Checkoff Sheet 02771_0001.tif INTERNATIONAL I I
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CITY OF BLAIR RE ROOFING CHECKOFF SHEET
Return to Blair City Fall prier to Final Inspection
218 S 16 Street, Blair, NE 88088
Because of limitations caused by the Infeasibility to perform detailed inspections which would
riot Interfere with reroofing work, please Indicate compliance with the following requirements
foll this reroofing job.
Property Address:
Contractor or Homeowner (if self) :
Permit #; MS-20 ~ 02, ' ,
Installation Date:
YES NO
�l 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 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 R907.3
DID NOT USE RUSTED METAL OR FLASHING: Existing vent flashing, metal edges,
drain outlets, gollars or metal counter-flashing were not reinstalled if rusted, (13907.5)
l 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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Sign, mary Installer Date
Signature of Perm` der Date