预审申请表 - Global Forum on Human Settlements

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Application Form for
Global Human Settlements Model of Building
(Residential Area)
Global Human Settlements Model of Building (Residential Area)
Project Name:
Applicant:
Date: Mon________ Day______ Year
Instruction
1. Please fill in the Application Form in duplicate with accurate
contents and concise style.
2. Please provide copies of certificates, if the building project have
been certified by LEED, China 3-Star Green Building or other
sustainable building accreditation. It is an advantage to be
recognized by the appraisal panel.
3. Please enclose the enterprise business license, certificate of land use
rights, the planning permit (land for construction, construction
project) and a copy of the developer’s certificate of qualification.
The copy should be stamped with the corporate seal.
4. Enclose the general layout of your Program Planning, Digital
Elevation Model or picture map of the overall environmental effect,
the plane diagram layout of standard layer required to print out in
A4 or A3 format.
5. By definition, the Building Type can be catalogued into New Area
Development, Old Area Retrofit and Ancient City Protection.
6. Each column of the form can be supplemented with attached sheets
if the content is too much.
7. All photocopied documents must be stamped with corporate seal.
1.Basic Information and Contacts
Project Name:
Project Address
Land
Certificate
Use
Planning License
Total
Coverage
Land
Total
Construction
Area
Total number of
Residential
Buildings
Area
Residential
Buildings
of
Plot Ratio
Landscaping Ratio
Start Time
Completion Time
Developer
Qualification and
License No.
Designer
Qualification and
license No.
Landscape
Designer
Qualification and
license No.
Construction Unit
Qualification and
License No.
Applicant
Unit
Contact Information
Address
Chief
Executive
Tel
Contact
Tel
Fax
P. C.
Website:
Email
2.Project Profile (Each column can be detailed by attachments; indices filled in each
column must be in accordance with corresponding national or local government
standards)
Preferential Items
Sustainable Site Selection
Compulsive Items
Has the project been certified by LEED or relevant stardards/criteria? Please
specify.
Is the project site in accord with national and local requirements,
avoiding building on the site which is not fitting and proper for
construction?
Yes ___ No ___ (Please tick on the
blank)
Please describe the measures taken to control soil erosion,
channel deposit and flying dust; and to reduce pollution on air,
water and solid waste.
In line with local climate conditions and characteristics of plant
natural distribution, were any native varieties of plants, trees,
shrubs and grass used to form multi-level plant communities?
Yes ___ No ___ (Please tick on the
blank)
Does the architectural layout of the building/residential area meet
the requirements of national and local specifications in terms of
the indoor and outdoor daylighting environment, daylighting and
ventilation?
Yes ___ No ___ (Please tick on the
blank)
Are any measures taken to protect original ancient trees, famous
trees, trees for lumber, etc in the construction land? Please specify.
Green land rate in the residential area%
Green coverage ratio in the green land itself%
Yes ___ No ___ (Please tick on the
blank)
Green land rate
%
Green coverage ratio
%
Are the inside and vicinity of the residential area free from
pollutant source?
Please describe the distinct advantages of the project site and its
surrounding areas.
Yes ___ No ___ (Please tick on the
blank)
Is the construction conducted on the land that has previously
been developed and/or land with urban retrofit potential or
abandoned site?
Are public service facilities in the residential area built in line
with the planning, reflecting the form of mixed-use to share with
its surrounding areas? Please specify.
Daily outdoor average heat island intensity in the residential area?
Yes ___ No ___ (Please tick on the
blank)
Is the pedestrian zone free from windstorm damage or high speed
wind or pollution in the residential area?
Yes ___ No ___ (Please tick on the
blank)
Is single buildings incorporated with natural ventilation?
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___ (Please tick on the
blank)
Is the surface of the roads for non-motor vehicles, ground
parking lots and other hard pavements water-permeable to reduce
or eliminate the runoff pollution?
The site water permeable rate?
Note: Permeable rate: (base permeable area after development ÷
base gross area)*100%
Does it use landscape greening for shade to restrict disturbance
to natural hydrology; reduce or eliminate pollution caused by
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___ (Please tick on the
blank)
℃
Water permeable rate
%
Yes ___ No ___ (Please tick on the
blank)
Compulsive Items
Preferential Items
Compulsive Items
Water Resource Utilization
Planning &Design and Cultural Heritance
rainfall flood runoff? Please specify.
Does it utilize underground space for public activities, parking lot
or storeroom purposes? Please specify.
Please describe the positive measures taken to protect peripheral
ecological environment, and reduce the development impact on
the environment to the greatest degree.
