HomeMy WebLinkAboutA15-0097_A15-0097 Application_1445630160.pdf Fire and Emergency Services
2399 N. Frontage Road W.
Vail, Colorado 81657
TOWNO F V n I r Tel: 970-479-2252
YY 1Y VAIL www.vailgov.com
Fire& Emergency Services Fire Marshall
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: Office Use:
5123 BLACK BEAR 2
Project#:
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name:
Alarm Permit#:
Contractor Information: Lot#: Block# Subdivision:
Company: MERIDIAN INTERMOUNTAIN
Company Address: PO BOX 3940 Detailed Scope and Location of Work: FIRE ALARM
City: AVON State: CO Zip:81620 SYSTEM FOR REMODELED HOME
Contact Name: DON ANDERSON
Contact Phone: 970 748-8888
E-Mail DON@MERIDIANINTERMOUNTAIN.COM (use additional sheet if necessary)
Does a Monitored Fire Alarm Exist? Yes 0 No®
I hereby acknowledge that I have read this application,filled out in
full the information required, completed an accurate fire alarm sys- Does a Sprinkler System Exist? Yes 0 No 0
tern drawings and state that all the information as required is cor-
rect. I agree to comply with the information and fire alarm system Work Class:
drawings,to comply with all Town ordinances and state laws,and to
build this structure according to the towns zoning and subdivision New(0) Addition (0) Remodel (0) Repair(0)
codes, design review approval, National Fire Code, International Retro-Fit(® Other(0
Building and Residential Codes and other ordinances of the Town
applicable thereto. Deborah OlgltallysignedbyDeborah Shener Type of Building:
DN:cn=Deborah Shaver,o=Shaver Life
Safety,ou, Single-Family ®) Duplex(0 Multi-Family(0
X Shaver email-SHANERLS@COMCAST.NET,c-US
Date:2015.10_2312.32:27- ° Commercial (0 Restaurant(0 Other 0
Contractor Signature(required)
Property Information Complete Valuation for Fire Alarm Permit:
Parcel #: 2099-182-25-002 Fire Alarm$: 1 ,800.00
(For parcel#,contact Eagle County Assessors Office at 970-328-8640 or
visit www.eaglecounty.us/patie)
Tenant Name: Date Received:
Owner Name: 5123 BLACK BEAR LLC
13-Apr 01