As indicated in the file, a hearing involving the above-captioned property was conducted on Tuesday, September 14, 2021 before the Fire Safety Code Board of Appeal and Review [hereinafter the Board], pursuant to Rhode Island General Laws [RIGL] sections 23-28.3-5 and 42-46-3.

	Participating at the hearing were the following:
COMMISSIONERS: Acting Chairman Blackburn and Commissioners Pearson, Booth, ODonnell and Muto.
AUTHORITY HAVING JURISDICTION: Deputy State Fire Marshal Kaitlyn Iannone of the State Fire Marshals Office.
APPLICANT: John OReilly, Charles Brown and Ken Montville.
EXECUTIVE DIRECTOR: W. Keith Burlingame, Esq.

TRAVEL OF THE CASE

1.	This is an Application for Variance filed under RIGL chapter 23-28.3, entitled Fire Safety Code Board of Appeal and Review, and the Administrative Regulations promulgated thereunder.
2.	The Application was filed by John O'Reilly (authorized representative) of Women & Infants Hospital, 101 Dudley Street, Providence, RI dated [undated].
3.	The Application was received by the Board and File  2021087 was opened on August 5, 2021.
4.	The property was previously before the Board on March 10, 2009 at which time Decision  090004 was issued dated March 10, 2009.
5.	A hearing on the Application was conducted on September 14, 2021 at 1:00 PM before the Fire Safety Code Board of Appeal and Review.
6.	After consideration of the application, the testimony of the witnesses and of the entire record presented to the Board, and after carefully reviewing such information, a motion was made by Commissioner Muto and seconded by Commissioner ODonnell to grant the Applicant the relief as outlined herein.  The motion passed on a 5 to 0 vote.

RECORD OF THE CASE

The following documents are part of the administrative record for Appeal  2021087 and are pertinent to the decision rendered:

1.	Variance Application  2021087 dated [undated] and filed on August 5, 2021.
a.	Letter of authorization for John OReilly from Colleen Ramos dated August 2, 2021.
2.	State Fire Marshals Office Inspection Report dated June 30, 2021.
3.	Decision  090004 dated March 10, 2009.

EXHIBITS

The following documents were presented at the September 14, 2021 hearing as exhibits:

1.	None.

FINDINGS OF FACT

	Based on the testimony and evidence introduced at the hearing and a review of the administrative file, the Board makes the following Findings of Fact:

1.	The numbers of the Decision below correspond with those of the June 30, 2021 inspection report compiled by the State Fire Marshals Office.  The above report was utilized by the Board, the Applicant and the State Fire Marshals Office during the September 14, 2021 hearing on this matter.  Accordingly, the Board hereby incorporates the June 30, 2021 inspection report as its initial findings of fact.  Any modification of the Boards findings, such as correction of a deficiency by the Applicant, shall be noted herein.
2.	The building is an existing 6-story above grade building with a basement level, classified as a health care [hospital] occupancy, consisting of approximately four hundred nine thousand four hundred seventy (409,470) square feet (gross area) and originally built in 1984.
3.	The building is of Type II (222) construction, has a approved (with deficiencies) fire alarm system with emergency forces notification and is provided with an approved (with deficiencies) automatic sprinkler system.
4.	The facility has been licensed by RIDOH for two hundred forty-seven (247) patients.
5.	There is no objection by the State Fire Marshals Office to the granting of the relief outlined herein.

CONCLUSIONS OF LAW AND
DETERMINATIONS ON VARIANCE REQUESTS

References to NFPA shall mean the National Fire Protection Association; references to the Rhode Island Fire Code [RIFC] shall mean NFPA 1, (2015 edition) as incorporated by reference and amended by 450-RICR-00-00-7; and, references to the Rhode Island Life Safety Code [RILSC] shall mean NFPA 101, (2015 edition) as incorporated by reference and amended by 450-RICR-00-00-8.

