Arctic Energy Alliance Yardstick Energy Audit
The Yardstick Audit is the first level of energy audit and helps determine if a building could benefit from having a more detailed
energy audit performed. A Yardstick Audit includes a review of historical energy and water consumption data and comparison with
data (where available) for other similar buildings and the Model National Energy Code. The Arctic Energy Alliance performs Yardstick
Audits at no cost to its clients.
Please fill out this from and send/fax/email a two-year history of utilities use for the building (copies of the original bills work best),
including:
1. the heating fuel deliveries (volumes delivered and delivery dates),
2. copies of electrical invoices, and
3. water bills for the corresponding two-year period are required.
Contact Information
Name: _________________________________________________________________
______
Phone: __________________________________________________________________
__
Email: _______________________________________________________________
_ _
Building Information
Building Name: ______________________________________________________________________
_
Building Address:
_
__________________
Building Contact Person (if different form above): ________________
_
__
Building Contact Person Phone: ________________________________________________________
__
Building Contact Person Email: ________________________________________________________
___
Building Owner: Non-Profit / Business / Community Government / OTHER (please Specify): _________________________________
Year Built: ___________________
Floor area which is heated and/or cooled: __________________________________________________
Number of storeys (not including basement): 1 / 2 / 3 / 4 / 5
Is there a basement present: Y/N
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Type of Building(s):
Hall
Health Centre
Maintenance Garage
Office
School
Retail
Warehouse
Hotel
OTHER (please
Specify):
Percent Floor Area
(Circle Closest %)
25 / 50 / 75 / 100
25 / 50 / 75 / 100
25 / 50 / 75 / 100
25 / 50 / 75 / 100
25 / 50 / 75 / 100
25 / 50 / 75 / 100
25 / 50 / 75 / 100
25 / 50 / 75 / 100
25 / 50 / 75 / 100
Number of Hours
Occupied per week
10 / 20 / 40 / 60+
10 / 20 / 40 / 60+
10 / 20 / 40 / 60+
10 / 20 / 40 / 60+
10 / 20 / 40 / 60+
10 / 20 / 40 / 60+
10 / 20 / 40 / 60+
10 / 20 / 40 / 60+
10 / 20 / 40 / 60+
25 / 50 / 75 / 100
10 / 20 / 40 / 60+
Heating System
Fuel:
Oil / Natural Gas / Propane / Wood / Wood Pellets
OTHER (please specify):
Annual boiler shutdown: Y / N
Type:
Boiler / Furnace / Stove
Start and End Dates:
Domestic Hot Water
Fuel:
Oil / Natural Gas / Propane / Electricity
OTHER (please specify):
Ventilation
Additional Notes
Type:
Boiler / Storage Tank / Tankless
Type:
Constant Volume / Variable Volume / Heat Recovery Ventilator (HRV) / Air Conditioning
OTHER (please specify):
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