|
Date of Submission
|
DD/MM/YYYY
|
|
Service Required
|
BER Certificate
|
|
Provisional BER Certificate
|
|
|
|
|
Your Details:
|
|
|
First Name
|
|
|
Surname
|
|
|
Address
|
|
|
Address 2
|
|
|
Town/City
|
|
|
County
|
|
|
Contact Number
|
|
|
Email
|
|
|
|
|
|
Dwelling Details:
|
|
|
|
Tick if Address different from above
|
|
Dwelling Address
|
|
|
Address 2
|
|
|
Town/City
|
|
|
County
|
|
| |
|
|
Dwelling Type
|
|
|
|
|
|
Has an air pressure test been carried out?
|
Yes No
|
|
Air pressure test results
|
|
| |
|
| For more information on air pressure testing see www.bero.ie/air-pressure-testing/ |
| |
|
|
Construction Details:
|
|
| Year of Construction |
|
|
Overall Structure Type
|
|
|
|
|
| Roof Type |
|
|
|
|
|
External Wall Type
|
|
|
|
|
|
Internal Ground Floor Wall Type
|
|
|
|
|
|
Internal 2nd Floor Wall Type
|
|
|
|
|
|
|
|
|
Windows & Doors Details:
|
|
|
Front Door Type
|
|
|
|
|
|
Back Door Type
|
|
|
|
|
Is there a garage attached to the dwelling?
|
Yes No
|
|
Garage Front Door
|
|
|
|
|
|
Garage Side Door
|
|
|
|
|
|
Window Frame Type
|
|
|
|
|
|
Glazing Type
|
|
|
|
|
|
Exact Glazing Specification (only if known)
|
|
|
|
|
|
Air Filled Gap
|
|
|
This is the air filled gap between the panes of glazing and would
normally be 6mm.
|
|
Certified Window U-Value if known
|
|
|
|
|
|
Heating System:
|
|
|
Space Heating Type
|
|
|
An example of a group heating type would be apartments/flats
where the boiler is heating all the homes in the complex.
|
| |
|
|
Boiler Manufacturer Name
|
|
|
|
|
|
Boiler Manufactures Model
|
|
|
Give the specific Boiler model name located on boiler. Input as
much information as possible.
|
| |
|
|
Main Heating Fuel
|
|
|
|
|
|
Secondary Heating Fuel
|
|
|
|
|
|
An example of a secondary heating system would be an open fire
or electric room heaters.
|
| |
|
|
Is there under floor heating in the dwelling
|
|
|
Heating Controls
|
|
|
|
|
|
Water Heating:
|
|
|
Is there a solar water heating system
|
Yes No
|
|
Is there an open fire with a back boiler in the dwelling
|
Yes No
|
|
Is the primary pipe work around the boiler insulated
|
Yes No
|
|
Is there a cylinder thermostat present
|
Yes No
|
| Is the main boiler also used heating the domestic hot water |
Yes No
|
|
Is there a supplementary emersion heater in the dwelling
|
Yes No
|
|
Is there a combi-boiler present
|
Yes No
|
|
|
|
|
Domestic Hot Water - Storage Tank Size
|
Litres
|
|
Insulation Type on Water Storage Tank
|
|
|
Insulation Thickness on Water Storage Tank
|
mm
|
|
|
|
|
Ventilation:
|
|
|
Most homes would be using a natural ventilation method unless a
mechanical ventilation system is in place.
|
| |
|
|
Ventilation Method
|
|
|
Mechanical Ventilation Manufactures Make
|
|
|
Mechanical Ventilation Manufactures Model
|
|
|
Number of mechanical fans & passive vents
|
|
|
Add together all room vents including mechanical extraction in
bathrooms, ensuite etc
|
| |
|
|
Number of flueless gas fires
|
|
|
|
|
|
Lighting:
|
|
|
Total number of fixed light fittings throughout dwellings
|
|
|
Add together all internal fixed fittings. Count each light fitting by
bulb. Down lighters /up lighters must all be included
|
| |
|
|
How many of the above are low energy light fittings
|
|
|
|
|
|
Details of any Renewable Energy Sources
|
|
|
|
|
|
Any additional information / comments
|
|
|
|
|
|
|
|