Checkoff Sheet MS-2014-01497.tif Oct, 21. 2015, 10:07AM No, 7564., P. 2
RESIDENTIAL2009 INTERNATIONAL
CITY OF BLAIR REROOFING CHECKOFF SHEET
I City.
eturn t lairHall prior to Final inspection .
210 s l8 wreat, Blair, HE 68008
Because of Iimitations caused by the Infeasibility to perform detailed inspections which would
not Interfere with reroofing worts,please indicate compliance with the following requirements
foliowin this reroofing job.
Propett Address` 1
100
Contractor or Homeowner(if self) ;
nd
permit : 1 � O0410
Insl<al[ati'on Date:, - -
YEW NO
•"The materials and methods of application used for recovering or replacing the existing
roof covering comply with the requirements of the building code. (R907J)
ICE PROTECTION INsTAt_Ll=D;An ice barrier that conaists of at least two layers of
underlayment or of a self adhering polymer modified bitumen sheet was lnstalled.and
extends at least from the eaye'sL edr�.e.to a point at leash Inches insrds the exterior
wall Tide of the building. (8005.2.7.1)
STRUCTURAL_COMPONENTS ARE0UND:The•structural roof components are
capable of supporting the roof covb tg system and the material and equipment loads
that will be encountered during installation of the roof Covering system. (11907.2)
U U NG CgLYA SING WAS REMOVED:.Existing roof covering was removed for one
of the reasons required by section 11807.3
pa No-r USE RUSTtd ME'T'AL OR FLASHING:E Asting vent flashing,motel edges,
drain outlets,gollars or metal counter-flashing were not relnsWled if rusted. (8907.5)
FLASLIINt3 INSTALLED PgQEKPIY, Flashing shall be reconstructed in a000rdanoe
with approved manu$acturer*s Installation instructions.Metal lashing to which
'luminous ateri$la sre to be adhered shall be primed prior to Installation.,(R907.8)
Signature of l er Ute
[ 6 l
Signature of Permit Holder Date
i