Checkoff Sheet MS-2014-02986.tif MHK db - c!UU�-J eJ:t>b From: 10: 4/ 8
20 INTERNATO"'IYAL K`0`3 CODE
CITY OF BLAIR REROOFING CHECKOFF SHEET
Rbturn to B lair Cit Hall prior to Fin Inspection
1 1 tireet, Emair,'NE 6800
Because of limitations caused by the infeasibility to perform detailed inspectlons which would
no interfere with reroofing work, please Indicate compliance with'the fallowing requirements
fallowing #his reroofing job.
Property Address:
Contractor or Ha eowner (if self)
Permit #: MS- 2014- 02, f
InstallAtion late:
T YE NO
The materiels and methods of application used for recovering 'or replacing the existing
roof covering comply with the requirements of the building code. (11907,1)
ICE PROTECTION INSTALLED: An ice barrier that consists of at least two layers of
underlayme'nt 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. (8905,2,7.1)
STRUCTURAL COMPONE 4TS ARE SOUND: The struotural roof comp onents are
capable of supporting the roof covering system and the material and equipment loads
that will be encountered daring installation of the roof covering system. (R907.2)
rzXISTIN% COVERING WAS REMOVED: Existing roof covering was removed for one �
of the reasons required by sectlo 8907.3 �
DID NOT USE RUSTED METAL OR FLASHING: Existing vent flashlhg metal ed e
drain outlets, collars or metal counter - flashing were not reinstallEid if rusted. (11907-5)
FLASHING INSTALLED PRQPEF*L'Y: Flashing shall be recon structed
with approved manuf'acturer's installation instructions. Metal flashing to which ordanoe
bituminous terials are to be adhered shall be. primed prior to installation. (8907.6)
:-Signa re rimary Ins bate
Signature o ermit
ider Date
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