HomeMy WebLinkAboutInsulation Installation Certificate.tee.-�, ..: .........,.. ....... .. �.r-.+.? ..... ..
INSULATION INSTALLATION CERTIFICATE
LOT BLOCK:�,SECTION: -
JOB ADDRESS: Yee f -1AA-, ,. k . lk3Ul
The; undersigned hereby certifies that insulation` as been inst le, t the above descri property as
follows:
obspopQ (1,
1. Exterior CBS walls have been insulated with ........ .............Check one ((2 (1 t' Y 44S.
to a thickness of N/A ,iQc�s,, which thickness oord�g tQ,the , ` S,\( ) Fiberglass blankets
manufacturer, (' —� 1-KCXt' l ��J( ) Aluminum Foil
Density NIA wi yield an °R" value of + t �2 jb"X- ..ejC. - ,G'Fl 12�
Exterior Frame walls have"been insulated with............................Cheek.one ( ) Spray on cellulose
to a thickness of inches, which thickness, according to tha. ( ) Fiberglass blankets.
manufacturer, ( ) Aluminum Foil-
Density N/A will yield an "R" value of. () Other Spray Foam
2. Main Ceilings have
been: insulated with ................... .Check one
to a.thickness bf
manufacturer,
Density N/A
tttches which flst n s , rdin tot :
tilt l'�Ij't tie eaf
Y.
v �1 (� t \tni)
40.
,
��
have been insulated with .........................Check one
to the
to a thickness of .10
0'
inches, which thickness, according
manufacturer,
04koy-
"R'
Density N/A
will yield an value of �
,3. Anterior knee walls have been insulated with.................................Check one
manufacturer,
tuner of `p inches, which thickness,Aordingao the
manufacturer,
Density NIA will yie d an 'R' value of !�'�
4: Garage partition walls of conditioned livingareas have been
insulated with.... ....................................................Check one
to a, thickness of tnchtss which tliil s, according to the
manufacturer,
Density NY rvi l yi ">!(" 3ialue +f ,
) Fiberglass blankets
( ) Fiberglass loose fill
)Aluminum Foil
( ) Fiberglass blankets
( ) Fiberglass loose fill
( ) Aluminum Foil eo(`{1
[Other �,YL% aGLM "C 10 '"t
( )Fiberglass blankets
.l 1
( ) Polyurethane
( ) Spray on cellulose tl
Y/ Other Spray Foam - it
Fiberglass blankets
"Spray on cellulose
( ) Polyurethane
( ) Other Aluminum Foil
MULTI FAMILY RESIDENTIAL CONSTRUCTION ONLY: The:, common (party) walls separating
different tenants shall be insulated as follows - Frame/Metal stud walls 114.1 (Min.); CBS or Concrete,walls
be installed, in the field.
NOTE: Densities of sprayed on, loose fill, or any other composed -on site insulation shall be the: P.C.F.
(lb/83) average of three (3) "DRY SAMPLES" of actual installation.
MER Enterprises LLC � `00, -V- `�
Insulation Contractor insulation Contractor Signature
Insulation Contractor's CC# Date 'ofCertification
Builder's Name- Builder's CC# , b is
`*� KELLY L YOUNG
. s< Notary Public - State of Florida
® `,g, My comm. Expires Jul 1, 2018,
E 4
'Commission # FF 138101
y,■
JOB ADDRESS:
The, undersigned
follows:
INSULATION INSTALLATION CERTIFICATE
LOT BLOCKS.,,,,,,, SECTION:..
property as
y am,
Exterior CBS walls have been insulated with ..........................Check one etbSedCo tt
E Q (1 t "Y 44S.
to a thickness of NIA ches which thickness a rding t the Cl �� luminum Foilkets
w,j Fiber lass blankets
manufacturer, l `V �k _- 4C;ft C `'rg A
Density N/A w"'ijjj(((yield an ".R" value of 4- 1 1 r��1�+-w„' _G'�l t�
Exterior Frame walls have been insulated with ............................Check one
to a thickness of inches, which thickness;:according to the
manufacturer,.
Density N/A will yield an "W' value of
2. Main Ceilings have
to athickness of
manufacturer,
been insulated with ................... ...Check one
rncbes; w�b�,tbl Less uoordi a'the,
Density NIA
Y v tCIE)
Sto a thickness of ., %'
manufacturer, a•
wt 1 attof
4X
as
have been insulated with ..... ............Check one
indhes, which thickness, according to the
'}' oAkoy- y�
Density N/A
will yield an "" value of 1
R
3. aInterior knee walls have been insulated with.................................Check one
to a thickness of inches, which thicknessa ording;to the
manufacturer,�~JN`��' "�
Density N/A ; l an'"R' value of ea2�
Spray on cellulose
Fiberglass blankets.
Aluminum Foil
Other Spray Foam
( ) Fiberglass- blankets
) Fiberglass loose fill
{ )Aluminum Foil
( ) Fiberglass blankets
( ) Fiberglass loose fill
Aluminum Foil C_1
YOther yQj 1FaQM •-
( ) Fiberglass blankets °C 1
( ) Polyurethane
)Spray on cellulose � �1
K,TOther Spray Foam -
4. Garage partition walls of conditioned living areas have been /.
•insulated,with...: .... ................................Check one „ Fiberglass blankets
to a:thickness of 1� me es whit % s, according to the l Spray on cellulose
manufacturer,�liI O Polyurethane
Density NIA
t ya�elAd�t `rR" value af'i� { ) Other Aluminum.Foil
MULTI FAMILY RESIDENTIAL CONSTRUCTION ONLY: The: common (party) walls separating
different tenants shall be insulated as follows - Frame/Metal stud walls R-1 l (Min.); CBS or Concrete.walls
be installed in the field.
NOTE: Densities of sprayed on, loose fill, or any other composed -on site insulation shall be the P.C.F.
(lb/ft3) average of three (3) "DRY SAMPLES" of actual installation.
MER Enterprises LLC a\--\
Insulation Contractor Insulation Contractor Signature
4� •'
insulation Contractors CC# _ Date of Certification
Builder's Name -Builders CC#.
0����,
KELLY L YOUNG
Notary public - State of Florida
My Gomm.'Expires Jul 1.2018 .
Commission # FF 138101