DEPARTMENT OF ADMINISTRATIVE SERVICES

GENERAL SERVICES ENTERPRISE

SPACE ALLOCATION FORM

 

Department & Unit ________________________________________________________________________

 

Present Location _____________________________________________________________________________

 

Contact Person & Phone Number _____________________________________________________________

 

SPACE REQUIREMENTS

 

1.                  Personnel Space

 

Department Director (Private) (300 s.f.) x ( ) ______________

Division Director (Private) (230 s.f.) x ( ) ______________

Gubernatorial Appointee (Private) (160 s.f.) x ( ) ______________

Division Administrator (80 open office) (140 s.f.) x ( ) ______________

Bureau Chief (62 open office) (100 s.f.) x ( ) ______________

Support Personnel (Receives visitors, etc.) ( 80 s.f.) x ( ) ______________

Support Personnel ( 64 s.f.) x ( ) ______________

 

TOTAL POSITIONS: ____

TOTAL SQUARE FOOTAGE FOR PERSONNEL: _____________

 

Provide breakdown on personnel count as to whether employees are (Full time, Half-time or less daily, Full time out of office more than half-time, Contract or Seasonal staff).

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2.                  Special Requirements

 

Special Facilities

Attach justification for each listing

Area/Square Feet

Number of People

How Often Used

Conference/Hearing Room(s)

 

 

 

Computer Room

(Fill in electrical & cooling requirements)

 

 

Library

 

 

 

Reception Area

 

 

 

Hearing Rooms (s)

 

 

 

File Area (s)

 

 

 

Storage Area (s)

 

 

Break Area

(Electrical / cooling requirements)

 

 

 

Admin/Copy Area (s)

 

 

Other (please specify)

 

 

 

TOTAL SQUARE FOOTAGE FOR SPECIAL FACILITIES: ______________

Note: Please list any specialized equipment that will affect space needs.

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3.                  Agency Square Footage Subtotal (Personnel + Special Facilities) _______________

(Add Total Square Footage for Personnel and Special Facilities)

 

 

TOTAL AGENCY SQUARE FOOTAGE (Multiply Subtotal by 1.3) ______________

 

 

4.                  PARKING REQUIREMENTS:

 

Employee ______________ State Cars ______________

Public ______________

 

TOTAL PARKING REQUIREMENTS: ______________

 

 

5. ELECTRICAL / COOLING REQUIREMENTS

(Please attach separate sheets if needed)

 

Copier(s) Amps / unit ______________

Printer(s) Amps / unit ______________

Break Area BTUs / unit _______ Amps / unit ______________

Computer Room BTUs / unit _______ Amps / unit ______________

Other Special Equipment Requirements (Please List)

_________________ BTUs / unit _______ Amps / unit ______________

_________________ BTUs / unit _______ Amps / unit ______________

_________________ BTUs / unit _______ Amps / unit ______________

_________________ BTUs / unit _______ Amps / unit ______________

 

 

 

6. COMMUNICATION REQUIREMENTS

(Please attach separate sheets if needed)

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