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 Oce Phone
City State ZIP Email
Primary Contact (if not listed above)
Company Name Primary Contact Name Title
Mailing Address Cell Oce 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 oces 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) Aordable (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-ConstructionMassSave.com/PassiveHouse
Updated 5/2020
22072_Mass_Save_PH_Registration_Form_v10.indd 122072_Mass_Save_PH_Registration_Form_v10.indd 1 5/6/20 11:14 PM5/6/20 11:14 PM
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9th Edition
IECC 2018
No
No
No
No