Final Control Construction 101422 Final Construction Control Document
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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: Verizon—West Yarmouth MA(Site ID: 156640—Fuze ID: 16243951)(Permit No.: BLD-21-007432) _
Property Address: 480 Buck Island Road,Yarmouth,MA 02673 Date: 10/14/2022
Project: Check(x)one or both as applicable: ❑ New construction 2 Existing Construction
Project description: Alteration of an existing wireless communications facility including modification of water tank
mounted RF equipment, mounting hardware and associated feeder line alterations and ground level equipment within an
existing fenced compound as shown in the construction drawings prepared by ProTerra Design Group,LLC revised
through 06/04/2021, (RevO).
I Jesse M. Moreno MA Registration Number: 47315 Expiration date: 06/30/2024,am a registered design
profession,!, and I have prepared or directly supervised the preparation of all design plans,computations and
specifications concerning':
❑ Entire Project(Site Plan) ❑ Architectural ❑ Structural ❑ Mechanical
❑ Fire Protection ❑ Electrical Other: Telecommunications Alteration
for the above named project. I,or my designee,have performed the necessary professional services,in accordance with the
Professional Standard of Care,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.Such review shall not diminish
or relieve the contractor of its submittal and other responsibilities.
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.The contractor is responsible for the performance of the work in accordance
with the contract documents and shall be exclusively responsible for its construction means, methods, sequences
and procedures, and for construction safety.
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
electronic signature and seal:
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Jesse Digitally signed ,i) JESSE M. G
by Jesse Moreno, g ENO
Moreno, PE CI IL .o
Date:2022.10.14 t _
PE 13:25:31-04'00' ,,,,
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Phone number: (413)320-491 !Q�V`,
Email:_imoreno rr proterra-design.com
Building Official Use Only
Building Official Name: ti`/f
Permit No.: Date:
Version 01 01 2018