Energy Evaluation survey

Energy Evaluation of Public Housing Capital Fund (PHCF), Category 4, Option 2 grantees

Cat 4 Opt 2 - Energy Evaluation survey (GERA) -- 9_17_14.xlsx

Energy Evaluation survey

OMB: 2528-0303

Document [xlsx]
Download: xlsx | pdf

Overview

General Information
AMP 1 - ECMs Details
AMP 1 - Electricity
AMP 1 - Natural Gas
AMP 2- ECMs Detail
AMP 2 - Electricity
AMP 2 - Natural Gas


Sheet 1: General Information

This workbook is designed to collect data regarding energy consumption at the AMPs in your PHA that received Capital Fund Recovery Grants under the grant program listed below.
Please complete all pages in the workbook.
The information portrayed in this sheet is split in three sections; please verify and complete the information where required. Note that the fields required to be completed are shaded in gray. The three sections are:
1. This is the General information page, requiring information regarding all AMPs at the PHA that received grants.
2. The "ECMs Details" pages provide information regarding the ECMs implemented as each AMP, based on data from the RAMPS system.
3. The "AMP - Utility" pages require entry of utility usage information for each energy source, at each AMP










1. General Public Housing Agency (PHA) Information


1. General Information


Public Housing Agency (PHA) code:



Grant Number



Grant Program








2. General PHA-AMPs information - please verify the information below and indicate the requested retrofit start and end dates, and the number of units retrofitted for each AMP
2.a. AMPs General Information Retrofit Dates (MM/DD/YY) Did this AMP also undergo retrofit financed through a Capital Fund Formula Grant?
Development/Asset Management Project (AMP) Number Start End


















AMP Buildings Utility used for heating in building Utility used for cooling in building Year of Last Retrofit




















Are there any unusual features of these buildings or the retrofit you would like to note?


Sheet 2: AMP 1 - ECMs Details

This worksheet describes the retrofit conducted in this AMP as a result of the grant under study. This information is from the RAMPS system, and is provided for your reference.


PHA Identifier
AMP Identifier


Energy Conservation Measures Implemented Units Affected
Doors and Windows
EE Replacement Windows
EE Replacement Exterior Doors
EE Storm Doors
EE Storm Windows
EE Window Film

Insulation and Air Sealing
Attic or Roof Insulation
Air Sealing

Heating and Cooling
Install Flue/Vent Dampers
Install Constant Air Regulating Dampers
Convert to Electronic Ignition
Replace Inefficient Heating Plant
Insulate Hot Water or Steam Pipes
Seal and Insulate Ducts
Replace Inefficient Central Air Conditioners
Replace HVAC Pump Motors

HVAC/Temperature Controls
Install Boiler Controls/Outdoor Air Reset
Install Radiator Controls (Units)
Install Programmable Thermostats (Units)

Domestic Hot Water
Insulate Hot Water Tanks
Convert Laundry to Cold Rinse
Replace Inefficient Hot Water Heater
Install Summertime DHW Heaters

Lighting
Replace Incandescent Lighting with CFLs (Units) Install LED Exit Signs
Replace Outdoor and Common Area Lighting Fixtures Install Outdoor and Common Area Lighting Controls

Appliances
Replace inefficient Refrigerators
Replace Inefficient Clothes Washers
Replace Inefficient Window AC Units
Replace Inefficient Dishwashers

Water Conservation
Install Water-saving Toilets
Low-flow Showerheads and Faucet Aerators
Grey Water Recycling

Renewable Energy
Install Photovoltaic Panels
Install Cogeneration/Micro Combined Heat and Power Systems

Green measures
Install Green Roofs
Use Low or No-VOC Paints
Use of Green Building Products
Install Spot Ventilation
Install advanced utility metering


* Data to be pulled from RAMPS

Sheet 3: AMP 1 - Electricity

PHA - AMP Utility Consumption: ELECTRICITY
This sheet requests specific information regarding monthly utility consumption for one full year before and one full year after the implementation of the retrofit.
Please provide the requested information in the shaded cells











PHA Identifier
AMP Identifier











ELECTRICITY
Please use the drop-down menu to indicate whether tenants pays for this utility for their units.
Do tenants pay their electricity bill directly to the utility for any units in the AMP?
How many electricity meters are there for which the PHA has usage data in this AMP?
Do these meters cover the electricity usage in all common areas of the AMP?

For each utility meter, please inidcate ID, location, whether the meter was utilized prior to the retrofit, and whether it was utilized after the retrofit. In addition, using the drop-down menu, please indicate if the meter measures consumption in common areas only, in units only, or in both common areas and units.

