CHECKOFF SHEET MS-2014-01499_0001.tif i
2009 INTERNATIONAL RI CODE
CITY OF BLAIR REROOFING CHECKOFF SHEET
Return to Blair City Hall prior to Final Inspection
218 S 16 Street, Blair, NE 68008
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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#: ffls-20ILMV
Installation Date: lLJ I y
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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)
❑ 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
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❑ NO RUSTED METAL OR FLASHING: Existing vent flashing, metal edges, 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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sigK4 ure of Primary Installer Date
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Sig ure of P it Holder Date
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