HomeMy WebLinkAboutGLSD - Organics to Energy Project - Application - 240 CHARLES STREET 9/3/2015 f
Commonwealth of Massachusetts
Division of Professional Licensure
f Board of State Board of Examiners of Plumbers and Gas Fitters
10 00 1 l as h ington Street• Boston• M ass a ch usetts a 211 -- 1 :. � �� � ./Y
le
VARIANCE FROM STATE PLUMBING CODE
PREmINSTALLATION
$.86..00 Iication fee Oayable t "Gommonwealth of Massachusetts"
DO NOT USE THIS APPLICATION IF PLUMBING WORK HAS BEEN COMPLETED
PLEASE PRINT CLEARLY
(Sectionl)APPLICANT INFORMATION:
Applicant Name: Firm Nance(if applicable): Date:
John M.Sheehan CDM Smith 9 1
Title or Position with Firm(if applicable): Type of Work:
:
Plumbing Engineer New onstructlon: renovation:
Street Address: it own: State: Zip Cede:
75 State Street BostonMA 02109
cell Phone: - Work Phone: Email:
7 .-4 4- 4 617-452-6452 sheehanjm@cdmsmith.com
ALL of THE FOLLOWING ITEMS MUST BE INITIALED,
IF LEFT BLANK,,THE FORM-WILL BE DEEMED INCOMPLETE AND WILL NOT BE ACCEPTED,
1.i have included with this application written documentation that the local Board of Health has been petitioned YIAL BELOW
regarding this variance request.*(Varlabce requests for City of Boston must include petition to Inspectional services)
Mote:No Board of Health petition-is required for buildings owned,used or leased by the State of Massachusetts.
.1 have included all neces ary supporting documentation regarding this variance regUest, TiAL BELOW
.1 have included a non refundable check for$86.00 parable t6 he Commonwealth of Massachusetts. 1TIAL BELOW
Note:No payment is required for buildings owned,used or leased by the State of Massachusetts,
}
' ITIAL 7BELOW
4.The unusual or extra o rdi na ry cir�cu stance or established hardsh1p that Tarr nts pecial terns or conditions is
clearly stated In( iection S)on the second�page of this application
N 1,1AL BELOW
S.i unde rstand that this Variance request is for one instance at the location information stated in(Section.3) of this �
application. .}
�.- i iAL BELOW
6.i certify that the plumbing work relevant to the information stated in(Section 5)has not yet hewn performed.
r
('Additionally,any response by the Board of Health or health Department rust be provided,however,the Board may waive this
requirement so long as the petition was made in a timely€ anner."
TEL: 17-7 7- 9 FAX: 17-7 - TTY/TDD: 617.727.2099 http://www.mass.gov/dpi/boards/pi
(Section )OWNE EMI~TH E PROPERTY WHER THE VARIA NC E IS LOCATED;(Please leave blank If Information is the same as in Section 1))
IndIvIdual Name: Firm Name(If applicable):
Cheri.Cousens GLSD Executive Director
Street Address: City/Town: Mate: Zip Code-
2-40 �
Charles Street North Andover MA 01845
Cell 'bon , Work Phone: Email:
978-685-1612 ccousens@glsd.org
(Section )LOCATION OF VARIANCE:(Please leave blank If this-information is the same as in Section( )
Name of proposed or current occupier of the building:
Street Address: City/Town: Zip Code:
(Section 4)ADDITIONAL INFORMATION: ,
Plumber's Naive if available): Plumbing Firm Name if available): Work Phone.,
A A N/A
Name of Plumbing Inspector: Date Inspector was Informed of this Variance R tlu st:
Jim Hurley August 25,2015
Plumbing Codesection(s)Relevantto this Vadance Request:
248 CMR 10.10 Table
Has Plumbing Work Begun at the Location of this Variance Request.,
Yes:E] N o:Ln�j Date Work Began:
(Section )VARIANCE INFORMATION:(Please-xplain in detail the established hardship relative to this variance request)
Plumbing Code Sections)Relevantto this Variance Request:
Greater Lawrence Sanitary District(GLSD)is adding a new Cogeneration Building to their Wastewater
Treatment Facility.The existing Process and Maintenance Building is 120 feet array and the existing
Administrations Building is 550 feet away with h bathrooms and locker room facilities for all of the staff.
n behalf of GLSD CDM Smith is requesting a variance to install a unisex bathroom-in the new
o en ration Building in lieu of separate romen's and men's toilet rooms. Presently there are
.16 maintenance and operations employees on th day shift at the WWTP.The Cogeneration Building
.will not be o ipi d full time and only periodical checks will be made by operational personnel.The only
exception to this is when'maintenancemay be in the building to repair equipment.
By checking this box M 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 Lavers and 248 CMR,the Massachusetts
State Plumbing Code. I certify that all work performed prior t6 this request for a variance meets the requirements of 248 CMR and that i arm 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 excep#Ion to the requirements of
the Massachusetts State Plumbing Codeand does not co t1tute are appeal of an Inspector's decision,
a
SignatureApplicant Date; '
4
k
_ F
Smith
F P 3 NIS
75 State Street,Suite 701
Boston,Massachusetts 02109
te):617 42-6OCK
September 8,2015
Board of Health '
Town of North Andover
er
Town Hall
.600 Osgood Street
North Andover,MA 0 1845
Subject: Greater Lawrence Sanitary District LSD
Variance from State Plumbing Code
Dear Board:
DM Smith,on behalf of Cheri Cousens,GbSD Executive Director,is requesting a variance from
8 CMR Uniform.State Plumb iDg Code,Section 1010"cable Minini m Facilities for Building
Occupancy.
We aye looking to install a unisex bathroom in lieu of separate omen's and en's toilet rooms in
the new ogeneration Building.The existing Process and Maintenance Building is 120 feet away
and the Admi nistration Building in 5 5 0 feet awa There are existing-batbroom fa duties rithin
both of these structures,along with multiple other locations within the GLSD treatment facility*The
ogener tio6 Building will not be occupied f ulI time and only perio dical checks will be made by
. r
operational personnel.The only e ception'to this is when maintenance clay be in the building to
repair the equipment.
If there are any questions regarding the items discussed above,please feel free to contact ine at
6 .7- -6 5 .
Sincerely,
CDM Smith Ind.
John M.Sheehan
Project Plumbing Engineer F
c � her Co xs n ,GLSD Executive Director
Fen Mosher,CDM Smith Pro eet Manager
IieardWeare,Capital Projects Manager
Attached Drawings
WATER+ENVI RONMENT TR ANSPOTATION+ENERGY+FAC ILITIEs