0_0001.tif 2009 INTERNATIONAL RESIDENTIAL CODE
CITY OF BLAIR REROOFING CHECKOFF SHEET
Return to Blair City Hall prior to Final Inspection
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218S16 Street, Blair, NE 68908
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) ASA T)
Permit #: MS-20
Installation Date: �� J `�
YES NO
'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 PROTECTIO& INSTALL ED: 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 inc inside the exterior
wall line of the building. (R905.2.7.1)
STRUCTURAL COMPONENTS ARE 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. (11907.2)
EXISTING COVERING WAS.REMOVED: Existing roof covering was removed for one
of the reasons required by section R907.3
DID 14OT USE RUSTED METAL OR F_LASHING* Existing vent flashing, metal edges,
drain outlets, collars or metal counter-flashing were not reinstalled if rusted. (R907.5)
FLASHING INSTALLED PROPERLY: Flashing shall be reconstructed in accordance
with approved manufacturer's installation instructions. Metal flashing to which
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bitu inous aterials are to be adhered shall be primed prior to installation. (R907.6)
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- §�ure of im ry Installer Date
Signature of Permit Holder Date
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