Request Variance FORM_M1

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Request for Specific Variance
Explanation of
variance
Date of request
Name and address
of owner and/or
owner’s agent
requesting variance
A variance is written permission issued to build, install, process or otherwise act in
a manner not consistent with the specific requirements of an applicable code,
standard or regulation but which provides, in the opinion of the issuing
Administrator or Safety Codes Officer, an equivalent or greater level of safety to
persons and property. A variance issued by a Safety Codes Officer is site specific.
A variance sets no precedent.
(Replace sample red text with your information)
April 08, 2011
?????? Master Built
54321 – ABC Street SW
Edmonton, Alberta
T0T 0T0
Code item to be
varied
Limiting Distance where Firefighting Facilities are Inadequate, 9.10.15.3(1) of
Division B of Alberta Building Code 2006. This Article is described by the
Objective OP3 Protection of Adjacent Buildings or Facilities from Fire, OP3.1 –
“fire or explosion impacting areas beyond the building or facility of origin” and the
Functional Statements F03 – “To retard the effects of fire on areas beyond its point
of origin”.
Reason for
requiring a
variance
To allow for the installation of glazed openings in exterior walls of a single family
dwelling that is 1.2 meters from the property line, and beyond the City of Edmonton
Fire Department 10 minute response time.
Details of proposed
variance
A variance is requested in respect to the requirements of 9.10.15.3(1) of Division B
of the 2006 Alberta Building Code to allow for glazed openings at a minimum 1.2
meters from the property line in an area outside of the City of Edmonton Fire
Department 10 Minute Response Time.
The side walls are to be constructed as per the attached plans including being
sheathed with fire retardant treated plywood/OSB panels providing a fire resistance
of at least 15 minutes as tested to ULC–S101 and a flame spread less than 25. The
interior of the side walls are to have a minimum 45 minute fire resistance rating
with application of fire rated gypsum board drywall.
A summary of the windows in the:
right side elevation: basement, 60 x 24 in.; second floor 40 x 48 in.,
left side elevation: basement, 36 x 24 in., main floor 2 – 16 x 60 in.; second floor,
30 x 48 in., bedroom, 40 x 48 in.
All above windows listed are to have wood frames, are permitted to be open-able or
fixed, but not of a slider type.
Supporting
documentation
providing proof of
equal or greater
safety performance
NRC - Full Scale Fire Study of Spatial Separation, Research Report: IRC-RR-195,
May 19, 2005
Larden Muniak Consulting Inc. – Spatial Separation Between Residential Buildings
– Feb 15, 2011 Intertek, Report Number 100397303SAT-002, issue date April 28,
2011.
Address and /or
legal description of
the property upon
which the thing,
process or activity
which is the subjectmatter of the
variance is located
12345 ABC street SW
Edmonton, Alberta
Plan 0123456 Block 1 Lot 1
Authority under
which the variance
is being issued
This variance may be issued under the authority of the Safety Codes Act, Chapter S1 and Clause 1.2.1.1 (1) (b) of Division A of Alberta Building Code 2006.
Declaration of
understanding
By signing below, the owner or owner’s agent expressly acknowledges that the
owner is aware of and agrees with this request for variance, which is intended to
provide an alternative to specific requirement(s) of the Alberta Building Code 2006,
and that it is the responsibility of the owner to provide and maintain safety in
accordance with the variance.
Advisement of
offence
Non-compliance with the requirements of this variance is an offence under the
Safety Codes Act.
Identification of
owner or owner’s
agent
____________________________________
signature
____
owner
____
owner’s agent
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