form-aab-variance GAI 082817Page 1 of 6 Rev, 08/12
The Commonwealth of Massachusetts
Department of Public Safety
Architectural Access Board
One Ashburton Place, Room 1310
Boston Massachusetts 02108-1618
Phone: 617-727-0660
Fax: 617-727-0665
www.mass.gov/dps
Docket Number
____________
(Office Use Only)
APPLICATION FOR VARIANCE
In accordance with M.G.L., c.22, § 13A, I hereby apply for modification of or substitution for the
rules and regulations of the Architectural Access Board as they apply to the building/facility
described below on the grounds that literal compliance with the Board's regulations is
impracticable in my case.
PLEASE ENCLOSE:
1) A filing fee of $50.00 (Check/Money Order) made payable to the “Commonwealth of
Massachusetts” and all supporting documentation (e.g. plans in 11” x 17” format,
photographs, etc.). In addition, the complete package (including plans, photographs
and the completed “Service Notice”) must be submitted to all parties via compact
disc.
2) If you are a tenant seeking variance(s), a letter from the owner of the building
authorizing you to apply on his or her behalf is required.
3) The completed “Service Notice” form provided at the end of this application certifying
that a copy of your complete application has been received by the Local Building
Inspector, Local Disability Commission (if applicable), and Local Independent Living
Center for the city/town that the property in question resides in. A list of the local
entities can be found by calling the Architectural Access Board Office or the Local
City/Town Clerk. For a list of the Local Independent Living Centers you can either call
the Architectural Access Board Office or visit the Massachusetts Statewide
Independent Living Council website at http://www.masilc.org/membership/cils.
1. State the name and address of the owner of the building/facility:
City of Salem, 93 Washington Street, Salem, MA 01970_____________________________
_________________________________________________________________________
_________________________________________________________________________
E-mail:_Mr. Mike Lutrzykowski (Public Property Assistant)___________________________
Telephone:_(978) 619-5648___________________________________________________
Page 2 of 6 Rev, 08/12
2. State the name and address of the building/facility:
Press Box at Forest River Park, 32 Clifton Avenue, Salem, MA 01970__________________
_________________________________________________________________________
_________________________________________________________________________
3. Describe the facility (i.e. number of floors, type of functions, use, etc.):
The new two story structure will house a concession stand and private toilet room on the first
floor. A vertical lift and staircase will lead to the press box space and a secure storage room
on the second floor. The press box will be used to report on the various sporting events___
organized by the Salem Little League.___________________________________________
4. Total square footage of the building: _1,342 S.F._________Per floor:___671 S.F.________
a. total square footage of tenant space (if applicable):__N/A_________________________
5. Check the work performed or to be performed:
_X_ New Construction ___ Addition
___ Reconstruction/Remodeling/Alteration ___ Change of Use
6. Briefly describe the extent and nature of the work performed or to be performed (use
additional sheets if necessary):
The new structure will sit on a new concrete slab and foundation. The first floor walls will be
CMU and the second floor walls will be wood framing with a fiber cement siding exterior. The
floor and ceiling joists will be TJI’s and the roof will be covered by a membrane roofing
system.___________________________________________________________________
7. State each section of the Architectural Access Board's Regulations for which a variance is
being requested:
7a. Check appropriate regulations:
_____1996 Regulations _____ 2002 Regulations __X__2006 Regulations
SECTION NUMBER LOCATION OR DESCRIPTION
28.12______________ A LULA will be installed in lieu of an elevator._____________
30.0_______________ No public toilet room(s) will be provided._________________
__________________ _________________________________________________
__________________ _________________________________________________
__________________ _________________________________________________
8. Is the building historically significant? ____yes __X__no. If no, go to number 9.
8a. If yes, check one of the following and indicate date of listing:
____________ National Historic Landmark
____________ Listed individually on the National Register of Historic Places
____________ Located in registered historic district
____________ Listed in the State Register of Historic Places
____________ Eligible for listing
Page 3 of 6 Rev, 08/12
8b. If you checked any of the above and your variance request is based upon the
historical significance of the building, you must provide a letter of determination from the
Massachusetts Historical Commission, 220 Morrissey Boulevard, Boston, MA 02125.
9. For each variance requested, state in detail the reasons why compliance with the Board’s
regulations is impracticable (use additional sheets if necessary), including but not limited
to: the necessary cost of the work required to achieve compliance with the regulations (i.e.
written cost estimates); and plans justifying the cost of compliance.
28.12 Wheelchair Lift/ Limited Use Elevators: A LULA will provide more practical______
accessibility & occupy less square footage than a passenger elevator, especially in a____
building with such modest square footage & a press box that will house so few occupants.
