Checkoff Sheet MS-2014-02665.tif 2009 INTERNATIONAL RESIDENTIAL CODE
CITY OF BLAIR REROOFING CHECKOFF SHEET
Return to Blair City Hall prior to Final Inspection
218 S I e 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 folloydrig requirements
following this reroofing job.
Property Address"
Contractor or Homeowner (if self):A
P® it MS-20_1�1_- ,, �
Installation Date: —4—a4na—
Y;r NO
C3 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 INLTALLED: An ice barrier that consists of at least two layers of w as instal
underlayment or of a self-adhering polymer modified bitumen sheet le 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 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. (11907.2)
EXISTING COVERING WAS REMOVED: Usting roof covering was removed for one
of the reasons required by section 8907.3
DID NOT LISE RUSTED NILTAL OR FLASHING Existing vent flashing, metal edges,
drain outlets, collars or metal counter-flashing were not reinstalled if rusted, (8907.5)
FLASHING INSTALLED LROPERLY. Flashing shall be reconstructed in accordance
with approved manufacturer's installation instructions. Metal flashing to which
bituminou materials are to be adhered shall be primed prior to Installation. (R907.6)
— S ig — nVu — r6 of Primary installer ate
Date
Signature 6A Permit Holder