DEA Name Address Line 1 Open Fireplaces Number of rooms with a bath and a shower STROMA No. Address Line 2 Habitable Rooms Number of rooms with

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1 DEA Name Address Line 1 Open Fireplaces Number of rooms with a bath and a shower STROMA No. Address Line 2 Habitable Rooms Number of rooms with mixer and bath Inspection Date Address Line 3 Heated Habitable Rooms Number of rooms with mixer and no bath Reference Postcode Transaction Type Country Age Age RIR Age Conservatory Tenure Type Property Type Main House Conservatory Details & Detachment Disclosure Electric Meter Extension 1 Floor Area Customer Mains Gas? Extension 2 Glazed Perimeter Cloned? Yes / No Clone / Visited Fireplace Count Extension 3 Double Glazed Clone Reference Extension 4 Room Height Dimensions Room in Roof Lowest +4 Lowest +3 Lowest +2 Lowest +1 Lowest Floor Main House Extension 1 Extension 2 Extension 3 Extension 4 Construction & Insulation Main House Extension 1 Extension 2 Extension 3 Extension 4 Alternative Construction Thickness Insulation & Thickness Dry Lining (Tap Test) Construction Narrow Cavity (less than 50 mm) Access Issues

2 Floor Construction & Insulation Main House Extension 1 Extension 2 Extension 3 Extension 4 Other Details Lowest Floor Heat Loss Type Terrain Type Lowest Floor Construction Lowest Floor Insulation & Thickness Rural Windows Wind Turbine If details Photovoltaics Complete either basic or extended data Glazed Area Much Less / Less Than / Typical / More Than / Much More known fill in the extended Basic % of Roof Area Covered Proportion Multiple Glazed (%) Extended Window Data data Mains Connected? Glazing Type / Age Window Area Wind Turbine? PV 1 Extended Data Frame PVC? Location Extended Data kwp Orientation Glazing Gap (unknown age & pre 02) Glazing Rotor Diameter Pitch Horizontal / Vertical U Value U Value Height above ridge G Value G Value Number of Turbines PV 2 Extended Data Data Source (if above entered) Data Source kwp Orientation Orientation Pitch Horizontal / Vertical Roof Construction & Insulation Main House Extension 1 Extension 2 Extension 3 Extension 4 PV 3 Extended Data Roof Construction kwp Orientation Roof Insulation location and thickness Pitch Horizontal / Vertical Roof Room Waste Water Heat Recovery Flue Gas Heat Recovery Roof Room Connected Y / N Number of Systems Room in Roof Insulation if details are known Fuel Fuel Area U Value Area 2 U Value 2 Brand Stud Model Brand Gable Qualifier Sloping Parts No of mixer showers with Model Flat Ceiling Parts WWHR in rooms with bath No of mixer showers with WWHR in rooms without bath Qualifier Room in Roof Insulation if details are not known Draught Proofing % Lighting Outlets Other Details Insulation Details External Doors Low Energy Space Cooling Yes No Flat Ceiling Thickness Insulated Doors Lighting Outlets Mechanical Ventilation Yes / No Extract Only Balanced Insulation of walls and sloping part Door U Value

3 Main Heating Secondary Heating Heating System Description: Make & Model, Heating System Type Description Fuel Heating Controls Weather Compensator Heating Type Fuel Flue Type Ignition Type Emitters Flow Temperature Hot Water Cylinder Cylinder Size Insulation Type Insulation Immersion Type Water Heating Additional Main Heating Cylinder Thermostat? Yes / No Heating System Description: Make & Model, Heating System Type Present? Solar Water Heating Heating Controls Fraction of Heating If details known please fill in the below: Fuel Flue Type Ignition Type Emitters Flow Temperature Aperture Area (m2) Type Zero Loss Efficiency Heat Loss Co efficient 2 nd Order Heat Loss Co efficient High Heat Retention Storage Heaters System 1 System 2 System 3 System 4 System 5 Community Heating Network in Database Tilt Orientation Make System Identifier Model Area Solar Water Pump Qualifier (if applicable) City Shower Type Number of Unit Present Postcode If solar store details known Solar Store Combined? Time & Temp Zone Controls Weather Compensator Heat Pump System Age Total Hot Water Volume Make Make Dedicated Solar Volume Pre 2012 / Post 2013 / Unknown Model Model Identifier Identifier Yes / No

4 Floor Plan Address Dimensions External Internal Checklist All dimensions, party walls / heat loss walls, extensions, conservatories. Habitable rooms, primary heating system and emitters, heating controls, secondary heating, open fire places, water heating system. Flats : Sheltered s

5 Notes Photo Requirements for Audit Mandatory pictures: Front elevation Rear elevation Side elevation for detached / semi detached insulation evidence Roof Construction Openings windows, chimneys etc. (if previous photographs do not provide sufficient evidence) Primary heating system (e.g. boiler showing any associated key features such as a condensate pipe or label indicating the boiler model) Secondary heating system Loft insulation which gives evidence of the depth of insulation Evidence of wall thickness Conservatory photographic evidence of whether it is separated or not Additional photos which could be required to support your input: Heating system controls Water heating system e.g. cylinder Electric gas meters LPG cylinder Low energy light fittings Any other key features of the building, or limitations whereby their presence or absence may be reasonably considered likely to affect the SAP rating or which would be required to support any claim made in the report that could be subsequently queried or be the subject of a complaint.

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