Checkoff Sheet MS-2014-00554_0001.tif I
2009 INTERNATIONAL RESIDENTI CODE
CITY OF BLAIR REROOFING CHECKOFF SHE ET
Return to Blair Cit Hall prior to Final Inspection
218 S 16 - Street,., Blair, NE 6800.8
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: fa
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Contractor or Homeowner (if self) : cl:- C '; (' ' !� ��i C-4
Permit #: MS -2014- 00
Installation Date: 7 /(,
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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
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)
I ❑ 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)
❑ EXISTING COVERING WAS REMOVED: Existing roof covering was removed for one
of the reasons required by section R907.3
❑ DID NOT USE RUSTED METAL OR FLASHING: Existing vent flashing, metal edges,
J drain outlets, collars or metal counter - flashing were not reinstalled if rusted. (R907.5)
❑ 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)
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Signature of Primary Ins Date
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Signature of Permit Holder Date