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HomeMy WebLinkAboutF16-0050 Application.pdfFire and Emergency Services 2399 N. Frontage Road W. Vail, Colorado 81657 Tel: 970-479-2252 www.vailgov.com Fire Marshal FIRE SPRINKLER PERMIT Commercial & Residential Fire Alarm shop drawings are required at the time of application submittal and must include the following information: 1.A Colorado Registered Engineer’s stamp or N.I.C.E.T level III (min) stamp 2.Equipment cut sheets of materials 3.Hydraulic calculations 4.A State of Colorado contractor registration number 5.Plans must be submitted by a Registered Fire Protection Contractor Contractor Information: Company: _____________________________________________ Company Address: ______________________________________ City: ____________________ State: _______ Zip:_____________ Contact Name: _________________________________________ Contact Phone: _________________________________________ E-Mail ________________________________________________ I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate sprinkler sys- tem working plan, and state that all the information as required is correct. I agree to comply with the information and sprinkler system working plans, to comply with all Town ordinances and state laws, and to build this structure according to the town’s zoning and subdi- vision codes, design review approval, National Fire Protection Asso- ciation 13, International Building and Residential Codes and other ordinances of the Town applicable thereto. X___________________________________________________ Contractor Signature (required) Project Street Address: __________ ______________________________ ___________ (Number) (Street) (Suite #) Building/Complex Name: ________________________________ Property Information Parcel #: ______________________________________________ (For parcel #, contact Eagle County Assessors Office at 970-328-8640 or visit www.eaglecounty.us/patie) Tenant Name: __________________________________________ Owner Name: __________________________________________ Complete Valuation for Fire Sprinkler Permit: Fire Sprinkler $: __________________ Office Use: Project #: ________________________________________ Building Permit #: __________________________________ Sprinkler Permit #: _________________________________ Lot #: ____ Block # ____ Subdivision: __________________ Detailed Description of Work: _______________________ _______________________________________________ _______________________________________________ (use additional sheet if necessary) Work Class: New ( ) Addition ( ) Remodel ( ) Repair ( ) Retro-Fit ( ) Other ( ) Type of Building: Single-Family ( ) Duplex ( ) Multi-Family ( ) Commercial ( ) Restaurant ( ) Other ( ) Date Received: Does a Monitored Fire Alarm Exist? Yes ( ) No ( ) Does a Sprinkler System Exist? Yes ( ) No ( ) Detailed Location of Work: _________________________ _______________________________________________ 2014-0916 By cgodfrey at 1:15 pm, Aug 31, 2016 180 S. Frontage Road Vail Valley Medical Center Frontier Fire Protection 2617 W Holden Place Denver CO 80204 Kevin Murray 303-629-0221 kmurray@frontierfireprotection.com 2101 071 01013 N/A Vail Valley Medical Center Provide temporary upright sprinkler protection for 3rd Floor Renovation Phase 2. West Wing, 3rd Floor ✔ ✔ ✔ ✔ $19,875.00 Kevin P. Murray Digitally signed by Kevin P. MurrayDN: C=US, E=kmurray@frontierfireprotection.com, O=Frontier Fire Protection Inc., CN=Kevin P. MurrayDate: 2016.08.30 12:51:51-06'00' F16-0050