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Meter Location (Building address)




Meter ID




Used Pre-retrofit: Yes/No




Used Post-retrofit: Yes/No




Meter measures utility consumption in the following areas:




Number of units covered by meter




Number of units in building





For each utility meter, please indicate the exact start and end dates of the pre and post retrofit utility consumption data provided

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Pre-retrofit
Start Date Consumption data
(MM/DD/YYYY)





Pre-retrofit
End Date Consumption data
(MM/DD/YYYY)





Post-retrofit
Start Date Consumption data
(MM/DD/YYYY)





Post-retrofit
End Date Consumption data
(MM/DD/YYYY)







For each utility meter, please use the drop-down menu to indicate the first month of pre-retrofit consumption data (this month should be exactly one year prior to the start of the retrofit implementation). The remaining 11 months will be automatically populated.
In addition, for each month pre-retrofit, please indicate the exact consumption as indicated in your utility bill.

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Monthly Consumption
Pre-retrofit
DATE Consumption DATE Consumption DATE Consumption DATE Consumption DATE Consumption
Month KWH Month KWH Month KWH Month KWH Month KWH
Month 1 June
September
January
February
November
Month 2 July
October
February
March
December
Month 3 August
November
March
April
January
Month 4 September
December
April
May
February
Month 5 October
January
May
June
March
Month 6 November
February
June
July
April
Month 7 December
March
July
August
May
Month 8 January
April
August
September
June
Month 9 February
May
September
October
July
Month 10 March
June
October
November
August
Month 11 April
July
November
December
September
Month 12 May
August
December
January
October

For each utility meter, please use the drop-down menu to indicate the first month of post-retrofit consumption data. The remaining 11 months will be automatically populated.
In addition, for each month post-retrofit, please indicate the exact consumption as indicated in your utility bill.

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Monthly Consumption
Post-retrofit
DATE Consumption DATE Consumption DATE Consumption DATE Consumption DATE Consumption
Month KWH Month KWH Month KWH Month KWH Month KWH
Month 1 July
September
July
June
November
Month 2 August
October
August
July
December
Month 3 September
November
September
August
January
Month 4 October
December
October
September
February
Month 5 November
January
November
October
March
Month 6 December
February
December
November
April
Month 7 January
March
January
December
May
Month 8 February
April
February
January
June
Month 9 March
May
March
February
July
Month 10 April
June
April
March
August
Month 11 May
July
May
April
September
Month 12 June
August
June
May
October

Sheet 4: AMP 1 - Natural Gas

PHA - AMP Utility Consumption: NATURAL GAS
This sheet requests specific information regarding monthly utility consumption for one full year before and one full year after the implementation of the retrofit.
Please provide the requested information in the shaded cells











PHA Identifier
AMP Identifier











NATURAL GAS
Please use the drop-down menu to indicate whether tenants pays for this utility for their units.
Do tenants pay their natural gas bill directly to the utility for any units in the AMP?
How many natural gas meters are there for which the PHA has usage data in this AMP?
Do these meters cover the natural gas usage in all common areas of the AMP?

For each utility meter, please inidcate ID, location, whether the meter was utilized prior to the retrofit, and whether it was utilized after the retrofit. In addition, using the drop-down menu, please indicate if the meter measures consumption in common areas only, in units only, or in both common areas and units.

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Meter Location (Building address)




Meter ID




Used Pre-retrofit: Yes/No




Used Post-retrofit: Yes/No




Meter measures utility consumption in the following areas:




Number of units covered by meter




Number of units in building





For each utility meter, please indicate the exact start and end dates of the pre and post retrofit utility consumption data provided

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Pre-retrofit
Start Date Consumption data
(MM/DD/YYYY)





Pre-retrofit
End Date Consumption data
(MM/DD/YYYY)





Post-retrofit
Start Date Consumption data
(MM/DD/YYYY)





Post-retrofit
End Date Consumption data
(MM/DD/YYYY)






For each utility meter, please use the drop-down menu to indicate the units in which utility consumption is measured

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Consumption measuring units:





For each utility meter, please use the drop-down menu to indicate the first month of pre-retrofit consumption data (this month should be exactly one year prior to the start of the retrofit implementation). The remaining 11 months will be automatically populated.
In addition, for each month pre-retrofit, please indicate the exact consumption as indicated in your utility bill.

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Monthly Consumption
Pre-retrofit
DATE Consumption DATE Consumption DATE Consumption DATE Consumption DATE Consumption
Month 0 Month 0 Month 0 Month 0 Month 0
Month 1 June
September
January
February
November
Month 2 July
October
February
March
December
Month 3 August
November
March
April
January
Month 4 September
December
April
May
February
Month 5 October
January
May
June
March
Month 6 November
February
June
July
April
Month 7 December
March
July
August
May
Month 8 January
April
August
September
June
Month 9 February
May
September
October
July
Month 10 March
June
October
November
August
Month 11 April
July
November
December
September
Month 12 May
August
December
January
October

For each utility meter, please use the drop-down menu to indicate the first month of post-retrofit consumption data. The remaining 11 months will be automatically populated.
In addition, for each month post-retrofit, please indicate the exact consumption as indicated in your utility bill.

