Renovation Cost Estimate and Approval Form for Projects more than $2,500.00

Project Name:      Submission Date: 
                                                                                

Requesting Dept. Approval:       Requesting Department:   
                                                        

Project Location(s):      

Estimated Start Date:        Estimated Completion Date: 
           

Project Description:     

Project Benefit:    
                                     

Structural Repairs and Renovations - Physical Plant

Proposed Source of Funding:     
                    Enter Cost below:

• In-House Project
• IT (voice data wall receptacles)
• IT Building Wiring
• Contracted Cost (wall paper/specialty type items)
• Landscaping, Cement Work
• Fire & Alarm System
• Fire Sprinkler System
• Powell DDC Services
• Engineering Services
• Asbestos Abatement
• Miscellaneous

                            Structural Total Cost Estimate:   $     

Furnishings and Audio Visual - Requesting Department

Proposed Source of Funding:     
                    Enter Cost below:      

• Furniture (desks, chairs, etc.)
• Modular Office Partitions
• Work Stations
• Computers, Calculators, etc. 
• Audio Visual Equipment (projectors, flat screens, etc.) 
• Window Treatments 
• New Telephone Equipment
• Miscellaneous 

                                  Furnishings Total Cost Estimate:   $   

   Total Structural and Furnishings Cost Estimate:     $

Is this a multiphase project?            Yes                                  No 

(If yes, provide project cost estimate for subsequent phases)

If additional phase(s) are not approved, what impact will that have on the project?

Approvals                                                      Date                            Signature

Director, Physical Plant:                              ____________       ______________________ 

Asst. Vice President for Administration:        ____________       ______________________

Area Vice President:                                    ____________       ______________________

Senior V.P. for Finance & Administration:    ____________        ______________________

Please complete all information, print the form, and forward the completed form to your Chairperson, Dean, or Director.