Checkoff Sheet 02934_0001.tif JUN -04 -2015 14:42 From:MILLARD ROOFING & GU 4029658001 To:4024264195 Page:1l1
2`0 U` 11' k14TERNAT10"INAL RESIDENTIAL CODE
CITY OF BLAIR REROOFING CHECKOFF SHEET
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R eturn to B lair City all prior to Final Inspection
218 S 16 Street, Blair, NIA 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
followin this reroofiing,job. j
Property Address:
Contractor or Homeowner (If self)
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Permit #:
�1
Installation Date: ( "7
S NO
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The materials and methods of application used for recovering or replacing the existing
roof covering comply with the requirements of the building code. (8907.1)
® 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 eaye's edge to a point at least 24 inches inside the exterior
wall line of the building. (8906.2.7.1)
❑ STRUCTURAL COMPONENTS ARE S UND: The structural roof components are
capable of supportlhg 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 ERING WAS REMOVED ; Existing roof covering was removed for one
of the reasons required by section R907.3
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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)
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FLASHING INSTALL PROPERLY. Flashing shall be reconstructed in accordance
with approved manufacturer's installation Instructions, Metal flashing to whioh
IfTous materials are to be adhered shall be primed prior to installaflon..(R907.G)
Sin a of Primary Installer Date
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Sig atur® a it Molder to