5900-197 Data Checklist

OMB Control No. 2060-0347
®

ENERGY STAR Data Checklist
for Commercial Buildings

In order for a building to qualify for the ENERGY STAR, a Professional Engineer (PE) must validate the accuracy of the data underlying the building's energy
performance rating. This checklist is designed to provide an at-a-glance summary of a property's physical and operating characteristics, as well as its total energy
consumption, to assist the PE in double-checking the information that the building owner or operator has entered into Portfolio Manager.
Please complete and sign this checklist and include it with the stamped, signed Statement of Energy Performance.
NOTE: You must check each box to indicate that each value is correct, OR include a note.

CRITERION

VALUE AS ENTERED IN
PORTFOLIO MANAGER

Building Name

Office Sample Facility

Type

Office

VERIFICATION QUESTIONS

NOTES

Is this the official building name to be displayed in
the ENERGY STAR Registry of Labeled
Buildings?
Is this an accurate description of the space in
question?

1234 Main Street, Charlotte, Is this address accurate and complete? Correct
weather normalization requires an accurate zip
NC 28227
code.
Has the property maintained an average
Annual Occupancy
95 %
occupancy of 75% or higher across the 12 month
Rate
period being assessed?
Does this SEP represent a single structure? SEPs
cannot be submitted for multiple-building
Single Structure
Single Facility
campuses (with the exception of acute care or
children's hospitals) nor can they be submitted as
representing only a portion of a building
Office Space (Office)
VALUE AS ENTERED IN
CRITERION
VERIFICATION QUESTIONS
PORTFOLIO MANAGER
Does this square footage include all supporting
functions such as kitchens and break rooms used
by staff, storage areas, administrative areas,
elevators, stairwells, atria, vent shafts, etc. Also
note that existing atriums should only include the
Gross Floor Area
52,452 Sq. Ft.
base floor area that it occupies. Interstitial
(plenum) space between floors should not be
included in the total. Finally gross floor area is not
the same as leasable space. Leasable space is a
subset of gross floor area.
Is this the total number of hours per week that the
Office space is 75% occupied? This number
should exclude hours when the facility is occupied
Weekly operating
only by maintenance, security, or other support
90 Hours
hours
personnel. For facilities with a schedule that varies
during the year, "operating hours/week" refers to
the total weekly hours for the schedule most often
followed.
Is this the number of employees present during the
main shift? Note this is not the total number of
employees or visitors who are in a building during
an entire 24 hour period. For example, if there are
Workers on Main
1,300
two daily 8 hour shifts of 100 workers each, the
Shift
Workers on Main Shift value is 100. The normal
worker density ranges between 0.3 and 10
workers per 1000 square feet (92.8 square
meters)
Is this the number of personal computers in the
Number of PCs
63
Office?
Is this the percentage of the total floor space within
Percent Cooled
50% or more
the facility that is served by mechanical cooling
equipment?
Is this the percentage of the total floor space within
Percent Heated
50% or more
the facility that is served by mechanical heating
equipment?
Data Center (Computer Data Center)
VALUE AS ENTERED IN
CRITERION
VERIFICATION QUESTIONS
PORTFOLIO MANAGER
Location

NOTES

NOTES

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Gross Floor Area

780 Sq. Ft.

Does this square footage include all supporting
functions of the computer data center?

Weekly operating
hours

168 Hours

Is this the total number of hours per week that the
computer data center is in operation?

Parking lot (Parking)
CRITERION

VALUE AS ENTERED IN
PORTFOLIO MANAGER

VERIFICATION QUESTIONS

Gross Floor Area

18,694 Sq. Ft.

Is this the total square footage of the entire parking
area (enclosed + nonenclosed + open floor area)?

Enclosed Floor
Area

1,476 Sq. Ft.

Non-Enclosed
Floor Area (w/roof)

0 Sq. Ft.

Open Floor Area
(w/o roof)

17,218 Sq. Ft.

