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[null,null,"（別紙様式）",{"$nulls":10},"提出日"]
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[null,null,"サステナブル建築物等先導事業（気候風土適応型）"]
[null,null,"エネルギー使用量報告書"]
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[null,null,"総括表Ａ"]
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[null,null,null,"気候風土適応住宅版（建築物エネルギー性能基準（行政庁認定住宅用））",{"$nulls":24},false]
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[null,null,"判定",null,"一次エネルギー消費量",{"$nulls":5},"GJ/年",{"$nulls":12},"ａ"]
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[null,null,"総括表Ｂ",{"$nulls":7},"【①または②のいずれかを選択し、☑　チェックを入れて下さい】",{"$nulls":17},"←■総括表Bの【①または②のいずれかを記載】"]
[null,null,null,"①電力を「昼間・夜間の合計」で計算する場合",{"$nulls":24},true]
[null,null,"エネルギー種別",{"$nulls":7},"年間使用量",{"$nulls":5},"一次エネルギー換算値"]
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[null,null,"薪・ﾍﾟﾚｯﾄ",null,null,"(",0,null,null,")",0,null,null,"kg",{"$nulls":9},0]
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[null,null,"一次エネルギー消費量の合計 (→「総括表Aの年間使用量」の欄に転記のこと）",{"$nulls":20},0,null,null,"GJ",null,"←電力＋都市ガス＋LPG＋重油＋灯油＋・・・－太陽光売電量"]
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[null,null,null,"②電力を「昼間」と「夜間」に分けて計算する場合",{"$nulls":24},false]
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[null,null,"一次エネルギー消費量の合計 (→「総括表Aの年間使用量」の欄に転記のこと）",{"$nulls":20},0,null,null,"GJ",null,"←電力＋都市ガス＋LPG＋重油＋灯油＋・・・－太陽光売電量"]
[null,null,"（記入上の留意点）"]
[null,null,"注１：補助対象となる住宅の「一次エネルギー消費量の合計」を「総括表Ａ 年間使用量のａ 」欄に記載して下さい。"]

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[null,"採択住宅名称",{"$nulls":5},0,{"$nulls":11},"書類作成者",{"$nulls":5},0]
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[null,"住宅のエネルギー使用量の内訳"]
[null,"エネルギー種別",{"$nulls":5},"電  力（購入量）",{"$nulls":8},"都市ガス",null,null,"ＬＰＧ",null,null,"灯油",null,null,"薪・ﾍﾟﾚｯﾄ",{"$nulls":5},"太陽光発電\n（設置の場合）"]
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[null,"",{"$nulls":5},0]
[null,"",{"$nulls":5},0]
[null,"",{"$nulls":5},0]
[null,"",{"$nulls":5},0]
[null,"",{"$nulls":5},0]
[null,"",{"$nulls":5},0]
[null,"",{"$nulls":5},0]
[null,"",{"$nulls":5},0]
[null,"",{"$nulls":5},0]
[null,"",{"$nulls":5},0]
[null,"",{"$nulls":5},0]
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[null,"（記入上の留意点）"]
[null,"注１：月ごとにエネルギー種別ごとの使用量を記載して下さい。"]
[null,"注２：各エネルギー源の（ ）内に　ガス種別（13A、い号等）、油種別（A･B･C等）、　　　"]
[null,"  薪ストーブ（触媒方式の場合”触”、非触媒方式の場合”非”）、"]
[null,"  ペレットストーブ（密閉式の場合”密”、半密閉式”半”）を記載して下さい。"]
[]
[null,"住宅の概要・省エネ及び設備仕様"]
[null,"下記の＊印設備は実績報告時以降に仕様の変更が　　あり　　　　なし（←　☑　を入力してください）"]
[null,"建設地",{"$nulls":5},"都道府県",{"$nulls":5},"市区町村",{"$nulls":6},"番地"]
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[null,"地域区分",{"$nulls":11},"一次エネルギー\n床面積の合計",{"$nulls":10},"㎡",null,"世帯人数",{"$nulls":8},"人"]
[null,"断熱性能",{"$nulls":5},"UA値",{"$nulls":10},"W/㎡･K"]
[{"$nulls":7},"ηAC値"]
[null,"実績報告時以降に仕様の変更有無",{"$nulls":11},"変更なし（変更前）",{"$nulls":11},"変更後",{"$nulls":12},false]
[null,"暖房設備＊",{"$nulls":5},"主たる居室"]
[{"$nulls":7},"その他の居室"]
[null,"冷房設備＊",{"$nulls":5},"主たる居室"]
[{"$nulls":7},"その他の居室"]
[null,"給湯設備＊"]
[null,"太陽光発電出力",{"$nulls":13},"kW"]
[null,"その他設備",{"$nulls":6},"太陽熱給湯",{"$nulls":8},"空気集熱式太陽熱利用　",{"$nulls":8},"（　　暖房 　　　　給湯 ）"]
[{"$nulls":8},"コージェネレーション　",{"$nulls":8},"（　　燃料電池　　　　　 ガスエンジン ）"]

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[null,"エネルギー使用量報告書に係る事務連絡先"]
[null,"※実績報告から変更のある項目には、必ずチェックを入れてください。"]
[null,"法人名"]
[null,"担当者氏名"]
[null,"電話番号"]
[null,"Ｅｍａｉｌ"]
[null,"郵便番号"]
[null,"連絡先住所"]
[]
[null,"エネルギー使用量報告書の内容に係る備考欄"]
[null,"※薪ストーブ、データ不備の理由等はここに記入してください。"]
[null,"■　薪ストーブを使用している場合”薪”の入手方法・ルートを教えてください。"]
[]
[]
[null,"■　データ不備・不明の理由等がある場合、記入してください。"]
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[null,"　問い合わせ先"]
[]
[null,null,null,"一般社団法人　環境共生住宅推進協議会\nサステナブル建築物等先導事業（気候風土適応型）評価・審査室"]
[null,null,null,"〒162-0824　東京都新宿区揚場町2-21 東ビル6階"]
[null,null,null,"TEL",null,"：","03-5579-8757 ( 平日10～17時 )",{"$nulls":13},"Email",null,null,null,"：","kikou@kkj.or.jp"]
[null,null,null,"担当",null,"：","瀧田・清水"]
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["薪ストーブ及びペレットストーブの一次エネルギー換算係数は、別紙参照"]