Energize Denver: Buildings 5,000 - 24,999 sq. ft. Timeline Adjustment and Alternate Compliance Options Application

This application is for: 1) Buildings requesting a timeline adjustment, 2) Residential condominium buildings requesting the Residential Condominium Building Alternate Compliance Option, or 3) Buildings requesting the 15% Energy Usage Reduction Alternate Compliance Option.

Your application will be reviewed by city staff to determine if the building is eligible for an alternate
compliance option. You will be notified by email of your application status following its review. If you have questions regarding your application status reach out to the Building Performance Help Desk by phone (844)-536-4528 or by email energizesmallbuildings@denvergov.org.

To learn more about the performance requirements for buildings 5,000 - 24,999 sq. ft. visit: https://www.denvergov.org/energizedenver.

I. Personal Information

First Name *

Last Name *

Phone Number *

Email Address *

Company Name *

Relationship to Building *

II. Building Information

Denver Building ID * 🛈

Building Address *

Building Address 2

Building City *

Building Zip *

Building State *

- The Denver Building ID is a unique 5-digit number assigned to each individual building required to comply with the Energize Denver Small Building requirements.

III. Alternate Compliance Options

Type of Application *

Reason(s) for Alternative Timeline (check all that apply) *

Planning for Major Renovation

Landmark Preservation Commission Review Process means the work won't be done in time for a compliance deadline

Financial Distress (as described in the 5,000-24,999 sq ft building performance requirements Technical Guidance Manual)

Change of building ownership

Restrictions based on lease agreement(s) with current building tenant(s)

Buildings with manufacturing, agricultural or other activities that would required interruption to production to implement compliance measures

Delays in obtaining an interconnection agreement from Xcel Energy for on-site renewable energy systems that have been installed

Multiple buildings with different compliance deadlines are part of a single Energy Performance Contract through Energy Services Company (ESCO)

Other reasons that will be considered by CASR on a case-by-case basis

Please provide additional details about "Planning for Major Renovation". *

Please provide additional details about "Landmark Preservation Commission Review Process means the work won't be done in time for a compliance deadline". *

Please provide additional details about "Financial Distress (as described in the 5,000-24,999 sq ft building performance requirements Technical Guidance Manual)". *

Please provide additional details about "Change of building ownership". *

Please provide additional details about "Restrictions based on lease agreement(s) with current building tenant(s)". *

Please provide additional details about "Buildings with manufacturing, agricultural or other activities that would required interruption to production to implement compliance measures". *

Please provide additional details about "Delays in obtaining an interconnection agreement from Xcel Energy for on-site renewable energy systems that have been installed". *

Please provide additional details about "Multiple buildings with different compliance deadlines are part of a single Energy Performance Contract through Energy Services Company (ESCO)". *

Please provide additional details about "Other reasons that will be considered by CASR on a case-by-case basis". *

ASHRAE Level I Audit * 🛈

Relevant Certification of ASHRAE I Auditor * 🛈

Retrofit Plan * 🛈

Total Annual Site Energy Usage Report * 🛈

Which type of lighting documentation are you submitting? *

A completed and signed lighting audit template from a lighting professional (Annex A)

A completed and signed lighting verification template from a lighting professional (Annex B)

Documentation proving construction or remodel occurred on or after August 1, 2020

Lighting Audit (Annex A) *

LED Lighting Verification (Annex B) *

Documentation showing construction or remodel occurred on or after August 1, 2020. *

Lighting Professional Qualification *

Certified Lighting Consultant through American Lighting Association

Lighting Certification from the National Council on Qualifications for the Lighting Professions

National Association of Innovative Lighting Distributors (NAILD) Lighting Specialist II (LSII) Designation

Licensed Electrical Contractor Registered with the State of Colorado

Certified Lighting Efficiency Professional (CLEP)

Certified Energy Manager (CEM)

Building was constructed or remodeled on or after August 1, 2020

Please upload a copy of the relevant Lighting Professional Certification *

Additional Documentation that supports this request 🛈

III. Signatures and Contact Information

I, the undersigned authorized representative of the building owner, affirm and attest to the accuracy, truthfulness and completeness of the statements of material fact provided in this form.

Date * +

Signature *

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