HomeMy WebLinkAboutA14-0035.pdf Fire and Emergency Services
2399 N. Frontage Road W.
Vail, Colorado 81657
TOWN OF VAIL I Tel: 970-479-2252
Fire& Emergency Services www.vailgov.eom
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 A dress; / Office Use:
3(X 6081 &c 14i Inc
(Number) Project#:
(Street) (Suite#)
Building/Complex Name: VO 1 / /1/0414`1 Building Permit#:
Alarm Permit#:
Contractor Ilse ation: Lot#: Block# Subdivision:
Company: /VI 1 eP/4 1q1 4-1</-410Q41-9t.Li
Company y Address: R 6' ' v 3 ei do Detailed Scope and Location of Work: 4 c 0 Q',4 e
City: /"1 ok State: Co Zip: filt d o 5-1-7-4.)Pt 414 o4e 4/15A-0
Contact Name: U � <j 7-6? V ut( /16neit l v°?
q� 56,460/ �.pee-e..
Phone: 1 7c)` 3(21 7- 9 / o )1, s,
E-Mail�, l3�
Pied h�t4/4fc o—f-7i ( ` (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in Does a Monitored Fire Alarm Exist? Yes o0
full the information required,completed an accurate fire alarm sys- Does a Sprinkler System Exist? Yes errklo 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 ( epair(0)
codes, design review approval, National Fire Code, International Retro-Fit(ice Other(0
Building and Residential Codes and other ordinances of the Town
applicable th eto.
Z.-------rA
� Type of Building:
X / Single-Family 0) Duplex(0 Multi-Family(0
C ignature(required)
Commercial(I Restaurant(0 Other 0
Property Info motion 1 1
Complete Valuation for Fire Alarm Permit:il
Parcel#: 1 O 1 - o o3 -66 - 00 ! Fire Alarm$: OC {J
(For parcer#,contact Eagle County Assessors Office at 970-328-8640 or
visit www.eaglecou+ntty.us/patie)) L
Tenant Name: y Ut l fl 4Is iH 5aO(J/ Date Received:
Owner Name: �� { 4414/604 , (A G//I
13-Apr 01