Checkoff Sheet MS-2014-00623_0001.tif i
Sep 10 2014 1:25PM HP LASERJET FAX 4028864152 page 2
RESIDENTIAL 20 INTERNAT10"ANAL CITY 0
IN T
Return to Blair City Hall prior to Final Inspection
218 S 18 Street, Blair, NE 6800
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: I t 3 A3 s, t, br ti
Contractor or Homeowner (if
Permit #: MS -2014- Q Q ilia
Installation Date: :5 t Q i
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. (8907,1)
ICE PROTECTION INSTALLED: An ice barrier that consists of at least two layers of j
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. (R905.2.7.'1)
STRUCTURAL COMPONENTS ARE SOUNPf. 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)
EXISTING COVERING WAS REMOVED: Existing roof covering was removed for one
of the reasons required by section 8907.3
I� DID NOT USE RUSTED METAL OR FLASHING: Existin vent; flashing, meta Existing g, i edges,
drain outlets, collars or metal counter-flashing were not reinstalled if rusted. (R907.5)
J K FLASHING INSTALLED PROPERLY: Plashing 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. (11907.6)
Signature "Install Date
JE7 9 /10 6014-1
Signature of Permit Molder Date