HomeMy WebLinkAboutA12-0083 APPLICATIONDepartment „of Community Development
75 South Frontage Road
Vail, Colorado 816570
► �^ � . x Tel: 970- 479 - 21281
Fax: 970 - 479 - 2452;
Web: www.vailgov.com.
r
Development Review Coordinator a
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.
Project Street Address:
5194 MAIN GORE DRIVE
(Number) (Street)
Building /Complex Name:
Contractor Information:
Company: Vail Electronics
Company Address: PO Box 3940
City: Avon
(Suite #)
State: CO Zip: 81620
Contact Name: Don Anderson
Contact Phone: (970) 827 -9120
E -Mail Don @Vailelectronics.net
Town of Vail Contractor Registration No.: 756 -S
Digitally signed by Deborah 5haner
DN:c Deborah Shaver, o= Shaver LHe
X Deborah Shaner samy"o�
Il= shamds @co s1. ,c U5
Date: 201211 27 22 23 34 07'00'
Contractor Signature (required)
Property Information
Parcel #: 2099- 182 -20 -008
Office Use: nn /
Project #: P!R X% — (�
Building Permit #:
Alarm Permit #:
Lot #: Block # Subdivision:
Detailed Description of Work: New fire alarm system
for new single family home.
(use additional sheet if necessary)
Does a Fire Alarm Exist? Yes( ) No ( , )
Does a Sprinkler System Exist? Yes (., ) No( )
Work Class:
New(.,) Addition( ) Remodel( ) Repair( )
Retro -Fit ( ) Other( )
(For parcel #, contact Eagle County Assessors Office at 970 - 328 -8640 or Type of Building:
visit www.eaglecounty.us /pane) I Single - Family (v) Duplex ( ) Multi - Family ( )
Tenant Name: Commercial ( ) Restaurant ( ) Other ( )
Owner Name: 5194 MAIN GORE DRIVE LLC
Date Received:
Complete Valuation for Fire Alarm Permit: 2 v �, n R
Fire Alarm $: $6200
NOV 2 S 2012
TOWN OF VAIL
29- May -09