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12_Initial CC AffidavitsAppendix 1 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark “x” where applicable No. Item Submitted Incomplete Not Required 1 Architectural 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm (may require repeaters) 6 HVAC 7 Electrical 8 Plumbing (include local connections) 9 Gas (Natural, Propane, Medical or other) 10 Surveyed Site Plan (Utilities, Wetland, etc.) 11 Specifications 12 Structural Peer Review 13 Structural Tests & Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review (521 CMR) 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 20 Other (Specify) 21 Other (Specify) 22 Other (Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein. Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been appro ved by the authority having jurisdiction. Registered Professional Contact Information Please follow this link for construction control forms to be used by Registered Design Professionals. ______________________________ ____-_____-___________ _________________________ Name (Registrant) Telephone No. e-mail address ______________________________ ______________________________ ______ _________ Street Address City/Town State Zip _____________________ Registration Number ___________ _______________ Discipline Expiration Date ______________________________ ____-_____-___________ _________________________ Name (Registrant) Telephone No. e-mail address ______________________________ ______________________________ ______ _________ Street Address City/Town State Zip _____________________ Registration Number ___________ _______________ Discipline Expiration Date ______________________________ ____-_____-___________ _________________________ Name (Registrant) Telephone No. e-mail address ______________________________ ______________________________ ______ _________ Street Address City/Town State Zip _____________________ Registration Number ___________ _______________ Discipline Expiration Date Version 01_01_2018 Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the ninth edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: 23 Laurel Street Date:01-30-2024 Property Address: 23 Laurel Street, Northampton, MA 01002 Project: Check (x) one or both as applicable: X New construction Existing Construction Project description: The proposed development consists of 20 townhouse style new construction apartments in 7 buildings, located on a vacant 1.62-acre parcel at 23 Laurel Street, Northampton. I Thomas C Chalmers MA Registration Number: MA 8317 Expiration date: 08/31/2024 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning1: X Architectural X Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, 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. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 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 if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports (see item 3.) together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a ‘Final Construction Control Document’. Enter in the space to the right a “wet” or electronic signature and seal: Phone number: 802-451-5966 Email: tom@austin.design Building Official Use Only Building Official Name: Permit No.: Date: Note 1. Indicate with an ‘x’ project design plans, computations and specifications that you prepared or directly supervised. If ‘other’ is chosen, provide a description. Version 01_01_2018 Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the ninth edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: 23 Laurel Street Date:01-30-2024 Property Address: 23 Laurel Street, Northampton, MA 01002 Project: Check (x) one or both as applicable: X New construction Existing Construction Project description: The proposed development consists of 20 townhouse style new construction apartments in 7 buildings, located on a vacant 1.62-acre parcel at 23 Laurel Street, Northampton. I Wilbur H. Horton Jr. MA Registration Number: 43250 Expiration date: 6/30/2024 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning1: Architectural Structural Mechanical Fire Protection X Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, 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. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 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 if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports (see item 3.) together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a ‘Final Construction Control Document’. Enter in the space to the right a “wet” or electronic signature and seal: Phone number: (802) 885-8060 Email: whorton@dubois-king.com Building Official Use Only Building Official Name: Permit No.: Date: Note 1. Indicate with an ‘x’ project design plans, computations and specifications that you prepared or directly supervised. If ‘other’ is chosen, provide a description.