ࡱ> c EbjbjZZ E8b\8b\ 88888LLL8,TL,:>>>rrr$E "8rrrrr88>>40008>8>0000>O000##0#8<rr0rrrrr0rrrrrrr#rrrrrrrrr > : Space Action Request ֲý Department of Finance and Administration FA-0006 Name of requesting agency:Allotment CodeName & address of agency contact:Name of agency unit to occupy requested space:Phone:Date:Present address of unit:Date requested action needed:Action Requested: Assign Space in State-Owned BuildingLease RenewalExercise Option for:New Lease for SpaceLease ExtensionAdditional TermTerminate Existing LeaseLease AmendmentAdditional SpaceAlterations in Leased SpaceContact Lessor for RepairsPurchaseAlterations in State-Owned BuildingMove from One Leased Location to AnotherOther: (Specify)Action for: Same SpaceDifferent SpaceAdditional SpaceOther: (Specify)Reason for Request: Lease ExpirationAdded StaffPresent Facilities InadequateNew Unit ActivatedOther: (Specify)Type of Space Requested: OfficeLandAirport FacilitiesWarehouseHouse (office)Educational FacilitiesOffice and WarehouseHouse (Living quarters)ExaminationsOther: (Specify)Location Desired: City:County:Special Location Factors:Lease Features Desired: Lease Term:Year(s), starting:Ending:Termination Clause: Cancellable uponDays prior noticeOption: Renewable year-to-year untilSame rateNegotiated rateSpecial Provisions: Maximum rent budgetarily permissible: $Per year (estimated at $/ sq. ft. / yr.) Rent to include:All utilities in standard lease form, except:Janitor service and suppliesDays per weekAll alterations and costs of making space readyAlterations are requested to: Leased SpaceState-Owned Building Location address:City:County: Estimated total cost $Source of funds:Please attach to this request a floor plan for alterations and justification. Estimate of amount of space needed for this request: Employee ClassificationAuthorized PositionsxGuideline Specification=Square Feet TotalsCurrent Vacant PositionsEstimated Personnel in two years Commissioner350Deputy or Assistant225Directors, Chief Adm. Officers150Professional120Field Professionals (out of office 60%)80Clericals90Employees in labs, warehouses, draftingAs neededand other specialized areasTotals:Special requirements in addition to space requested above: Hearing room forpersons to be usedhrs./wk.Extra strength floorsConference room forpersons to be usedhrs./wk.House E.D.P. equipmentEmployee room forpersons to be usedhrs./wk.Equipment Roomft. xft.Other: (Specify)Present occupancy status of subject agency unit: Unit now housed:in State-owned bldg.in leased spacenot housedOtherIf Other, specify:Area occupied:sq. ft.Present rental: $/month at $/sq. ft./ year.Epiration date of present leaseCost during past 12 monthsPresent lease cancelable afterondays notice.(if not included in lease) for:Present lease options permit:Extending Term toUtilitiesAddingsq. ft. afterJanitorial ServicesAdditional data or comment: Requesting Agency Authorization: The requested space is necessary, funds are available to pay rent, and Real Property Management is authorized to take appropriate action, including the preparation of necessary plans and specifications. 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