HOUSING ADAPTATION GRANT SCHEME FOR PEOPLE WITH A DISABILITY CHECK SHEET Name: …………………………………………… …………………REF: HGD…………… (Applicant) CONTRACTORS FOR OFFICIAL DESCRIPTION OF WORK PRICE € USE ONLY Construct extension as per drawing (is extension necessary or can a room be converted?). Room Conversion/Adaptations (e.g. Construct en-suite in existing room/convert living space to bedroom, etc to suit the needs of a person with a Disability) Remove bath / bathroom fittings Construct shower as per Council Drawing no. H/1143/1 & H/1143/1A Install electric / thermostatic shower Fit raised W.C. (Document M Handy Pack) Fit wash-hand basin (with lever taps) Provide hot and cold water supply Fit Shower Rail and Curtain Fit folding grabrail beside W.C. Fit grabrails per H/1143/1 including 2 no. grabrails in shower (1 no. vertical & 1 no. horizontal) Fit patent folding shower seat Fit electric wall heater suitable for shower room Tile walls of shower area Fix non-slip tiles to floor of bathroom Paint interior walls Central Heating (provide details of type of heating system & rooms where the heating is being installed). Installation of Smoke Alarms (Min 2 No.) Installation of stair lift Access Ramps/Handrails to external door(s) Water Supply to dwelling (Check Water Services) Construct septic tank and percolation area to current standards Subtotal V.A.T. @ 13.5% Total Signed: (Contractor) Date: …………………………………………… ……………………………
HOUSING ADAPTATION GRANT SCHEME FOR PEOPLE WITH A DISABILITY CHECK SHEET Name: (Applicant) …………………………………………… …………………REF: HGD…………… DESCRIPTION OF WORK CONTRACTORS PRICE € FOR OFFICIAL USE ONLY Construct extension as per drawing (is extension necessary or can a room be converted?). Room Conversion/Adaptations (e.g. Construct en-suite in existing room/convert living space to bedroom, etc to suit the needs of a person with a Disability) Remove bath / bathroom fittings Construct shower as per Council Drawing no. H/1143/1 & H/1143/1A Install electric / thermostatic shower Fit raised W.C. (Document M Handy Pack) Fit wash-hand basin (with lever taps) Provide hot and cold water supply Fit Shower Rail and Curtain Fit folding grabrail beside W.C. Fit grabrails per H/1143/1 including 2 no. grabrails in shower (1 no. vertical & 1 no. horizontal) Fit patent folding shower seat Fit electric wall heater suitable for shower room Tile walls of shower area Fix non-slip tiles to floor of bathroom Paint interior walls Central Heating (provide details of type of heating system & rooms where the heating is being installed). Installation of Smoke Alarms (Min 2 No.) Installation of stair lift Access Ramps/Handrails to external door(s) Water Supply to dwelling (Check Water Services) Construct septic tank and percolation area to current standards Subtotal V.A.T. @ 13.5% Total Signed: …………………………………………… (Contractor) Date: ……………………………
HGD%20Application%20Form%202016.docx