Checkoff Sheet MS-2014-01116_0001.tif 09/29/2014 MON 10:01 FAX 2002/010
200 INTERNATIONAL RESIDENTIAL CODE
CITY OF BLAIR REROOFING CHECKOFF SHEET
r Return to Blair City Mali prior to Final Inspection
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;;` 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.
Property Address;
Contractor or Homeowner (if self)
Permit #: IVIS 2014 -,I
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 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. (R900.27.1)
❑ STRUCTURAL. COMPONENTS ARE SOUND: The structural' roof components are
capable of supporting the roof covering. system and the material and equipment Ioads
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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® DID NOT USE RUSTED METAL OR FLASHING: Existing vent flashing, metal edges,
drain outlets, collars or metal counter - flashing were not reinstalled if rusted. (R907.6)
❑ FLASHING INSTALLED PROPERLY: Flashing shall be reconstructed in accordance j
with ap proved manufacturer's installation instructions. Metal flashing to which
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bituminous materials are to be adhered shall be primed prior to installation. (R907.6)
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Si nature of Primary Installer Date
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Sigriature of Permit Holder Date
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