Application for an Apartment Energy Assessment for Public Spaces

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Some general information

Building name:

Building address:

Your name:

Your position:

Your contact phone number:

Your contact email:

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About your building

Age of building:

Total number of residential units:

Number of floors:

Total building floor area including residential units (m2) if known:

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Which of the following common areas do you have in your building?

Foyer

Meeting spaces / common rooms

Laundry

Kitchens

Toilets

Gym

Swimming pool

Other (please specify)

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Which of the following energy sources supply your building?

Electricity

Mains gas

LPG (Bottled gas)

Diesel

Solar hot water

Solar photo voltaic

Coal

Wood fuel

Other (please specify)

Question Title

The assessment requires water and energy bills for the building's common or public areas for the past 12 months as part of the audit process - Please confirm these will be made available:

Yes - Water bills for the building for 12 months (excluding private residential dwellings) will be made available

Yes - Energy bills for each source for 12 months (excluding private residential dwellings) will be made available

Please tell us if there is any energy submetering of any shared facilities (e.g. centralised heating systems / lighting / gym / hot water etc)

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Please tell us how hot water for each unit is generated and how hot water costs are paid for:

Hot water is centrally generated and the total bill is shared equally among all units

Hot water is centrally generated, metered and paid for by each unit

Each unit generates its own hot water and pays for it as part of their energy bill

Other (please specify)

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Please tell us how heating and cooling for each unit is generated and how these costs are paid for:

We have a centralised system that distributes heat and cooling to each unit. These costs are shared equally among all units.

We have a centralised system that distributes heat and cooling to each unit and costs are paid by each unit depending on their size or metered usage

Each unit generates its own heating and cooling (through stand alone systems) and pays for it as part of their own energy bill

Other (please specify)

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Please tell us if any of the following building systems could benefit from efficiency advice or improvements, or describe any recent or planned upgrades:

Lighting

Space heating and cooling

Ventilation

Hot water

Cold water

Other (please specify)

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Is access available to shared or common areas of your building for the purposes of this assessment?

Yes - assessors can access the public areas

Yes - assessors can access public areas accompanied by a building / property manager

Other (please specify)

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Please describe the authorisation process to enable an assessment to take place in your building. For example, whether there is a need for body corporate agreement or other approvals, and what the timeframes for these approvals may be:

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The apartment assessments are provided through funding from the Waitematā Local Board. If your apartment is selected, do you agree that the outcomes of the assessment can be part of the Local Board's public reporting?

Yes - the results of the assessment can be publicly reported

No - the results of the assessment cannot be reported publicly

Agreement will have to be sought from the body corporate (or other authorising body)

Other (please specify)

Question Title

Some general information

Question Title

About your building

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Which of the following common areas do you have in your building?

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Which of the following energy sources supply your building?

Question Title

The assessment requires water and energy bills for the building's common or public areas for the past 12 months as part of the audit process - Please confirm these will be made available:

Question Title

Please tell us how hot water for each unit is generated and how hot water costs are paid for:

Question Title

Please tell us how heating and cooling for each unit is generated and how these costs are paid for:

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Please tell us if any of the following building systems could benefit from efficiency advice or improvements, or describe any recent or planned upgrades:

Question Title

Is access available to shared or common areas of your building for the purposes of this assessment?

Question Title

Please describe the authorisation process to enable an assessment to take place in your building. For example, whether there is a need for body corporate agreement or other approvals, and what the timeframes for these approvals may be:

Question Title

The apartment assessments are provided through funding from the Waitematā Local Board. If your apartment is selected, do you agree that the outcomes of the assessment can be part of the Local Board's public reporting?

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Any other comments?