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Monthly Consumption
Post-retrofit
DATE Consumption DATE Consumption DATE Consumption DATE Consumption DATE Consumption
Month 0 Month 0 Month 0 Month 0 Month 0
Month 1 July
September
July
June
November
Month 2 August
October
August
July
December
Month 3 September
November
September
August
January
Month 4 October
December
October
September
February
Month 5 November
January
November
October
March
Month 6 December
February
December
November
April
Month 7 January
March
January
December
May
Month 8 February
April
February
January
June
Month 9 March
May
March
February
July
Month 10 April
June
April
March
August
Month 11 May
July
May
April
September
Month 12 June
August
June
May
October

Sheet 5: AMP 2- ECMs Detail

This worksheet describes the retrofit conducted in this AMP as a result of the grant under study. This information is from the RAMPS system, and is provided for your reference.


PHA Identifier
AMP Identifier


Energy Conservation Measures Implemented Units Affected
Doors and Windows
EE Replacement Windows
EE Replacement Exterior Doors
EE Storm Doors
EE Storm Windows
EE Window Film

Insulation and Air Sealing
Attic or Roof Insulation
Air Sealing

Heating and Cooling
Install Flue/Vent Dampers
Install Constant Air Regulating Dampers
Convert to Electronic Ignition
Replace Inefficient Heating Plant
Insulate Hot Water or Steam Pipes
Seal and Insulate Ducts
Replace Inefficient Central Air Conditioners
Replace HVAC Pump Motors

HVAC/Temperature Controls
Install Boiler Controls/Outdoor Air Reset
Install Radiator Controls (Units)
Install Programmable Thermostats (Units)

Domestic Hot Water
Insulate Hot Water Tanks
Convert Laundry to Cold Rinse
Replace Inefficient Hot Water Heater
Install Summertime DHW Heaters

Lighting
Replace Incandescent Lighting with CFLs (Units) Install LED Exit Signs
Replace Outdoor and Common Area Lighting Fixtures Install Outdoor and Common Area Lighting Controls

Appliances
Replace inefficient Refrigerators
Replace Inefficient Clothes Washers
Replace Inefficient Window AC Units
Replace Inefficient Dishwashers

Water Conservation
Install Water-saving Toilets
Low-flow Showerheads and Faucet Aerators
Grey Water Recycling

Renewable Energy
Install Photovoltaic Panels
Install Cogeneration/Micro Combined Heat and Power Systems

Green measures
Install Green Roofs
Use Low or No-VOC Paints
Use of Green Building Products
Install Spot Ventilation
Install advanced utility metering


* Data to be pulled from RAMPS

Sheet 6: AMP 2 - Electricity

PHA - AMP Utility Consumption: ELECTRICITY
This sheet requests specific information regarding monthly utility consumption for one full year before and one full year after the implementation of the retrofit.
Please provide the requested information in the shaded cells











PHA Identifier
AMP Identifier











ELECTRICITY
Please use the drop-down menu to indicate whether tenants pays for this utility for their units.
Do tenants pay their electricity bill directly to the utility for any units in the AMP?
How many electricity meters are there for which the PHA has usage data in this AMP?
Do these meters cover the electricity usage in all common areas of the AMP?

For each utility meter, please inidcate ID, location, whether the meter was utilized prior to the retrofit, and whether it was utilized after the retrofit. In addition, using the drop-down menu, please indicate if the meter measures consumption in common areas only, in units only, or in both common areas and units.

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Meter Location (Building address)




Meter ID




Used Pre-retrofit: Yes/No




Used Post-retrofit: Yes/No




Meter measures utility consumption in the following areas:




Number of units covered by meter




Number of units in building





For each utility meter, please indicate the exact start and end dates of the pre and post retrofit utility consumption data provided

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Pre-retrofit
Start Date Consumption data
(MM/DD/YYYY)





Pre-retrofit
End Date Consumption data
(MM/DD/YYYY)





Post-retrofit
Start Date Consumption data
(MM/DD/YYYY)





Post-retrofit
End Date Consumption data
(MM/DD/YYYY)







For each utility meter, please use the drop-down menu to indicate the first month of pre-retrofit consumption data (this month should be exactly one year prior to the start of the retrofit implementation). The remaining 11 months will be automatically populated.
In addition, for each month pre-retrofit, please indicate the exact consumption as indicated in your utility bill.

