HomeMy WebLinkAbout210060 - Affidavit - ArchitecturalInitial 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 10
Project Title: Dennis-Yarmouth Date: 02/09/2023 Permit No. BLD-21-006153
Intermediate/Middle School
Property Address: 286 Station Avenue, Yarmouth, MA 02664
Project: Check (x) one or both as applicable: New construction X Existing Construction
Project description: Construction of a new Elementary school and associated sitework
I, Daniel T. Colli, MA Registration Number: 20764 Expiration date: 8/31/23, am a registered design
professional, and I have prepared or directly supervised the preparation of all design plans, computations and
specifications concerning1:
XX Architectural Structural Mechanical
Fire Protection Electrical Other: Describe
For the above named project. I, 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.
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: 617-712-2151 Email: d.colli@perkinseastman.com
Version 01_01_2018
Date: Permit No.: Building Official Name:
Building Official Use Only