HomeMy WebLinkAboutA11-0011TOWN OF VAIL FIRE DEPARTMENT VAIL FIRE DEPARTMENT
75 S. FRONTAGE ROAD
VAIL, CO 81657
970 - 479 -2135
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
ALARM PERMIT
OWNER
APPLICANT
CONTRACTOR
Job Address: 108 S FRONTAGE RD W VAIL
Location.....: US BANK BUILDING SUITE 101
Parcel No...: 210106408001
Project No
VAIL CLINIC INC 04/04/2011
IN CARE OF VAIL VALLEY MEDICAL CENTER
PO BOX 40000
VAIL
CO 81658
NEW ELECTRIC
PO BOX 957
AVON
CO 81620
License: C000003075
NEW ELECTRIC
PO BOX 957
AVON
CO 81620
License: C000003075
Permit #: All -0011
Status ...:
ISSUED
Applied..:
04/04/2011
Issued . .:
04/13/2011
Expires. .:
10/10/2011
04/04/2011 Phone: 970 - 949 -4651
04/04/2011 Phone: 970 - 949 -4651
Desciption: FIRE ALARM CONDUIT AND WIRE FOR INTERIOR REMODEL - RENOVATE
TENANT SPACE TO BECOME PHYSICIAL THERAPY SUITE
Valuation: $2,000.00
CONDITIONS OF APPROVAL
DECLARATIONS
I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all
Town ordinances and state laws, and to build this structure according to the towns zoning and subdivision codes, design review
approved, International Building and Residential Codes and other ordinances of the Town applicable thereto.
REQUESTS FOR INSPECTION SHALL BE MADE TWENTY -FOUR HOURS IN ADj
v�
BY TELEPHONE AT 970 - 479 -2252 FROM W00'AM - 5 PM.
SIGNATMt5 OF OWNER M CONTRACTOR FOXMIMSELF AND OWNEF
FEE SUMMARY ************+*+++*++***+** * * * * * + * * * * * * * * * * * * * + * * + * * * * * * **
Electrical --------- >
$0.00
Total Calculated Fees - ->
$363 .00
DRB Fee --------- >
$0.
Additional Fees ---------- >
$0.00
Investigation ---- >
$0.00
Total Permit Fee--- - - - - ->
$363.00
Will Call--- - - - - ->
$0.00
Payments ------------------ >
$363.00
TOTAL FEES - ->
$363.00
BALANCE DUE--- - - - - ->
$0.00
Approvals:
Item: 05600 FIRE DEPARTMENT
04/07/2011 mvaughan
Action: AP
CONDITIONS OF APPROVAL
DECLARATIONS
I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all
Town ordinances and state laws, and to build this structure according to the towns zoning and subdivision codes, design review
approved, International Building and Residential Codes and other ordinances of the Town applicable thereto.
REQUESTS FOR INSPECTION SHALL BE MADE TWENTY -FOUR HOURS IN ADj
v�
BY TELEPHONE AT 970 - 479 -2252 FROM W00'AM - 5 PM.
SIGNATMt5 OF OWNER M CONTRACTOR FOXMIMSELF AND OWNEF
TOWN OF VAIL, COLORADO Statement
Statement Number: R110000301 Amount: $363.00 04/13/201101:15 PM
Payment Method: Check Init: SAB
Notation: 53693 NEW
ELECTRIC
-----------------------------------------------------------------------------
Permit No: All -0011 Type: ALARM PERMIT
Parcel No: 2101 - 064 - 0800 -1
Site Address: 108 S FRONTAGE RD W VAIL
Location: US BANK BUILDING SUITE 101
Total Fees: $363.00
This Payment: $363.00 Total ALL Pmts: $363.00
Balance: $0.00
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------- - - - - -- ------------------------ - - - - -- ------ - - - - --
BP 00100003111100 FIRE ALARM PERMIT FEES 75.00
PF 00100003112300 PLAN CHECK FEES 288.00
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Project Street Address: 1
(Number) (Street) ` V 11 M (Suite ^ #)
CJ
Building /Complex Name: C - FfL't��i rcl R I f
Contractor Information: _
Company: r(��4 L E / -
P
Com any /n�Address: (�
City: A On State: ` `Zip: C �1 �C'•��
Contact Name: 7�U V u "C tl �� t
Contact Phone: - L
E -Mail JVELt, LL E(T WD C F /P0b ;]TQ1fV(0PVJDI • fU7
Town of Vail Contractor Registra ' No.: C� ) oc -3 4
X A
Contractor Signature (required)
Property Information
Parcel #: _� C � / o �- C / o� C 0 /
(For parcel #• contact Eagle County Assessors Office at 970- 328 -8640 or
visit www.eaglecounty.uslpatie)
Tenant Name:
Owner Name: Vet
Complete Valuation for Fire Alarm Permit:
Fire Alarm $: 9cc`c" ho
Office Use: Q I�
Project #: V K '-t- I D D ,3 (0 ,
Building Permit #: R 0 O 1 T t
Alarm Permit #: &L ^ 00//
Lot #: Block # Subdivision:
Detailed Scope and Location of Work:
�lr2E Al �ti C�'�v; r �- L.c11�t
(use additional sheet if necessary)
Does a Monitored Fire Alarm Exist? Yes (1Cf No( )
Does a Sprinkler System Exist? Yes (}() No( )
Work Class:
New ( ) Addition ( ) Remodel X) Repair
Retro -Fit ( ) Other ( )
Type of Building:
Single - Family ( ) Duplex ( ) Multi - Family ( )
Commercial( Restaurant( ) Other( )
Date Received:
APR C 1 2011
TOWN OF VAIL
01- Feb-10
FIRE ALARM PERMIT
Commercial and Residential Fire Alarm shop drawings are required at the time of application
submittal and must included information listed on the 2nd page of this form. Application will
not be accepted without this information.