HomeMy WebLinkAboutAFFIDAVIT Roof 1580 Fall River Rd 6 2021-04-29TOWN OF ESTES PARK
ROOFING INSPECTION AFFIDAVIT
PERMIT NUMB ER:_
I,(d.’U\)IALOI Wj 1l.L1k LTD
Architect
DATE:121 121
licensed as a(r)
*Roofing,Residential or Building General Contractors to make such an inspection.
Did personally inspect the roof deck nailing and secondary water barrier work at
—nI)t(iI P1va’<4 On
(Physical address)
€*4ts cVt!cb on or about I DP
(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#2P
sigicature
(below to be completed by notary only)
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JAY
Subscribed and sworn before
cioV,k1 AzcH
Notary PMlic (sigature)
Commission Expiration:.
STEPHANIE L KELLY
NOTARY PUBLIC -STATE OF COLORADO
NOTARY ID 20034019885
MY COMMISSION EXPIRES JUN 28,2023
Istampi
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
(print nime)
(ontractorY Engineer‘—frc1e license type above)
STATE OF_
COUNTY OF
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me this t (day oft
By (applicant)
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U:\Building Division\Policies &Procedures\New P&P 2019\Affidavits 2015 -Codes\Roofing Rev.June 10,2019