Commercial New Construction
Application Form PrintPRINT
Please provide all applicable information on this form and click "Submit" button at the bottom of the page. Once you have saved the form, you will receive an email with a link to add additional information as necessary.

General
Created By:
Electricity Utility Provider:
Gas Utility Provider:
 
PROJECT
Project Name: *
Street Address:
City: State: ZIP:
 
BUILDING OWNER
Please ensure all contact information is correct, as all rebate checks will be sent to this address.
Company Name:
Billing Address:
City: State: ZIP:
Customer Contact Name:
Phone: E-mail: *
 
DESIGN TEAM INFORMATION
Please fill out the name, contact, phone and E-mail of each of the following.
Company Name Contact Name Phone E-mail
Architectural Firm * (Enter N/A if unknown)
General Contractor
Mechanical Engineer
Electrical Engineer
Development Company
 
CERTIFICATION INFORMATION
Are you interested in LEED® certification?
Are you currently working with a LEED consultant?
If yes, who is providing these services for you?
Are you currently working with an Energy consultant?
If yes, who is providing these services for you?
Are you aiming towards another certification process?
If yes, which one?
 
SCREENING FORM

Project Schedule

  Start Date End Date Notes on schedule
Schematic Design
RadDatePicker
Open the calendar popup.
RadDatePicker
Open the calendar popup.
Design Development
RadDatePicker
Open the calendar popup.
RadDatePicker
Open the calendar popup.
Construction Documents
RadDatePicker
Open the calendar popup.
RadDatePicker
Open the calendar popup.
Construction Completion
RadDatePicker
Open the calendar popup.
RadDatePicker
Open the calendar popup.
*Modeling opportunities take 6-8 weeks on average to complete. If you are into construction documents or will be in the next eight weeks, you will not be eligible for the CNC program.

Building Information

Construction Type
Total Building Sq. Ft.
Parking Garage Sq. Ft.
Data Center Sq. Ft.
Building Type
Percent Cooled
Percent Heated

Design Process

Heating and Cooling

 
DESIGN CONSIDERATIONS OPTIONS

Willingness To Consider Energy Saving Alternatives

Orientation-building layout
Lighting/control design
Glazing type-window design
HVAC/control efficiency
Daylighting controls
Load responsive equipment
Wall insulation
Outside air control systems
Lighting controls
Energy management system
Roof insulation
Other energy-design alternatives:
Special considerations and other comments:
Where did you hear about the program?
 
TERMS & CONDITIONS



Customer Authorized Signatory: Authorized signer (please type full name)
Date:
Design Team Authorized Signatory: Authorized signer (please type full name)
Date:


Note: Clicking the 'Submit' button will notify program administrators for further action, but does not finalize this application.
Upon submission you will receive an email confirmation that will include a link to allow you to make further modifications.