31B-243 (2) S
Initial Construction Control Document
!M)J r 'Po be submitted i ith the building permit application by a
Registered Design Professional
for work per the 8a edition of the
Massachusetts State F3uililitti,�Cttie3t:, 70 C-1ti•1R. Section 107.6.2
Proicct Tiile: Buildincr Instalat:io7 Project __.._..............
Gate: 22/30/13
PrCtpeny Address; 10 Prospect v St= . , Northatrptcr5,, A 01063
Project Check one or both as applicable- A New construction X Lxisting Construction
Project description: Insulate attic rafters with th clense pack_ cellulose. Air seal
1 f c r _ _.._ .................. ____—-
1 Charles P. Sharples M,RegistrtaticjnNuttber. _28940 I 7xpirationdite: 66/30/2C!4, amZ
oregi11c'rer+41oc igra,t rok+. ionrrt, and hereby certi f✓. that I have prepared or directly supervised the preparation ofall design
plans.computations and specifications concerninu: P
[ ] Entire: Priaiect j' j Architectural i J 5tIllctural 1 Mechanical
Fire Protection i Electrical j ] 011ie]
for the above naaaaecl project and that such plans.cOtrtl Ulations and specif[Catisa11';ma'et the applicable provisions of the
Ma%sachusetts Male Building Cade.(780 CNIR'),arid accepted etngin4ering practices for the proposed project. I
understand and agree that I(car rnv designee)shall perform the n,!ces;sary= professional:services and he present on the
construction site can a regular and periodic htasis to:
1. Review. for conformance;to this aerie and the design corcepL shop drawings.samples and other sub,nnitttals by the
contractor in accordartce:tivith the requirements of'the contitruction documents.
�. Perfcarna the oluties for re istered design professionals in 790 Chili Chapter 17.as opplicable,
x. Be present at intervals appropriate to the:stsagc of construction to become generally familiar with the progress and
duality of the work and to determine if the work is being,performed in a rnananer consistent with the approved
construction documents and this;code.
When required by the lnatilding Official, I shall subunit field1pro3gress relmrts (sec:item '1,)together o4th pertinent
comments. in a farm acceptable to the building ofitcial.
Upon completion of the work.I shall submit to the building official a 'Final (-°cnnstruction Control Docume
G!-I�tRa.ES ,, e
P, +
Enter in the space to the right a "wet"or SHAM SS
,:l`etronic signature and seal: � �� 7 a 9
xvgyc$:J'°
Nionenumber; 1'k4131 732-4336 Email: cs harp!es&'lindgren harples cotra
Building Official Usi:Only
Building 01'1-i ial Name: V:rnaia N,e.: Da�v:
Fr=al i,ep io) 1009 2012
'_3 > 5 - d- q -3
Initial Construction Control Document
TO be SUbmitted --vith the buildinga.permit application by a
Registertd Design Professional
for work per the 8`t`c-dition of the
gas ac State Building Code. 780 CMR. Section 107.6.2
K
Project Title: Buiidinq 'Insulatiori Project
....................... Date: 12/30113
Property Address: 13P Farm , Northamptcn, MA 01063
...............
Pro ecL: Check one or both as applicable: NCW COTISMUCtiOn "Na Eki',til`IV ConAruction
9
Project description-. - =risul ate attic and some walI's with dense-pack cellulose.
Seal basement perimete7r with _-.cried cell foari.
............... ..................
..........
............................ -------------__.........................
I Char.-Les P. Sharpies MA Registration Number: 28940 Expiration date: 0 6 30/2014anja
that I have prepared car directly supers ised the preparation ofall desitm
plans,computations and specifications concerfunt-r
[ I Lntin: project Arcl6tectural Structural Mechanical
f I Fire Prcitection Electric-at Oihvr
for the above named project and that such clefts,computationsantl specitic-otions Incelilticapplicable pro'aisions of the
Massachusetts State Building Code. (730 CIVIR),wid accepted crigine-cring, practices for the,pnoposed project, 1,
understand and a-,Tee that I (or my designee)shall perform the necessary professional services and be present on the
L
construction site can a wular and periodic bads to:
I, Review, for conformance to this codCand the desi pi concept. shop drawings,szinples and othor-sub,initial s.h,Y the
contractor in accordance with the requirerneats of the construction documents.
2, Perfon-n The duties for registered design professionals in -0 811 CNIR Chapter 17.as applicable,
3. Be presentat intervals appropriate to the stage of construction to become generally familiar with the progreis and
quality of the work, and it)docri-nine if the v-.ork is being ped-ortned in a manner consistent with the approved
construction doctiments.and this code.
When required by the building official, I shall submit fieWpirom-ress repoili(see itern 3.) together with pertinent
comments, In a form acceptable to the building orilicial.
Upon Completion of the work, I shall submit to the buildim, official a `final Construction Control D(Ocum
CHARM
P.
Prier in the space w the right aivet**or /1) c SHARPLY
gnature and seal: 20140.0
Aomt
14AL
Phone number: (4131 7-12-4336 Email: r-s ztrplesii-lindgre-.sharples com
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