Application for building pathology InstagramThis field is for validation purposes and should be left unchanged.Your informationApplication as*PrivateEnterpriseType of building*AppartmentDetached buildingSemi-detached buildingClosed building/terraced houseOtherFirm nameYour name (contact)*Street + Number*ZIP*Town/City*Telephone numberEmail* VAT number*Site different from personal address? YES Tell us about the siteStreet + Number*ZIP*Town/City*About the problemWhat is the problem? Leak detection of building envelopes (flat roofs, pitched roofs, facades, etc.) Preventive check flat roof Condensation problem(e.g. mould formation, …) Photos of the damage + zone from the outside (overview photos, no close-ups) Drop files here or Select files Max. file size: 1,000 MB. Plans of the roof if available Drop files here or Select files Max. file size: 1,000 MB. Building plans if available Drop files here or Select files Max. file size: 1,000 MB. Leak detection building envelopeWhere is the damage located inside?On which floor?In which room? Living room Kitchen Toilet Bathroom Laundry room Storage space Bedroom Commercial area Garage Other In which weather conditions is moisture detected (every rainfall, only driving rain, only in torrential rain, only once a year in case of exceptional storm or snowfall, …)?Has the problem been going on for a long time? Have any recent works been carried out that may give rise to the problem?What is above the damage? Flat roof/roof terrace Pitched roof Other floor Are there skylights or domes present? Yes No Is the following present? Dormer Solar panels Roof window Height of the roof (in m)Is the roof easily and safely accessible from a ladder Yes No I don’t know How is this finished? Is there ballast* present? (sending a complete roof structure (ballast, roof sealing, insulation, vapour barrier, supporting floor) is allowed if known)* Ballast – e.g. solar panels, pebble, green roof, terrace, …Preventive check flat roofTotal number of m² of roof area to be checkedNumber of roof surfaces to be checkedDeadline by which the audit must be carried out DD slash MM slash YYYY Roof structure (type of roofing, type of insulation, method of fastening, etc.)Condensation problemWhere is the damage located? What function does the space have?Has the problem been going on for a long time?Have any works been carried out recently (e.g. renewing windows, insulating roof / façade, etc.)Are there other residents / tenants recently?Year of construction of the building?Additional notesExtra opmerkingen