Yes ___ No ___ (Please tick on the
blank)
Is any innovation demonstrated on residential planning or
building (unit model) design, landscape design? Please specify.
Yes ___ No ___ (Please tick on the
blank)
Is any cultural characteristics reflected while ensuring the housing
has the basic functions of good ventilation, lighting, warmth and
comfort? Please specify.
Please describe the cultural inheritance and innovation of
architectural tradition (including garden culture), or the
development of residential culture.
Yes ___ No ___ (Please tick on the
blank)
Does the planning and design reflect the people-oriented
ideology? Please specify.
Yes ___ No ___ (Please tick on the
blank)
Does the planning and design consciously maintain unified
harmony with the surrounding cityscape or landscape? Please
specify.
Yes ___ No ___ (Please tick on the
blank)
Does it draw in any domestic and foreign outstanding
architectural cultures, and combine with local contexts and
conducts successful integration and/or innovation? Please
specify.
Yes ___ No ___ (Please tick on the
blank)
Please describe the unique advantages in building cultural
facilities and in the residential area.
Is water system planning formulated, include overall
consideration of using traditional and non-traditional water
sources, such as rainfall, recycled water, sea water?
Yes ___ No ___ (Please tick on the
blank)
Does the water supply and drainage system planning in the
residential area conform to the national regulations or provisions,
and water quality meet national or industrial standards?
Does it set up separate meters for water use: for households and
for other purposes; or take effective measures to prevent pipeline
leakage? Please specify.
Water saving rate%?
Yes ___ No ___ (Please tick on the
blank)
Please describe the aims, actions and achievements in terms of the
water saving, water security, sewage treatment, etc.
Yes ___ No ___ (Please tick on the
blank)
water saving rate
%
Preferential Items
Does it formulate rational planning for surface and roof rainwater
runoff way to reduce surface runoff?
Are any measures taken for permeation to increase the infiltration
capacity for rain permeation? Please specify.
Does it use non-traditional water source for green land and
landscape irrigation, and for other non-drinking purposes? Please
specify.
In water-scarce areas, does it use reclaimed water from available
central renewable water works? Please specify.
Non-traditional water utilization ratio%?
Compulsive Items
Preferential Items
Energy Utilization
Is the thermal performance of the building wall structure in accord
with the provisions of national and local residential building
energy-saving standards?
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___
blank)
non-traditional
ratio
Yes ___ No ___
blank)
(Please tick on the
water
utilization
%
(Please tick on the
Does the conventional energy and renewable energy use meet
national or local energy policies and regulations? If yes, please
specify.
Yes ___ No ___ (Please tick on the
blank)
Is the building heat/cold consumption index in accord with the
provisions of national and local residential building energy-saving
standards?
Yes ___ No ___ (Please tick on the
blank)
Are room temperature regulating and heat metering facilities used
in the residential building or area with central heating and/or
central air-conditioning system should use? If yes, please specify.
Yes ___ No ___ (Please tick on the
blank)
Please describe the goal and actions of carbon emission reduction
and the achievements gained accordingly.
Are any effective measures taken for shading; any passive
designs, such as natural ventilation and natural lighting? Please
specify.
Yes ___ No ___ (Please tick on the
blank)
Does it use high efficient energy equipment, the energy saving
elevators and air-conditioning systems, for example? Please
specify.
Yes ___ No ___ (Please tick on the
blank)
In public places and some locations, does it utilize high efficient
light source and lamps and lanterns, and other energy saving
control measures? Please specify.
Yes ___ No ___ (Please tick on the
blank)
The lighting power density (LPD) W/ m2.
(Note: LPD means the lighting installation power per unit area in
the rooms or building area)
LPD
Are energy recovery systems (devices) adopted in the housing
units with central heating and/or central air conditioning system?
Please specify.
Yes ___ No ___ (Please tick on the
blank)
The proportion of renewable energy use in the total building
energy consumption%
renewable energy use rate
W/ m2.
%
Compulsive Items
Preferential Items Utilization
Compulsive Items
Material and Resource
Indoor Environment Quality
Are all the building materials in accord with the requirements of
national and industrial standards?
Do interior decoration materials meet the national or industrial
standards, and not contain any substance that is harmful to human
health?
Are the garbage carried out with bio-safety disposal?
The rate of bio-safety disposal%
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___ (Please tick on the
blank)
bio-safety disposal rate
%
Please describe the goals, measures and achievements in saving
energy and material.
Are durable building materials used, such as high strength steel,
high-performance concrete, and high-performance concrete
admixture? Please specify.
Does it reclaim and reuse recyclable and renewable solid waste
generated from building operations, old building demolition and
land clearing?
