Golden Valley Fire District
Plan Review Application
PDF Copy
Project Site Address: _________________________________________ Project Name: ______________________
Contractor/Business Name: _______________________________________________________________________
Contact Name: ____________________ Contact Address: ______________________________________________
Contact Phone: ___________________ Fax: ___________________ Email: _________________________________
Type of Review:
ÿ Building _____New Construction _____Tenant Improvement
Square Feet: _________ Occupancy Type: _________________ Construction Type: _________________
ÿ Fire Sprinkler System _____ New _____ Modification _____# of Sprinkler Hoods
Contractor Name:______________________________Phone:_____________Email:____________________
ÿ Fire Alarms System _____ New _____ Modification _____# of Devices
Contractor Name:______________________________Phone:_____________Email:____________________
ÿ Hood Suppression System _____ New _____Modication _____# of Hoods
Contractor Name:______________________________Phone:_____________Email:____________________
ÿ Fire Hydrant/Water Main _____# of Hydrants
ÿ Other: _______________________________________________________________________________
Email Completed Application & Plans (.pfd) to: firemarshal@goldenvalleyfire.org
Staff will email confirmation of receipt and payment information.
Office Use Only
Date Description of Contact
- ___________________________________________________________________________________________
- ___________________________________________________________________________________________
- ___________________________________________________________________________________________
- ___________________________________________________________________________________________
- ___________________________________________________________________________________________
Fee $ _______________ Date Billed______________ Date Paid_______________ Initials_______