HomeMy WebLinkAboutB15-0252 elevator.pdfNorthwest Colorado Council of Governments
ELEVATOR PERMIT APPLICATION
Permit# /(.p /{53 Jurisdiction few.,.; 'VAil-Building Official rR. fllopJD.e4Go.0
Total Fee d...J5 •.00 Dat~_,.{v--(~ Receipt# CC
Plan Reviewed and Approved by ~H'~ate Issued I j,/¥£6'
This section to be completed by NWCCOG Permit Expiration Date r/,.L p,2
I** Permits expire In one year for new Installations and six months for alterations **l
* * All the following must be completed by the elevator contractor**
Inaccurate, illegible or missing information will cause a delay in the application process.
Please complete a separate application per conveyance.
Jurisdiction Building Permit# /5 15 -0 ~ f; ~ State of Colorado Conveyance ID# c._.p IS -{) oos>o9
Job Address 1'1? ~----+rT5"'Sunburst Dr Vail. CO 81657
Job Name Vail Golf West
Job Malling Address 111i?Fffl Sunburst Dr Vail. CO 81657
Job Phone tt 303-623-7433 Email---------------
Elevator Company Morning Star Elevator State License Number ___ c_c_-1_._1s __
Mailing Address ____ 1_6_1_6_5_C_l_iff_ro_c_k_C_t_C_o_lo_ra_d_o_S_.p_r_in~gs_,_C_0_8_09_2_1 ____________ _
Phone# 719-635 7960 Email richard@msele"atou;ooim~-----
Unit# 67192-AD-E
__ X_ New Installation-Circle one (HYP -RHYP -Traction -@Dumbwaiter -Other ______ .)
___ Alteration (unit cannot be returned to setvice until Inspected and approved by NWCCOG)
Cab modifications require submission of Material Safety Data Sheets (MSDS)
Describe work Provide and install new lift C C.l'f..JW &/t C /A
NOTICE
I hereby certify that l 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 prov1s1ons
of any othllr te 1-~~a rE19jiating construction or the
performanc f c ,itio '~-· ,( 1--
1
• .. ,. l '.. I -,
Signature of contractor or authorized agent Date
Signature of owner
PAYMENT
Check: Make payable to NWCCOG.
Date
NEW INSTALLATION 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:
Lip to and including $20,000 of valuation = $27'>.00
Over $20,000 of valuation = $275.00 plus $4.00 for each
$1,000.00 or fraction thereof over $20,000.00
MAJOR Ab TERATION FEES:
Fees for ma1or 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~~~_;_::~!-~_0_,,.u;.._·_·~~~-.----·-········-····,
\\
Conveyance plan review and field inspections will be conducted b
0
y NWCCOG Elevator Inspection Progr~rn 1
Plans will be ~bmi~~ i1~ , ,,·~! ·
Credit .. ·.Card.: }a. II ta Jnters at 970-468·0295 xll4 to give
CC lnfo~i?r ~ w for Credit card ~uthorization.
,, ,,.,'"' <\ ,f I ./"1 , '"-, -"' r ' ' ' '' -/ i 1,L
Signature Date
NWCCOG for review and approval. Schedule inspections by emailing NWCCOG at Elevator@NWCCOG.org. 1 j ! 0'.1 f~)
. ~ ,. t~J!1
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Northwest Colorado Council of Governments
ELEVATOR PERMIT APPLICATION
Permit# /lo _,{6t{-Jurisdiction To(.,J µ U kl<........-Building Official -:If!._ /v{o IJ [) 124-GoA.J
Total Fee ~ 7 5, .00 Date Paid /d., -le,:~ Receipt# __ C_C_;;:;___ __ _
Plan Reviewed and Approved by ~ 4-. ZH'oate Issued~~/
This section to be completed by NWCCOG Permit Expiration Date /;j/.j//.2
r,;;;-;;:-·------·--·-·· ------·-····-----·-----· ··-----·-·--·-*! i"flermlts expire in one year for new installations and six months for alterations ~--~1
**All the following must be completed by the elevator contractor**
Inaccurate, Illegible or missing information will cause a delay in the application process.
Please complete a separate application per conveyance.
