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51-009 (4) O cn E.., H. d z $ CD mQ Q ti ... . --t a H. > , rt Z' Ul 0 M cr, U1 mR. �'• Z cb a ' a H n . ct GS *N o �. ct a n ° - o t=1 CA hi 0 Cfl o z ° O y a z M y 0 C) R1 7) b b Ow C, C rt- n e.�' n O p cn 0 m n H y O 'y a) 00 m z pi: R. H 9 a, A N (d rrb ct n Di °o y N © k vJ W (D = n 0 l,j W z O to Iii y ' n rD C bd C 4 o b 0 1-4 d 6 z `° rsi A O O o O b z c W o k -1 ft N A N .D 0` b. /*T1 X 1-. ,...4 cn * �'}� 2 W Itz y N N p (D Q ..c v Z p OlIMI c1 2 0 01:t: i3 % S CD * n X 1-, 'LLI .4 I- ttl n o0 �S F �.o to co o o0 0627 Final Construction Control Document tMi To be submitted at completion of construction by a Ij S- Registered Design Professional , for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107.6.4 Project Title: 5��, s, x/+:11�s r Ce.,4e-- Date: 8/2 %/3 Petiinit No. Property Address: • 5 (4-5-7w$4"107--�v 14. �ll� f?///e•-•?"To 0.1 Project: Check one or both as applicable: ! New construction )(Existing Construction Project description: Ren0v4+Y _ tlK �j�t�� `f•ko sC C<s Ifdo M f [t.&r tS(I vo,1 tfe.L' root , Ntw► 0•4-h/J)4-7 f . I OW' ��N t) MA Registration Number: filly lly Expiration date: Al- Z 01 y , am a registered design'professional, and hereby certify that I have prepared or directly supervised the prepation of all design plans,computations and specifications concerning: [ ] Entire Project pc] Architectural [ ] Structural [ ] Mechanical [ ] Fire Protection [ ] Electrical [ ] Other: for the above named project. I certify that I, or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis to determine that the work proceeded in accordance with the requirements of 780 CMR and the design documents prepared by me and 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 ' he work was performed in a manner consistent with the construction documents and this code. S�tO a�' - er. Enter in the space to the right a"wet"or electronic signature and seal: t 8 /.21111111PIN It NIX VW 1 I rn�1� Phone number: I 3 - S GC 91 Email: ler,11`c &.f L.'s, 4 S 4 r•e t..' I c) t, Building Official Use Only Building Official Name: Permit No.: Date: Trial Version 10 09 2012