Checkoff Sheet MS-2014-01676.tif 10/30/2014 15:37 4025545309 HSCCNT PAGE 01/01
RESIDENT
CITY OF BLA IR REROOFING CHECKOFF 1
Return to Blair Cit Hall prior to Final Inspection
218 �1 Street, Blair, N 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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Pro Address:
Property m
Contractor or Homeowner (if self)
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Permit #. M - 2014-
:Ili
instailation 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. (8907.1)
ICE PROTECTION INS ALLEG1 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 eaves edge to a paint at least 24 inches inside the exterior
wall line of the building. (8905.2.7.1)
- TRUCTURAL COMPONENTS ARE Sg ND; The structural root' 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 COVERi:NG WAS REMOVED: Existing roof covering was removed for one
_ ... -ofthe reasans_requi�e l...by section 8907.3_
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DID NO use RUSTED METAi_. OR F LASHING: Existi vent flashing, metal edges,
drain outlets, collars or metal counter - flashing were not reinstalled if rusted. (8907.5)
0 FLASHING INSTALLED PROPiE;RLY: 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)
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sign re �N a Installer pate
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*ignature of P rmit H er pate —