MLPC DESIGN & CONSTRUCTION CHECK LIST
Owner Information (to be completed by the Owner)
 Owner name  _______________________________
 Filing # & Lot #  _____ /_____
 Mailing address  _______________________________
 Street address  _______________________________
 City, State & Zip code  _______________________________
 Home phone number _______________________________
 Local phone number _______________________________
Cell phone number _______________________________
 E-mail address _______________________________
   
 Information from Owner needed by MLPC ACC  
   
 Site Plan / topographic survey  
 Foundation plan with stamps and seals  
 Exterior elevations  
 Color samples  
 Floor Plan  
   
 Architect / Designer Information (to be completed by Owner)
 Name  _______________________________
 Mailing address  _______________________________
 Street address  _______________________________
 City, State & Zip code  _______________________________
 _______________________________
 Phone number  _______________________________
   
 Contractor / Builder Information (to be completed by Owner)
   
 Name  _______________________________
 Mailing address  _______________________________
 Street address  _______________________________
 City, State & Zip code  _______________________________
 Office phone number  _______________________________
 Cell phone number  _______________________________
 E-mail address  _______________________________
   
 Design Summary (to be completed by Owner / Architect)
   
 Total living area  __________ sq. ft.
 Integrated Secondary Residence (ISR)?  __________ (Yes / No)
 If yes: ISR Living area  __________ sq. ft.
 ISR Garage area provided  __________ sq. ft.
 Garage area  __________ sq. ft.
 Does garage area include space for all intended  
 recreational vehicles and trailers?  __________ (Yes / No)
 Building height as done by MLPC method  __________ ft
 Building height as done by County LUR method  __________ ft
 Solid fuel burning device type  _______________________________
_______________________________
 Roof type & color  _______________________________
 Exterior walls type & color  _______________________________
   _______________________________
_______________________________
 Window & door trim colors  _______________________________
   _______________________________
 Color samples provided  _______________________________
   _______________________________
 Exterior light fixtures types & colors  _______________________________
   _______________________________