Chicago Energy Benchmarking Exemption Form – Building Occupancy Use
Background/Guidance:
Commercial, institutional, and residential buildings larger than 50,000 square feet are required to benchmark annually by June 1st. Permanent exemptions are granted for certain occupancy uses, such as industrial, manufacturing, storage/warehouses, hazmat sites, and other miscellaneous uses.
Instructions:
Please use this form if you believe that your building is not covered by the ordinance due to its occupancy use type. For all requests, you will need to provide the approximate percentage of total floor area dedicated to each occupancy use.
This form should take approximately 10 minutes to complete. Within 10 business days, you will receive an email confirmation and/or any follow-up questions about your request.
*
required fields
Section 1: Contact Information
First Name
Last Name
Title
Company
Relationship to Building
Please select...
Building Engineer
Energy Manager
Owner
Property Manager
Energy Benchmarking Verifier
Vendor or Service Provider
Other
Please let us know the other relationship to the building.
Email
Phone
Section 2: Building Information
Please Provide: Chicago Energy Benchmarking ID
Six-digit ID number listed on building’s Notification of Obligation to Comply letter; if ID is unknown, request it using
this form
.
Building Name
Building Address (to be Benchmarked)
City
State
Zip Code
Section 3: Building Occupancy Use
Note that exemptions are only allowed under the ordinance for any building in which 10% or more of the floor area is used for industrial, manufacturing, storage/warehouse, hazardous materials storage, or miscellaneous uses as defined in the Municipal Code of Chicago.
Please check all the appropriate boxes below.
10% or more of the total gross floor area of the building is used for industrial or manufacturing purposes.
10% or more of the total gross floor area of the building is used for storage or warehouse purposes.
10% or more of the total gross floor area of the building is used for hazardous materials storage purposes.
10% or more of the total gross floor area of the building is used for another non-covered miscellaneous use.
Please describe the non-covered space use in more detail:
Section 4: Notes
Please use this section to identify additional addresses (if any) that are associated with the building and/or to identify multiple IDs that have been received for the same building. Please also add any additional notes or comments here.
Section 5: Signature of Authorized Building Representative
Any person who knowingly makes a false statement of material fact in connection with this application shall be sanctioned under, among other applicable law, the City of Chicago's False Statements Ordinance (Chapter 1-21 of the Municipal Code of Chicago).
I, the undersigned authorized representative of the building, affirm and attest to the accuracy, truthfulness and completeness of the statements of material fact provided in this form.
Name
o
Please indicate your agreement by typing in your full name above
Email
Questions? We Can Help!
Call the Chicago Energy Benchmarking Help Center at (855) 858-6878 (M-F, 9am-5pm) or email
Info@ChicagoEnergyBenchmarking.org
.
Contact Information