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Final Construct-ion Control Document
To be submitted at completion of construction by a
Registered Design Professional
for work Per the ninth edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Chi,ldren ' s Health Med.i.cal Teriant Fit-out
Project Title: Date: Permit No.
7/19/2021
Property Address: 36 Hi.gh Street, North Andover, MA
Project: Check(x)one or both as applicable: New construction Existing Construction X
Project description:
George Hu 45312 6/30/2022
1 MA Registration Number: Expiration date: ,am a registered design professional,and I have
prepared or directly supervised the preparation of all design plans,computations and specifications concerning:
Architectural Structural Mechanical X
Fire Protection X Electrical X Other:Describe
for the above named project. 1, or my designee, have performed the necessary professional services and was
present at the construction site on a regular and periodic basis. .ro the best of my knowledge,information, and
belief the work proceeded in accordance with the requirements of 780 CMR and the design documents 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 if the work was performed in a mariner consistent
with the construction documents and this code.
Nothing in this document relieves the contractor of i regarding the provisions of 780 CMR 1,07.
Enter in the space to the right a"wet" or s. I P
electronic signature and seal:
MECHANIM
No.45312
r
Phone number: '181. . 652 . 8688 Email: george.hu@a e-e. coip
Builrliy�g Official Use Onl�l
Building Official Name: Permit No.: Date:
Version 0 10 120 18
Final Construction Control Document
To be submitted at completion of construction by a
Registered Design Professional
for work per the ninth edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Date: Permit No.
Children's Medical Office Fit-Out 7/20/2021 Permit#57120
Property Address:
36 High Street,North Andover,MA 01845
Project: Check(x) one or both as applicable: X New construction Existing Construction
Project description: Office fit-out for a private pediatric out-patient medical office.
Damon Side] 951157 8/31/2021
1 MA Registration Number: Expiration date: ,am a registered design professional, and I have
prepared or directly supervised the preparation of all design plans,computations and specifications concerning:
X Architectural Structural Mechanical
Fire Protection Electrical Other:Describe
for the above named project. 1, or my designee, have performed the necessary professional services and was
present at the construction site on a regular and periodic basis.To the best of my knowledge,information, and
belief the work proceeded in accordance with the requirements of 780 CMR and the design documents 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 if the work was performed in a manner consistent
with the construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
Enter in the space to the right a"wet" or ED AIR?C
electronic signature and seal: N
No.951157
LLE
Phone number: 617-863-6491 Email: dsidel@tiiixdesigndevelop.coni t110FU
pSSa
Building Official Use Only
Building Official Name: Permit No.: Date:
Version 0 10 120 t8