Checkoff Sheet MS-2014-02886.tif I
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2009 1h i �Rf� I�� 1�,1.__ f�1=. IDI� N I AA COD
CITY or BLAIR REROOFING CHECKOFF C KOFF HEET
Return to Blair City Mall prior to Final Inspection
218S 16 Street, Blair, NE 68008
Because of limitations caused by the infeasibility to perform detailed inspections which would
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not interfere with reroofing work, please indicate compliance with the following requirements
following this reroofing job,
Permit #l: _ I ►IS�� -�� "I' Q�g��O
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. (8907.1)
❑ 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. (8907,2)
❑ EXISTING COVERING WAS REMOVED: Existing roof covering was removed for one
of the reasons required by section R907.3
® NO 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. (13907.6)
X�
Sig lure of Primary Installer
Dale