HomeMy WebLinkAboutINSULATION INSTALLATION CERTIFICATEl°
INSULATION INSTALLATION CERTIFICATE 1103_ ODC041L
TO: \\ IIn�����Y��� c �., 4- lU�.\ `nT BLOCK: SECTION:
JOB#:,5.?1 JOB NAME: —S —
JOB ADDRESS: _Z:D .V \
The undersigned hereby certifies that insulatAW has been installed at the above described property as
follows:
1. Exterior CBS walls have been insulated with ............................Check one () Spray on cellulose
to a thickness f N/A inches, which thickness, according to the O Ft glass blankets
manufacturer, �-�� L- ( luminum Foil
Density N/A will yield an "R" value of ( ) Riaid
Exterior Frame walls have been insulated with ............................Check one
( ) Spray on cellulose
to a thickness of
inches, which thickness, according to the
( ) 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
(Vfiberglass blankets
to a thickness of inches, which thickness, according to the
manufacturer, Oe� - �V,
( ) Fiberglass loose fill
( Aluminum Foil
Density N/A
will yield an "R" value of
)
( ) Other I Cellulose
Ceilings Cathedral
have been insulated with .........................Check one
( ) Fiberglass blankets
to a thickness of
inches, which thickness, according to the
( ) Fiberglass loose fill
manufacturer,
( ) Aluminum Foil
Density NIA
will yield an "R" value of
( ) Other cellulose
3. Interior knee walls have been insulated with.................................Check one ( ) Fiberglass blankets
to a thickness of inches, which thickness, according to the ( ) Polyurethane
manufacturer, ( ) Spray on cellulose
Density N/A will yield an "R" value of ( ) Other Spray Foam
4. Garage partition walls of conditioned living areas have been
insulated with...............................................................................Check one ( ) Fiberglass blankets
to a thickness of inches, which thickness, according to the ( ) Spray on cellulose
manufacturer, ( ) Polyurethane
Density N/A will yield an "R" value of () 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-I I (Min.); CBS or Concrete walls
R-3 (Min.); by Energy Code requirements. See Energy Code Rev.1/87, paragraph 903.2(b), on page 9-17,
latest edition. These "minimums levels of insulation" are not included in the Energy Calculations, but shall
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.
(Ib/ft3) average of three (3) "DRY SAMPLES" of actual installatio
CA,� )i3OVNCX��
Insulation Contractor Insulation Contractor Signature
(zDUDLa _4-1-ate- k1
Insulation Contractor's CC# Date of Certification
Builder's Name - Builder`s CC#
r Ar 05e / ;::�
Notary Public
C E IN V
JUL 2 8 2011
Public Works
St. Lucie C our:ty. F1.