Checkoff Sheet MS-2014-02756.tif i
2009 INTERNATIONAL RESIDENTIAL CO
CITY OF BLAIR REROOFING CHECKOFF SHE
R eturn to Blair City Hall prior to Final Inspection
21 S 16 S treet, B lair, NE 68008
Because of limitations caused by the infeasibility to perform detailed inspections whi hwould
not interfere with reroofing work, please indicate compliance with the following requi rents
following this reroofing job.
Property Address:
Contractor or Homeowner (if self) : i �40r&Aa (Z"1 4 } s, d am. ( C
Permit #: °2014 -1)a
Installation bate:_
YES NO
The materials and methods of application used for recovering or replacing the Apting
roof covering comply with the requirements of the building code. (R907.1)
L�J ICE PROTECTION INSTALLED An ice barrier that consists of at least two la rs of
underlayment or of a self - adhering polymer modified bitumen sheet was install d and
extends at least from the eave's edge to a point at least 24 inches inside the e nor
wall line ofthe building. (R905.2.7.1)
STRUCTURAL COMPONENTS ARE SOUND: The structural roof componen are
capable of supporting the roof covering system and the material and equipme bads
that will be encountered during installation of the roof covering system. (R907. )'
EXISTING COVERING WAS REMOVED: Existing roof covering was remov for one
of the reasons required by section R907.3
DID NOT USE RUSTED METAL OR FLASHING: Existing vent flashing, meta edges,
drain outlets, collars or metal counter - flashing were not reinstalled if rusted. ( 117.5) j
FLASHING INSTALLED PROPERLY: Flashing shall be reconstructed in acc dunce
with approved manufacturer's installation instructions. Metal flashing to which
bituminous materials are to be adhered shall be primed prior to installation. (R 07.6)
Signature of Primary Installer Date
Signature of Permit Holder Date - --
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