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Checkoff Sheet MS-2014-00685_0001.tif L Vvii IIr 1 IWINIV1 11V1 I11rV1VL.1V 1 1PALM %Wow" . CITY OF BLAIR REROOFING CHECKOFF SHEET Return to Blair City Hall prior to Final Inspection 218 S 16 i Street Blair, NE 68008 i 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: 1005 N 14th St. Blair NE 68008 Contractor or Homeowner (if self) : Mr. & MrS. Paulsen Permit #: MS- 2014 - 00685 Installation Date: 8/15/14 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. (R905.27.1) 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) I 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; drain outlets, collars or metal counter - flashing' were not reinstalled if rusted.` (R907.5) PLASHING 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) -- 8/15/14 Sig a ure of Primary Installer Date 8/15/1.4 Signa re of Permit Holder Date