Checkoff Sheet MS-2014-01790.tif IUTAY /18/2015/MQN 02:09 PM FAX No P. 002/002
INTERNATIONAL
CITY OF BLAIR REROOFING CHECKOFF SHEET
Return to Blair City Hall pricer to Final Inspection
218 S 16P street, Blair, NB 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
foCCowln this reroofing job. t
Property Address: U, 10,0 y d" F E- 61a006
Contractor or Homeowner (if self) :
(Permit #: MS-20 I
Installation Date: 1 Zc>1 `i
YES NO
❑ The materials and methods of application used for rdcovering or replacing the existing
roof covering comply with the requirements of the building code. (1907.1)
❑ ICE PROTECTION INSTALLE : An ice barrier that consists of at least two layers of
underlayment or of a self - adhering polymer modified bitumen sheet was and
extends at leasf from the eave's edge to a point at least 24 inches inside the exterior
wall line of the building. ([905.2.7.1)
❑ 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. (8907.2)
( ❑ EXISTING COVERING WAS REMOVED, Existing roof covering was removed for one
{ " of the reasons required by section R907.3
DID NOT USE RUSTED METAL OR FLASHING: Existing vent flashing, metal edges,
drain outlets, Qollars or metal counter - flashing were not reinstalled if rusted. (8907.5)
❑ FLASHING INSTALLED PROPERLY: Flashing shall be reconstructed in accordance
with approved a roved manufacturer's installation instructions. Metal flashing to which
bituminous materials are to be adhered shall be primed prior to Installation, (8907.6)
Sign # re of Pr' In to er Date
/
Signat of Permit Holder Date