Full Text
11/17/2023 Dominick Pangallo Mayor City of Salem Building Department 98 Washington Street, 2nd Floor Salem, MA 01970 [PHONE REDACTED] Ext. 42200 Stavroula Orfanos Building Commissioner Director of Inspectional Services Secondary Construction Control Document (Note: For Professional Engineers/Architects responsible for only a portion of a controlled project) Complete the following (Print Clearly): Project Title: Project Scope of In accordance with the ninth edition Massachusetts State Building Code, 780 CMR Section 116.0: Mass. Registration Number Being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural Structural Mechanical Fire Protection Electrical Other For the above named project that to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit. Upon completion of the work, I shall submit a final report as to the satisfactory completion of the above mentioned portion of the work. SIGNATURE AND SEAL of registered professional ( Seal )