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
4.
PARKING REQUIREMENTS:
Employee
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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