Under the premise of maintaining safety and a pollution-free
environment, what’s the ratio between the renewable materials (in
value) and the total construction materials?
What’s the ratio between recyclable materials (in value) and the
total building materials?
Does it use the building materials made from domestic garbage as
raw materials? Please specify.
Are structure construction and decoration are conducted at one
time to avoid repetition of decoration and material waste? Please
specify.
Please specify if the project has adopted new building structure
system with high performance, low material consumption, and
good durability.
Yes ___ No ___ (Please tick on the
blank)
Is waste separation and collection system implemented in the
residential building/area?
Yes ___ No ___ (Please tick on the
blank)
Does at least one living space in a set of housing meet the
requirements of the sunlight standard?
When there are four and more living spaces, is it true that at least
two living spaces meet the requirements of the sunlight standard?
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___ (Please tick on the
blank)
Is external window(s) set up at bedroom, living room (hall),
kitchen, respectively?
The glazing-floor ratio of bedroom, living room (hall), kitchen
with the external window(s)%
Yes ___ No ___ (Please tick on the
blank)
glazing-floor ratio of bedroom
%
glazing-floor ratio of living room %
glazing-floor ratio of kitchen
%
Are effective measures taken for building envelope system to
obtain sound insulation and noise reduction? Please specify.
What are the allowable noise level in the bedroom, living room at
daytime and nighttime respectively when the window(s) are
closed?
The ratio between the ventilation opening area and the room floor
area%
Yes ___ No ___ (Please tick on the
blank)
Daytime
dB
Nighttime
dB
Yes ___ No ___ (Please tick on the
blank)
The renewable materials rate
%
The recyclable materials rate
%
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___ (Please tick on the
blank)
%
Compulsive Items
Does the living space possesses unobstructed window view; and
avoid interference of sight line between different living spaces?
Please specify.
Does the thermal design of envelop enclosure conform to the
provisions of national and local standards?
Yes ___ No ___ (Please tick on the
blank)
Can the residents/owners self-control or adjust the room
temperature in the housing with heating and/or air conditioning
systems (facilities)? Please specify.
Does it use adjustable exterior shadings; in summer for example,
to prevent sun radiation from entering directly through the
window glass? Please specify.
Is forest park or garden vegetation available within or near the
residential area to improve air quality in the community? Please
specify.
Does the residential building or area abide by national and local
regulations to recruit qualified property management companies
to provide standardized property management?
Yes ___ No ___ (Please tick on the
blank)
Is standardized property management system formulated and
implemented?
Yes ___ No ___ (Please tick on the
blank)
Are intelligent security systems adopted to build up a peaceful
and safe residential area? Please specify.
Are property facilities maintained in a timely and considerate
manner? Please specify.
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___ (Please tick on the
blank)
Does the property management enterprise have the ISO14001
Environmental Management System Certification?
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___ (Please tick on the
blank)
Yes ___ No ___ (Please tick on the
blank)
Please describe the goals, measures and achievements with regard
to the property management.
Preferential Items
Property Management
Preferential Items
With sample inspection, please specify the pollutant concentration Rn
(Bq/m3)
limits: Rn(Bq/m3), Formaldehyde(mg/m3), Benzene(mg/m3)
, Formaldehyde
(mg/m3)
Ammonia(mg/m3)
,TVOC(mg/m3).
Benzene
(mg/m3)
Ammonia
(mg/m3)
TVOC
(mg/m3)
Please describe the aims, actions and achievements in terms of the
improvement of indoor environment quality.
Are any management systems formulated and implemented on
energy saving, water saving and forestation?
Yes ___ No ___ (Please tick on the
blank)
Is there waste management system to keep waste logistics under
effective control? Please specify.
Yes ___ No ___ (Please tick on the
blank)
Is waste separation and collection carried out to prevent
disordered dumping of waste and secondary pollution? Please
specify.
Yes ___ No ___ (Please tick on the
blank)
Are any actions taken to make cultural system and improve
cultural facilities? Please specify.
Yes ___ No ___ (Please tick on the
blank)
Are there any popular cultural activities held all the year round to
build up residential culture? Please specify.
Yes ___ No ___ (Please tick on the
blank)
3. Applicant Unit and Appraisal Committee’s Comments
Applicant Unit’s Comments
CEO’s Signature:
Mon___ Day___ Year___
Comments of GFHS International Appraisal Committee
Chief’s Signature:
Mon___ Day___ Year____
Notes: The above contents are filed for the Appraisal Committee’s
reference, whereas the actual advantages of an applicant can be
elaborated beyond the boundary. In order to better highlight the
advantageous merits, the applicants are encouraged to submit separate
attachments for their own good.
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