5900-266 ENERGY STAR Multifamily High Rise Project Application

Energy Star Program in the Residential Sector (Renewal)

5900-266 ENERGY STAR Multifamily High Rise Project Application, Version 1.8

Energy Star Program in the Residential Sector: Private Sector

OMB: 2060-0586

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ENERGY STAR Multifamily High Rise
Project Application, Version 1.8
To earn the ENERGY STAR, a new or substantially rehabilitated Multifamily High Rise (MFHR) building must
meet strict guidelines for energy efficiency set by the U.S. Environmental Protection Agency (EPA), making
them designed to be at least 15% more energy efficient than MFHR projects built to the American Society of
Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) Standard 90.1-2007, 90.1-2010 and 90.120131 (or latest version of Title 24 for projects in California).
To begin the process of earning the ENERGY STAR for a MFHR project:
1. The developer must be an active ENERGY STAR MFHR Developer Partner; and
2. An ENERGY STAR MFHR Project Application must be submitted for each project2,3.
Notes:
1.

All Project Applications submitted on or after January 1, 2015 must pursue a Performance Target of 15% better than the energy code under
which the building is permitted (i.e. ASHRAE 90.1-2007, ASHRAE 90.1-2010, ASHRAE 90.1-2013 or the latest version of Title 24 for projects in
CA). Exception: While local city or town codes may differ from the state code, the determination for the ENERGY STAR program is based on the
commercial code adopted by the state, not the local jurisdiction. If the local code is not the same as the state code, the target is based on the
state code at the time of permit and not the local code.

2.

A project may consist of multiple buildings.

3.

Any building listed in Section E or Appendix A that has not submitted a Proposed Design Submittal, within three years of the date specified in
Section K, will be deemed ineligible under this application. These buildings must submit a new ENERGY STAR MFHR Project Application and
abide by the requirements of the new application.

Email as a Portable Document Format (PDF) to [email protected]
For more information, please email [email protected] or visit www.energystar.gov/MFHR
Project Eligibility Check – Please answer the following Questions (More information on eligibility is
available on the Building Eligibility page)
1. Does the building contain only residential associated space (i.e. no commercial or retail)?
Yes
No
(If no, does the residential associated space occupy more than 50% of the gross heated square footage
of the entire building?
Yes
No)
2. Does the building have 4 or more units?

Yes

No

3. Does the building have 4 or more stories?
Yes
No (Note: Buildings 4 stories and over are eligible
for ENERGY STAR Multifamily High Rise; some 4 and 5 story buildings are also eligible for ENERGY
STAR Certified Homes.)
Please indicate the state commercial energy code expected to be in effect at the time of permitting.
(Note: the state commercial code is what the performance target is based on. See Note 1 above.)
ASHRAE 90.1-2007/2009 IECC

ASHRAE 90.1-2010/2012 IECC

ASHRAE 90.1-2013/2015 IECC

Other:_____________________________

Updated August 2017

ENERGY STAR Multifamily High Rise
Project Application, Version 1.8
A. All buildings listed in this agreement must be certified using the following:
-

ENERGY STAR MFHR Performance Path Version 1.0, Rev 03 OR ENERGY STAR MFHR Prescriptive
Path Version 1.0, Rev 03 OR California ENERGY STAR MFHR Performance Path Version 1.0; AND

-

ENERGY STAR Testing and Verification Protocols Version 1.0, Rev 03; AND

-

ENERGY STAR Simulation Guidelines Version 1.0, Rev 03 (Performance Path only) OR modeling
guidance in Title 24 (California only)
The Project will meet ENERGY STAR Certification Requirements using (Check Anticipated Path)
Performance Path

Prescriptive Path

California Performance Path

B. Project Information
Project Name: ____________________________________________________________________
Address: ________________________________________________________________________
City: ________________________________ State: __________________ ZIP: _______________
Total Project Size (square foot): ______________
Residential Associated Space (i.e. not commercial or retail) (square foot): ___________________
Commercial/Retail Space (square foot): _______________ Included in model?

Yes

No

N/A

Number of buildings: _____________ Total number of units: ___________
Note: All non-identical buildings will require a separate model if the Performance Path is chosen.
Number of non-identical buildings: _____________
Project website (if known): _____________________________________________
C. Market Sector (Check One)
Mixed Affordable and Market Rate

Market Rate

Affordable Housing

Other (specify): __________________

Additional qualification/certification programs project is participating in (Check any that apply)
LEED for New Construction
Enterprise Green Communities

LEED for Homes
NGBS

Green Globes

Local Incentive Program (specify): __________________

PHIUS

Other Program (specify): __________________

PHI

LEED for Homes Multifamily Midrise

D. Construction Type (Check One)
New Building

Change of Use and Reconstruction

Substantial Renovation of Existing
Building

Other (specify): _______________________

Updated August 2017

ENERGY STAR Multifamily High Rise
Project Application, Version 1.8
E. Building Information – List information for all buildings in this project (if space is needed for additional
buildings see Appendix A)
Building Address(es)
The number or rows used
below must correspond with the
# of separate buildings in
Section B

