professional office space. New toilet room and covered entry. New windows and wall
insulation.
I, Emily Estes Baillargeon, MA Registration Number: 50838 Expiration date: 8/2019 , 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: 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 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 “wet” or electronic signature and seal:
Phone number: (413) 320-6199 Email: emily@estesarchitect.com
Building Official Use Only
Building Official Name:
Permit No.:
Date: