Application for Plan Review

2. North Metro Fire Rescue District
   Fire Prevention Division
   101 Spader Way
   Broomfield, CO 80020
   Phone: 720-887-8217
   Fax: 720-887-8336
   
   Steven Gosselin, Division Chief
4. Creating a Profile
   You do NOT need to create a profile in order to submit your application. If you do want to set up a profile in order to review your submitted application, you must create your profile BEFORE filling out the application and submitting it.
6. Public Record Release
   Please note that plans and other documents submitted to North Metro Fire for review are part of the public record and are available to the public. Submissions to the District also may be forwarded to other governmental entities, including, but not limited to, cities and counties.
8. Project Name
10. Project Address
11. City / County
13. Projects in Unincorporated Adams County
    If your project is located in unincorporated Adams County, you must also submit a completed Adams County Impact Fee form. Impact fees may apply, and will be determined by the fire district. The Adams County Impact fee form can be downloaded here.
14. Impact Fee Form for Unincorporated Adams County
    Download the Impact Fee Form.

    Please fill out this form and upload it with your plan review application.
16. Applicant Company Name
17. Phone
19. Address
21. City
22. State
23. Zip Code
25. CO Division of Fire Prevention and Control Suppression System Contractor Certification Number
26. Please Attach Business Card
28. Applicant's Contact or Project Manager
    (i.e. to whom questions should be directed and the response letter should be sent)
29. Applicant's Contact's Email Address
31. Scope:

    1. Construction Plans
    2. Fire System Plans for Permit
32. Construction Plans

    1. Site / Utility
    2. Building / Tenant Finish
33. Fire System Plans for Permit

    1. New
    2. Tenant Finish / Alteration
35. Description of Project
37. Contractor's Total Valuation
    (Required for fire system permit applications)
39. File Upload
    Please upload an electronic file of your plans. ALL FIRE PROTECTION SYSTEM PLANS SUBMITTED SHALL BE STAMPED BY A COLORADO-LICENSED PROFESSIONAL ENGINEER (Exception: fire protection plans qualifying for Fast Track permits).
41. Upload Additional File
42. Upload Additional File
43. Upload Additional File
44. Upload Additional File
46. Upload Additional File
47. Upload Additional File
48. Upload Additional File
49. Upload Additional File
51. Upload Additional File
52. Upload Additional File
53. Upload Additional File
54. Upload Additional File
56. I hereby state that the above is correct. I recognize that the approval of plans and specifications does not permit the violation of the building codes, fire codes, city ordinances, or state law. I consent to provide entry to inspectors during normal business hours and to request inspections as needed. I consent to pay the Fire District for final plan review and permit fees set forth in the amendments of the International Fire Code and any re-inspection fees that may be required.
58. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
60. Electronic Signature
61. Date
    Date
63. Premise Number
64. Plan Number
66. File / Upright Number
67. Drawer Number
69. Date Entered into RMS
    Date Entered into RMS
70. Comments
72. Approval

    1. Approved
    2. Denied
    3. Hold
73. Hold Date
    Hold Date
75. Reviewer
76. Date
    Date
Leave This Blank:


78. 1. Receive an email copy of this form.
79. Email address

    This field is not part of the form submission.

80. Submit

* indicates a required field