EnerGuide Assessment Request

Secondary contact person

Address or Land Location *

If out of town, are you are closer to Regina or Saskatoon and approximately how many KM?

If there is no street address, please provide clear directions on how to get to your home.

What is your Greener Homes application number? (If you do not have one please visit Canada Greener Homes Grant to register). Please also include any other programs you may be applying for (ie: Saskatoon HELP, Renewable Regina). *You can proceed with an evaluation BEFORE you are approved by Greener Homes but be aware that your reports will not be processed until the approval is granted. *

The Greener Homes Grant does NOT offer grants for natural gas furnaces in Saskatchewan*. The GHG does NOT offer incentives for hot tubs, decks, new flooring, kitchen cabinets, or other cosmetic upgrades. If getting an evaluation for the GHG, what eligible upgrades are you planning? *

Solar up to $5000 for 5Kw

Exterior wall insulation up to $5000

Attic insulation up to $1800

Basement wall insulation up to $1500

Windows and doors up to $250 each

Other

I am not applying for The Greener Homes Grant

If you require a rush appointment, please provide an install date. Note: there is an additional charge for rush appointments.

How did you hear about us?

Greener Homes

Radio

News

Facebook

Family/Friend

Other

Are you the legal homeowner? *

Yes, I am the legal homeowner

No, but the legal homeowner is aware I am booking on their behalf and I will make sure that the legal homeowner is present prior to or during the evaluation to sign the release.

Do you have access to your homes blueprints?

Yes, I will email in once appointment is booked

Has your home, while you were the homeowner had a previous EnerGuide Evaluation? *

Yes

If yes, please give File ID number from your EnerGuide Label

There must be a responsible adult present during the entire evaluation. Will there be a responsible adult (over 18) present? *

Yes

This booking form is for single family homes. Examples of single family homes are: stand alone homes, duplexes (not stacked), triplex (not stacked), townhouses (not stacked), and mobile homes. *

I confirm that the property is a single family home.

What kind of building is your home? *

Single family home

Duplex not stacked

Triplex not stacked

Mobilehome

Other

Incentives may not be available for renovations that have already begun. The residence needs to meet minimum conditions of livable space. If you have started renovations or are not sure please describe your current renovations with any energy concerns at the bottom of this form. *

I understand, and my home is not currently under renovations.

My home is currently under renovations and I've described them below

Please note: Any upgrades done prior to an evaluations are not eligible. If you require a rush appointment, please provide us with the scheduled install date from your contractor. Additional charges may apply.

Tax Roll Number or Property Tax Account Number. Please have this available for the evaluation also. *

Approximately, what is the above ground square footage of your home in square feet? *

How many stories does your home have? *

Approximately, what year was your home built? *

Does your home have a walkout basement? *

Yes

Not Sure

Do you have any solid fuel heat sources such as wood fireplace or stove? *

Yes - Any solid fuel heat sources must be extinguished and have the ashes remove prior to evaluation if possible.

No - I do have gas fireplace/stove

Not Sure

What is your primary heating fuel? *

Natural gas

Propane

Heating fuel

Wood

Other

If other, please specify

Do you have any solar or wind energy equipment? *

No, but plan to.

Yes, solar

Yes, solar hot water pre-heat

Not sure

Is your home built with traditional wood frame construction? *

Yes - its a 2x4 or 2x6 framed home

Not sure

No concrete walls

No log or timber home

No other

If other please specify.

Has there been any additional living space(s) ever added to the original home? *

No the house is the same dimensions as when it was built and the heated spaces have not changed.

Not sure

Yes one

Yes two

Yes three or more

Are you aware of any presence of Asbestos in your home? *

Yes

Not sure

Would you like to receive a hard copy of your reports for an additional charge of $10? *

Yes

If yes, please provide your mailing address.

Do you have any particular energy concerns or questions about current renovations?

Information to Build On

We are a Saskatchewan owned service organization here to help you navigate how to improve your home's efficiency and save money while you do it.

How did you hear about us?

EnerGuide Assessment Request (PRE-RENOVATION)

Information to Build On

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