30.0 Public Toilet Rooms: No public toilet rooms will be provided because existing____
public Men’s and W omen’s Toilet Rooms are already on site at Forest River Park.______
_______________________________________________________________________
10. Has a building permit been applied for? __No____________________________________
Has a building permit been issued? __No_______________________________________
10a. If a building permit has been issued, what date was it issued? _________________
10b. If work has been completed, state the date the building permit was issued for said
work: ___________________________________________________________________
11. State the estimated cost of construction as stated on the above building permit:
________________________________________________________________________
11a. If a building permit has not been issued, state the anticipated construction cost:
__$120,000______________________________________________________________
12. Have any other building permits been issued within the past 36 months? __No_________
12a. If yes, state the dates that permits were issued and the estimated cost of
construction for each permit: ________________________________________________
13. Has a certificate of occupancy been issued for the facility?_Yes_____________________
If yes, state the date: It is an existing building that is being demolished and replaced.____
14. To the best of your knowledge, has a complaint ever been filed on this building relative to
accessibility? _____ yes __X__no
15. State the actual assessed valuation of the BUILDING ONLY, as recorded in the
Assessor's Office of the municipality in which the building is located: __ N/A_______
Is the assessment at 100%? _____________
If not, what is the town's current assessment ratio?_______________
16. State the phase of design or construction of the facility as of the date of this
application : Construction Document Phase
17. State the name and address ofthe architectural or engineering firm, including the nameof
the individual architect or engineer responsible for preparing drawings of the facility:
crav Architects. lnc.. 9A Derbv Souare, Salem, MA 01970
Mr. Dennis J. Gray, AIA
E-mail: dennisiorav@verizon.net
Telephone 97A-7 45-4404
18. State the name and address of the building inspector responsible for overceeing this
project:
lvlr Thomas St. Pierre
The Citv of Salem, 120 Washinqton Street, 3' Floor Salem, l\i]A 01970
E-mail: tstDierre@Salem.com
Telephone : (978) 745-9595 Ext. 5641
Dale:08hgh7
PLEASE PRINT;
Dennis J. Grav
Name
9A Derbv Souare
Address
Salem MA 01970
City/Town State Zip Code
dennisiqrav@verizon.net
E-mail
978-7 45-4404
Telephone
Page 4 of 6 Rev 08/12
ARCHITECTU RAL ACCESS BOARD VARIANCE APPLICATION
SERWCE NOTICE
l, Dennis J. GraV . as Architect
for the Petitioner Citv of Salem submit a
variance application filed with the Massachusetts Architectural Access Board on Auoust 18th
2017
HEREBY CERTIFY UNDER THE PAINS AND PENALTIES OF PERJURY THAT ISERVED OR
CAUSED TO BE SERVED, A COPY OF THIS VARIANCE APPLICATION ON THE FOLLOWING
PERSON(S) IN THE FOLLOWING MANNER:
NAME AND ADDRESS OF PERSON OR AGENCY METHOD OF SERVICE DATE OF
SERVICESERVED
,|
Mr. Tom St. Pierre (Building lnspector)
The Citv of Salem
Delivery oat2at17
120 Washington Street, 3'" Floor,
Salem. MA 01970
2
Ms- Debra Lobsits (Commission Chair)
Commssion on Disablities
Delivery oat2at17
120 Washington Street, 4'" Floor
Salem, MA 01970
3
Ms. Lisa Orgettas
lndp. Liv. Ctr. of The N. S. & Cape Ann lnc.
Delivery 04t28t17
27 Congress Street, Suite 107
Salem, NilA 01970
AND CERTIFY UNDER THE PAINS AND PENALTIES OF PERJURY THAT THE ABOVE
STATEME OF MY KNOWLEDGE ARE TRUE AND ACCURATE.
Signature: Appellant or Petitir'her
On the 25th Day of Auqust
PERSONALLY APPEARED BEFORE ME THE ABOVE NAMED
Dennis J. G
(Type or Print the Name of the Appellant)
2017
4-tP-t7
NOTARY PUB
Page 5 of 6
MY COMMISSION EXPIRES
Rev, 0B/12
Before you send in your application, have you:
EfAnswered all questions on the application;
EtSigneO the application and included up to date contact info;
dt tt^au a copy of your entire application, including all attached
documents, on CD or DVD;. Flash drives are not permitted.
El6ent copies of the completed application, all attached documents,
and CD/DVD to:
Efhe local Building DePartment,
ElThe local Commission on Disability, and
EfThe lndependeni Living Center (lLC) for the region in which
the property is located;. There are two lLCs for projects located in Boston.
. The Boston Center for lndependent Living
. The Multicultural lndependent Living Center of Boston
El'fittea out the Service Notice (page 5 of the application) including
all parties and the method and date of service for each, and had it
signed and notarized; and
Elncluded a $50 check made out to the "Commonwealth of
Massachusetts".
please Note: Failure to follow these instructions (as found on page 1 of the application) could result
in your request not being docketed until such time as we have received a fully completed application.
Page 6 of 6 Rev 08/12