1. initial construction
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: Sylvester’s Restaurant Renovations Date: 11/20/19
Property Address: 111 Pleasant Street, Northampton, MA 01060
Project: Check (x) one or both as applicable:
New construction x Existing Construction
Project description: Interior renovations to dining room of existing restaurant . The project includes: new flooring, new
light fixtures, repairs to existing HVAC ducts and repairs to existing exterior masonry entry.
I, Emily Estes Baillargeon, MA Registration Number: 50838 Expiration date: 08/20 , am a registered design professional,
and I have prepared or directly supervised the preparation of all design plans, computations and specifications
concerning1:
X Architectural
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: (413) 320-6199 Email: emily@estesarchitect.com
Building Official Use Only
Building Official Name:
Permit No.:
Date: