31B-004 (7) 08/88/2012 14:19 14135821118 CLARKE SCHOOL PHYSI: PAGE 02
City of Northampton
Massachusetts a
1 ` LEP.illt2WEpT QF BUILDING INSPEC370NS
212 Main Street • municipal Buil
_ :.. Building a
Northampton, ml 01060 w �'
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INSPECTOR
Louis Hasbrouck Fax: 413 - 587 -1272 Chuck Miller
Building Commissioner Phone: 413 -587 -1240 Assistant Commissioner
CONSTRUCTION CONTROL DOCUMENT
(For professional Enpinoers/Archltects responsible for Entire Project)
Project Title: �Ilf1O (J sfl d�Q�QSj�'�tjwtS . (( 4440 Date: 8 kia 12
Project Location: Clarke 54loot � Roon {t t(( Rd Map: Parcel: Zone:
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Scope of Project: ., t' . , ' • 4 •
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In accordance with the sixth edition Massachusetts State Building Code, 780 CMR Section 116.0:
I, RALPH( EDwARD - DL1.11. !V t. 4- Mass. Registration # 4 il9
being a registered professional Engineer /Architect hereby CERTIFY that I have prepared or directly supervised
the preparation of all design plans, computations and specifications concerning:
ENTIRE PROJECT
for the above named project and that to the best of my knowledge, such plans, computations 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 118.2.2:
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.
0 ‘4914
Sign. bur. - nd . . I of Re ' ed Professional �' 3 e u Day of (BUSY 20, a.
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ORIGINAL