HomeMy WebLinkAboutAFFIDAVIT Roof 1520 Fall River Rd (Castle Pines Cabin) 2024-06-03TOWN OF ESTES PARK
MID ROOF INSPECTION AFFIDAVIT
PERMIT NUMBER: L.„-
Fp -
c,,:"•1)
, (print name)
(Contractor*) Engineer Architect
(circle license type above)
*Roofing, Residential or Building General Contractors to make such an inspection.
DATE; )-7,(
, licensed as a(n)
Did personally inspect the roof deck nailing and secondary water barrier work at
ISji3 7:a.H 12.c\ (COS fl )1 nes (161“'on or about r\
(Physical address) Sit-e-cj: kvirz, ecSil
Mate & time)
Based upon that examination, I have determined the installation was done according to the
Manufacturer's Installation Specifications, Chapter 9 of the 2015 IRC, and Local
Amendments
License # d
contrador Signature
(below to be comp e ed by notary only)
STATE OF COI )0(10
COUNTY OF La ri
Subscribed and sworn before me this
0
By p lica
Notary Public
Commission Expiration:
1.70 MACGREGOR AVE.
Community Development Department
Building Division
day bf <
(ry- i IR,
e b(
, 20(93
CHELSEA L BREWER
NOTARY PUBLIC - STATE OF COLORADO
NOTARY ID 20214048445
MY COMMISSION EXPIRES DEC 14, 2025
P.O. BOX 1200, .ESTES PARK CO. 80517
IMAMMAMPOPI
Division\ Polic es 8., 1Procduires\l'qew 777IP 20'19 \Affidavits 2015 V.-Codes\ Roofi:ng
[stamp]
WWW.ESTESORG
970-577-3726
building@estes.org
Rev„July 27,2020