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6.building Pre Energy Audit Form 1

This document is a pre-energy audit form for a building. It collects information about the building manager, address, construction date, architectural details, current energy management practices, and photos of the building and its rooms. The form asks questions to determine renovation opportunities like insulation installation, HVAC system upgrades, and integrating renewable energy sources. It aims to assess the building's existing energy usage and potential areas for improvement prior to a full energy audit.

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zukchu
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104 views4 pages

6.building Pre Energy Audit Form 1

This document is a pre-energy audit form for a building. It collects information about the building manager, address, construction date, architectural details, current energy management practices, and photos of the building and its rooms. The form asks questions to determine renovation opportunities like insulation installation, HVAC system upgrades, and integrating renewable energy sources. It aims to assess the building's existing energy usage and potential areas for improvement prior to a full energy audit.

Uploaded by

zukchu
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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BUILDING PRE ENERGY AUDIT FORM

Building Manager (Name, Surname, Phone, e-mail) Date of Pre-audit

Name of the Building

Date of Construction (Building)

Address

Original Architects(if known) Contact Info: Direction of Facade [ ] East [ ] West [ ] North [ ] South [ ] North-West [ ] North-East [ ] South-West [ ] South-East Type of Structure [ ] Wood [ ] Brickwork [ ] Masonry [ ] Concrete [ ] Other(specify): Building Status [ ] Public [ ] Private Number of Floors [ ]1 [ ] 2-5 [ ] 6-10 [ ] more than 10 Anticipated Building Modification or Changes in the Near Future? (If Yes, Please Specify) [ ] Yes [ ] No Specify: Previous Architectural/Engineering Studies Undertaken? [ ] Yes [ ] No Specify: Is This Building on the National Historic Preservation Register? [ ] Yes [ ] No Specify:

Original Engineers(if known) Contact Info: Direction of Front Having Widest Window Area [ ] East [ ] West [ ] North [ ] South [ ] North-West [ ] North-East [ ] South-West [ ] South-East Type of Building [ ] House/Apartment [ ] Hospital [ ] School [ ] Commercial [ ] Industrial [ ] Other(specify): Building Use [ ] Living Space [ ] Office [ ] Storage [ ] Manufacturing [ ] Public Services [ ] Other(specify): Does the Building Have an Ongoing Energy Management Program? [ ] Yes [ ] No Specify: Previous Energy Audits Completed? [ ] Yes [ ] No Specify:

Does Heat Insulation Exist? (If Yes, Give Insulation Date) Does Cooling System Exist? [ ] Yes [ ] No [ ] Yes [ ] No Insulation Date: Specify: Is there any potential area on the facade of the bulding to be covered with insulation [ ] Yes (%....) material?(If Yes, give approximate percentage of the surface) Is there any potential area on the interior walls of the building to be insulated?(If Yes, [ ] Yes (%....) give approximate percentage of the surface)

[ [

] No ] No

Is there any potential area in / under the roof to be insulated?(If Yes, give approximate [ ] Yes (%....) [ ] No percentage of the surface) Heating System of Building Properties of Equipment (Age, Type, Capacity) [ ] Stove Boiler: [ ] Combi Boiler Pump: [ ] Central Heating System Radiator: [ ] Local Heating System Fan-Coil: [ ] Other(specify): Other(specify): Hot Water System of Building Does Cooling System Exist? [ ] Solid Fuel-Burning Heater [ ] Yes [ ] No [ ] Water Heater (Electrical) Specify: Average Daily Lightening Usage Period [ ] Water Heater (LPG, Naturel Gas) [ ] Combi Boiler [ ] 8 Hours [ ] Central Heating System [ ] 12 Hours [ ] Solar Energy System [ ] 16 Hours [ ] Other(specify): [ ] 24 Hours

NOTES:

Is there a possibility to renovate the external transparent enclosure (windows)? (If yes [ indicate material : glass or glass+structure )
Is there the possibility to use annexes, outbuildings, attics or any other space (with no historical and artistic value) to locate new conditioning system and plants?

] Yes. [ ] Yes [

] No ] No

Is there the possibility to locate RES (Renewable Energy Sources) in some parts of the [ building or in some annexes/outbuildings or in external areas?(if yes describe which kind of RES and approximately how much surface can be used)

] Yes

] No

PLEASE ATTACH THE PICTURES OF BUILDING FROM EACH SIDE FRONT SIDE

BACK SIDE

LEFT SIDE

RIGHT SIDE

NOTES:

PLEASE ATTACH THE PICTURES OF BUILDING's SURROUNDINGS FRONT

BACK

LEFT

RIGHT

NOTES:

Room-1

Intended Use: Area: .m2

PLEASE ATTACH THE PICTURES OF THE ROOMS in THE BUILDING


[ Location:floor ] Middle [ [ ] East ] North

[ ]West [ ] South

Room-2

Intended Use: Area: .m2

Location:floor ] Middle

[ [

] East ] North

[ ]West [ ] South

Room-3

Intended Use: Area: .m2

Location:floor ] Middle

[ [

] East ] North

[ ]West [ ] South

Room-4

Intended Use: Area: .m2

Location:floor ] Middle

[ [

] East ] North

[ ]West [ ] South

NOTES:

Footnote-1 Please attach all rooms increasing the room numbers Footnote-2 Take areas like kitchen, bathroom etc. Footnote-3 Indicate floor and direction of the room's facade for location, if the room has 2 direction indicate both, if there is no facade of the room indicate middle

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