IF NONE, CHECK HERE:
block/lot(s)
DATE
Modular Tray-Based system
/
Built-Up Layers
N
6. Will it be accessible to the public? Y
Landscape Architect: _________________________________ Contractor/Installer: __________________________________ Plant Supplier: _______________________________________ Maintenance Team: ___________________________________
/
N
9. Expected completion date: ___________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
8. What is the overall goal for the living roof, or what benefits are you hoping to maximize?
Project Architect: _____________________________________
7. Please list the different professionals involved with the project: (as applicable)
5. Will the roof be occupiable? (circle one) Y /
4. Depth of Growing Media: _____________________________ (list as range, i.e. 10-12”)
3. Living Roof System Type (select one):
2. Estimated Vegetated Area: ________________________________ (sq. ft.)
1. Total Roof Area: __________________________________ (sq. ft.)
PROJECT DESCRIPTION
Have you consulted a Certified Green Roof Professional (GRP)? (A GRP can help ensure that your project will have the greatest chance for success. A list of local GRPs can be found on the Green Roofs for Healthy Cities website: www.greenroofs.org) YES NO
CASE NO./PERMIT NO.
Project Address
NAME
When submitting for a building permit on a project that contains a living roof, please also include this form with your submittal.
Living Roofs
DECLARATION FORM
52 SAN FRANCISCO LIVING ROOF MANUAL
Appendix D