HomeMy WebLinkAboutMiscellaneous - 565 TURNPIKE STREET 4/30/2018 (3)con
5/3/2017
,NOR `AIS .OVER
{Massachus tts.._;v
Town of North Andover Mail -Petition for Variance @ 565 Turnpike St Units 86 & 87
Michele Grant <mgrant@northandoverma.gov>
Petition for Variance @ 565 Turnpike St Units 86 & 87
1 message
Joe Tuccillo <joe@landmarkassoc.com> Wed, May 3, 2017 at 8:56 AM
To: Mgrant@northandoverma.gov
Michelle,
I was told by the Plumbing Inspector Jim Hurley to send this to you. I am applying for a variance from the State !
Plumbing Code so as not need to install a shower at a Medical Facility that we will be renovating inside condos at
Chestnut Green in North Andover. For the application it states I must show written documentation that I petitioned the
Board of Health. I have attached the application that I will be using with the state, the floor plan, and the petition to The
Board of Health I need signed. If you can please sign the'Petition and send it back to me I would GREATLY appreciate
it. If you need me to pick it up I could be there in two hours time. I apologize as I was there yesterday and Jim Hurley
and I were under the impression we only needed an initial from the Board of Health which I got while I was there
yesterday, but we found out that I actually need it in writing. If you can please respond quickly either by emailing the
petition back to me or calling me on my cell @ (774)573-2410 so I can come pick this up immediately. Thank you for
all your help.
Joseph Tuccillo
Project Manager
Landmark Associates
4 Airport Rd
Hopedale, MA 01747
(508)482-0104
3 attachments
. variance-pi-pre-installation.pdf
378K
New Floor Plan.pdf
27K
Petition for Variance from State Plumbing Code.docx
13K
https://m ai l.google.com/mai I/ca/u/0/?ui=2&ik=d4458df3d9&view=pt&search= i nbox&th=15bce629a8lf6d56&sim l=15bce629a8lf6d56 1/1
Commonwealth of Massachusetts
Division of Professional Licensure
Board of State Board of Examiners of Plumbers and Gas Fitters
1000 Washington Street • Boston • Massachusetts • 02118-6100
VARIANCE FROM STATE PLUMBING CODE
PRE -INSTALLATION
$86.00 application fee payable to "Commonwealth of Massachusetts"
DO NOT USE THIS APPLICATION IF PLUMBING WORK HAS BEEN COMPLETED
PLEASE PRINT CLEARLY
(Sectionl) APPLICANT INFORMATION:
Applicant Name:
Firm Name (if applicable):
Date:
Title or Position with Firm (if applicable):
Type of Work:
New Construction: Renovation: 0
Street Address:
City/Town:
State:
Zip Code:
Cell Phone:
Work Phone:
Email:
ALL OF THE FOLLOWING ITEMS MUST BE INITIALED.
IF LEFT BLANK, THE FORM WILL BE DEEMED INCOMPLETE AND WILL NOT BE ACCEPTED.
1. 1 have included with this application written documentation that the local Board of Health has been petitioned
INITIAL BELOW
regarding this variance request.* (Variance requests for City of Boston must include petition to Inspectional Services)
Note: No Board of Health petition is required for buildings owned, used or leased by the State of Massachusetts.
2. 1 have included all necessary supporting documentation regarding this variance request.
INITIAL BELOW
3. 1 have included a non refundable check for $86.00 payable to the Commonwealth of Massachusetts.
INITIAL BELOW
Note: No payment is required for buildings owned, used or leased by the State of Massachusetts.
4. The unusual or extraordinary circumstance or established hardship that warrants special terms or conditions is
INITIAL BELOW
clearly stated in (Section 5) on the second page of this application
5. 1 understand that this variance request is for one instance at the location information stated in (Section 3) of this
INITIAL BELOW
application.
INITIAL BELOW
6. 1 certify that the plumbing work relevant to the information stated in (Section 5) has not yet been performed.
* "Additionally, any response by the Board of Health or Health Department must be provided, however, the Board may waive this
requirement so long as the petition was made in a timely manner."
TEL: 617-727-9952 FAX: 617-727-6095 TTYrrll 617.727.2099 http:/Iwww.mass.gov/dpi/boards/pl
(Section 2) OWNER OF THE PROPERTY WHERE THE VARIANCE IS LOCATED: (Please leave blank if information is the same as in Section (1))
Individual Name:
Plumbing Firm Name (if available):
Firm Name (if applicable):
Street Address:
Date Inspector was informed of this Variance Request:
City/Town:
State:
Zip Code:
Cell Phone:
Work Phone:
Email:
(Section 3) LOCATION OF VARIANCE: (Please leave blank if this information is the same as in Section (2))
Name of proposed or current occupier of the building:
Street Address: City/Town: Zip Code:/
(Section 4) ADDITIONAL INFORMATION:
Plumber's Name (if available):
Plumbing Firm Name (if available):
Work Phone:
Name of Plumbing Inspector:
Date Inspector was informed of this Variance Request:
Plumbing Code Section(s) Relevant to this Variance Request:
Has Plumbing Work Begun at the Location of this Variance Request:
Yes:Q No: Date Work Began:
(Section 5) VARIANCE INFORMATION: (Please explain in detail the established hardship relative to this variance request)
By checking this box - I hereby certify under pains and penalties of perjury that the information entered on this application request, including
supporting documentation, is true and accurate and is filed in accordance with Chapter 142, section 13 of the General Laws and 248 CMR, the Massachusetts
State Plumbing Code. I certify that all work performed prior to this request for a variance meets the requirements of 248 CMR and that I am only seeking a
variance for work that has not yet commenced. I also certify that I understand that this is a request for the Board to allow an exception to the requirements of
the Massachusetts State Plumbing Code and does not constitute an appeal of an inspector's decision.
Signature of Applicant Date:
M -V -808-8L6 ONIWWfII 'd 8313d 'A8 NM` NG
A -S
zI--r- U)
�w�m
a -Po
co
0UJ
P:: Y �
zZZW
Z w > >
0� O
U 0
LO Z
Z_ CD Q
H U
V)
W cr
0
Z
J
Petition for Variance from State Plumbing Code
Northeast Urological Surgery, P.C. located at 231 Sutton St Unit #1D North Andover MA 01845
is petitioning for a variance from 248 CMR 10.10 Table 1. Minimum Facilities. Medical / Health
Care Building at their location in 565 Turnpike St Units 86 & 87 North Andover, MA 01845. We
are asking for relief on the shower as not to install. The proposed plan is 1,700sgft with 5 exam
rooms, 3 bathrooms (2 handicap), 2 consult rooms, a reception room, a waiting room, a lab and
a storage room. The exams being conducted will be outpatient exams. No persons will be
spending overnights.
,r -
North Andover Board of Health Department
Date