HomeMy WebLinkAboutB14-0363 Elevator.pdfTo:
CC:
From:
Date:
COLORAOD CUSTOM ELEVATOR&. TOWN OF VAIL
MIKE@SSTAIA.COM
NWCCOG Elevator Inspection Program
970-468-0295 ext. 108 or elevator@nwccog.org
2/1/2017
The following Conveyance was inspected and tested and a:
D TEMPORARY Certificate issued
X FINAL Inspection Certificate issued
D NO certificate issued
Project Name: VAIL CUSTOM SKI HOMES
Building Permit: Bl 4-0363
Location: 756 FOREST RD, VAIL
NWCCOG Permit Number(s): 16-146
Comments:
CERTIFICATE OF INSPECTION
ELEVATOR PROGRAM
NORTHWEST COLORADO COUNCIL OF GOVERNMENTS
This certifies that this elevator was inspected
on the date below and meets the minimum requirements for operation.
ID Number: 010-15-12023
Location Name: VAIL CUSTOM SKI HOMES
Date of Inspection: 2/1/2017
Expiration Date: 2/1/2018
Inspector: STEPHEN T ALLEN
Northwest Colorado Council of Governments
ELEVATOR PERMIT APPUCATION
Permit II { ~ /{ c.{ {p Jurisdl-n fo..i if \J f><t(.... Bulldlng Olllclal 7 /( A111¢ ,/,f .t ,;~,,;
Tota1Fee dM.oo ~~ldJ.J--d;!t:?! Receipt• f'fqfi
:~~··== .. '.w.~·~.f~.~~.~.n .. d. A~.pro~~.1~~.by ~~~~ .. ·· 2 Datelss~,'?~3:% l•ntJ1~llJ~U!ll);~J!!~.JU:T~,~ Pennlt Expiration Date ___ ,,, ..... ,...,,._L.__.---~.,.,.L---·-"----.L_.___ __ _ 7 7
**All the following must be completed by the elevator contractor**
Inaccurate, illegible or missing information wlll cause a delay in the application process.
Please complete a separate application per conveyance.
Jurisdiction Building Permit# ... B .... 1 ..... 4 .... -0 ... 3 .... 6....,3..._ ___ State of Colorado Conveyance ID# _ .... N ... A'-'-----
Job Address 756 Forest Rd Vail. CO 81658
Job Name Vail C• 1stom Ski Homes
Job Mailing Address Vail Custom Ski Homes 11 C,c/o Scott T11rnipseed, AIA PO Bax 3388, Eagle CO 81631
Job Phone # 970-328-3900 Emall -Jim ......... @.,s ... s...,ta ... i_a..,,c<Mo"""m..__ _______ _
Elevator Company Colorado Q 1stom I ift State License Number __ _.c ..... C .... -_.1-'-'-7.___
Mailing Address 416 29 Rd, Grand .function CO, 81504
Phone # 970-245-4472 Email affice@coloc11stomlift cam
Unit# 010 15-12023 J
.,/ New Installation·Circle one (HYP -RHf P -Traction -Lift-Dumbwaiter -Other _____ _,
___ Alteration (unit cannot be returned to service until inspected and approved by NWCCOG)
cab modifications require submission of Material Safety Data Sheets (MSDS}
Describe work Install new residential elevator
NOTICE
I hereby certify that I have read and examined this application
and know the same to be true and correct. All provisions of laws
and ordinances governing this type of work will be complied with
whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions
of any other state or local I regulating construction or the
performance of nstru · n.
Signature of owner
PAYMENT
Check: Make payable to NWCCOG.
Date
Credit Card: Call Cora Winters at 970-468-0295 xl14 to give
CC information. Sign below for Credit Card Authorization.
Signature Date
NEW INSJALl..AilON FEES
Passenger or freight elevator, LULA, escalator, moving walk:
Up to and including $50,000 of valuation = $375.00
Over $50,000 of valuation = $375.00 plus $7.00 for each
$1,000.00 or fraction thereof over $50,000.00
Lift, Dumbwaiter or private residence elevator:
Up to and Including $20,000 of valuation = $275.00
Over $20,000 of valuation ;;:: $275.00 plus $4.00 for each
$1,000.00 or fraction thereof over $20,000.00
MA]OR ALTERAilQN FEE$;
Fees for major alterations shall be as set forth in Table 3-A of the
Uniform Administrative Code or Table 1-A -see CUrrent Fee Schedule
on NWCCOG.org website Elevator Inspection Program page.
VALUATION _-.z.t:.,.2,.=0..,_S;;;.;~ ;)..;;._J-......,,-,.....0_0 ___ _ TOT~ ... f~.~-.-......... ~-f_Cf,.._~_7 __ , . . ., .. , ········ ., "'I' i ;,
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Conveyance plan review and field inspections will be conducted by NWCCOG El~tbrlnspectlon:erogram~. Plans will be submitted to
NWCCOG for review and approval. Schedule inspections by emailing NWCCOG at Elevator@NWCCOG.org.