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Energy Performance Certificates (West
Midlands)
4 Houndel Grove, Wombourne, Wolverhampton, West Midlands, 8BZ WV5
Telephone 01902 324480
epcwestmids.co.uk
Mobile 07976 377667
email [email protected]
Dear Sir/Madam
Thank you for your enquiry about a Non Domestic (Commercial) EPC. Before I can
proceed I will require further information regarding your property. I ask therefore
that you complete this questionnaire and return to me as soon as possible. If you are
unsure about any of the questions do not hesitate to get in touch with me or leave the
question blank. A plan of the property will be very useful.
David Meageen
NHER 003868
Building Pre-Inspection Questionnaire
The EU EPBD (Energy Performance of Buildings Directive) & UK Government (CLG)
requires that existing commercial buildings be inspected for the purposes of energy
assessment, and an Energy Performance Certificate is issued by a qualified energy assessor, to
the building owner.
In order to assist us please complete this questionnaire in order to process your enquiry. This
document is not an instruction to us to proceed; it is an initial assessment form to enable us to
prepare a quotation for you. If you are in possession of building plans, please send a copy to
us.
Please answer as many questions about your property as possible. Please enter “Don’t Know”
if you are unsure.
Property Owners Name and address:
Property Address and postcode:
Building Internal Area
Please provide the approx. Gross Internal Area (in sq.m)
Heating
Does the building have a main heating boiler with a capacity in excess of 100Kw? If you do
not know, please state the manufacturer and model no. of the boiler.
Gas Fired/Oil Fired/ Biomass Fuel/Electric (Please delete where applicable)
Does the building have a backup boiler or sequential boilers?
Does the building have a BMS (Building Management System) for heating and air
conditioning control?
Does the building have Weather Compensation Controls?
HVAC Systems (Heating Ventilation Air Conditioning)
Does the building employ a ducted HVAC system?
Yes / No * Delete as appropriate
Does the building employ a comfort cooling system? (i.e. standalone "cassette" air
conditioners mounted in suspended ceilings)
Yes/ No * Delete as appropriate
Does the building total capacity for HVAC, Lighting, (combined) exceed 12Kw
Yes / No * Delete as appropriate
Building Construction
In what year was the building first constructed?
Do you have any building plans available? Please attach a copy to this questinnaire
Is the property physically attached to an adjacent property not belonging to you, if so, on how
many sides.
Please state No. of sides
Do you have any building services schematic diagrams (i.e pipeworks, electrical, lighting,
Is the Building Domestic Style Construction (e.g. High Street Shop in Victorian or Modern Brick built
structure.?
Or Is it largely of concrete construction?
Low rise portal frame construction with steel cladding?
Does the building contain Asbestos?
Either, as a roof or as insulation material or in fire stopping joints please state:
Air Permeability
Do you have an Air Pressure Test Certificate
Yes No * Delete as appropriate
If Yes please provide a copy of the ATT certificate with your site plans.
Wall Construction (External Walls)
Is the building constructed of:
Solid brick/ Cavity Wall /Timber Frame * Delete as appropriate
Storeys
How many storeys is the building
Portal Frame Building
Is the building metal clad?
Is the roof constructed of metal cladding?
Frame Construction Buildings
Is the building constructed from a steel frame /Reinforced Concrete /Pre cast concrete with
pre cast concrete columns as supports * Delete as appropriate
Modern Method Construction (MMC)
Light Steel Framing
(used for buildings with large areas of glazing or curtain walls of panellised system cladding
or infill wall (concrete panels)
or Curtain Wall (glazed full height panels)
or Structural Walls (Metal) cladding system using profiled steel or aluminium sheeting please
state which.
Glazing
Is the property:
Single Glazed/ Double Glazed /Triple Glazed /Quadruple Glazed * Delete as appropriate
Roof Lights
Single Glazed/ Double Glazed /Triple Glazed /Quadruple Glazed * Delete as appropriate
Glazing Frames (Please tick applicable)
Are they
Aluminium/ UPVC/ Steel /Hardwood/ Softwood/ no frame
* Delete as appropriate
Floor Construction
Block and/ Beam Reinforced /Concrete Raised Timber * Delete as appropriate
Internal Walls
Solid Brick /Stud Partition (Hollow) * Delete as appropriate
General:
Has the building had any extensions, conversions or refurbishments since its original
construction.
If so please specify the nature of the changes and the approx date they had been carried out.
Renewable Energy Sources
Is the building served by any other renewable type energy generators?
For example: a wind turbine, or a ground source heat pump, or solar panels/photovoltaic
panels.
Please state your name:
Your Signature
Please return this questionnaire to us as soon as possible so that we may assess your enquiry
promptly to:
Energy Performance Certificates (West Midlands)
4 Houndel Grove
Wombourne
Wolverhampton
West Midlands WV5 8BZ
or email to : [email protected]