If you are interested in discovering how the Continuous Commissioning® process could help improve the energy efficiency of your building, please provide the following information. An experienced CC® Professional will contact you shortly to discuss the initial opportunity assessment.


Fill out as much information about your building as possible. The more information you provide the better we can assist you on conducting a preliminary assessment on your building.

Contact Info

Customer Name:
Primary Contact Phone Number:
(555) 555-5555
Secondary Contact Phone Number (optional):
(555) 555-5555
Email Address:
Company Name:

Building Information

Building Name:
Building Address:
Total Building Size (ft^2):
ft^2
Number of Floors:
Year of Construction Completion (optional):
Building Use Type:
If Other, please describe:
 
Percentage of external wall area that is windows:
%
Window Type:
Typical Space Temperature Setpoint:
F C
Number of occupants during daily peak:
Days the building is typically occupied:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
 
Typical Hours of Occupation:
Open:
Close:
 

HVAC System Description

Days with AHU's Scheduled ON
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
 
Hours when AHU is typically ON:
Open:
Close:
 
Ducting:
Volume:
 
Cooling Provided By:
If Chilled Water, does the CHW come from a chiller(s) whose energy consumption is included in the Electric energy bills below?
Heating Provided By:
If Hot Water, does the HW come from a boiler which only serves the specified square footage?
Design (Max) Supply Airflow Rate:
CFM/ft^2
Not Sure
Minimum Supply Air Flowrate (for VAV Systems only):
% of max
Not Sure
Minimum Outdoor Airflow Rate:
% of Supply Air
Not Sure
Economizer:
Yes No
Primary Interior Lighting:
Outside Lighting that is included in the electricity bills below (kWh/day):
kWh/day

Electrical Energy Use

Units: kWh
Month 1:
Usage:
Meter Read Date:
Month 2:
Usage:
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Usage:
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Usage:
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Usage:
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Month 12:
Usage:
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Natural Gas Usage

Units:

Month 1:
Usage:
Meter Read Date:
Month 2:
Usage:
Meter Read Date:
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Usage:
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Usage:
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Month 12:
Usage:
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District CHW Usage

(needed if electricity for chiller that provides cooling to the sq. ft. is not included
in the electricity bills)

Units:

Month 1:
Usage:
Meter Read Date:
Month 2:
Usage:
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Usage:
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Usage:
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Usage:
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Month 11:
Usage:
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Month 12:
Usage:
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District HW Usage

(needed if natural gas for the boiler is not included in the Natural Gas bills)

Units:

Month 1:
Usage:
Meter Read Date:
Month 2:
Usage:
Meter Read Date:
Month 3:
Usage:
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Usage:
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Usage:
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Usage:
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Usage:
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Month 10:
Usage:
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Month 11:
Usage:
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Month 12:
Usage:
Meter Read Date:


Thank you for your interest in Continuous Commissioning®. When you click the submit button, your information will be sent to an experienced CC® Professional who will conduct an initial opportunity assessment. You will be contacted shortly with the results.