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HomeMy WebLinkAboutElevator PermitNorthwest Colorado Council of Governments CONVEYANCE PERMIT APPLICATION Permit # W? Jurisdiction 1q" Q �Building Official l� /O�e4fp Total Fee 9 15-0 °I Date Paid � ,-2/ tjfr Receipt # --riU 3 0 6 v7 Gi Y r� Permit Approved by :d.,na.,, -4 � r.� Date Issued v3/„-� ;led 3 This box to be completed by NWCCOG Permit Expiration Date "Permits expire in one year for new installations and six months for alterations" A separate Permit Application is required for each conveyance. Job Address 678 Schooner Lane, Carbondale, CO 81623 Job Name Stirling Ranch, LOT 26 Job Mailing Address Last Ridge Development Corp. 1720 Wazee #5D, Denver, CO 80202 Job Phone # 720-670-8129 Email gmanchester@lastridgedev.com Elevator CompanyC010rado Custom Elevator 8, Lift state License Number CC-1-7 Mailing Address 416 29 Road Grand Junction CO 81504 Phone # 970-245-4472 Emailoffice@coiocustomIift.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) _Jurisdiction Building Permit # BLRE-09-21-7134 _Is this for Passenger or Freight? Passenger Is this for Commercial or Residential? Residential _Circle one: Hydraulic o ed Hydraulic Traction/Electric — Lift — Other Plans/Drawings submitted with this Permit Application Elevator Status Panel Yes 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 & approved by NWCCOG. No TCO's issued for major alterations. NOTICE 1 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 law regulating construction or the performance of construction. 02/23/2023 Licensed Contractor signature Date PAYMENT Check: Make payable to NWCCOG. Credit Card or Electronic Check - pay online at www.nwcoog.org/programs/elevator-inspection- program I Revised 12/14/2022 1 Passenger or freight elevator, Lift, LULA, escalator, moving walk: Up to and including $50,000 of valuation = $500 Valuation $50,000-$199,999=$500 plus $20 for each $1,000 or fraction thereof over $50,000 Valuation $200,000 & up=$3,500 plus $10 for each $1,000 or fraction thereof over $200,000 Private residence elevator: Flat Fee = $750.00 ALTERATION OR MODIFICATION FEES Up to & including $10,000 of valuation = $350 Total valuation of $10,001 - $25,000 = $500 Total valuation $25,001 & up = $500 plus $20 for each $1,000 or fraction thereof over $25,001. VALUATION per contract with owner 18000.00 TOTAL FEE 750.00 Conveyance plan review and field inspections will be conducted by NWCCOG Elevator Inspection program. Schedule acceptance inspections by emailing NWCCOG at Elevator@NWCCOG.org. An approved Permit does not Constitute approval on final inspection.