Customers applying to the Mass Save® Residential New Construction or Passive House incentive are required to fill out the form below.
Owner and Contact Information
Legal Name (check recipient) Owner/Contact Name Title
Mailing Address Cell Oce Phone
City State ZIP Email
Primary Contact (if not listed above)
Company Name Primary Contact Name Title
Mailing Address Cell Oce Phone
City State ZIP Email
Building Information
Building Name
Site Address City State ZIP
Number of Units Number of Floors Total Unit Residential Area (SF) Total Common Area* (SF) Commercial Fit-Out Component?
Yes
No
Renewables? Electric Vehicle Charging? Electric Provider Natural Gas Provider Mixed Use?
Yes
No
Other Fuel Sources?
Building Code Energy Code Stretch Code?
Yes
No
LEED® Required by Code?
*Common Area includes any space within the building that serves a function in support of the residential part of the building that is not part of a dwelling unit.
This includes corridors, stairs, lobbies, laundry rooms, and recreation rooms, as well as building management oces and maintenance spaces. Parking is excluded.
Timeline (dates required and may be estimated)
Current Status 100% CDs complete Construction Start Construction Completion
Unit Type (indicate quantity for all that apply)
Low Income (below 60% AMI) Aordable (60%–80% AMI) Market Rate
Voluntary Standards (check all that apply)
ENERGY STAR® Multi-Family
Yes
No
USGBC LEED® NAHB Green Passive House Other (please indicate)
Please email completed form to multifhr@icf.com.
Residential New Construction High-Rise
Multi-family homes with four stories or more
Residential New Construction Passive House
Multi-family buildings with five units or more
Residential New Construction Registration Form
WE ARE MASS SAVE®:
Ready to get started? We are here to help:
1-866-527-SAVE (7283) • multifhr@icf.com
MassSave.com/Multi-Family-New-Construction • MassSave.com/PassiveHouse
Updated 5/2020
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