Service d’amélioration énergétique du bâtiment

Name

Email Address

Phone number

Are you a:* Are you a:* Resident Property Manager Building Owner Operations Staff Board Member

Building Address*

Number of units in building? (if residential)*

When was the building constructed?

Building type* Building type* High-rise apartment Recreational facility Institutional facility Commercial facility

If residential, please specify: If residential, please specify: Condo Housing co-operative Private apartment Non-profit/social housing

Has your building ever had an energy audit?* Has your building ever had an energy audit?* Yes No I don't know

If so, was this audit subsidized? If so, was this audit subsidized? Yes No I don't know

If this audit was subsidized, what kind of subsidy was it?

How is the building heated? How is the building heated? Furnace Boiler Heat pump Baseboard None of the above

How is the building cooled? How is the building cooled? Central air conditioning Window air conditioning units None

What type of retrofits have been performed? What type of retrofits have been performed? Low-flow showerheads Low-flow toilets LED lighting Other

Other Retrofits

Were any of these retrofits subsidized? Were any of these retrofits subsidized? Yes No I don't know

If these retrofits were subsidized, what kind of subsidy was it?

Do residents/tenants pay for their own electricity? Do residents/tenants pay for their own electricity? No, it is included in rent Yes, directly to the utility Yes, to the building manager

Do residents/tenants pay for their own natural gas? Do residents/tenants pay for their own natural gas? No gas service No, it is included in the rent Yes, directly to the utility Yes, to the building managers

Are the total building energy bills (electricity, gas & water) greater than 0,000 a year? Are the total building energy bills (electricity, gas & water) greater than 0,000 a year? Yes No

Who owns the appliances (i.e. fridge, stove, dishwasher)? Who owns the appliances (i.e. fridge, stove, dishwasher)? Tenants Building owner

What laundry facilities are provided? What laundry facilities are provided? In-unit appliances Common/shared laundry room Not provided

Who is the primary contact for energy decisions within the building? What are the best times to contact them?

Do you have any questions or comments?

Number