HomeMy WebLinkAboutAFFIDAVIT Roof 1580 Fall River Rd 9 2021-04-15OF ESTES PARK
ROOFING INSPECTION AFFIDAVIT
PERMIT NUMBER:i’EP DDILE’DATE:_________
,c\5’14,j/1 )kØ\W1kJ4t&)fr Lit ,licensedasa(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 athir42ihikS4Conorabout74 /Q dbh’4
(Physical address](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#1/4;R
S gnature
(below to be completed by notary only]
STATE OF C,tIoyaAr
COUNTY OF LL-rnw{
Subscribed and sworn before me this day o{
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By (applicant)
tefiJ
NOTARY PUBLIC STATE OF COLORADONotarji’Public(.ignature]STEPHANIE L KELLY
Commission Expiration:e NOTARY 9885
MY COISSION EXPIREs JUN 28,2023
170 MACGREGOR AVE.P.O.BOX 1200,ESTES PARK CO.80517 WWW.ESTES.ORG
Community Development Department 970-577-3726
Building Division building@estes.org
U:\Building Division\Policies &Procedures\New P&P 2019\Affidavits 2015 I-Codes\Roofing Rev.June 10,2019