PB 25 12 Application

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 NONE List of Energy Star and WaterSense appliances, fixtures and construction techniques: Bathroom sinks equipped with motion sensor faucets toredtr water consumption List of green and recycled building materials in new construction, renovation, and maintenance: fiberglass/mineral wool insulat Waste Management Plan for recycling and/or reuse of 6 percent of all construction and demolition of waste generated in projects larger than $25,0000: NONE Use of any water efficient landscaping: Bioswales/raingardens, islands Use of any on-site renewable energy systems such as: Solar Wind Geothermal SOLAR Details of roofing materials designed to reduce the urban heat island effect such as: (i) Construction of roof top gardens to reduce solar gain in summer and insulate in winter Use of roofing materials that are no darker than a light gray or demonstrate how alternate roofing materials reduce the urban heat island effect (i) The project will incorporate a high-reflectance light-colored roofing membrane (TPO/EPDM) and continuous rigid insulation to reduce solar heat gain. Roofing material is white and meet ‘cool roof" reflectance standards. The roof is also designed to accommodate future solar panels systems Details oF any sustainable stormwater systems employed such 0) Bioswales/ raingardens Permeable surfaces Grey water systems Retention and detention fac Continuous trenching (v) Bioswales/raingardens interior parking islands to store and percolate water through the soil. used in landscaping A list of native and well adapted spec! to eliminate the need for fertilization and pesticides: American Basswood, River Birch Summersweet, Winterberry Holly Trees: Shrubs: Note; Please indicate for each of the sustaii sason(s) why it is not being incorporated in the project. 2015 As of April ible building/design it ms listed, the extent to which the measure is being incorporated in the project or, al natively, indicate the