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09/02/2014 10:47 4025027575 C AND S ROOFING INC PAGE 04106
2- 1 009" 1 INTERNAT10"'NAL RESIDENTIAL CODE
CITY OF BLAIR REROOFING CHECKOFF SHEET
Return to lair tihty Hall prior to Final Inspection
218816 Street, lair, NE 08008
Because of limitations caused by the infeasibility to perform detailed inspections which would
not interfere with reroofing work, please indicate compliance with the following requirements
following this reroofing job,
Property Address:
Contractor or Homeowner (if self) : '. L1(•% n SSA' r)
Permit #: M 014- 1 •
Installation Date:
YES NO
Pq The materials and methods of application used for recovering or replacing the existing
roof covering comply with the requirements of the building code. (8907.1)
ICE PROTECTION INSTALLED: An ice barrier that consists of at lust two layers of
underlayment or of a self - adhering polymer modified bitumen sheet was installed and
extends at least from the eave's edge to a point at least 24 inches inside the exterior
wall line of the building. (R9a5.2.7.1)
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. (R907.2)
EXiS'TING COVERING WAS REMOVED. Fxisting roof covering was removed for one
of the reasons required by section R907.3
DID NOT USE RUSTEi] METAL OR FLASHING: Existing vent flashing, metal edges,
drain outlets, collars or metal counter- flashing were not reinstalled if rusted. (8907,5)
FLASHING INSTALLi =D PROPERL'Y': C=lashing shall be reconstructed in accordance
with approved manufaoturer's installation instructions. Metal flashing to which
fait !no Materials are to be adhered shall be primed prior to installation. (11007.6)
Signatu d " ri n ' ller Date
Signature 6ffyermitfi older Date
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