Jurisdiction Building_ Permit# f::> }!:;-0 J.S cl-state of Colorado Conveyance ID# C p /5-0()0 f Of
Job Address /??o ~Sunburst Dr Vail, CO 81657
Job Name Vail Golf_E_a_s;...t __________________________ _
Job Mailing Address ("llj?'H'i'5 Sunburst Dr Vail, CO 81657
Job Phone# 303-623-7433 Email
Elevator Company
Malling Address
Morning Star Elevator State License Number CC-1-15
16165 Cliffrock Ct Colorado Springs, CO 8092_~---
Phone# 719-635-7960 Email __ __..ri...,ch""a"'"rd"'@mselevatoi:.mm. ... --.. --
Unit# 67193-AD-E
~ New Installation-Circle one (HYP -RHYP -Traction@oumbwaiter -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 ___ P_r_ov_i_de_a_n_d_,n_s_ta_l_I n_e_w_lift _____________________ _
NOUCE
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 stat~or.~?}!711r /egu~(ing construction or the
performance of an5T~' 1 _ I
/;vi/ '? , I X: // -_ • ....-"'..,_, > \, ~
Signature of 'contracto!or authorized agent Date
Signature of owner Date
PAYMENT
Check: Make payable to NWCCOG.
Credit Card: call Cora .Wint rs at 970-468-0295 xll 4 to give
CC mformatpn. fig(! bjlow r Credit Card Authorization. ·U} ,, :. vl..·i A,0
Signature Date
NEW INSTALLATION FEES
Passenger or freight elevator, LULA, escalator, moving walk:
Up to and mcluding $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
$1,000.00 or fraction thereof over S20,000.00
MAJOR ALTEBAilON FEES;
Fees for major alterations shall be as set forth in Table 3·A of the
Uniform Adm1nrstrative Code or Table 1-A -see Current Fee Schedule
on NWCCOG.org website Elevator Inspection Program page.
r '· Z. VALUATION_~~~.)~~~~~~~
TOTALFEE ____ ·l--~--
> ( I . J. tl \_ --..
I;. L
Conveyance plan review and field inspections will be conducted by NWCCOG Elevator Inspection Program. Plans will be submitted tb
NWCCOG for review and approval. Schedule Inspections by emailing NWCCOG at Elevator@NWCCOG.org.
N~
COUMCIL Of GOVERNMENT,$
To:
From:
Date:
MORNING STAR ELEVATOR 8t TOWN OF VAIL
NWCCOG Elevator Inspection Program
970-468-0295 ext. 108 or elevator@nwccog.org
1/13/2017
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 GOLF WEST
Building Permit: 815-0252
Location: 1778 SUNBURST DR, VAIL
NWCCOG Permit Number(s): 16-153
Comments:
CERTIFICATE OF INSPECTION
ELEVATOR PROGRAM
NORTHWEST COLORADO COUNCIL OF GOVERNMENTS
This certifies that this lift was inspected
on the date below and meets the minimum requirements for operation.
ID Number: 67192-AO-E
State of Colorado ID #: CPlS-000809
Location Name: VAIL GOLF WEST
Date of Inspection: 1/3/2017
Expiration Date: 12/31/2017
Type: Lift
Inspector: David Pickett-Heaps
Ne"'-·~~ v:o~~~~~
To:
From:
Date:
MORNING STAR ELEVATOR It TOWN OF VAIL
NWCCOG Elevator Inspection Program
970-468-0295 ext. 108 or elevator@nwccog.org
1/13/2017
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 GOLF EAST
Building Permit: 815-0252
Location: 1778 SUNBURST DR, VAIL
NWCCOG Permit Number(s): 16-154
Comments:
CERTIFICATE OF INSPECTION
ELEVATOR PROGRAM
NORTHWEST COLORADO COUNCIL OF GOVERNMENTS
This certifies that this lift was inspected
on the date below and meets the minimum requirements for operation.
ID Number: 67193-AD-E
State of Colorado ID #: CPlS-000808
Location Name: VAIL GOLF EAST
Date of Inspection: 12/29/2016
Expiration Date: 12/31/2017
Type: Lift
Inspector: David Pickett-Heaps