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Department of Facilities Management
CAPITAL PROJECT REQUEST
After approval and prioritization by Dean and area Vice President, submit form to the Assistant Vice
President for Facilities Management. Please attach additional information as needed.
Submitted By:
Department:
Project location:
Date:
Phone:
Describe proposed project including physical requirements and special characteristics of space: (Planned
use, # of occupants, square footage, electrical, HVAC, technology, security & telecommunications requirements, etc.)
Describe the projects relationship to the UNC Strategic Planning Framework and the multiyear core and
support plans:
Does project provide new or improved academic or student support space? (describe)
Does the project require any ongoing maintenance or operations support funding? (describe)
Funding Source (if known, include discussion of projects fund raising potential):
Is the project a continuation of a previously approved project?
Will construction impact ongoing University operations? (discuss required schedule, etc)
Is the project primarily due to Fire, Life Safety, Risk Management or Code issues? (discuss)
Does the project provide for improved space utilization, collaboration or increased use of underutilized
space? Identify current use of the space. (discuss)
Does the project address significant deferred maintenance issues? (discuss)
Discuss how the project will address program needs and the consequences if not approved:
APPROVALS:
Dean / Director:
Priority H M L
Date:
Area Vice President:
Priority H M L
Date:
Facilities Management use:
Estimate: $
Classroom Scheduling review:
By:
Date:
Yes
No
Date:
Information Technology review: Yes
No
Date:
Space Management review:
No
Date:
Yes
Parsons Hall, Campus Box 57 Greeley, CO 80639 Office 970-351-1265 Fax 970-351-1170