Checkoff Sheet MS-2014-02125.tif i
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009INTERNATIONAL RESI I
CITY OF BL AIR FIN CHECKOFF SHEET
Return to Blair City Hall prior to Final Inspection
216 S 16 th Street, Blair, NE 68006
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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 reroofi g job.
Property Address:
Contractor or Homeowner (if se f)
Permit #: MS -20
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. (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 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 8907.3
❑ DID NOT USE 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
biturn o s m rials are to be adhered shall be primed prior to installation. (R907.6)
Signature of Prima Installer
Date
A`Kmz.
Date
Signature of FernSit H01 der