Checkoff Sheet MS-2014-02903.tif i
2 009 INTERNATI R SI NI L CODE
CITY OF BLAIR REROOFING CHECKOFF SHEET
Return to Blair City Hall prior to Final Inspection
218 S 16 th 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.
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Property Address: 0 D'��
Contractor or Homeowner (if self) : bTw& I
Permit #: MS -2014
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Installation Date: c /
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
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underla ment or of a self- adhering polymer modified bitumen sheet was installed and
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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
❑ DID NOT USE RUSTED METAL OR FLASHING: Existing vent flashing, metal edges,
drain outlets, collars or metal counter- flashing were not reinstalled if rusted. (R907.5)
❑ FLASHING INSTALLED PROPERLY: Flashing shall be reconstructed in accordance
with approved manufacturer's installation instructions. Metal flashing to which j
bituminous materials are to be adhered shall be primed prior to installation. (R907.6)
Signature of Primary Installer Date
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S na ure of Permit Holder Date
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