Checkoff Sheet MS-2014-01568.tif (tE
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2009 INTERNATIONAL RESIDENTIAL CODE
CITY OF-BLAIR REROOFING CHECKOFF SHEET
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Return to BlairCty 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. i
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Property Address:
Contractor or Homeowner(if self)
Permit#: MS-20 -41
Installation Date:
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YES NO
The materials and methods of application used for-rdcovering or replacing the existing
roof covering comply with the requirements of the building code. (R907.1)
LN 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)
�0 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)
bd EXISTING COVERING WAS REMOVED: Existing roof covering was removed for one
of the reasons required by section R907.3
DID NOT USE RUSTrED METAL OR FLASHING: Existing vent flashing, metal edges,
or metal counter-flashingwere not reinstalled if rusted. 11907.5)
drain outlets,Dollars (
�❑ FLASHING INSTALLED PROPERLY: C=lashing 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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Si ure PH ry Installer Date
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Sig a of Permit Holder Date
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