Checkoff Sheet MS-2015-00479.tif i
RESIDENTIAL2009 INTERNATIONAL
CITY OF I
BLAIR REROOFING CHECKOFF SHEET
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.
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Property Address: 7 r
Contractor or Homeowner(if self) : � t
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Permit#: MS-20-1 ( 7
Installation Date:
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. (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
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)
rM 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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Signature of Primary Inst r �, Date
'_'t1anAt&e of Permit Hold Date
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