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Home > ecoENERGY > ecoENERGY for Renewable Heat > CDI-2008 Application Form: Commercial Deployment Incentive for a Solar Water Heating Project

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 ecoENERGY

CDI-2008 Application Form
Commercial Deployment Incentive for a Solar Water Heating Project

Important:
This application must be signed by the Applicant. The Applicant must attest that they have read the Program's Guidance Document and that they understand the Program's Terms and Conditions.

Only completed applications will be processed. In the event that NRCan requires clarification about the data presented in this application, the Applicant will have 30 days to respond. If the data is not remitted within 30 days the file will be closed.

Please note that construction on your solar project may not begin until a Contribution Agreement is signed by both you and Natural Resources Canada. Otherwise the Contribution Agreement will be void and no funds will be paid.

By submitting this application the Applicant consents that the Government of Canada may use the data herein for planning, reporting, and auditing purposes. Once a Contribution Agreement is executed the Government of Canada may release or publish the name of the recipient, type of system installed, location of installation, projected system output, contribution amount and the expected or actual date of commissioning of the system.

Instructions on how to complete this form can be found in the Guidance Document.

Section A. Applicant  – owner of installed system and intended recipient of NRCan funding

Salutation: Mr.    Ms.
Preferred Language: English    French
First Name:
Last Name:
Title:
Business/Institution Name:
Applicant's Mailing Address:
City:
Province/Territory:
Postal Code:
Telephone: ( )  -
Fax: ( )  -
E-mail Address:
Cellphone: ( )  -
Type of Business

The onus is on the Applicant to provide proof of his or her legal Business Status. A copy of the Proof of Business Status must be attached to this application.

Please indicate the type of Proof of Business Status provided and include the number or code below:
GST no.:
Provincial business registration no.:
Municipal permit:
 Rental lease:
 Other (specify): 
What is the NAICS 2007 (North American Industry Classification System) industry code for your business?   Call Statistics Canada at 1-800-263-1136 to verify code. Or find code on the Statistics Canada website.
Will you rent or lease the solar system to a third party? If yes, attach a copy of your contract.  Yes    No
Will you sell the energy from your solar system? If yes, attach a copy of your contract.
 Yes    No

Where proponents receive more than 50 per cent of their organization's funding from the Province of Québec, as required by the Québec law M30, their contribution agreements must be with l'Agence de l'efficacité énergétique du Québec. This requires that proponent information on this application be shared with l'Agence de l'efficacité énergétique du Québec.

Does your organization receive more than 50% of it's funding from the Québec government?  Yes    No

Do you agree that NRCan can share this data?  Yes    No

Select your estimated annual business revenues.  < $5 million = small
 $5-25 million = medium
 > $25 million = large
Select the number of employees you have.  < 50 = small
 5-200 = medium
 > 200 = large
How long has the applicant been in operation.  More than 5 years
 3-5 years
 Less than 3 years
Select a business category and describe your main business function.  Aboriginal



 Academic



 Federal facility



 Government (not federal)



 NGO



 Utility



 Industry



 Other (explain)

A.1 Eligibility

A.1.a Eligible Organizations - Please identify the type of organization that you belong to.

Is the applicant an owner of a Canadian business or industry doing business in Canada?  Yes    No
Is the applicant a representative of a public institution?  Yes    No
If yes, which of the following apply?  School
 Hospital
 Municipality
 Other (please identify) 
Is the applicant a representative for a federal facility?  Yes    No

A.1.b Eligible Buildings

What type of building will the system be installed in? Commercial
Institutional
Industrial
Agricultural
In part residential
Mixed use (explain)
If the building is used in part for residential occupancy, which of the following apply?
 buildings located in Remote Communities that are used for commercial, industrial, or institutional purposes exceeding 50%;
 building has a common entrance; and
 building has at least four above ground storeys, or
 building exceeds 600 m2 in building footprint

Section B. Proposed Project

B.1.a Sketch

Applicants must attach a detailed sketch of the solar heating system which includes the dimensions of the collector(s), collector layout and system interface with the auxiliary heating system (if applicable).

B.1.b Simulation Output Report

Applicants must attach a simulation output from one of the computer programs below showing expected performance, input assumptions, and geographical location.

Simulation Output Report generated using:
 F-Chart    WATSUN     RETScreen    T-Sol
 Polysun     Enerpool      TRNSYS

B.1.c Environmental Assessment

These questions allow NRCan to complete a preliminary screening to determine if the project will need an environmental assessment. Select all that apply. The installed system will:

 increases the footprint or height of the building by more than 10%
 increases the footprint of the building by 25 m2 or more
 involves any construction within 30 m of a body of water
 involves the likely release of a polluting substance into a body of water
 none of the above

B.2 Project Building - where the solar system will be installed

Project Address:
City:
Province/Territory:
Postal Code:
Project Name: (if applicable)
Where will the collector(s) be installed in relation to the building? Please provide details:

Is the building owned by the Applicant?   Yes    No

If not, describe the relationship of the Applicant to the building owner.
If the applicant is not the owner of the building, proof of permission to install the solar system on the building must be provided. Is this permission attached?

