HomeMy WebLinkAboutAFFIDAVIT Roof 1520 Fall River Rd (Castle River 6 Cabin) 2024-12-07I OWN OF ESTES PARK
MID ROOF INSPECTION AFFIDAVIT
PERMIT NUMBERO,,
(0?) DATEI„--)a- (
, licensed as a(n)
(print name)
(Contract) Engineer Architect
(circle license type above)
Roofing, Residential or Building General Contractors to make such an inspection.
Did personally inspect the roof deck nailing and secondary water barrier work at
5-6() En' 1? Zofe, r /031i Lc Cak
(Physical address) E:1;4c& pan-, CO ..(0s
n or about
(Date & time)
Based upon that examination, I have determined the installation was done according to the
Manufacturer's Installation Specifications, Chapter 9 of the 201.5 IRC, and Local
Amendments
License #
:ontfa.ctor Signature
(below to be completed by notary only)
STATE OF )10irad c
COUNTY OF 1iUkC
Subscribed and sworn before me this
Sal)
y appli -ant)
Notary
Commission Expiration:jE
170 MACGREGOR AVE,
Community Development Department
BiAcfng Division
day of
('')7ots-
2013
CHELSEA L BREWER
NOTARY PUBLIC - STATE OF COLORADO
NOTARY 10 20214048445
MY COMMISSION EXPIRES DEC 14, 2025
X 1200, ESTES PARK GO. 80517
'0.1\ [3•11ilcinc....!, Division \Pc)11.(711•s & Proceducts\ New P&.P 2019 \ Affidavits 2015 [-Cocles\ Roofing
[stamp]
WWW.ESTES.ORG
970-577-3726
building@estes.org
Rev...Yuly 27, 2020
1 r.
lr