Checkoff Sheet MS-2014-01157_0001.tif i
Oct. 1. 2014 $.47AM No-4189 P. 1
INTERNATIONAL RESIDENTI
C ITY OF BLAIR REROOFING H E K FF SHEET
Return to Blair City Hall prior to Final Inspection x
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.
Property Address: \") 0 & .
Contractor or Homeowner (if self! : IL'
Permit #: MS -2014-' 0 1 1
Installation Date; �� L
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, (8907 -1),
�' ❑
ICE PROTEC 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. (R906.2.7,1)
❑ STRUCTURAL COMP'ON ARE SO U ND: The structural'roof components are
capable of supporting the roof covering, system and the material and equipment loads
that will be endcuntored 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 8907.3
❑ DID NOT USE RUSTED METAL OR FI- ASHING; Existing vent flashing, metal edges,
drain outlets, collars or metal counter- flashing were reinstalled if rusted, (8907.5)
FLASHING INSTALLED PROPERLY: Flashing shall be reconstructed in accordance
with approved manufacturer's installation instructions. Metal flashing to which
bitum inous materials are to be adhered shall be primed prior to installation. (8907.6)
Signature of Prima In tall r Date
Signature of Permit Holder Date