Checkoff Sheet MS-2014-00783_0001.tif UU /ZU /LU14 Ul:LU 1 4UL03JL1'!J C. UU1 /UU1
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QTY OF BLAIR
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R eturn to Blair Ci Hall prier to Fi Inspection
1 0 1 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.
Property Address:
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Contractor or Homeowner (if self)
hermit##: IVI - 2014- 270
Installation Date:
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 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)
rvi STRUCTURAL COMPONENTS ARE SOUND: The structural roof components are
capable bf 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: 11907.3
❑
DID NOT USE RUSTED METAL OR FLASHING: Existing vent flashing, metal edges,
drain outlets, cellars or metal counter-flashing ware n ot reinstalled if rusted. ( 14907.5)
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❑ Fi�ASHING 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. (11907.6)
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Signature of P Installer Date
Si nature of Kermit Holler Mute