Checkoff Sheet MS-2014-00388_0001.tif INTERNAT RESIDEN
CITY OF BLAIR I F
.0 CHECKOFF SHEET
Return to Blair City Hall prior to Final Inspection
218 S 16 Street, Blair, NE 88808
Because of limitations caused by the infeasibility to perform detailed inspections which would
not interfere with reroofing worn, please indicate compliance with the following requirements
following this reroofing job,
Property Address; Ij
Contractor or Homeowner (if self) ;
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Permit #; MS-2014- 003N
Installation Date; . ��
YE NO
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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 PR &ECTION INSTALLED n
A 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 eaves edge to -a point at least 24 inches inside the exterior
wall line of the building. (R900.21.1)
,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. (8907.2)
EXISTING COVERING WAS .
REC111OVED, Existing roof covering was removed for one
of the reasons required by section R907.3
� DID NOT USE RUSTED METAL 0R. t~LASHtNG, Existing vent flashIng, metal edges,
drain outlets, collars or metal cpunter flashing were not reinstalled If rusted. (R907.5)
FLASHING INSTALLED PROPERLY: Flashing shall be reconstru 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 ry Installer ..- Date
Signature of Pe mit Holder Date