HomeMy WebLinkAboutFile Documents.219 S 3rd St.0081.2019 (8).ARBKNorthwest Colorado Council of Governments
Permit At 8 Jurisdiction f bf Building Official/)1.k All
Total Fee'1' rp aid 30 Racal l t #
Permit Approved by r� Date Issued t Y
This box to be completed y NYYCCOG Permit Expiration Date
** Permits expire in one Year for new installations and six months for alterations **
A separate Pe77nifApp/ic txtn is required for each conveyance.
Job Address 219 S 3rd St, Aspen, CO 81611
Job Name Foster Residence
Job Mailing Address 219 S 3rd St, Aspen, CO 81611
Job Phone # 719-635-7960 Email dchard0mselevator.com
Elevator Company Morning Star Elevator State License Number CC -1-15
Mailing Address 16165 Cliffrock Court, Colorado Springs. CO 80921
Phone # 719-635-7960 Email dchard@mselevator.mm
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 # 0072.201SARBK
X Is this for Passenger or Freight? Passenger
X Is this for Commercial or Residential? Residential
_z,_Circle One: HydraulicRoped Hydraulic Traction/Electric — Lift — Dumbwaiter —Ot
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.
I hereby artily that I have read and examined this
Passenger or height ele.W,, LULA, escalator, moving walk:
appikation and know the same W be true and correct. All
Up to and inducting $50,000 of valuation = $500
provisions of laws and ordina governing his type of
Valuation $50,000-$199,999=$500 plus $20 for each $1,000 or fraction thereof over $50,000
e r speafed herein or rot.
work wgmda
Valuation $200,000 & up=$3,500 plus $10 for each $1,000 or fraction thereof over $200,000
The groes presumetogiveauthonty
DR, Dumbwaiter or private residence elevator:
m obi
s of any other state or loml
Up to and Induding $20,000 of valuation = $350
law reo
he pertor rmmof
Valua0m $20,000 & up=$350 plus$10fareach$1,000terfradionthereofover$20,000
consm
MODIFICATION FEES:
_713/
Up to & Induding $10,000 of valuation = $350
Taal valuation of $10,001- $25,000 = $500 u
liven Canrador Signature pace
Total valuation $25,001 & up = $500 plus $20 for each $1,000 or fraction thereof over
$25,001.
PAYMENT
fYS
Cheek: Make payable to NWCCOG.
VALUATION per contract with owner ( J
Creda Card: UII 970469-0295 X114 m give CC
00
information. Sign below for Credit Card Authorization.
TOTAL FEE :N)
Conveyance plan review and fidd inspections will be canduded by NWCCOG Elevator
Signature Date
Inspection program. Schedule acceptance inspections by emailing
NWCCOG at ElevatorONWCCOG.org. An approved Permit do" not
Revised 9/19/2017
constitute approval on final inspection.
AUG U b 2019