Submitted Application from prior CIP Planning Cycle

AppID7574
I. Administrative Section 
1. Project Name: Stewart CC Office Space Addition
2. Project Description (One Sentence): This project will add 2000sf of additional office space to the Stewart Conservation Camp Forestry office building.
3a. Project Location: County: Carson City
3b. Project Location: City: Carson City
4. Department (department requesting project): CNR
5. Division (division requesting project): Forestry
6. Agency (agency requesting project): N/A
7. Agency contact person: Brett Simerly
8. Contact phone: 775-684-2517
9. Contact email: bsimerly@forestry.nv.gov
The Department ranking of this project:
10. The Department will rank their projects 1 through the lowest ranked project (e.g., If 5 projects were submitted by the Department a ranking of 1 would be assigned to the most important or most needed project and a ranking of 5 would be the least needed project). 64
11. Has this project been previously requested in a prior CIP?
12. SPWD 4 digit Building No. (for existing buildings) 2007
13. Facility Condition Analysis Project No. (if recommended)
14. Is the property State Owned? Yes
15. If the facility is existing, is it State owned? Yes
II. Narrative Section 
16. Project Description: This project will add 2000sf of needed office space to the Forestry office building. Currently staff numbers are overcrowded in the building and several staff members are required to share offices and desks to complete their daily duties.
17. Project Justification: The offices staff has been required to complete their duties in an under sized office building and need additional space to work safely and efficiently.
18. Project Background Information:
19. Mechanical and/or Electrical Equipment Replacement Projects:
19a. Type of equipment to be replaced:
19b. Year existing equipment was installed:
19c. Manufacturer of existing equipment:
19d. Model of existing equipment:
19e. Are there any known hazardous materials?
Environmental Considerations
20a. Hazardous Materials (Asbestos, Lead Paint, etc.):
20b. Will the site require any hazardous material abatement? Unknown
21. Ramifications if the Project is not Approved (short essay): Staff will continue to be exposed to overcrowding and lack of a safe and healthful work environment to complete their duties.
Health, Life Safety, and/or Legal Issues
22. Please describe any health, life safety, and/or legal issues that will be resolved by completing this project (Short Essay): Personnel working at this facility are are currently exposed to overcrowding and an unhealthful work environment during their daily duties.
23. Proposed Project Schedule Impacts/Issues
23a. Will this project require relocating personnel or vacating the building for any period of time? Unknown
23b. Explain:
23c. Has any design work been completed on the proposed project? No
23d. What is the latest date this project could be completed without disrupting your program? 6/30/19
23e. What is the driving proposed completion date?
III. Preliminary Construction Cost Estimate and Funding Sources Section 
Preliminary Construction Cost Estimate and Funding Sources (The SPWD will prepare all final cost estimates. This schedule is for preliminary purposes only.)
24. Land (if land must be purchased):
25. Offsite construction:
26. On-site Development:
27. Utility connection fees:
28. Water rights deeded:
29. Furniture, Fixtures and Equipment:
30. Specialty equipment:
31. Data and network equipment:
32. Telephone equipment costs:
33. Moving:
34. Renovation of vacated space:
35a. Correction of known deficiencies: 100000
35b. (describe deficiencies) There is a lack of office space for a safe and healthy work environment at this facility.
36a. Any known commitments:
36b. (describe commitments)
37a. Known hazardous material abatement:
37b. (describe hazardous materials)
38. Total project costs: 100000
NOTE: COSTS FOR EXTENDED LEASE AGREEMENTS MUST BE INCLUDED IN YOUR OPERATING BUDGET
39. Proposed funding of total project cost:
39a. Agency:
39b. Federal
39c. State 100000
39d. Other/Donor
39e. (describe source of 'Other/ Donor' funding):
39f. Total: 100000
40. Agency point of contact for outisde funding if 39a, 39b, or 39c funding sources are providing funds.
40a. Name
40b. Phone Number
40c. Email Address
IV. Site Analysis Section 
Site Analysis (New construction only)
41. Estimated land area to be acquired (acres)
42. Will this project require new parking spaces? Yes
43. Are utilities available to site?
44. Will project require relocation of existing utilities?
45. Are there any required offsite improvements (or right-of-way dedications)?
46. Is the site in a flood plain?
47. Is the site in an airport impact zone?
48. Does the site contain any underground storage tanks?
49. Does the site contain any adverse soil conditions?
50. Will the site require an environmental assessment?
51. Will rezoning or a special use permit be required?
52. Will any Utility connection fees need to be paid?
53. Will any water rights need to be deeded?
54. Will construction traffic degrade existing access or facilities?
55. Will the site require any hazardous material abatement?
56a. Other site considerations affecting cost? (describe):
56b. Describe Site Considerations:
V. Programming Section 
Programming (New construction, building remodels, and building additions only)
57. Has any architectural programming occurred?
(Programming is an architectural definition of the needs/problems that must be addressed by the project)
58. Has any advanced planning occurred in previous CIPs?
59. Usable Square footage required (including storage space)
59a. New Construction SF:
59b. Remodel/Renovation SF:
59c. Addition SF
59d.Total project SF:
60. Occupancy type (Assembly, business, educational, factory/industrial, high hazard, institutional, mercantile, residential, storage, utility/miscellaneous) :
61. Approximate number of staff to occupy facility:
62. Approximate number of visitors per day:
63. Will this project require funding for any furnishings, fixtures and equipment?
64. For existing facilities, are there any known hazardous materials? (e.g., Asbestos, lead paint or underground storage tanks):
65. How many years of future growth will this project accommodate?
66. List of required facilites (laboratory space, classroom space, office space, conference rooms, cafeterias, maintenance shops, garages) and any unusual related equipment required for your project:

Submit


NOTE:  AFTER SUBMITTING THE COMPLETED APPLICATION, A PROJECT MANAGER FROM THE PUBLIC WORKS DIVISION WILL CONTACT YOU TO REVIEW THIS APPLICATION.