Submitted Application from prior CIP Planning Cycle

AppID7643
I. Administrative Section 
1. Project Name: Additional Service Structure NNVMC
2. Project Description (One Sentence): The purpose of this project is to provide an alternate location for memorial or interment services without impacting memorial or interment services scheduled at or close to the same time.
3a. Project Location: County: Lyon
3b. Project Location: City: Fernley
4. Department (department requesting project): Veterans Services
5. Division (division requesting project): Veterans Cemetery
6. Agency (agency requesting project): N/A
7. Agency contact person: Eric Grimes
8. Contact phone: 775-575-4441 ext25
9. Contact email: grimese@veterans.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). 4
11. Has this project been previously requested in a prior CIP? No
12. SPWD 4 digit Building No. (for existing buildings)
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: The purpose of this project is to provide an alternate location for memorial or interment services without impacting memorial or interment services scheduled at or close to the same time. This new structure/shelter will also provide a location closer to the interment walls for those families who cannot walk far distances.
17. Project Justification: The project is necessary in order to meet the goals of honoring veterans, eligible family members, and gold star parents with dignified burial and final resting places, commemorating service and sacrifice. The Northern Nevada Veterans Memorial Cemetery experiences conflicts with scheduling memorial or interment services three times a week. The cemetery staff does not schedule services as close together as they could due to this conflict which impacts revenue.
18. Project Background Information: There has been no previous work done on this project.
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? No
Environmental Considerations
20a. Hazardous Materials (Asbestos, Lead Paint, etc.):
20b. Will the site require any hazardous material abatement? No
21. Ramifications if the Project is not Approved (short essay): The Northern Nevada Veterans Memorial Cemetery will have to continue scheduling memorial or interment services farther apart limiting the new of services conducted in a day which will impact the amount of revenue received.
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):
23. Proposed Project Schedule Impacts/Issues
23a. Will this project require relocating personnel or vacating the building for any period of time? No
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? 2017
23e. What is the driving proposed completion date? The Northern Nevada Veterans Cemetery would only have the pavilion and on occasion, the chapel, to perform memorial or interment services which would limit the number of services that could be performed in a day. Limiting the number of interments a day will also impact revenue.
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: 150,000
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:
35b. (describe deficiencies)
36a. Any known commitments:
36b. (describe commitments)
37a. Known hazardous material abatement:
37b. (describe hazardous materials)
38. Total project costs: 150,000
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 150,000
39d. Other/Donor
39e. (describe source of 'Other/ Donor' funding):
39f. Total: 150,000
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? No
43. Are utilities available to site? Yes
44. Will project require relocation of existing utilities? Unknown
45. Are there any required offsite improvements (or right-of-way dedications)? Unknown
46. Is the site in a flood plain? Unknown
47. Is the site in an airport impact zone? Unknown
48. Does the site contain any underground storage tanks? Unknown
49. Does the site contain any adverse soil conditions? Unknown
50. Will the site require an environmental assessment? Unknown
51. Will rezoning or a special use permit be required? Unknown
52. Will any Utility connection fees need to be paid? No
53. Will any water rights need to be deeded? No
54. Will construction traffic degrade existing access or facilities? No
55. Will the site require any hazardous material abatement? Unknown
56a. Other site considerations affecting cost? (describe): Unknown
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? No
59. Usable Square footage required (including storage space)
59a. New Construction SF: 1,000
59b. Remodel/Renovation SF:
59c. Addition SF
59d.Total project SF: 1,000
60. Occupancy type (Assembly, business, educational, factory/industrial, high hazard, institutional, mercantile, residential, storage, utility/miscellaneous) : Business
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? No
64. For existing facilities, are there any known hazardous materials? (e.g., Asbestos, lead paint or underground storage tanks): Unknown
65. How many years of future growth will this project accommodate? 20
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: Restrooms

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