 Yes    No
Is a building permit required for this project?

If yes, has it been obtained?

Issuing body:

Date of issue:



If no, explain why:		  Yes    No


 Yes    No



/ /
(yyyy/mm/dd)
Describe the primary use of the building (e.g. chicken barn, storage, rental unit, etc.)

The solar system will be installed on:
 an existing building    a building expansion    a new construction

Building footprint (area):    m2 x Building height:    m =

Building volume:    m3

Other:    
Describe any shading that may affect sun exposure to the solar collectors at any time of year (e.g. adjacent buildings, tall trees).
Does the building have access to either the North American natural gas pipeline network or electrical power grid? Select all that apply:
 yes, natural gas pipeline network
 yes, electrical power grid
 no, neither
Estimated annual heating load to which the qualifying solar system will contribute:

 (GJ/year)
Expected contribution of the solar system:   (%)
If load is not known, what is the annual energy cost?   ($/year)

B.3 Solar System – General

Is the solar system part of a larger project?  Yes    No

If yes, explain: (You may attach an explanatory sheet if necessary.)
 
Is the solar system a:  new installation;    retrofit; or    expansion
Does the solar system include any recycled components?   Yes    No

If yes, list recycled components: (You may attach a list if necessary)
Does the solar system include any refurbished components?   Yes    No

If yes, list refurbished components: (You may attach a list if necessary)
Percentage use of the solar system:

 % space heating/ventilation
 % hot water for general use, e.g. washrooms and showers
 % industrial process
 % heating for swimming pool
 % other (please specify) 

The above percentages must total 100%.
What is the planned date that the system will be commissioned?
/ / (yyyy/mm/dd)

B.4 Collector(s)

Have you chosen a collector from the list approved by NRCan?   Yes    No
Collector Type: Must select one.
 Unglazed             Glazed flat plate  Glazed evacuated tubes
 Integral storage    Concentrating
Collector manufacturer:
Collector model:
Individual collector gross areas, as per the Accepted Collector List:

Collector #1) Gross area:    (m2)

Collector #2) Gross area:    (m2)

Collector #3) Gross area:    (m2)

You may attach a list if necessary.
Number of collectors:
Total collector gross area:  (m2)
Collector slope:  (degrees from horizontal)
Collector azimuth (orientation):  (degrees east or west of south)
Total collector design flow rate:  (litres/second)

B.5. Solar System – Technical Data

Estimated Annual Savings

   (GJ/year)

   (%)

   (GJ/year) = [energy output] ÷ [auxiliary heating system annual efficiency]

 

   ($/GJ)

   ($/year) = [displaced energy x unit cost]
System Type
What type of system is it? Must select one.
 glycol closed-loop   drain back
 thermosiphon        other (please specify)

Fluid Type
 glycol   water
 other (please specify)   

If glycol, indicate dilution rate:   % glycol    % water
Heat Exchanger Information

Function:    collector to storage   storage to load
Type: 

If external, provide heat transfer rate:    (W/°C)
If internal, provide the following:

Total heat exchanger area:  (m2)

Material type:  (e.g. copper, stainless steel, etc.)

Wall thickness:  (mm)

Internal diameter:  (mm)

Other information as required:
Solar Energy Storage (if applicable)

Total storage capacity:  (litres)

Number of tanks: 

Capacity per tank:  (litres)
Pool (if applicable)

Type of pool:    indoor     outdoor
Pool surface area:   (m2)
Percentage of pool area that is shaded:   (%)
Annual pool operation: Start date:  /  (mm/dd)   End date:  /  (mm/dd)
Is there an auxiliary heater?    Yes   No
What is the set point of the auxiliary heater?   (°C)
Period of pool blanket use: Start date:   /  (mm/dd)  End date:  /  (mm/dd)
Hot Water Load Information(if applicable)

   (litres/day)



   (oC)

   (oC)

Section C. Proposed Project Budget

C1. Planned Budget (excluding taxes)

Please list all costs before taxes. List new equipment costs only. Do not list recycled or refurbished equipment.

