HomeMy WebLinkAboutInsulation - Installation CertifcateMar 10 16 07,20p JWN Construe `7� 77,"71-9500 p.1
'INS
TO: 1111PjI 1 VA
JOB#: V ) � t JOB NAME:
-JOB ADDRESS: Al
The undersigned hereby
follows:
TION INSTALLATION CERTIFICATE
LOT BLOCK: SECTION:
1.�
has been installed at
1. Fxterior CBS walls have be4n.insulated with ............................Check one.
to a thickness of N/A in' w, hieh.thickness, according to the
tnandfacturer, ��
Density N/A will yre}d'an "R"'value-of%r 1
EzteriorFrame walls.have.been insulated with......................_....Checkone
to a thickness of inches, which thickness, accordingto the
manufacturer,
Density N/A will yield an "R!' value of
y. Main Ceilirgs hay been insulated with'.........................Check one
to a thickness oft) inches, which thickness, ac� to the
manufacturer, a '7r e r Il
Density N/A un 1 yte an va ue of't
v "l t l aYe beery insulated with .:........:........ .Check one
to a thickws.t inches, which thickness, according to the
manufacturer, Q'" vaQ�S�
Density NIA will.- yieId an lue of 11:�
3. rnterior knee walls. have been insulated with ....... ............... ....... Check one.
ma thickness of , inches, X: icb_ thicknessnessr nto th'e
manufacturer,
Density NIA yi an" ' value of
4. Garage.pardtron walls of conditioned living areas have been
Insulamdwith................................................................... ...Check.one.
to athickness of inches, Which thickness, accordirigto the
fanufacturer,
Density NIA will yield an W value of -
properly as.
{ ) Spray on cellulose
( ) Fiberglass blankets
Aluminum Foil
{ .) Spray on cellulose
{ ) Fiberglass .blankets
( ) Aluminum Foil
( ) Other Spray Foam
(j Fiberglass blankets
( .) Fiberglass loose fill
( )Aiuminum.Foil
�j Other 1.
() Fiberglass blankets
( )Fiberglass loose.fili lU
( ) Aluminum Foil
Y0 �y>9 (Yl
( ) Fiberglass blankets
() Polyurethane ��
( ) Spray on cellulose k{� her spray Foam -
() Fiberglass blankets
( ) Spray on cellulose
( ) Polyurethane
( ) Other Aluminum Foil
MULTI FAMILY RESIDENTIAL CONSTRUCTION ONLY: The common (party) walls separating -
different. tenants snsll be insulated as follows - Frame/Metal stud walls'R-11 (Min.); CBS or Concrete walls
•R 3 {Min.); by Energy Code requirements. See Energy Code2ev..:Ii87,.paragraph 903.2(b),on page 9-17,
latest.edition. These "minimums levels of insulation" arenot included 'in the Energy Calculations, but shall
be instalied in the field.
'NOTE: Densities of sprayed on, loose fill, or any other. composed -on site insulation: shalt be the P.C.P.
(lblft3 j average of three(3) "DRY SAMPLES" of actual iutallatikn.
Michelle Richards
Insulation Contractor 'Insulation -Contractor 5ignatutei
Insulation Contractor's CC# Date. of Certification
64
builder's Nafne:-Builder's CC# Notary Pu lie
6
o�iM P KELLY L YOUNG
Nottry Publla - State of Florida
s : My Comm. Expires Jul 1, 2015
VV
,W, Comm eslon 0 FF 138101
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