HomeMy WebLinkAboutAFFIDAVIT Roof 645 S Saint Vrain Ave 2024-11-21ESTESDPARK
C O L O R A D 0
MID ROOF INSPECTION AFFIDAVIT
PERMIT NUMBER: 24-EP-00409 DATE: \ \ ("L ~ \ ·vnL(
I, ____________ G_-_v_· \_A_'Ro __ c_~.......;·,~~'-~.--1_\.~<<.>,V\,u.,C.....,;• ____ , licensed ~s a(n)
(print name)
ontractor Engineer Architect
._~· e 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 /
645 South Saint Vrain Avenue, Estes Park, CO 80517 on or about \o{'l'S -z,o--z_<-(-
(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 2021 IRC, and Local Amendments
d-~ Contractor Signature
License # _ ___..5~5_9 ______ _
(below to be completed by notary only)
STATE OF: ___._("°"1)_.__,/ (J....,_Y_.._(W~Q--___ _
COUNTY OF: __ --=l...a,~yL....l-li ffi.i...-12 .... Y ____ _
Subscribed and sworn before me this :J-l day of_-+N~CY-f...,.OO~bR-..IC....._ _____ , 20~
K (U'l I< (3a.y-tra.m.)
By (applicant)
Notary Pub ·c ignature) I t"fJ
Commissio xpiration: 0 I 11 / ;J..O ;J...., ll.. '
MCCALL LEE LEEMAN
Notuy Publlo
State of Colorado
Notary ID# 20204002321
M Commission Ex lr11 OM 7• 0 a
[stamp]
170 MACGREGOR AVE. P.O. BOX 1200, ESTES PARK CO. 80517 WWW.ESTES.ORG
Community Development Department Building Division
U:\Building Division\Policies & Procedures\New P&P 2019\Affidavits 2015I-Codes\Roofing
970-577-3726
buildinq@estes.org Rev. July 27, 2020