Solar Water Heating System Components Suppliers Costs (excluding GST & PST)
Collectors
Collector rack and/or support components
Piping and pipe insulation between the collectors and the auxiliary heater







Solar heat exchanger(s)
Solar heat storage equipment:







Photovoltaic components used to power solar system pump(s)
Solar pump(s)
Solar system controller
Other (explain)



Equipment Cost Subtotal:
Solar Water Heating System Project Costs Supplier Costs (excluding GST & PST)
Project feasibility, design, and simulation
Permits (exclusively for solar system installation):
Please list them:







Project management
Installation labour
Shipping
Commissioning
Project Cost Subtotal:
TOTAL PROJECT COST
Total solar system cost per m2 of collector area $   /m2

C2. Additional Financial Contributions

Will the solar system benefit from any other funding? If yes, list funding sources below.
 Yes    No

List all funding from governmental sources other than this program:

Organization Program Name Amount ($)
Total other governmental funding:

List all funding from other sources:

Organization Program Name Amount ($)
Total non-governmental funding:

C3. Additional In-kind Contributions

Will the project receive any in-kind contributions?    Yes    No
If yes, list all in-kind contributions below:
Organization Contribution Amount ($)
Total in-kind contributions:

C.4 Anticipated Incentive from NRCan's ecoENERGY for Renewable Heat program

Complete the following equation using data from the Accepted Collector List with the Dollar Value rate from the Incentive Rate Table, as they pertain to your completed project. The performance factor attributed to your selected collector will be valid as of the date of reception of your CDI-2008 application.

Performance Factor x Incentive Rate x area = anticipated incentive amount

Performance Factor Incentive Rate Area of Collector (m2) Anticipated Incentive Amount ($)

Section D. Project Representative

NRCan may not discuss your application or disclose the status of your project to any persons not identified as your delegated Project Representative. In the event that your application is approved, and if during the course of your project you would like to change your Project Representative list, you may do so by submitting a written amendment to NRCan.

D.1 Contacts

For information about the project, NRCan may also contact the following Project Representative(s):
 Project Manager  System Supplier   Proxy

D.1.a Project Manager (if applicable)

Salutation:    Mr.    Ms.
Preferred Language:   English    French
Title:
First Name:
Last Name:
Business Name:
Mailing Address:
City:
Province/Territory:
Postal Code:
Telephone: ( )  -
Fax: ( )  -
E-mail Address:
Cellphone: ( )  -

D.1.b System Supplier

Salutation:    Mr.    Ms.
Preferred Language:   English    French
Title:
First Name:
Last Name:
Business Name:
Mailing Address:
City:
Province/Territory:
Postal Code:
Telephone: ( )  -
Fax: ( )  -
E-mail Address:
Cellphone: ( )  -

D.1.c Proxy (if the application was completed by someone other than the applicant)

Salutation:    Mr.    Ms.
Preferred Language:   English    French
Title:
First Name:
Last Name:
Business Name:
Mailing Address:
City:
Province/Territory:
Postal Code:
Telephone: ( )  -
Fax: ( )  -
E-mail Address:
Cellphone: ( )  -

Section E. Partner Programs

Applicants from Ontario, Saskatchewan and British Columbia may be eligible for provincial solar heating incentives. By selecting one of the boxes below you authorize NRCan to share information about your proposed project, with provincial counterparts. Applicants wishing to apply for provincial incentives must sign and attach the following forms to this application:

Ontario applicants:

 A signed OSTHI Consent and Release Form

Saskatchewan applicants:

 A signed SHIFT Natural Gas Consent Form; and
 A signed SHIFT Electricity Consent Form.

British Columbia applicants:

 A signed SolarBC Consent and Release Form

Section F. Checklist for Attachments

Please ensure that all of the following documents are included with your application:

 Proof of Business Status
 Proof of Permission from building owner(s) to proceed (if applicable)
 Detailed sketch of the proposed system
 Simulation Output report
 Copy of the contract to sell the heat (if applicable)
 Copy of the rental or leasing contract for the equipment (if applicable)
 OSTHI, SHIFT and SolarBC consent forms (if applicable)
 Description of multiple collectors (if applicable)
 Supplementary documents, photos, or plans that you deem helpful in describing the proposed project

Identify all attachments as Supplementary Information, labeled with the Applicant's name, phone number, and the project location.

In the event that the project is approved, NRCan will provide a file number for future reference. This file number must be included on all future correspondence.

Section G. Consent and Signature

I,   the Applicant (please print name), have read the Guidance Document and understand the Terms and Conditions of this program. My application for the Commercial Deployment Incentive is complete and accurate.

As per Section D, I designate my Project Representative(s) as:  (please print),   and   .

I authorize the Government of Canada to use the information contained herein for planning, reporting, and auditing purposes.

__________________________
Signature		 ___________
Date		 __________________________
Signed at (location)

 

Was this application by the Applicant?   yes    no
If no, this application was completed by the following proxy:
Name: 

Signature:____________________________________

Date:____________________________________

Signed at (location):____________________________________

Section H. Submission

Please mail this completed Application form to:

ecoENERGY for Renewable Heat
Renewable and Electrical Energy Division
Natural Resources Canada
Room 150, 615 Booth Street
Ottawa, Ontario K1A 0E9

For more information, contact:

E-mail: ecoENERGYRHP@NRCan.gc.ca
Tel.: 1 800 O-Canada (1 800 622-6232)
Fax: 613-943-6517

IMPORTANT: MISSING INFORMATION WILL DELAY THE PROCESSING OF YOUR APPLICATION.

 

Date Modified: 2011-02-25

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2010-10-20