CHECKOFF SHEET MS-2014-00972_0001.tif i
2009 INTERNATIONAL RESIDENTIAL DOD - r
CITY OF BLAIR REROOFING CHECKOFF SHEET
Return to Blair City Hall prior to Final Inspection
218 S '16 Street, Blair, NE 68008
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.
Permit #:
Installation Date: 17 , C - I�L_
Y S 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)
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Q ICE PROTECTION INSTALLED: An ice barrier that consists of at least two layers of
underlayment or of aself- adhering polymer modified bitumen sheet was Installed and
extends at least from the eaye's edge to a point at least 24 inches inside the exterior
wall line of the building. (R905.23.1)
(� STRUCTURAL GOMPONENTS 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
NO RUSTED METAL OR FLASHING: Existing vent flashing, metal edges, drain
outlets, collars or metal counter - flashing were not reinstalled if rusted. (R907.5)
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®. FLASHING INSTALLED PROPERLY: Flashing shall be reconstructed in accordance
with approved manufacturer's installation instructions. Metal flashing to which
'turninous materials are to be adhered shall be primed prior to installation. (R907.6)
Signa re f Primary Installer
Date
gna ure of Pe 1 Hold r Date
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