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Personal Details

First Name: Last Name:
Company: Mobile:
Daytime Telephone: Email:
Address Line 1: Site Address (if different):
Address Line 2:  
Town/City:  
 
Postcode: Postcode:
 
How would you wish to receive your information?
Email Post Both 

What best describes you?

Which micro-renewable energy technologies are you considering?

 Homeowner Self-builder Developer Contractor Plumber/Installer Architect/Specifier RSL Other
Ground source heat pump Outdoor air heat pump Heat recovery heat pump Heat recovery ventilation Solar PV Solar Thermal Wood-burning stove Wood & Pellet Boilers 
 

 

What stage have you reached?

 

Is this your Project?

Research Stage Planning Applied For Outline Planning Obtained Detailed Planning Obtained Build Started Roof On 
Estimated Install Date:  
 
New Build New Build & Renovation Major Conversion Renovation Existing Property 
If existing property/renovation, age of building:

 

What best describes your property?

 

If new build, what construction method are you using?

 Bungalow Extension 2 Storey Conservatory 3 Storey Apartment 4 Storey Other Barn Conversion
Total Floor area in m2 :  
 
Traditional SIP Timber Frame Other 

 

Glazing Details:

 

Floor Construction:

New Triple Glaze New Double Glazing Existing Double Glaze Single Glazing 
Timber Suspended Beam & Block Solid Floor Other 

 

Proposed Primary Heat Source:

 

Proposed Secondary Heat Source:

Ground Source Heat Pump Air Source Heat Pump Exhaust Air Heat Pump Condensed Combi Boiler Electric Boiler Condensing Gas Boiler mCHP LPG Boiler Pellet Boiler Oil Boiler Wood Boiler Other 

Solar Thermal Wood burning stove Heat pump Electric Oil Gas 

 

Other Micro-renewable Energy Systems being considered:

 

Domestic Hot Water:

Solar PV Heat recovery ventilation Cooling 
Number of occupants:
Number of power showers fitted:
Number of bathrooms/en-suites:

 

Heating Distribution System:

 

Electricity Supply:

Radiators Underfloor Heating Both 

Are radiators:

Low Temperature Oversized Standard Unknown Type 

Single Phase 3 Phase 

 

How do you intend to handle the installation?

 

Land Area (where applicable):

Self Install Local Plumber Collinton Registered Installer Not Sure Other 

Area of land available for ground source heat pump loops (m2):
Soil conditions (if known):
Higher Lower Level 

 

What is your current annual energy use for heating and hot water? (kWh and/or £):

 

 

Type of fuel:

Gas LPG Oil Coal Electric Wood Other 

For Solar Quotes Only

 

Roof Type:

 

Roof Pitch:

Slate Tile 
Roof Length (m):
Roof Depth (Ridge to gutter, m):
Any roof windows/dormers present?:
Yes No 
If yes, approx. size and number
30° 45° 60° Vertical Flat 

 

Roof Orientation:

 

Roof Overshading:

 South S/W West N/W North N/E East
Surround Trees or Buildings:

 

Plans can be emailed to info@collinton.com

Notes: Please detail any other relevant information here: