Form 5900-22 ENERGY STAR - Statement of Energy Design Intent

Information Collection Activities Associated with EPA’s ENERGY STAR Program in the Commercial and Industrial Sectors (Renewal)

5900-22

ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities

OMB: 2060-0347

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OMB No.2060-0347

STATEMENT OF ENERGY DESIGN INTENT
August 30, 2006
FACILITY INFORMATION
Facility Name and Location
Prototype School
Richmond, VA - United States

23219

Building
Owner/Company
Address

Facility Characteristics
K-12 School
148,000 Sq. Ft.
Total Gross Floor Area 148,000 Sq. Ft.

Contact Name
Phone
Email

Design Energy (kBtu)1
Electricity 3,825,944
Natural Gas 569,800

___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________

DESIGN ENERGY PERFORMANCE RESULTS
Energy
Energy Performance Score
Site Energy Use Intensity (kBtu/sf/yr)

Total Annual Energy (kBtu)
Total Energy Cost ($)
Pollution Emissions (1000 lbs/yr)
CO2

DESIGN
88
29.7
4,397,314
$ 71,385

ENERGY STAR
75

37.9
5,611,910
$ 91,103

2,451

3,092

PROFESSIONAL VERIFICATION 

Licensed Architect/Engineer

Prepared By __________________________________________

Firm Name __________________________________________

Address
__________________________________________

__________________________________________
Phone
__________________________________________

Email
__________________________________________


Professional Stamp
Signature & Date

Architect of Record (if different from above)

Name
__________________________________________

Firm Name __________________________________________

Phone
__________________________________________

Email
__________________________________________


The facility was designed and specified to meet the Design Energy
performance calculations shown on this Statement of Energy Design Intent.
1 Target Finder uses data from "actual" performing buildings, therefore all energy use including plug, process, and all non-regulated loads, fuel sources and equipment
specified in design must be included. An incomplete design energy use profile could result in a high but inaccurate rating.

This document was generated from Target Finder, an EPA tool located on the ENERGY STAR Web site, www.energystar.gov.

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STATEMENT OF ENERGY DESIGN INTENT
August 30, 2006
Facility Name and Location
Prototype School
Richmond, VA - United States

23219

Facility Characteristics (Detail)
K-12
School
Gross Number Number Operating Cooking
%
% Months Ventilated
Floor
of
of PCs Hours/Week Facility Air-Conditioned Heated
Area Students
148000
950
450
60 Hours
Yes
100
100
12
Yes
Sq. Ft.

Additional Information

This document was generated from Target Finder, an EPA tool located on the ENERGY STAR Web site, www.energystar.gov.
The government estimates the average time needed to fill out this form is 10 minutes and welcomes suggestions for reducing this level of effort. Send comments (referencing OMB
control number) to the Director, Collection Strategies Division, U.S., EPA (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460
EPA Form 5900-22

Page 2 of 2


File Typeapplication/pdf
File TitleSample Statement of Energy Design Intent, Aug. 30, 2006
AuthorUS EPA
File Modified2006-08-30
File Created2006-08-30

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