Number of
Units
Enter # of
residential
units per building

Unit Total
(Must match total in Section B)

Number
of Stories

Total
Square
Footage

Residential
Associated
Square Footage

Note: Include buildings from Appendix A in the
unit total

F. Schedule – List all dates, even if phase is complete.
(Typically, buildings cannot pursue certification after drywall has been installed unless all
necessary pre-drywall inspections were performed and documented consistent with the current
version of the ENERGY STAR MFHR Testing and Verification Protocols)
1. Estimated Schematic Design Complete Date (mm/dd/yyyy): ____/____/_____
2. Estimated Design Development Complete Date (mm/dd/yyyy): ____/____/_____
3. Estimated Construction Document Complete Date (mm/dd/yyyy): ____/____/_____
4. Estimated Project Permit Date (mm/dd/yyyy): ____/____/_____
5. Estimated Project Bid Date (mm/dd/yyyy): ____/____/_____
6. Estimated Wall Insulation Date (mm/dd/yyyy): ____/____/_____
7. Estimated Construction Complete Date (mm/dd/yyyy): ____/____/_____
G. Developer – Note: Developer must be an active ENERGY STAR MFHR Developer Partner prior to
submitting this application
Company L.L.C. Name: ___________________________________________________________
Primary Developer Company Name: _________________________________________________
Project Manager/Contact: ___________________________________________________________
Phone: ____________________________________ Email: _____________________________

Updated August 2017

ENERGY STAR Multifamily High Rise
Project Application, Version 1.8
H. Developer Marketing Contact – Note: Marketing Contact will be provided with access to ENERGY
STAR materials and logos for promotional purposes
Name: ____________________________________________ Title: _______________________
Company: _________________________________________ E-mail: _____________________
Day Phone: ________________________________________
I.

Architect of Record – Note: Architect or Architecture firm whose name appears on the building permit
for the project pursuing ENERGY STAR certification
Name: ____________________________________________ Title: _______________________
Company: _________________________________________ E-mail: _____________________

J. Licensed Professional – Note: ENERGY STAR MFHR submittals will be signed and stamped by this
individual
Project Representative/Manager: _______________________ Title: _______________________
Company: _________________________________________ E-mail: _____________________
Day Phone: ________________________________________
K. I certify that I am, or I am authorized to act on behalf of, the developer, and I certify that all information
provided in this application, including any attachments, is true and correct to the best of my knowledge. I
have read and understand the Terms and Conditions which are part of this application and agree on
behalf of the developer to abide by them.
Signature: __________________________________________

Date: ___________________

TERMS AND CONDITIONS
1. Eligibility
a. Prior to submitting an ENERGY STAR MFHR Project Application, the developer must be an active
ENERGY STAR MFHR Developer partner. For more information on how to become a MFHR
Developer partner, please visit www.energystar.gov/mfhr.
b. The project/building must conform to the ENERGY STAR MFHR Program eligibility requirements
in effect at the time the application is submitted. Visit www.energystar.gov/mfhr for more
information on project/building eligibility requirements.
2. Application does not Entitle the Developer to Participate
Submission of a completed application does not entitle the developer to program participation. Each
application will be reviewed by EPA or its designated agent and the applicant will be notified
regarding the status of their application within 10 business days.
3. Program Documentation
It is anticipated that EPA or its designated agent will retain a copy of all materials or reports
completed in accordance with the Application Agreement. Unless identified as confidential or
proprietary by the developer, information contained in these materials or reports may be used for the

Updated August 2017

ENERGY STAR Multifamily High Rise
Project Application, Version 1.8
purpose of promoting awareness and adoption of energy efficiency strategies, practices, and
technologies.
4. Post Construction Analysis and Follow-up Visits
EPA reserves the right to make a reasonable number of pre- and post-installation follow-up visits to
the building during the construction phase of the program. The purpose of the visit(s) is to provide
EPA or its designated agent with an opportunity to evaluate the installed energy reduction measures.
5. Indemnification
EPA does not provide warranty and cannot be held liable for construction defects or deficiencies
resulting from the proper or improper application of the ENERGY STAR for MFHR program
guidelines.
6. Changes to the Program
The Terms and Conditions may be changed by EPA at any time without notice. Approved
applications, however will be processed to completion under the Terms and Conditions in affect at the
time of approval.

Updated August 2017

ENERGY STAR Multifamily High Rise
Project Application, Version 1.8
Appendix A: Additional Building Information
Building Address(es)
The number or rows used
below must correspond with
the # of separate buildings in
Section B

Unit Total
(Add to Unit Total in Section E)

Updated August 2017

Number of
Units
Enter # of
residential
units per building

Number
of Stories

Total
Square
Footage

Residential
Associated
Square Footage


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