HomeMy WebLinkAboutInsulation CertificateI
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This form roust be filled out and posted to comply with building rode requirements. Meets IRC Chapter 11 Energy
Efficiency Requirements and IECC Chapter 4, Comt-nercial Energy Efficiency Requirements.
The following spray polyurethane foam product(s) has/have been installed,
E] Heatlok HFO PRO
2.0-2.4 lbs/ft-'
1APMO UES ER-0565
Heatlok HFO High Lift
2.0-2.4 Ibs/V
ICC-ES ESR-4073
[ Heatlok Xf High geld
(s) 2.23 Ibs/ft3
ICC-ES ESR-3824 (w) 2.17 Ibs/ft� ICC-ES ESR-3883
[l Heatlok XT High Lift
(s) 2.23 Ibs/ft3
ICC-ES ESR-3824 (w) 2,17 Ibs/ft3 IMES ESR-3883
[:] Foam-Lok 2000-4C
2.0-2.2 Ibs/ft3
CCRR-1025
F-1 Foam-Lok 2000-3C
2.0-2.3 lbs/ft3
[CC -ES ESP,-4501
Foam-Lok 2000
2,0-2.3 Ibs/ft3
[CC -ES ESR-2620
Proseal HFO
2.0 Ibs/ft3
CCRR-1 108
[j Proseal LE
2.2 Ibs/ft-;
ICC-ES ESR-3500
Proseal
2,2 Ibs/ft3
ICC-ES ESR-3500
0 Heatlok Eco
2.0 lbs/ft3
ICC-ES ESR-3108
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i,nlctuler's i_)rocev lrg Buick ! ies c) �. mold;-7- iii:�rm-1 re ;s. ance of:
Area lr ISUlated
Vented Attic, Floor Area
Unvented Attic/Under Roof Deck Insulation
Sloped Ceilings / Cathedral Ceilings
Aged R-Value
R-
R- '3o
R-
At
At
At
T hick'ness"
inches
inches
inches
Walls (Location: }
R-
At
inches
Walls (Location: }
R-
At
inches
Floors (over an unheated crawl space)
R-
At
inches
Crawl Space Perimeter
R-
At
inches
Basement Walls
R-
At
inches
Other (Location: )
R-
At
inches
"Norninal thicknesses are representative of field, spray -applied foam material.
Jobsite Address: IDyZ &U &Q16 Date of Installation: �—
Building Contractor: (?a k, 3
HBS Contractor: __ J�'CGt mt e, ..Ic.'(15(.i.6kLoo Phone: -Z �-5% 4
Installed By: `` Ca
.�1rt �l
-Post Near Electrical Panel-
�44s ue` :. i rt �¢ S Ev Y t' r
HOMEOWNER DATE
ADDRESS lD BIZ �Q,�,�► QI �A.tA
CITY l.,aCbaAAake STATE 0,C> ZIP %( 2 3
T:s
�
1. ROOF DECK iR TE RIOa �7�TER�OR)
Material i S Product Name 34.:
Thickness (inches)J'.S.�JThermal Resistance (R-Value) _ F- t
2.ATTIC FLOOR
Batt or Blanket_
Thickness (inches)
Product Name
Thermal Resistance (R-Value)
Loose Fill Type Product Name
Contractor's min installed weighlt/ft2 lb. Minimum thickness
Manufacturer's Installed weigh- per squa-r e foo�- to achieve i hermal Res!stance (R-'1j i?e}
Ie. �1A1. r�
Frame Type GiC(o
A. Cavity Insulatio-m
Material ' 1
Thickness (inches) 5.fJ'
B. Exterior Foam Sheathing
Material
Thickness (inches)
Product NameC111A1z+e. Pro
Thermal Resistance (R-Value) j7-Z3
Product Name
Thermal Resistance (R-Value)
4. INTERIOR WALL (ACOUSTICS)
Material kw,!'q Product Name_Pn
TT
Thickness (inches) 3. 64
5. RAISED FL€1 R
Material 1 5 Product Name
Thickness (inches) (?'t) Thermal Resistance (R-Value) ��3`1
6. SLAB FLOOR/PERIP ETER
Material
Thickness (inches)
Perimeter Insulation Depth (inches)
7. FOUNDATION WALL
Material
Thickness (inches)_
INSULATION CONTRACTOR SIGNATURE
COMPANYAccctrAe. ,� 5!�
HOME BUILDER SIGNATURE
COMPANY
Product Name
Thermal Resistance (R-Value)
Product Name
Thermal Resistance (R-Value)
ADDRESS (73 p
ADDRESS
inches
DATE
PH0NE97�-Z
DATE
PHONE
ViS! nU' Ji'? �i!- dC 'lY''l: /% •->l 3,s€ " ,F -ry �" do a
I _;- , �-:. --° ;;. _ ; _ ^� P.O So 510C I Denver, CO S0217-5103
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