Checkoff Sheet MS-2015-00669.tif i
2009 INTERNATIONAL RESIDENTIAL CODE
CITY OF BLAIR REROOFING CHECKOFF SHEET
Return to Blair City Hall prior to Final Inspection j
218 S 16th 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
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following this reroofing job.
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Property Address: ! l
Contractor or Homeowner(if self) :
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Permit#: MS-20 - C
Installation Date:
YE NO
❑ The materials and methods of application used for recovering or replacing the existing
roof covering comply with the requirements of the building code. (R907.1)
❑ 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 eave's edge 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
f of the reasons required by section R907.3
❑ 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 INSTALLED PROPERLY: Flashing shall be reconstructed in accordance
with approved manufacturer's installation instructions. Metal flashing to which
bituminous materials are to be adhered shall be primed prior to installation. (R907.6)
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� ignature of PrimaryIns Date
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Signature of Permit Holder Date