Checkoff Sheet MS-2014-01548.tif 10/20/2014 MON 9:42 FAX 0004/004
00 R N NA RESIDENTIAL L
CITY OF BL REROOFING CHECKOFF SHEET.
Return to Blair City Hall prior to Final Inspection
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. A
Property Address: � � � AV �
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. (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 8907.3
I ❑ DID NOT USE RUSTED METAL OR FLASHING: Existing vent flashing, metal edges,
Train 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)
Sig atu e o P imapj Installer Date
Si hatUte of Permit Holder Date