I am partly on my way to solving this, but have hit a stumbling block, which I think can be solved with pivot(s).
I have the following SQL query, combining two temporary table variables (may change these to temporary tables, as I think performance maybe come a problem as they will be hit a large number of times):
SELECT MeterId, MeterDataOutput.BuildingId, MeterDataOutput.Value,
MeterDataOutput.TimeStamp, UtilityId, SnapshotId
FROM @MeterDataOutput as MeterDataOutput INNER JOIN @InsertOutput AS InsertOutput
ON MeterDataOutput.BuildingId = InsertOutput.BuildingId
AND MeterDataOutput.[Timestamp] = InsertOutput.[TimeStamp]
This produces the following table:

I have then modified the query to group by BuildingId, SnapshotId, Timestamp, Utility and applied the SUM() function to aggregate the Value field (and dropped the MeterId as its not required), as follows:
SELECT MeterDataOutput.BuildingId, SUM(MeterDataOutput.Value) AS Value, MeterDataOutput.TimeStamp, UtilityId, SnapshotId
FROM @MeterDataOutput as MeterDataOutput
INNER JOIN @InsertOutput AS InsertOutput
ON MeterDataOutput.BuildingId = InsertOutput.BuildingId
AND MeterDataOutput.[Timestamp] = InsertOutput.[TimeStamp]
GROUP BY MeterDataOutput.BuildingId, MeterDataOutput.TimeStamp, UtilityId, SnapshotId
This query the provides me with the following table:

Now the bit I’m having trouble with is transforming the UtilityId values to columns, and placing the values from the Value field under each column. I.e:

For reference buildingId, Timestamp, Snapshot and Value are variable. UtilityId value 6 is always ‘Electricity’, 7 is always ‘Gas’ and 8 is always ‘Water’.
I’m actually starting to get the hand of the SQL lark 🙂
Maybe something like this: