Checkoff Sheet 001912_0001.tif 0 INT
M NT N L .
CITY OF LIR REROOFING CHECKOFF SHE
Return to Blair City Hall* prior to Final Inspection
218 S 16 Street, Blair, NE 68008
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Because of limitations caused by the infeasibility to perform detailed inspections which would
not iinterfere with reroofing work, please indicate compliance with the following requirements
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following this reroofing job.
Permit
installation Date:
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YES NO j
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 C'ROTE ON CNSTAlLED: An ice barrier that consists of at least two layers of
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underlayment or of a self - adhering polymer modified bitumen sheet was Installed and
extends at least from the eaye's edge to a point at least 24 inches inside the exterior
wail 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 R907.3
U ® NO RUSTED METAL OR FLASHING: Existing vent flashing, metal edges, drain
outlets, collars or metal counter - flashing were not reinstalled if rusted. (R907.5)
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. FLASHING INSTALLED PROPERLY: Flashing shall be reconstructed in accordance
with approved manufacturer's installation instructions. Metal flashing to which
bituminous materials are to be adhered shall be primed prior to installation. (R907.6)
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Signature of ary Installer ate
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Signa ure of P4 older at