HomeMy WebLinkAboutAFFIDAVIT Roof 459 Chapin Ave 2023-12-21r
fP
TOWN or ESTES PARK_
MID ROOF INSPECTION AFFIDAVIT
PERMITNUMBER:_Z2 9 -&P-OOS Z4H pate:(4 -2/--23
L RACY \TTP COKIN |,licensed as a(n)
(print name)
Engineer Architect
(circle license type above)
*Roofing,Residential or Building General Contractors to make such an inspection.
¢Contractor®)
Did personally inspect the roof deck nailing and secondary water barrier work at
ES |hopin Loné.FkbetFuh LO BOS or about.7 |26 i ZS _
(Physical address)(Date &time)
Based upon that examination,I have determined the installation was don
Manufacturer?s Installation Speci
e according to the
Amendments
cations,Chapter 9 of the 2015 IRC,and Local
License #29EP ?S -O3?3
Contractor Signatu
(below to be completed by notary only)
STATE OF lo
COUNTY OF M2.
St
Subscribed and sworn before me this A /day cLecember 20x23
By (applicant)
(3 _.NOTARYID 20154014597
MY COMMISSION EXPIRES FEBRUARY 4,2027
Notary Public (signature)
Commission Expiration:feb ULE y |QY [stamp]
ALICIA CRUTTENDEN
NOTARY PUBLIC
STATE OF COLORADO
170 MACGREGOR AVE.P.O.BOX 1200,ESTES PARK CO.80517 WWW.ESTES.ORG
Community Development Department 970-577-3726
Building Division building @estes.o
U.\Building Division\Policies &Procedures\New P&P 2019\Attidavits 2015 I-Codes\Roofing
Rev.July 27,2020
__
COLORADO
Date Issued:
Expiration Date:
Job Site Address:
Category:
Permit Type:
Valuation:
Estes Park
170 MacGregor Ave Suite 230,Estes Park,CO
80517
Phone:(970)577-3726 Fax:(970)586-0249
06/26/2023
12/23/2023
459 Chapin Lane,Estes Park,CO
80517
Miscellaneous
Residential Reroof
$29,400.00
Description of Work:
Reroof down to decking with Westlake Royal Cottage Shingle Stone Coated Steel.Total of 49 squares Class-4 Hail Impact
Resistance
Subdivision:
Parcel ID:
Signature of Applicant/Date
Required Setbacks:
3524307154
Actual Setbacks:
Fee Items
Building Permit Fees
Property Owner:
Mailing Address:
Residential Reroof
23-EP-00324
Astrid
459 Chapin Lane
Estes Park,CO 80517
(970)219-8160
Amount
$441.75
$117.60
Total Fees:$559.35
Building Department Signature/Date
06/26/2023
MUST BE POSTED ON JOB SITE