Checkoff Sheet 511_0001.tif I
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09/02/2014 17:56 7790112 GOEDEN CONSTRUCTION PAGE 01
INTERNAT .- .
SHEE CITY OF BLAIR REROOFING CHECKOFF
Return to Blair ta Hall prior to Final Inspection
218 I Street, Blair, NE 68008
Because of limitations caused by the Infeasibility to perform detailed Inspections which would j
not interfere with reroofing work, please indicate compliance with the following requirements
following this reroofing job.
Property Address: N e r-?t 5
Contractor or Homeowner (if self)
Permit #:
Installation Date: opl
YES ,
The materials and methods of application use 'd for recovering o replacing the existing
roof covering comply with the requirements of the building code (R907.1)
ICE PRtOfECTION INSTALLED An ice barrier that consists of at least two layers of
underlayment or of a self-adhering polymer modified bitumen sheet was installed and
extends at least from the eave's ed_gg to a paint at least 24 inches . inside the exterior
wail line of the building. (11905.2.7.1)
STRUCTURAL CeOMPONENTS ARE StOUNU: The structural roof components are r
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)
EXISTING COVERING WAS REMOVED_ Existing roof covering was removed for one
of the reasons required by section 89073
DIP NOT USE RUSTED META OR FLASHING: Existing ent flashing, metal edges,
es, 0
drain outlets, collars or metal counter - flashing were not reinstalled if rusted. (8807.5)
FLASHING INSTALLER PROPERLY: Flashing shall be reconstructed in accordance j
with approved manufacturer's installation instructions, Metal flashing to which
bituminous materials are to be adhered shall be primed prior to installation. (R907.0)
Sig tur a rimary Installer Date �
Signature ermIt Holder Date
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