HomeMy WebLinkAbout08082018150836-0001__B17-0081.pdf Northwest Colorado Council of Governments
CONVEYANCE PERMIT APPLICATION
Permit# L �- 04' Jurisdic 'on Tow i3 V Aqt— Building Official Cf C1 /
Total Fee 3 0- 00 J . ' Paid f'i g Receipt �o 3
Permit Approved by 1, / /,�,�`� Date Issued 7 e i p
This box to be completed .y NWCCOG Permit Expiration Date 70/ 7
** Permits expire in one year for new installations and six months for alterations **
A separate Permit Application is required for each conveyance.
Job Address 354 Beaver Dam Rd#N,Vail, CO 81658
Job Name Price Residence
Job Mailing Address 354 Beaver Dam Rd#N,Vail, CO 81658
Job Phone # 719-635-7960 Email richard c(D,mselevator.com
Elevator Company Morning Star Elevator State License Number CC-1-15
Mailing Address 16165 Cllifrock Court, Colorado Springs, CO 80921
Phone # 719-635-7960 Email richard@mselevator.com
NEW INSTALLATION (ALL items in this box required)
Conveyance Unit/Serial #: (N/A for residential)
State of Colorado Registration ID# CP - (N/A for residential)
x Jurisdiction Building Permit# B17-0081
x Is this for Passenger or Freight? Passenger
x Is this for Commercial or Residential? Residential
_Circle one: Hydraulicoped Hydrauii Traction/Electric—Lift— Dumbwaiter—Other
x Plans/Drawings submitted with this Permit Application
ALTERATION — Detailed Scope of Work must be submitted with this Permit Application
Unit # State of Colorado Registration ID# CP -
The conveyance cannot be returned to service until inspected and approved by NWCCOG,
NOTICE NEW INSTALLATION FEES
I hereby certify that I have read and examined this Passenger or freight elevator,LULA,escalator,moving walk:
application and know the same to be true and correct, All Up to and including$50,000 of valuation =$500
provisions of laws and ordinances governing this type of Valuation$50,000-$199,999=$500 plus$20 for each$1,000 or fraction thereof over$50,000
work will be complied with whether specified herein or not. Valuation$200,000&up=$3,500 plus$10 for each$1,000 or fraction thereof over$200,000
The granting of a permit does it presume to give authority Lift,Dumbwaiter or private residence elevator:
to violate or ncb th- . ovis. s of any other state or local Up to and including$20,000 of valuation = $350
law regulati•c. . rl� on o/he performance of Valuation$20,000&up=$350 plus$10 for each$1,000 or fraction thereof over$20,000
constructir7 1J MODIFICATION FEES:
3// Up to&including$10,000 of valuation =$350
Licensed Contractor Signature gate Total valuation of$10,001 -$25,000=$500
.1 valuation$25,001&up= $500 plus$20 for each$1,000 or fraction thereof over
PAYMENT $25,001. •
�- k: Mak-.pa a. • to N i CCOG. VALUATION per contract with owner 1
Credi C. 0 • 114 to give CC g or.?informatio- .'. redit Card Authorizatlo-. 5
TOTAL FEE J
JI a I0'
Conveyance plan review and field inspections will be conducted by NWCCOG Elevator
Inspection Program. Schedule acceptance inspections by emailing
Revised 9/19/2017 NWCCOG at Elevator@ NWCCOG.orq.An approved Permit does not
constitute approval on final inspection.
RECEIVED AUG 0 12018