1.	EXTINGUISHMENT: The Board hereby grants the Applicant a time variance of thirty (30) days from the date of the decision to comply with the provisions of RIFC section 13.3.1.1 by developing and submitting a plan of action for the installation of an approved supervised automatic sprinkler system in accordance with section 9.7 throughout the facility.  The Board further grants the Applicant an additional one hundred fifty (150) days in order to implement the above plan of action, at the direction and to the satisfaction of the State Fire Marshals Office.
2.	This deficiency/violation has been corrected.
3.	This deficiency/violation will be corrected with the completion of item  1, above.
4.	FIRE ALARM SYSTEM: The Board hereby grants the Applicant a time variance of thirty (30) days from the date of the decision to comply with the provisions of RILSC sections 19.3.4.5.1 and 9.6.2.9 by developing and submitting a plan of action for the installation of an approved fire alarm system in accordance with section 9.6 throughout the facility.  The Board further grants the Applicant an additional one hundred fifty (150) days in order to implement the above plan of action, at the direction and to the satisfaction of the State Fire Marshals Office.
5.	UTILITIES: The Board hereby grants the Applicant a time variance of two (2) weeks from the date of the decision to comply with the provisions of RILSC sections 19.5.1.1 and 9.1.3 and NFPA 110 (2013 edition) section 7.2.1.1 by providing the third floor generator room of this facility with an approved 2-hour fire resistance rated separation, at the direction and to the satisfaction of the State Fire Marshal's Office.
6.	EGRESS: The Board hereby grants the Applicant a variance from the provisions of RILSC sections 19.2.1, 7.1.5.1 and 40.2.5.2 by allowing the existing headroom in the third floor mechanical space to remain without modification based upon a structural hardship.  In granting this relief, it is the understanding of the Board that this is a normally unoccupied space, that access is limited to authorized personnel and that low headroom signage and/or markings are presently in place and will be upgraded as necessary, at the direction and to the satisfaction of the State Fire Marshal's Office.
7.	This violation has been withdrawn by the AHJ.

Any deficiency understood by the Board to have been corrected, which is not so corrected, shall be immediately corrected by the Applicant.  The term approved, as used herein, is understood to mean in accordance with the specific provisions related to the particular subject as are contained in this Code, or as approved in particular by the Authority Having Jurisdiction (State Fire Marshal, his or her designated Deputy State Fire Marshals and/or Assistant Deputy State Fire Marshals).

Finally, the Board hereby authorizes the Providence Fire Marshals Office, upon receiving a written request, to extend the above timeline(s) for good faith compliance efforts being demonstrated by the Applicant in accordance with the provisions of 450-RICR-00-00-1.7.2(X).

STATUS OF DECISION AND APPEAL RIGHTS

1.	This Decision constitutes a final order of the Fire Safety Code Board of Appeal and Review as set forth in RIGL section 42-35-12 and represents a comprehensive, integrated plan of fire safety for the above-captioned facility under the above-cited use or occupancy.  Accordingly, every variance granted is conditioned upon the Applicants timely and continued compliance with all of the directives of the Board.  Every variance granted is further conditioned upon the continued use or occupancy of this facility under the above-cited classification reviewed by the Board.  [See: Fire Safety Code [FSC] section 450-RICR-00-00-1.7.2(V)].
2.	Failure of the Applicant to initially comply with the full Decision of the Board, within the stated time frame, shall void all variances granted herein.  [See: FSC section 450-RICR-00-00-1.7.2(W)].  In the event of complete, timely and continued compliance with the full Decision of the Board, the above cited variances shall be deemed to have vested in the above-captioned facility.  As long as this facility is in continued compliance with the full Decision of the Board, the above-cited variances shall remain with this facility in the absence of any change in use or occupancy mandating review under a separate classification of the FSC or a revision of the above-cited classification.  [See: FSC section 450-RICR-00-00-1.7.2(X)].
3.	Such changes in use or occupancy of this facility, or failure to continually comply with the Boards Decision shall void all variances granted under the above-cited use or occupancy.  If such change creates a new use or occupancy as outlined in RIGL section 23-28.1-6, all variances granted under the original use or occupancy are void and this facility shall be reviewed under the newly created use or occupancy.  [See:  FSC section 450-RICR-00-00-1.7.2(Y)].
4.	In accordance with RIGL section 23-28.3-5(e), any person who violates a final order of the Board may be subject to prosecution in the District Court with possible imprisonment for a term not exceeding one (1) year, or fined not more than one thousand dollars (1000) for each offense.
5.	In accordance with RIGL section 42-35-12, the Applicant may appeal the Boards Decision, within thirty (30) days of the mailing date of this Decision, by commencing an action against the State Fire Marshal in the Sixth Division of the District Court.  [See: RIGL section 23-28.3-6 and FSC section 450-RICR-00-00-1.7.2(R)].  Commencement of such an action does not operate as an automatic stay of this Decision [See: RIGL section 42-35-15(c)].