HomeMy WebLinkAboutAFFIDAVIT Roof 1580 Fall River Rd Main Office 2021-04-30/.Z36?7
TOWN OF ESTES PARJ
ROOFING INSPECTION AFFIDAVIT
PERMITNUMBER:Z(EP D&(f DATE:_________
1,ct!I ‘-I }o O1V4 L+?,licensed as a(n)
(print nam)
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 •vater barrier work at
I5 Wu L twn C4cs ?c1 (O on orabout ‘-/73:121 SOOp/ti
(Physical address)(Date &time)
Based upon that examination,1 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#7(4
(below to be completed by notary only]
STATE OF C
COUNTY OF \.cP.jf
Subscribed and sworn before me this 5Iday of_______________________201)
STEPHANIE L KELLYBy(applicant)NOTARY PUBLIC -STATE OF COLORADO.,rJ /NOTARY ID 20034019865
MY COMMISSION EXPIRES JUN 28,2023
Notary Pu ic (signature]
Commission Expiration:ip [stamp]
170 MACGREGOR AVE.P.O.BOX 1200,ESTES PARK CO.80517 WWW.ESTES.ORG
community Development Department 970-577-3726
BuiFding Division building@estes.org
U:\Building Divisjon\Policies &Procedures\New P&P 2019\Affidavits 2015 -Codes\Roofing Rev,June 10,2019