Form Center

2. Applicant Information
4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Email Address*
14. Phone Number*
16. 1. Who is completing this application?*

    Check all that apply.

    1. Property Owner
    2. Residential Renter
    3. Multifamily/Commercial/Nonprofit
    4. Contractor
18. 2. Who is the property owner?*

    1. Same as above
    2. Different than above

    Note: Property owner permission will be needed for all applications.

20. First Name

    If different than above

21. Last Name

    If different than above

23. Phone Number

    If different than above

    
    

24. Email Address

    If different than above

    
    

26. 3. Proposed Project Property Type*

    1. Residential (1-4 units)
    2. Multi-Family (5+ units)/Commercial/Nonprofit
28. 4. Business/Nonprofit Name (if applicable)
30. 5. Project Location (if different than applicant address above)
32. 6. Are you applying for the Hopkins Climate Solutions Fund?*

    1. Yes
    2. No
34. 7. Are you applying for the Water Efficiency Rebate Program?*

    1. Yes
    2. No
36. 8. Are you applying for the Electric Bicycle Incentive Program? *

    1. Yes
    2. No
40. Hopkins Climate Solutions Fund

    The City of Hopkins is offering incentives to residents and businesses to accelerate our transition to cleaner and more efficient energy. Leveraging electric utility rebates and federal incentives, this program will help to reduce upfront costs associated with replacing energy equipment and installing renewable energy systems.

42. For multi-family and commercial projects, is the proposed project within the Green Infrastructure Bonus Zone?*

    Read about the Green Infrastructure Bonus Zone.

    1. Yes
    2. No
44. If the proposed project is in the Green Infrastructure Bonus Zone, do you plan to complete eligible site improvements to access bonus funding?*

    1. Yes, I will complete the conversion of 10% or more of dark impervious surfaces, including parking lots or internal private roadways
    2. Yes, I will complete an energy audit of the building and share the report with the HCSF Program Manager
    3. Yes, I will increase shade trees on the property by 10%
    4. Yes, I will replace rooftops with white membranes or green roofs
    5. Yes, but have not decided which of the above site improvements I will complete
    6. No, and I understand I will not be eligible for bonus funding
46. Is the applicant income-qualified (less than 80% of Area Median Income)?*

    1. Yes
    2. No
48. What other incentives or programs are you planning to apply for?*

    Check all that apply.

    1. CenterPoint Energy Rebates
    2. Federal Inflation Reduction Act
    3. Property Assessed Clean Energy (PACE) financing
    4. Solar Financing from Center for Energy and Environment
    5. Weatherization Assistance Program
    6. Xcel Energy rebates
    7. Xcel Energy Solar Reward
    8. None
50. Project Type: Residential (1-4 units)

    1. Cold Climate Air-Source Heading and Cooling System (ASHP)
    2. Electric Dryer
    3. Electric Panel Upgrade
    4. Electric Vehicle Charging Equipment
    5. Heat Pump Water Heater
    6. Home Energy Squad Planner Visit
    7. Induction Range
    8. Insulation and Air Sealing
    9. Solar Energy System
    10. Solar Energy Battery Storage
52. Project Type: Multifamily/Commercial/Non-Profit

    1. Electric Vehicle Charging Equipment
    2. Lighting
    3. Solar Energy Battery Storage
    4. Solar Energy System
    5. Other Efficiency and Electrification Technologies per Xcel Energy or CenterPoint Energy rebate criteria
54. If other, briefly describe your project and the associated Xcel Energy or CenterPoint Energy rebate
56. Estimated equipment cost (NOTE: This estimate does not include labor costs)*
58. Estimated rebate amount from other source(s)
60. Estimated annual cost savings, based on first year (if known)
62. Estimated annual energy savings (kWh/dekatherms), based on first year (if known)
64. Estimated annual carbon dioxide savings (pounds), based on first year (if known)
66. Brief description of the project*
68. Letter of support from property owner, if applicant is not the property owner (Not required for electric bikes)
72. Water Efficiency Rebate Program

    In partnership with the Metropolitan Council and the Clean Water, Land and Legacy Amendment, the City of Hopkins is offering rebates to improve water efficiency. This program will reduce costs associated with purchasing eligible WaterSense or Energy Smart certified products. Products must be replacing existing appliances; new construction and developments are ineligible.

74. Are you a customer of the City of Hopkins water utility?**

    1. Yes
    2. No
76. If yes, what is your water utility bill account number?

    Rebates are only available to City of Hopkins water utility customers with non-delinquent accounts.

78. If no, check one of the following:

    1. My water bill is included in my lease or rent
    2. I do not receive water from the City of Hopkins
80. If included in your lease or rent, who do you pay your lease or rent to?
82. Purchase Type*

    1. WaterSense Labeled Showerhead
    2. WaterSense Labeled Toilet
    3. Energy Star Labeled Clothes Washing Machine
    4. Energy Star Labeled Residential Dishwasher
    5. WaterSense Labeled Irrigation System Controller
    6. Irrigation System Audit conducted by a WaterSense Certified Irrigation Professional
84. Manufacturer*
85. Make*
86. Model*
88. Attach Copy of Receipt (Must clearly show date of purchase, product information, and eligible product(s) itemized per line. Labor and installation charges are not eligible.)*
90. Installer Name *

    Write 'Self' if customer installed

91. Installer Phone*
93. Installer Email Address*
94. Date of Installation
    Date of Installation
95. Estimated Annual Water Savings (gallons)*
99. Electric Bicycle Incentive Program

    With partnership from the Minnesota Pollution Control Agency, the City of Hopkins is offering incentives for electric bicycles. By incentivizing e-bikes, this program will foster a culture of sustainable mobility, reduce reliance on fossil fuels, and enhance the quality of life for residents and businesses alike.

101. Is the applicant income-qualified (earn 80% or less of Area Median Income)?*

     1. Yes
     2. No
103. Brief description of project:*
107. Agreements and Signature

     I understand that all applicants who are approved for the programs above may be asked to submit additional documentation necessary.

     I have read all of the information on the programs and agree to abide by the rules and procedures.

     Some of the information you supply with this form is considered public data unless specifically exempt by law. Public information will be released upon request.

109. 8. Please type your name to confirm you have read the above and agree*
111. 9. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
113. 10. Electronic Signature*
114. Today's Date*
     Today's Date
Leave This Blank:


116. 1. Receive an email copy of this form.
117. Email address

     This field is not part of the form submission.

118. Submit Submit and Print

* indicates a required field