Due to an Energy Efficiency and Conservation Block Grant received from the Kentucky Department of Local Government, the City of Danville is pleased to offer an opportunity for commercial property owners in Danville to complete Energy Audits on their buildings at no cost to the property owner. If you currently own a commercial building that is more than 40 years old, you may submit an application beginning Monday, July 30, 2012. Funds are limited and applications must be returned before August 10, 2012, to meet the City’s deadline for this Grant.

1. Energy Audit
Application Form
Application Deadline: August 10, 2012
City of Danville
Name of Business
Address
City Zip
Phone Number Fax
Own or rent the facility Own Rent/Lease (must provide owner information)
Normal, daily operating hours
Total occupants during normal operations
Total square feet of the facility
Year facility was constructed
Has building ever been renovated?
If yes, year of last renovation
Fuel source used for: Heating
Cooling
Contact Information
Contact Name Title
Contact Phone Number Contact Email
Owner Information
Owner Name Phone Number
Owner Address
City Zip
Companies who wish to take advantage matching funds are required.
City of Danville is offering a low interest 5 year loan to be applied towards implmentation.
Report Delivery
Send Audit Report to:
I authorize Earthwell Energy Management, Inc. to conduct an Energy Audit of the organization listed on this form
and provide me with an energy savings analysis. I permit KU to provide Earthwell with all utility
information (usage and cost) for the past twelve months.
This is a service offered by City of Danville and you are not required
to pay a separate fee to receive this service.
Authorized Signature Date
Print Name and Title
To participate in City of Danville Energy Audit Program, complete, sign and fax this form to: 1-502-587-8272
For assistance, please call 1-502-587-8447