Applicant Details

Applicant Name:

Address:

Phone:

Mobile:

Fax:

* Email:

House Location

House title:

Lot number:

Street number:

Street:

Suburb:

Postcode:

Council:

Please indicate the location of the house.

Attach House Plans.

Please provide 1 set of floor plans, elevations and sections. A site plan showing true north, and any shading objects within 20mtrs (Such as neighbours homes, sheds, garages and solid fences) Please note height and distance plus width of shading objects.

Please Note: only file types of .pdf .dwg .dwf will be accepted. PDF's are preferred.

File 1:

File 2:

File 3:

File 4:

File 5:

File 6:

Note: If you need to send more files, send to and state your name and details to which house they belong.

House design details (please describe if details are not shown on plans)

Floor area:

Perimeter of house (including shared walls where applicable):

Length of internal masonry walls:

Standard floor to ceiling height:

Extent of any Raking ceilings:

Extent of any ceilings of differing height to the standard:

Depth of overhangs above windows (eaves, verandas):

Number of vented down lights:

Number of exhaust fans:

Are exhaust fans sealed or unsealed?

Sealed:
Unsealed:

Wall type

Cavity brick:
Brick veneer:
Weatherboard:
Other:

Type of other wall type:

Frame type

Timber:
Metal:

Flooring

Ground floor

Slab on ground:
Timber on stumps:
Suspended slab:

Upper floor

Timber:
Suspended slab:

Floor coverings

Tiled:
Carpet:
Floating timber:
Other:

Type of other floor covering:

Insulation

Ceiling insulation (what level of insulation is added?)

None:
R2.5:
R3.0:
R3.5:
Other:

Type of other insulation:

Is reflective foil sarking used under the roof?

Yes:
No:

Is there insulation in the walls?

None:
R1.5:
R2.0:
R2.5:
Foil (timber frame):
Other:

Type of other insulation:

Is there insulation under the floor?

Yes:
No:

If yes what type and level:

Windows

What are the window frames made of?

Timber:
PVC:
Aluminium:
Aluminium improved:
Aluminium with thermal break:
Other:

Type of other window material:

Are any of the windows

Double glazed:
( If so please note glass thickness and gap size )
Tinted:
Reflective:
Energy star rated:

Do any of the windows have external shading devices?

Yes:
No:

Are there any skylights?

Yes:
No:

Draught proofing

Is draught proofing fitted to

External doors.

Yes:
No:

Internal doors to laundry, toilets or bathrooms.

Yes:
No:

Windows.

Yes:
No:

Entry door weather stripped.

Yes:
No:

Any unflued gas heaters?

Yes:
No:

Any chimneys?

Yes:
No:

Are general construction gaps and cracks sealed?

Yes:
No:

PLEASE NOTE ANYTHING ELSE THAT YOU THINK MAY AFFECT THE THERMAL PERFORMANCE OF THE HOUSE (Plus or minus )

Declaration

All information in this application is true and correct. I understand that should any of the details in this application form or the related plans and specifications be changed or left out then any star rating awarded to the design will become null and void. If the plans are changed after a rating has been given they will need to be re rated.

* I agree to the declaration

Please note:

Allow 5 - 7 working days from receipt of application for processing. If you have any problems filling in this form or need more information contact Colin Marshall.

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