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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]