Checkoff Sheet MS-2014-01057.tif _ I
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CITY OF BLAIR REROOFING CHECKOFF SHEET
Return to Blair City Hall prior to Final inspectisin j
18 S 161h Street, Blair, NE 08000
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: 2264 Cedar Circle Blair NE 68008
Contractor or Homeowner (If self) ; United Services of America, Inc. (date of notice letter 10/20/2014)
Permit #: MS -2014- 01057
Installation Date: Re -Roof Completion Date: 7/18/2014
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 PROTECTION INSTALLED An ice barrier that consists of at least two layers of
underiayment 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. (8905.2.7.1)
STRUCTURAL COMPONENTS ARE SOUND: The structural roof components are r
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
DID NOT USE RUSTED METAL OR PLASHING. Existing vent` lashing, metal edges,
drain outlets, collars or metal counter - flashing were riot `reinstalled if rusted. (8907.5)
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. (8907.6)
10/30/14
Signa.ure of Primary Installer Gate
A&I, Ah /i a l 1- 10/30/14
S€gna re' of Permit Holder Gate