Checklist MSP 2025 06 30 DSig

SUSTAINABILITY CHECKLIST FORM APPLICANT — PRINT OR TYPE — ALL SECTIONS TO_BE COMPLETED: TOWNSHIP OK (Date) SUSTAINABLE BUILDING AND DESIGN STANDARDS Name of LEED Accredited Professional working on project List of Energy Star and WaterSense appliances, fixtures and construction techniques: List of green and recycled building materials in new construction, renovation, and maintenance: Waste Management Plan for recycling and/or reuse of 60 percent of all construction and demolition of waste generated in projects larger than $25,0000: Use of any water elficient landscaping: Use of any on-site renewable energy systems Such as: @ Solar Gi) Wind (ii) Geothermal Details of roofing materials designed to reduce the urban heat island effect such as: @ Construction of roof top gardens to reduce solar gain in summer and insulate in winter (ii) Use of roofing materials that are no darker than a light gray or demonstrate how alternate roofing materials reduce the urban heat island effect Details of any sustainable stormwater systems employed such as: () Bioswales/ raingardens ii Permeable surfaces Grey water systems (iv) Retention and detention facilities (v)____ Continuous trenching A list of native and well adapted species used in landscaping to eliminate the need for fertilization and pesticides: Note: Please indi reason(s) why it is not being incorporated in the project. As of April 2, 2015 te for each of the sustainable building/design items listed, the extent to which the measure is being incorporated in the project or, alternatively, indicate the