HomeMy WebLinkAboutElevator Conveyance Acceptance CertificatecôuNcll of 6ôvlRNMfN15
To:Morning Star Elevator and Garfield County Building Dept.
NWCCOG Elevator Inspection Program
elevator@ nwccog. org or 97 0-455-tL7 5 or 970-45 5 - tt7 6
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From
Date:
RESIDENTIAL CONVEYANCE ACCEPTANCE CERTIFICATE
NWCCOG Conveyance Permit 18-112 acceptance inspection passed
08lf4l2ot9.
Name: Orchard Creek Ranch
Address: 150 County Road 137, Glenwood Springs, CO 81601
Jurisdiction Building Permit: BLRE-10-17-4973
ELEVATOR INSPECTION PROGRAM
NoÉhwest Colorado Council of Governments
CONVEVANCE PERMIT APPTTCATION
A separate Permrt Application is required far each conveyance.
Job Address '150 Counfv Roari 137 Glenwood Sorinos C 8lÂ0o
Building
by I{WCGOG
0t Paid #
permit # ,,,f , lt ì
d
A orA¿s C*
ak- )1. U;t tgTotal Fee
Permit Approved by
Thls box to be Permit Expiration Date
Date Issued
** Permlts expire in one year for new installatlons and six months for alterations **
Job Name Orchard Creek Ranch
Job Malling Address 150 Countv Road 137. Glenwood Sorinos. CO 81 601
Job Phone #719-635-7960 Email richardtômselevatnr com
Elevator Company Mornino Star Eleva$ State License NumbertC-1-'15
Mailing Address 16165 Cliffrock Court. Colorado Sorinos. CO 80921
Phone #71 9-635-7960 selevator.com
NEW INSTATLATION (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 #BLRE-10-17-4973
x Is this for Passenger or Frelght?Passenoer
x Isth ls for Commercial or Residentialp Residential
l-Clrcle one: Hydra Traction/Electric - Lift - Dumbwaiter - Other_
x Plans/Drawings submitted with this Permit Application
Roped
ATTERATION - 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
I hereby ceÉify that I have read and examined this
appllcation and know the same to be true and correct. All
provisions of laws and ordinances governlng this type of
work will be complied with whether speclfled hereln or not.
The grantlng permlt not presume to glve authority
to vlolate any other state or local
law or of
Signature Date
Revised 9lLglzÙl7
NEW INSTATIATION FEES
Passenger or freight elevator, [ULA, escalator, movlng walkl
Up to and induding $50,000 ofvaluation = $500
Valuation f50,000-$199,999=$500 plus 920 for each 91,000 or fractlon thereof over 950,000
Valuatlon $200,000 & up=$3,500 plus $10 for each 91,000 or fract¡on thereof over 9200,û00
Llfr, Dumbwaltêr or prlyate residence elevator¡
Up to and including $20,000 of valuation = $350
Valuat¡on $20,000 & up=$350 plus $10 for each $1,000 or fraction thereof over 920,000
MODIFICATION FEES:
Up to & including $10,000 o¡uu¡u¿¡¡p¡ = $350
Total valuatlon of $10,001 - $25,000 = $500
Total valuation $25,001 & up = $500 plus $20 for each $1,000 or fraction thereof over
$25,00 1,
VALUATION per contract with owner
Conveyance plan review and field inspect¡ons will be conducted by NWCCOG Elevator
Inspection Program, Schedule acceptance inspections by emaillng
NWCCOG at ElevatortôNWCCOG.oro. An approved Permit does not
constitute approval on final lnspection.
"lt fo t-Check: Make to
Credlt
Signature
Card
to give CC
u TOTAL FEE 3>T RECEIVED AUG2t2018