Checkoff Sheet MS-2014-02067.tif i
2009. INTERNATIONAL RESIDENTIAL CODE
CITY OF 13LAIR REROOPIaG CHECI(bFF SHEET
Return to Blair City Hall prior ti) Final Inspection
218 S le Street Blair, HE 68008
Because of limitations caused by the infeasibility to perfarm 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} : P
'permit #: MS• -2014-
Installation Dato.
YES NU
The materials and methods of application used for recovering or replaging the existing
roof covering gompty with the requirements of the building code. (0,807:1)
ICE PROTECTION INSTALLED An Ice.�grrlerthat canslsts of at least two layers of
':aetf- adhe of mer Modified bttumen sh�etwas Installed and
rin
teastfrarri`tiic'.eavas edaa #o.a oln# of least 24 inches In the extertar ..
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bitum�r ou §.irfafe als.areto be adhered sFiali. a primed prior #o 1 6 R ation. (119074),
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SignatU of Primary stalIer J Date
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Sign ure of Permit Holder • • Date
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