CHECKOFF SHEET-02004_0001.tif i
2009 INTERNATIONAL RESIDENTIAL CODE
CITY OF BLAIR REROOFING CHECKOFF SHEET
Return to Blair City Hall prior to Final Inspection
2'18 S '16 Street, Blair, NE 68088
Because of limitations caused by the infeasibility to perform detailed inspections which would
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not interfere terfere with reroofing work, please indicate compliance with the following requirements
followin this reroofing job.
Permit #:
Installation Date.
YES NO
The materials and methods of application used for recovering or replacing the existing
roof covering comply with the requirements of the building code. (R907.1)
ICE PROTECTION INSTALLED: An ice barrier that consists of at least two layers of
ering polymer modified bitumen sheet
underlayment or of aself- adhwaswas i� and
extends at least from the eaye's edge to a point at least 24 inches inside the exterior
wall line of the building. (R905.2.7.1)
5L Q STRUCTURAL COMPONENTS ARE SOUND: The structural roof components are
capable of supporting the roof covering system and the material and equipment loads
that will be encountered during installation of the roof covering system. (8907.2)
EXISTING COVERING WAS REMOVED: Existing roof covering was removed for one
of the reasons required by section 8907.3
NO RUSTED METAL OR PLASHING: Existing vent flashing, metal edges, drain
outlets, collars or metal counter- flashing were not reinstalled if rusted. (R907.6)
Q FLASHING INSTALLED PROPERLY: Flashing shall be reconstructed in accordance
with approved manufacturer's installation instructions. Metal flashing to which
bituminous materials are to be adhered shall be primed prior to installation. (R907.6)
Signature of Primary Installer Date
Date
Signature of Permit Holder