HomeMy WebLinkAboutB15-0199 Elevator permit.pdfNorthwest Colorado Council of Governments
ELEVATOR PERMIT APPLICATION
Permit # / {.p,,,. / (p f Jurisdiction {o {)J ~ o F VA-I t-Build Ing Official :f r2_. Mo fJ l;(A Go ,J
Total Fee d 75 .Q!J Date Paid I -"4' /~ Receipt# __ C_G--_· ___ _
Plan Reviewed and Approved by .. ~ fu-Z~ Date Issued ~
This section to be completed by NWCCOG Permit Expiration Date ~,P/
** All the following must be completed by the elevator contractor **
Inaccurate, Illegible or missing information will cause a delay in the application process.
Pleas~ complete a separate application per conveyance.
Jurisdiction Building Permit # I S -0 I 9 9 ' State of Colorado Conveyance ID# N Pr
Job Address 1463 As en Grove Ln Vail, CO 81657
Job Name 1463 Aspen Grov '·
Job Malling Address 1463 Aspen Grove Ln Vail, CO 81657
Job Phone # 303-623· 7 433 Email ----~------------
Elevator Company Morning Star Elevator State License Number ___ c_c_-1_-_15_
Malling Address _____ 16_1_6_5_C_l_iff_ro_c_k_C_t_C_o_lo_r_a_do_S __ p_rin~g~s_, _C_0_8_0_9_2_1 ________ ~----
Phone# 719·635-7960 Email richar:d@msele1iator.com
Unit# 08715-06
__ X_ New Installation-Circle one (HVP -RHYP -Traction -Lift -Dumbwaiter -Other Hydro Elevat'r
___ 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 ___ P_r_o_vi_d_e_a_n_d_in_s_t_a_ll _n_ew_e_le_v_a_to_r ____________________ _
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 authorl to violate or cancel the provisions
of any o~ sta 1¢f;al w regulating construction or the
perform e fruc on.
. ~-rJJ:_ __ _
Signature of contractor or authorized agent Date
Signature of owner Date
NEW INSTALLATION FEgS
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
MAJOR ALTERATION FEES;
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 ___ 17-'-,9_8_7 _____ ..,..r .... ,i,,._
TOTAL FEE __ 27_5_.o_o ______ L
Conveyance plan review and fteld Inspections will be conducted by NWCCOG Elevator Inspection Program. Plans will be su ln1tted to
NWCCOG for review and approval. Schedule inspections by emailing NWCCOG at Elevator@NWCCOG.org. : ... ~ . .,._,,,,,,,~