Checkoff Sheet MS-2014-01256.tif 2009 I-NTERNATIONAL RESIDENTIA
CITY OF BLAIR REROOFING CHECKOFF SHEET .
Return to Blair City Hall prior to Final Inspection
210 S 16 Street, Blair, NE' 68008
Because of limitations caused by the infeasibility to perform detailed inspections which would
Lot interfere with reroofing work, please indicate compliance with the following requirements
following this-reroofing job.
Property Address: i�(/4-/t/
Contractor or Homeowner (If self) : )IAJ
Permit #: MS- 2014 - C
Installation Date: r
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 polyme modified bitumen sheet was installed and
extends at least from the e'ave's edge to a point at least 24 inches inside the exterior
wall line of the building. (R905.2.7.1)
❑ STRUCTURAL COMPONENTS ARE -S.OUND: 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. (8907.2)
ITA
❑ EXISTING COVERING WAS REMOVED: Existing roof covering was removed for one
of the reasons required by section 8907.3 '
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❑ DIUNOT 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
bituminous materials are to be adhered shall be primed prior to installation. (R907.6)
Signature of r ary Installer Date
Sig ature o Permit Holder Date
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