ENERGY STAR Multifamily High Rise

Project Application, Version 1.1

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To earn the ENERGY STAR, a 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 AirConditioning Engineers (ASHRAE) Standard 90.1-2007.

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 project*.

* A project may consist of multiple buildings. However, any building listed in Section E or Appendix A that 

has not submitted a Proposed Building 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.

Fax this form to 202-343-2200

Or

Email as a Portable Document Format (PDF) to MFHR@energystar.gov

For more information please email MFHR@energystar.gov or visit www.energystar.gov/MFHR

Project meets the eligibility requirements of the ENERGY STAR MFHR program (See Appendix B for 

more information on eligibility) Yes No

A. All buildings listed in this agreement must be qualified using the following:

- ENERGY STAR MFHR Performance Path Version 1.0 or ENERGY STAR MFHR Prescriptive Path

Version 1.0; and

- ENERGY STAR Testing and Verification Protocols Version 1.0; and

- ENERGY STAR Simulation Guidelines Version 1.0 (Performance Path only)

B. Project Information

Project Name:

Address:

City: State: ZIP: 

Total Project Size (square foot):

Project area subject to this application, if not the entire project (square foot): 

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:

OMB Control No. 2060-0586
ENERGY STAR Multifamily High Rise

Project Application, Version 1.1

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C. Construction Type (Check One)

New Building Change of Use and Reconstruction

Substantial Renovation of Existing Other (specify): 

Building (Construction must be of

nature that the building cannot be

occupied for at least 30 days)

D. Budget

Estimated Cost of Construction $

E. Building Information – List information for all buildings in this project (if space is needed for additional 

buildings see Appendix A)

Building Address(es) Number of Number Total Total Square 

The number or rows used Units of Stories Square Footage Subject 

below must correspond with Enter # of Footage to Application 

the # of separate buildings in residential

Section B units per building

Unit Total

(Must match total in Section B)

Note: Include buildings from Appendix A in the 

unit total

F. Schedule – List all dates, even if phase is complete.

(Typically, buildings cannot pursue qualification 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 Bid Date (mm/dd/yyyy): / / 

5. Estimated Wall Insulation Date (mm/dd/yyyy): / / 

6. Estimated Construction Complete Date (mm/dd/yyyy): / / 
ENERGY STAR Multifamily High Rise

Project Application, Version 1.1

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G. Developer – Note: Developer must be an active ENERGY STAR MFHR Developer Partner prior to 

submitting this application

Company Name: 

Company Contact: 

Address 1: 

Address 2: 

City: State: ZIP:

H. Project Contact – Note: Project related correspondence and communication will be directed to this 

individual

Name of Project Manager/contact:

Company:

Day Phone:

Title: 

E-mail:

Fax:

Address 1:

Address 2:

City: State: ZIP:

I. Registered Architect or Licensed Engineer – Note: ENERGY STAR MFHR submittals will be signed 

and stamped by this individual

Project Representative/Manager:

Company:

Day Phone:

Title:

E-mail:

Fax:

Address 1:

Address 2:

City: State: ZIP:

J. 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:

K. The Terms and Conditions of this Application do not go into effect until signed by an EPA representative

EPA Representative Name and Title:

EPA Representative Signature: Date:
ENERGY STAR Multifamily High Rise

Project Application, Version 1.1

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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 

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.
ENERGY STAR Multifamily High Rise

Project Application, Version 1.1

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Appendix A: Additional Building Information

Building Address(es) Number of Number Total Total Square 

The number or rows used Units of Stories Square Footage Subject 

below must correspond with Enter # of Footage to Application 

the # of separate buildings in residential

Section B units per building

Unit Total

(Add to Unit Total in Section E)
ENERGY STAR Multifamily High Rise

Project Application, Version 1.1

Does eachunit have its 

own heating, coolingand 

DWH

4?

YES

\J

Do the dwelling units

-

occupy 80% or more of 

the occupiable square

footage of the building

5?

\

-

-

Appendix 8: Building Eligibility- Use the decision tree to determine if your project is 

eligible for the ENERGY STAR Multifamily High Rise program.

EPA ENERGY STAR Multifamily New Construction Program Decision Tree,Version1.0

n Is the building new construction

1

AND residential

2 ? I

----------------------------------

I Is the buildinga motel/hotel,nursinghome, YES ...

To learn more abouthow existing commercialbuildings,including

I

assisted living facilityor dormitory?

NO

YES Does the building have 

four (4) or less units?

NO

YES Does the building have 

three (3) or less stories ?

NO

Does the building have six YES

(6) or more stories

3?

NO

r-oo- -

NO

,motels/hotels,skilled nursing*,nursinghomes, supportive care ,dementia

and dormitory facilities can earn the ENERGY STAR,visit the Buildings and

Plants

sectionat www.energystar.gov/labeledbuildings.To learn more about the

new construction program for commercial buildings visit 

www.energystar.gov/DesignToEarn.

*Asof March 201l,long termcare facilitiesover 5,000ft

1and with atleast 51%of units 

designatedas assisted living and/or skilled nursingwillbe able toeam the ENERGY STAR using 

Portfolio Manager. All otherlong termcare facilities,suchas independent seniorlivingand

group homes,caneam the ENERGYSTAR inthe NewHomes or MFHR program.

NOTES:

1.Newconstructioncaninclude significantgut rehabilitations whendefinedas a 

change ofuse,reconstructionof a vacant structure,or when constructionwork 

requires thatthe building be out of service for atleast 30consecutive days.

2.Theprimary use of the building must be for residential purpose,i.e.the

residential

and residentialassociated common area mustoccupy more than500..6 of the 

building's occupai ble square footage.A garage is not considered 'occupiable'. 

Commonarea includes any spaces within the building that serves a functionin 

support of theresidentialpart ofthe building that is not part of a dwellingunit.

This includes spaces used byresidents,such as corridors,stairs,lobbies,laundry

rooms, exerciserooms,and residentialrecreationrooms. This alsoincludesoffices

used by building management,administration or maintenance and all specialuse

areas located in the building toserve and support the residents such as day-care

facilities, gyms,dining halls,etc.

3.A story includesany above-grade floor withlivingor commercialspace.An abovegrade story is one for which more than half of thegross surface area of the exterior

YES

r-- -

NO

\

walls is above-grade.A floorthat is 800..6 or more garageor otherunoccupiable space 

is not considered a story for the purposes of this decisiontree.

4.Four(4) and five (5)story buildings within-unit heating andcooling and a central 

domestic hot water system where solar thermaldelivers at least 500..6 of the 

building's domestichot waterneeds,will qualify through the ENERGY STAR New

/ \ f \

ENERGY STAR ENERGY STAR Homes

Program MFHR Program

\. \. ./

Homes program aslong as all other eligibility requirements of that program aremet.

5.For mixed-use buildings,exclude the retail/commercialarea whendetermining

the square footage of the "building".

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EPA Form 5900-266

The government estimates the average time needed to fill out this form is 0.20 hours and welcomes suggestions for reducing this effort. Send comments (referencing OMB Control 

Number) to the Director, Collection Strategies Division, U.S. EPA (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460.