Checkoff Sheet MS-2014-02782.tif _ I
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/009 INTERNATIONAL I
CITY OF BLAIR REROOFING CHECKOFF SHEET
Return to Blair City Hall prior to Final Inspection
8 Street, 13lair, N 66006
Because of limitations caused by the infeasibility to perform detailed inspections which would
not interfere with reroofing work, please indicate compliance with the foll ®wing requirements
followin this reroofing job. i
Permit #:
Installation Date: _ UfJ
YE 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)
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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 ed to a point at least 24 inches inside the exterior
wail line of the building, (11905.2.7.1)
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. (R907.2)
' EXISTING COVERING WAS REMOVED, Existing roof covering was removed for one
of the reasons required by section 8907.3
NO RUSTED METAL OR FLASHING. Existing vent flashing, metal edges, drain
outlets, collars or metal counter - flashing were riot 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. (8907.6)
Signature ofP rimary Installer Date
Signatur . o Permit Holder Date
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