Checkoff Sheet MS-2014-02653.tif 06/18/2015 THU 14:04 FAX 2001 /002
"ATIO"AL RESIDENTIAL CODE'
2009 INTERN 014
KOFF SHEET
CITY OF BLAIR REROOFING
Return to Blair City Hall prior to Final Inspection
218 S 16 Street, Blair, 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 following requirements
following this reroofing job,
Property Address:
Contractor or Homeowner (if self)
permit: IVlS.20
Installation Date:
YES NO
( The materials and methods of application used for recovering or replacing the existing
roof coverin g comply with. the requirements of the building code. (R907.1)
Q` 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 ed e 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
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of the reasons required by section R907.3
[� DID NOT USE RUSTED METAL OR PLASHING: Existing vent flashing, metal edges,
drain outlets, collars or metal counter - flashing were not reinstalled if rusted. (R907.5)
ii PLASHING INSTALLED PROPERLY: Flashing shall be reconstructed in accordance
with approved manufacturer's installation instructions. Metal flashing to which
_bituminous materials are to be adhared shall be primed prior to installation. (R907.6)
f r
afore of Prima %J lnsta ler
Date
Sign Primary
Signature of Permit Holder Date
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