HomeMy WebLinkAboutAFFIDAVIT Roof 1520 Fall River Rd (Castle Rock Cabin) 2024-06-03TOWN OF ESTES PARK
MID ROOF INSPECTION AFFIDAVIT
PERMIT NUMBER:(9)
1, J610 nS�o
- .(2
)(-
DATE: ("1k'
, licensed as a(n)
(print name)
Contractor,*) 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
...“_„t \ter- n or abou.t
(Physical address) f's (e) ,s-1
(Date & 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
— Q
License # C9 (1.,(Q
STATE OF
COUNTY OF
(below to be completed by notary only)
CM (10
Ct vtou,v
Subscribed and sworn before me this
C1)(1( (c)01i01
By' (applica )
„.
6thry Public g
Commission Expiration:
170 ..ACGREGOR AVE.
Community Development Department
Building Division
CC V1
day or, /1 be-r'
1)-
de, ,411, INA,
4
CHELSEA L BREWER
NOTARY PUBLIC - STATE OF COLORADO
NOTARY ID 2021 8445
MY CO ISSION EXPIRES DEC 14, 2025
P.O. BOX 1200, ESTES PARK (10. 80517
[stamp]
MIIIMPUMMMIM
BuTh.ik-Ig Division & Procedures\ New P&P 2019 \ Affidavits 20.15 I -Codes \ Roofini.7.
WWW.ESTES.ORG
970-577-3726
building@estes.org
Rev,...luly 27, 2020