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Monthly Consumption
Pre-retrofit
DATE Consumption DATE Consumption DATE Consumption DATE Consumption DATE Consumption
Month KWH Month KWH Month KWH Month KWH Month KWH
Month 1 June
August
May
February
November
Month 2 July
September
June
March
December
Month 3 August
October
July
April
January
Month 4 September
November
August
May
February
Month 5 October
December
September
June
March
Month 6 November
January
October
July
April
Month 7 December
February
November
August
May
Month 8 January
March
December
September
June
Month 9 February
April
January
October
July
Month 10 March
May
February
November
August
Month 11 April
June
March
December
September
Month 12 May
July
April
January
October

For each utility meter, please use the drop-down menu to indicate the first month of post-retrofit consumption data. The remaining 11 months will be automatically populated.
In addition, for each month post-retrofit, please indicate the exact consumption as indicated in your utility bill.

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Monthly Consumption
Post-retrofit
DATE Consumption DATE Consumption DATE Consumption DATE Consumption DATE Consumption
Month KWH Month KWH Month KWH Month KWH Month KWH
Month 1 July
September
July
June
November
Month 2 August
October
August
July
December
Month 3 September
November
September
August
January
Month 4 October
December
October
September
February
Month 5 November
January
November
October
March
Month 6 December
February
December
November
April
Month 7 January
March
January
December
May
Month 8 February
April
February
January
June
Month 9 March
May
March
February
July
Month 10 April
June
April
March
August
Month 11 May
July
May
April
September
Month 12 June
August
June
May
October

Sheet 7: AMP 2 - Natural Gas

PHA - AMP Utility Consumption: NATURAL GAS
This sheet requests specific information regarding monthly utility consumption for one full year before and one full year after the implementation of the retrofit.
Please provide the requested information in the shaded cells











PHA Identifier
AMP Identifier











NATURAL GAS
Please use the drop-down menu to indicate whether tenants pays for this utility for their units.
Do tenants pay their natural gas bill directly to the utility for any units in the AMP?
How many natural gas meters are there for which the PHA has usage data in this AMP?
Do these meters cover the natural gas usage in all common areas of the AMP?

For each utility meter, please inidcate ID, location, whether the meter was utilized prior to the retrofit, and whether it was utilized after the retrofit. In addition, using the drop-down menu, please indicate if the meter measures consumption in common areas only, in units only, or in both common areas and units.

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Meter Location (Building address)




Meter ID




Used Pre-retrofit: Yes/No




Used Post-retrofit: Yes/No




Meter measures utility consumption in the following areas:




Number of units covered by meter




Number of units in building





For each utility meter, please indicate the exact start and end dates of the pre and post retrofit utility consumption data provided

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Pre-retrofit
Start Date Consumption data
(MM/DD/YYYY)





Pre-retrofit
End Date Consumption data
(MM/DD/YYYY)





Post-retrofit
Start Date Consumption data
(MM/DD/YYYY)





Post-retrofit
End Date Consumption data
(MM/DD/YYYY)






For each utility meter, please use the drop-down menu to indicate the units in which utility consumption is measured

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Consumption measuring units:





For each utility meter, please use the drop-down menu to indicate the first month of pre-retrofit consumption data (this month should be exactly one year prior to the start of the retrofit implementation). The remaining 11 months will be automatically populated.
In addition, for each month pre-retrofit, please indicate the exact consumption as indicated in your utility bill.

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Monthly Consumption
Pre-retrofit
DATE Consumption DATE Consumption DATE Consumption DATE Consumption DATE Consumption
Month 0 Month 0 Month 0 Month 0 Month 0
Month 1 January
November
April
February
November
Month 2 February
December
May
March
December
Month 3 March
January
June
April
January
Month 4 April
February
July
May
February
Month 5 May
March
August
June
March
Month 6 June
April
September
July
April
Month 7 July
May
October
August
May
Month 8 August
June
November
September
June
Month 9 September
July
December
October
July
Month 10 October
August
January
November
August
Month 11 November
September
February
December
September
Month 12 December
October
March
January
October

For each utility meter, please use the drop-down menu to indicate the first month of post-retrofit consumption data. The remaining 11 months will be automatically populated.
In addition, for each month post-retrofit, please indicate the exact consumption as indicated in your utility bill.

Meter 1 Meter 2 Meter 3 Meter 4 Meter 5
Monthly Consumption
Post-retrofit
DATE Consumption DATE Consumption DATE Consumption DATE Consumption DATE Consumption
Month 0 Month 0 Month 0 Month 0 Month 0
Month 1 July
September
July
June
November
Month 2 August
October
August
July
December
Month 3 September
November
September
August
January
Month 4 October
December
October
September
February
Month 5 November
January
November
October
March
Month 6 December
February
December
November
April
Month 7 January
March
January
December
May
Month 8 February
April
February
January
June
Month 9 March
May
March
February
July
Month 10 April
June
April
March
August
Month 11 May
July
May
April
September
Month 12 June
August
June
May
October
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