HomeMy WebLinkAboutAFFIDAVIT Roof 1580 Fall River Rd 1 2021-04-29PERMIT NUMBER:
rFowN OF iPSfFS PAR1ç
ROOFING INSPECTION AFFIDAVIT
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ctracZ (print n4me)
Engineer
(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
I5 itIi RI&YPA 2ta I)E’cks i,(
(Physical address)
on or about ‘Jzi IJ £6)P/”
(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
PERFORMED BY THE TOWN BUILDING INSPECTOR
License#1-(f---f)Tii)
(below to be completed by notary only]
(‘iov&dv
Subscribed and sworn before me this 7/f day ot
By (applicant)STEPHANIE L KELLY
NOTARY PUBLIC -STATE OF COLORADO
NOTARY 1020034019885
MY COMMISSION EXPIRES JUN 28,2023
170 MACGREGOR AVE.P.O.BOX 1200,ESTES PARK CO.80517 WWW.ESTES.ORG
Community Development Department
Building Division
970-577-3726
build ing@ estes.org
DATE:t()7(4 /ZI
—I
Architect
•,licensed as a(n)
FINAL INSPECTION SHALJ
STATE OF
COUNTY OF
)hA *[(
Notary lktblic (sigYature)
Commission Expiration:.
2011
[stamp]
U:\Building Division\Policies &Procedures\New P&P 2019\Aftidavfts 2015 l-Codes\Roofing Rev.June 10,2019