Checkoff Sheet MS-2015-00373.tif I
May. 20, 2015 4; 54PM 1` -No, 1416,E P. 2
RES 2009 INTERNATIONAL
CITY OF BLA REROOFING CHECKOFF SHEET
i
Return to B lair City VIII prior to Final Inspection
218S I B S treet, B lair, 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 fallowing requirements
folio win this reroofing job.
Permit ##.
Installation Date• . 4 r - --
YES O
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 lhlSTALLED An ice harrier 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_ed9e to a point at least 24 inches inside the exterior
wall line of the building. (8905.2.7.1)
STRUCTURAL COMPDNENTS 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. (1907.2)
E X Is rING COVERING WAS REMOVED: Existing roof covering was removed for one
of the reasons required by section 8907.3
NO RUSTED METAL OR FI - ZING: Existing vent flashing, metal edges,
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
minous materials are to be adhered shall be primed prior to installation. (8907.5)
Si nature of Primary installer Date
�:. 1'
Sign u e of Per it older Clot