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50 Andrews Way - SFMO Modification - Fir (4)
PPS-0927-C Rev.10001 State of Connecticut, Department of Public Safety Division of Fire, Emergency&Building Services Office of State Fire Marshal SEP 3 2015 APPLICATION FOR REQUEST FOR MODIFICATION OF A REQUIREMENT OF A FIRE SAFETY REGULATION ADOPTED PURSUANT TO CHAPTER 641 OF THE CONNECTICUT GENERAL STATUTES Facility Name: L V -tZC'��E� 1tij f�l�.l� Facility Address: r4 N i�=W 5 �l iQ� So W t i�t D o 1Z Q`T Q C.O-7 Il' Number Street City Stale ZIP Facility Owner: S�u`C L-t W t N 0 �=V=l ,P=R S Telephone: °t-I 3 G,G I U E{ _ Owner's Address:_®,2� A t N �-t . C}-1 A�'C N a M �1.! Q'� I ZZ Number Street City Stale Zlpc Applicant's Name:��iZ_�' t�1 no��l�'ZV Telephone: 2 L rJ G r <j�5 t b _ Applicant's Address: 2_4 Q Z ph1 q N . -Z �. f L f-1 T>hs_ °t t O Number Street Clly Stale ZIP Contact Person:JS K'YAN M o CC r.,15 a N Telephone: Z_1 Cep � ) Type of Facility: 2 M ULit t T=A�"�1 L_� 'F cj{ -r j OffCA B011ding,LP-Gas Bulk Plant„Automotive Service station,etc. This Facility 1SN New;❑ Existing; ❑ Renovation; Date of Construction: ;Date of Present Use; Previous modifications for this Facility:❑ Unknown;A No; ❑ Yes, Modification Numbers: (Y) X Check if a'Modification Request to the State Building Code is being submitted to the Office of State Building Inspector. V V I, the above named applicant, being a lawful agent of the owner, request modification/relief from a requirement of the CT: O ❑ Moving Picture Theater Code pursuant to C.G.S.§29-109 ❑ Gas Equipment&Piping Code pursuant to ❑ Amusements/Tent and Portable Shelter Codes pursuant to C.G.S.§29-329(c) C.G.S.§29-140 ❑ Liquefied Petroleum Gas&Liquefied Natural Gas Code State Fire Safety Code pursuant to C.G.S.§29-296 pursuant to C.G.S.§29-333 ❑ Oil Burning Equipment Code pursuant to C.G.S.§29-317(c) ❑ Hazardous Chemical Code pursuant to C.G.S.§29-338 ❑ Fireworks and Special Effects Code pursuant to ❑ Flammable&Combustible Liquids Code pursuant to C.G.S.§29-357(c) C.G.S.§29-321 ❑ Model Rocketry Code pursuant to C.G.S.§29-368 For the requirement as prescribed in: 2 OuS GT Sz Regulation Number: Standard:F_ �t P E`w C�%kL , ection Number:_I al J • z. 29.292-9d,29-317-1b (If Applicable) NFPA 30,NFPA 54,etc Identify section Number I request this modification/relief due to the following reasons: Equivalent Alternative ❑ Practical Difficulty ❑ Requirements Unwarranted Describe area of non-conformance wllh the appropriate regulation.Its location In the facility.and a brief description why code compliance cannot be achieved,specify dimensions as applicable. but LT_>t N , t S TZ Z 'T`[t C I 7:1,14 is 9,. t= Mr W.pl ,c= S VE FM R2 AT E S l b 10 1 t c� �Z y,E, $Z S (_ ��. L�'�,E 1s.S �a U iZ U rit ► T S tom' L.ZZ �L©o P_ SE RV�t� �`t ,A 5 t N C�.,€� Z�l-�2 `T UN t T 5 1= X,C;9 E -C" C Cam' �,E U 19, F`t' LES5, _1 -A AN ice ' � F U Si N 9=3 o*K`T NAIQ, -r tz,o.Ya�_ v T TE ❑ Separate Sheet Attached I intend to provide the following safeguard(s)as an alternative measure to secure public safety in lieu of strict compliance with the requirement ofthe;Z01Z 1 fV"C. {Y, L6DE. Section l cp 2 1 . Z.( 1) noted above: Insert Name of Regulation tdr which Modi9callon/Relief is being Requested Identify section of CoderRoguia wn -7 14E c�iZt��St1- ONDl1�C S C�1�N Q')F 'T 6AF- 2Qk-2� CoL�� J�t�LovS 12<< �� —T' 1 AVsIem ❑ Separate Sheet Attached In addition the following are enclosed ❑Plans/Drawings/Sketches; ❑ Photographs; ❑Product Data Sheets ❑Supplement Information Sheet ❑Other as necessary for clarification of the information provided. 'L- 2-7 I S Applicant riature Y.Tr, phona Number Dale I, [aSupport, ❑ Do NOT Support, this Request for Modification to Connecticut C f'S�— Identify Code by Name;Le.Fire Safety Code,Oil Burning Equip Code c;. � '1 ' ` Regulation of Connecticut State Agency inclusive;as identified above to Section Insert regulation Number I,e.29.292-8d,29-317.3a,ele because of the following reasons: Identify code flow Le.occupancy chapter,core chapter as applicable ❑ Separate Sheet Attached ,e Fire Marshal Reviewer's signature f Title Telephone Number Date p Contact me regarding this Request STATE FIRE MARSHAL The response of Use Commissioner of Public Safety/State Fire Marshal to this request in accordance with Connecticut General Statutes§29-� is attached on a separate sheet Supervisor's Initials Side 2 of 3 STATE OF CONNECTICUT DEPARTMENT OF ADMINISTRATIVE SERVICES Division of Construction Services OFFICE OF STATE FIRE MARSHAL MODIFICATION REQUEST # FM-0239-15 PROJECT NAME: EVERGREEN WALK ADDRESS: ANDREWS WAY TOWN: SOUTH WINDSOR STATE FIRE NIARSHAL In accordance with Section 29-296 of the Connecticut General Statutes,the decision of the Office of the State Fire Marshal in this matter is: This request seeks to utilize the provisions of Section 1021.2 and Table 1021.2(1) of the 20121nternationai Fire Code (!FC) in lieu of the provisions of Part III Section 1018.2 and Table of the 2005 CTSTATEFiRESAFETYCODE WITH THE 2009 AND 2012 AMENDMENTS concerning buildings with one exit versus stories with one exit and the additional exit access travel. Given that the State intends to adopt this provision of the 2012 IFC, this request is deemed ACCEPTABLE. � J2- Evaluated by: Terry A. Brouwer Decision endorsed by: William Abbott STATE FIRE MARSHAL Date: September 8, 2015 "In accordance with Connecticut General Statute 29-309, any person determined to have the right to appeal may appeal the decision of the State Fire Marshal in this matter to the State Codes&Standards Committee within thirty(30)days after receipt." State Codes&Standards Committee 165 Capitol Avenue Room 265,Hartford CT 06106 Tel:860-713-5900 Fax:860-713-7410