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HomeMy WebLinkAboutInsulation Certificatef 3? U I L. D l f\i S 0 L,t U I I C) [,,I S i � 1 or-c� Polk ! ll �lha e [ "C}<t. This form roust be filled out and posted to comply with building code requirements, Meets IRC Chapter 11 Energy Efficiency Requirements and IECC Chapter 4, Corni-nercial Energy Efficiency Requirements. The following spray polyurethane foam product(s) has/have been installed. Heatlok HFO PRO 2.0-2.4 lbs/ft' Heatlok HFO High Lilt 2.0-2.4 Ibs/ft-' [] Heatlok XT High Yield (s) 2.23 Ibs/ft3 [� Heatlok XT High Lift (s) 2.23 Ibs/ft3 [� Foam-Lok 2000-4G 2.0-2.2 Ibs/ft3 F ] Foam-Lok 2000-3G 2.0-2.3 lbs/ft3 E] Foam-Lok 2000 2.0-2.3 Ibs/ft3 E] Proseal HFO 2.0 Ibs/ft3 [j Proseal LE 2.2 Ibs/ft3 ❑ Proseal 2.2lbs/ft' E] Heatlok Eco 2.0 Ibs/ft3 IAPMO UES ER-0565 ICC-ES ESR-4073 ICC-ES ESR-3824 (w) 2.17 lbs/ft3 (CC -ES ESR-3883 ICC-ES ESR-3824 (w) 2.17 Ibs/ft3 iCC-ES ESR-3833 CCRR-1025 ICC-ES ESR-4501 [CC -ES ESR-2629 CCRR-1 108 ICC-ES ESR-3500 !CC -ES ESR-3500 ICC-ES ESR-3'198 r=t;i lei �! l; iI,r i is{i r ta;� iil� :,r7 4v 7 ` t �� r �' "? ' I I " } _ -, `-'ode, i r t W. :_ 1 I€. .-f ., r r r F I r:t=Ll.i Code (I l ?' �; P" , `� i... i e, J. I � J ='r 26 i 1 st .� M I� l er 1 l� _lol €a c'":.si -+ !r [ o e t 13 Foam i- l : tlics for stl}€1cIEl("i�vC'�..tl ei"€'1E�t Its. The s�.Jr`..�;` fir.•}; jF!.tf eir'C:ii ie ioat is Is'`i hf irlri •�J��s},cr�'1 f��5 i�Cj,�' �• ' t1 }--,�:3`- =�1f r ,._�_. s �� LJ:.�.r! 1 I jsi.c33€-:� In �lct✓•.�i= •r-<€ lci., l,',;_I 1 rf ic; i=.!- it C,✓ L:r�'1:1v Processing {..S l.Fll.i.tii if iT:vs Its lJl =Jvil...?', f; tlh=1rm!'.I !'v"'aJI•ii rl Ic✓ oji. Area fiv lated Vented Attic, Floor Area geo�=�a�r� R- At �I�eessF inches Unvented Attic/Under Roof Decl< Insulation Sloped Ceilings / Cathedral Ceilings R- R- At At inches inches Walls (Location: �j�-t,i } R- At '2 inches Walls (Location: ) R- At inches Floors (over an unheated cravd space) R- At inches Crawl Space Perimeter R- At inches Basement Mails R- At inches Other (Location: ) R- At inches Norninal thid nesses are representative of field, spray -applied foam material. Jobsite Address: YoI AfA AMU Ir2.10-L Dr Cate of Installation: Building Contractor. HBS Contractor: CGu.r0L P_ -'rnaaa ©►j Phone: 97b - ZLJ I - ` %j j Installed By: Up c+nr Cofo -Past Near Electrical Panel- BUILDING INSULATION Insulation Certificate ' HOMEOWNER Zaer Wa\��e,(--s DATE ADDRESS A 1.ROOF DECK (0NTERIOR/EX[ERNOR) Material Thickness (inches) 2. ATTIC FLOOR (N4er Dr4VO�) Batt or Blanket F2 10,ft Product Name Thermal Resistance (R-Va|ue) Product Name Thermal Resistance (R-Va|un) uooaoFill Type PmduotNam Contractor's min installed meight/ft2 |b. Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) 3. EXTERIOR WALL Frame Type A.Cavity Insulation Material r_6_, ra I Thickness (inches) B.Exterior FoomSheathing Material Thickness (inches) Product Name Thermal Resistance (R-Va|uo) Product Name Thermal Resistance (R-Va|ue) 4. INTERIOR WALL (ACOUSTICS) wlatenu| Product Name Thickness (inches) 5.RAISED FLOOR Material PmduotNu Thickness (inches) Thermal Resistance (R-Va|uo) 6. SLAB FLOOR/PERIMETER Material Thickness (inches) Perimeter Insulation Depth (inchoo) 7. FOUNDATION WALL yNatoho| Thickness (inches) Product Name Thermal Resistance (R4/ |uo) Product Name Thermal Resistance (R-Value)