HomeMy WebLinkAboutAFFIDAVIT Roof 1580 Fall River Rd 7 2021-04-21rcrc OF EISTES PARI
ROOFING INSPECTION AFFIDAVIT
21-Lii’-DDi
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(printl1ame)
ontractor*Engineer Architect
license type above)
DATE:______
licensed as a(n)
*Roofing,Residential or Building General Contractors to make such an inspection.
Did personally inspect the roof deck nailing and secondary water barrier work at
lCyCflOt[W?{’1Q’4 (‘4.7
(Physical address)
__________onorabout______
(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
FINAL INSPECTION SHALL BE PERFORMED BY THE TOWN BUILDING INSPECTOR
_____________________________
License#__________________
—
STATE OF
(below to be completed by notary only)
COUNTY OF
STEPHANIE I KELLY
NOTARY PUBLIC -STATE OF COLORADO
NOTARY ID 20034019885
MY COt.QAISSION EXPIRES JUN 28,
[otamp]
170 MACGREGOR AVE.P.O.BOX 1200,ESTES PARK CO.80517 WWW.ESTES.ORG
community Development Department
Building Division
970-577-3726
building@estes.org
PERMIT NUMBER:.
I,7j6\\4 cti;&ii
Subscribed and sworn before me this /day o{
(7 li 11 I
By (applicant)
‘I
___2Q
Notary I1iic (sigature)
Commission Expiration:.
202k
1 c.?
I —I
2023
U:\Buildine Division\Policies &Procedures\New P&P 2019\Affidavits 2015 -Codes\Roofing Rev.June 10,2019