HomeMy WebLinkAboutAFFIDAVIT Roof 363-365 Virginia Dr 2023-06-22Community Development Department Building Division
U:\Building Division\Policies & Procedures\New P&P 2019\Affidavits 2015 I-Codes\Roofing
970-577-3726
building@estes.org
Rev. July 27, 2020
170 MACGREGOR AVE. P.O. BOX 1200, ESTES PARK CO. 80517 WWW.ESTES.ORG
MID ROOF INSPECTION AFFIDAVIT PERMIT NUMBER: DATE: I, , licensed as a(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 at on or about (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
License # Contractor Signature (below to be completed by notary only)
STATE OF COUNTY OF Subscribed and sworn before me this day of , 20
By (applicant)
Notary Public (signature) Commission Expiration: [stamp]
363-365 Virginia Dr
23-EP-00250 06/22/23
Mike McCoy / Blue Peaks Roofing
06/19/23 @ 12pm-1pm
24EP-R-0116
Texas
Bexar
June22nd 23
Michael McCoy
04/19/2027
Notarized online using audio-video communication