HomeMy WebLinkAboutA15-0070_A15-0070_1439413200.pdf (1111111
TOWN OF `, Fire and Emergency Services
2399 N. Frontage Road W.
Vail, Colorado 81657
1tA Tel: 970-479-2252
www.vailgov.com
Fire& Emergency Services Fire Marshal
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:
174 Gore Creek Drive 534
Number Project#:
(Number) (Street) (Suite#)
LodgeVail Building Permit#:
Building/Complex Name: @
Alarm Permit#:
Contractor Information: Lot#: Block# Subdivision:
Company: SimplexGrinnell
an Address: 6240 Smith Road
Company Y Detailed Scope and Location of Work:
City: Denver State: CO Zip:80216 remodel of Unit 534 to include removal and re-install
Contact Name: Lisa DeShazer of fire alarm smoke detectors, a carbon monoxide
Contact Phone: 970-819-3444 detector and speakers.
E-Mail Ideshazer@simplexgrinnell.com (use additional sheet if necessary)
Does a Monitored Fire Alarm Exist? Yes(°) No 0 I
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( ) No(PI
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(i ) Addition(i ) Remodel ( ) Repair( )
codes, design review approval, National Fire Code, International Retro-Fit( —) Other(; )
Building and Residential Codes and other ordinances of the Town
applicable hereto. Type of Building:
Single-Family
(. ) Duplex( . ) Multi-Family(' )
X Commercial ( Restaurant( ) Other(_....)
Contractor Signature(required)
Property Information Complete Valuation for Fire Alarm Permit:
Parcel#: /49 1` �' �� / 2 7 Fire Alarm $: $9,310.00
(For parcel#,contact Eagle County Assessors Office at 974-328-8640 or
visit www.eaglecounty.us/patie)
Tenant Name: Date Received:
Owner Name: iLfl c4-7 ael
2014-0916