Checkoff Sheet MS-2014-01797.tif i
2009 INTERNATIONAL RESIDENTIAL. CODE
CITY OF BLAIR REROOFING CHECKOFF SHEET
Return to Blair City Hall prior to Final Inspection
218 S 16 Street, Blair, NE 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. p
Permit #• ,�� /
Installation Date: 1-5
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YE,B' 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
underiayment 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. (R907.2)
(� ❑ EXISTING COVERING WAS REMOVED: Existing roof covering was removed for one
of the reasons required by section R907.3
❑ NO RUSTED METAL OR FLASHINGs Existing vent flashing, metal edges, drain
outlets, collars or metal counter - flashing were not reinstalled if rusted. (11907.5)
® 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. (11907.6) ;
Sign ' of Pr ary Installer
5 Date
Signat of Permit Holder Date
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