Weekly Hours of
Access

168 Hours

NOTES

Is this the total square footage of the enclosed
garage space? An enclosed garage is defined as
having both sides and a roof.
Is this the total square footage of the nonenclosed
garage space? This is typically defined as the
portion of the garage above ground (contains no
sides but is under a roof).
Is this the total square footage of the nonenclosed
parking area without a roof? This is typically
defined as open parking lots or the very top level of
an above ground parking garage.
Is this the total number of hours per week when it
is possible for a vehicle to enter or exit?

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®

ENERGY STAR Data Checklist
for Commercial Buildings

Energy Consumption
Power Generation Plant or Distribution Utility: Duke Energy Carolinas, LLC

Fuel Type: Electricity

Meter: Electric Meter (kWh (thousand Watt-hours))
Space(s): Entire Facility
Generation Method: Grid Purchase
Start Date

End Date

Energy Use (kWh (thousand Watt-hours))

05/01/2009

05/31/2009

45,600.00

04/01/2009

04/30/2009

54,800.00

03/01/2009

03/31/2009

52,600.00

02/01/2009

02/28/2009

67,200.00

01/01/2009

01/31/2009

77,200.00

12/01/2008

12/31/2008

59,800.00

11/01/2008

11/30/2008

57,600.00

10/01/2008

10/31/2008

67,800.00

09/01/2008

09/30/2008

54,200.00

08/01/2008

08/31/2008

42,000.00

07/01/2008

07/31/2008

47,000.00

06/01/2008

06/30/2008

45,000.00

Electric Meter Consumption (kWh (thousand Watt-hours))

670,800.00

Electric Meter Consumption (kBtu (thousand Btu))

2,288,769.60

Total Electricity (Grid Purchase) Consumption (kBtu (thousand Btu))

2,288,769.60

Is this the total Electricity (Grid Purchase) consumption at this building including all
Electricity meters?
Fuel Type: Natural Gas

Meter: Natural Gas Meter (ccf (hundred cubic feet))
Space(s): Entire Facility
Start Date

End Date

Energy Use (ccf (hundred cubic feet))

05/01/2009

05/31/2009

1,436.00

04/01/2009

04/30/2009

1,658.00

03/01/2009

03/31/2009

287.00

02/01/2009

02/28/2009

310.00

01/01/2009

01/31/2009

166.00

12/01/2008

12/31/2008

91.00

11/01/2008

11/30/2008

141.00

10/01/2008

10/31/2008

280.00

09/01/2008

09/30/2008

1,729.00

08/01/2008

08/31/2008

1,276.00

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07/01/2008

07/31/2008

2,109.00

06/01/2008

06/30/2008

2,109.00

Natural Gas Meter Consumption (ccf (hundred cubic feet))

11,592.00

Natural Gas Meter Consumption (kBtu (thousand Btu))

1,192,816.80

Total Natural Gas Consumption (kBtu (thousand Btu))

1,192,816.80

Is this the total Natural Gas consumption at this building including all Natural Gas meters?

Additional Fuels
Do the fuel consumption totals shown above represent the total energy use of this building?
Please confirm there are no additional fuels (district energy, generator fuel oil) used in this facility.

On-Site Solar and Wind Energy
Do the fuel consumption totals shown above include all on-site solar and/or wind power located at
your facility? Please confirm that no on-site solar or wind installations have been omitted from this
list. All on-site systems must be reported.

Certifying Professional
(When applying for the ENERGY STAR, the Certifying Professional must be the same as the PE that signed and stamped the SEP.)
Name:

Date:

Signature:
Signature is required when applying for the ENERGY STAR.

The public reporting burden for this collection of information is estimated to average 5 hours per response. Send comments on the Agency's need for this information, the accuracy
of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director,
Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any
correspondence. Do not send the completed form to this address.

EPA Form 5900-197

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