31B-193 (5) BR(q"v 904f 3
Initial Construction Control Document
Jt A6rTo be submitted with the building pernfli application bN, a
Registered Design Professional
for-work per the 8"' edition of the
Massachusetts State Buildin- ('(.)de, 780 CMR. Section 107.6,2
Pr(-)icct Title:
_jildilla 7nsu t cn Pro`,ect Date: 12/3C
F'rtaperty :address: .......................
Helen, Hips Hills Chapel , 123-5 Elm St. , No-rthampton, MA 0106-4
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Proect Check(me or both as applicable: New construction X Exi-Ang Construction
i - C"
Pre ect description Ins-,.Llate attic with closed r-e-11 foam.
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I —Charles P. Sharples Expiration date: 06/30/2014,ani a
and hereby certify that I have prepared or dirccflN� supervised the preparation of all design
plan,,, comptitations and specifications concerning:
I Entire Project Architectural Structural rX] Mechanical
I rireProieclion Electrical Other
for tile above named project and that such PIWIS,C0111PL113ti011-i and specifications tnect the applicable provisions cif the
klls,:,achusetts State Building Code. 0 SO CMR),and accepted engineering practices for the proposed project. I
understand and agree that I (or my designee)shall perforin the necesiary prof'ssional services and be present on the
Construction site on a regular and peritAic basis to:
1. Rer,iew, for cc nforinunce to this co&and the design concept. shop drawings, samples and other submittals by the
contractor in accordance Nvith the requirements of the Construction doculuents.
Perform the duties for regislered design.professionals in '80 CNIR Chapter 17, as applicable.
3. Be present at intervals appropriate to the stage of Con.,(r Licti oil to become genenally farailiar with the progress and
quality of the r,vork and to determine if the ��ork is heing perforined in a manner consistent with the approved
construction docunwnls and this code.
When required by the building official, I shill submit field/pro-ress rq)orts(see item 3.1 together with pertinent
comirenis. in a form-.iceeptable to [he building official.
Upon compleiinn of the worl:, I shall submit to the building ofticial a *Final Construction Control Docuivet
CHAWS
Enter in the space to the right it"wet"or SHARPLES
&,p V.
9 4 0,
electronic signature and seal: IST
Phonenumber: (413) 732-4336 c sharp 1 es!-wl indg rensh arpl es .cc-r
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Ruildint,011"ickil tjsa 0111,4
Buildhip,Offlicial Nime� Pt:=it No,- Ditc:
16al Version 1009 2012