CODE ENFORCEMENT DEPARTMENT, BUILDING DIVISION

In accordance with Section 116.21 of the Massachusetts State Building Code, I,________________________________ being a Professional Engineer/Architect, certify that the plans for _______________________ located at __________________________________

have been reviewed by me and to the best of my knowledge, such plans conform to the provisions of said Code, all acceptable engineering practices and all applicable laws and ordinance.

I will comply with the requirements of Section 116.22 (Construction Control) for the structural portions of the building and submit reports to the Building Inspector for inclusion in his reports as required by Section 116.23 of the Code.

_____________________________

Signature

Subscribed and sworn to before me this __________ day of _____________, 20___ .

_____________________________

Notary Public

My Commission Expires ___________________________________