03123_0001.tif 07/13/2015 11;15 FAX 4025332173 10001/001
2`009 INTERNATIONAL RESIDENTIAL u"0
CITY OF BLAIR REROOFING CHECKOFF SHEET
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R eturn to B lair City Hall prior to Final Inspection
218 S 16 S treet, B lair, NE 68008
because of limitations caused by tho infeasibility to perform dstall®d Inspections which would
no Interfere with reroofing wor please indicate compliant.& with the following requiremente
following . this reroofing job.
Property Address: .
Contractor or Homeowner (if self) :122�
Permit #: S -202` �
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Installatlon Cate:
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YES NO
The materials and methods of application used for recovering or replacing the existing
roof covering comply with the requirements of the buliding code. (11907.1)
ICE PROTECTION INSTAL ED; An ice barrier that consists of at lean two layers of
underlayment or of a self-adhering polymer modified bitumen sheet was installed and
extends at least from the cave's edge to a point at least 24 inches insrde the exterior
wall lirie of the building. (R900,23.1)
STRUCTURAL COMPONENTS ARE SOU D: The structural roof components are
capable of supporft the roof covering system and the material and equipment loads
that will be encountered during Installation of the roof covering system, (R907.2)
ISTj G COVERING WAS REM0y D: Existing roof covering was removed for one
of the reasons required by section 8907.3
DD NT U1„E RU TI p METAL OR FLMHINC; Existing vent flashing, metal edges,
drain outlets, collars or metal counter - flashing were not relnstailed if rusted, (8907.5)
F_L SHING STAM_i_E1] PR.OEE RLY: Flashing shall be reconstructed In accordance
with approved manufacturer's Installation Instructions. Metal flashing to which
bituminous materials are to be adhered shall he primed prior to Installatione(R907.6)
Signature of Primary Installer Date
Signature of Permit holder Date
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