Print Form
Office of Greek Affairs
P.O. Box 197
Middle Tennessee State University
Murfreesboro, Tennessee 37132
(615) 898-5812
Greek Row Facility Improvement Proposal Form
Facilities Services
Construction/Renovation
Project Planning Guide
MTSU Facilities Services Department (FSD) is accountable for providing the maintenance and operation of physical
facilities, including mechanical and electrical systems and building maintenance and repairs; utilities for the campus;
building construction and renovation; grounds services; custodial services; and their related activities. FSD operates the
steam and chiller plants, maintains the utility systems, and provides engineering and energy management support to the
university.
To facilitate implementation of major projects involving FSD (i.e. faculty grant projects, installation of new equipment,
building modifications, etc.), completion of this form is required prior to planning and developing your project.
Completion of this form will provide information for determining if a special project form 1 will be needed to develop
budget requirements, timelines and will help you manage your project successfully.
This form may be saved to your system with the data entered to date. You can reopen the form and finish completing.
This form does NOT replace the submission of the necessary work orders, special project forms, requisitions, or
purchase orders once specific needs and tasks have been identified. To submit a work order or SP-2, go to
https://www.mtsu.edu/facserv/work_request_forms.shtml.
Prior to starting your project, consultation with FSD is required. Various aspects of the project may be discussed at the
consultation, including:
1. Building modifications and code requirements (i.e. Americans with Disabilities Act (ADA) etc.)
2. Additional or specific electrical requirements
3. Additional plumbing connection
4. Heating, ventilation, and air conditioning (HVAC) modifications
5. Venting requirements
6. Access control requirements
7. Security devices
8. Additional Data or telephone communication devices
Additional Guidelines for Greek Row Facilities:
All Facility Improvement Proposals must be submitted 10 business days prior to projected start of the project
Provide timeline for completion of the project
Provide a detailed scope of work including an expected budget of costs associated with project
Provide information about who will be performing the work
Provide information about who will serve as the project manager – someone who can be held responsible if
damage is done to the property or the project was not completed to university standards
Provide insurance coverage on project – if you are protected under what liability insurance to perform the
work required of the project
Provide as much detail as possible about the project
Office of Greek Affairs
P.O. Box 197
Middle Tennessee State University
Murfreesboro, Tennessee 37132
(615) 898-5812
Step 1: Complete the following information:
Proposed start date for Project: ____________
Proposed completion date for Project: ____________
Project Manager/Grant Primary Investigator (House Corporation Officer):
Name: ______________________________________________________________________________
Address: _____________________________________________________________________________
City:
________________________
Phone Number: ________________________
State: ____________
Zip Code: ___________
Email Address: __________________________
This designated project manager/primary investigator is responsible for initiating and
maintaining communication with all involved FSDs.
Project Description: Describe in detail the project purpose and justification.
Scope of Work: Describe in detail the scope of the project. Include as an attachment a proposed budget
for costs as well.
Does this project involve painting walls? If so, what colors would the project use?
Office of Greek Affairs
P.O. Box 197
Middle Tennessee State University
Murfreesboro, Tennessee 37132
(615) 898-5812
Step 2: Complete the information below to the best of your ability.
If your project requires any of the following, check yes and explain. Otherwise check no.
1. Building modifications
Yes No
2. Electrical requirements
Yes No
3. Plumbing connections
Yes No
4. HVAC Modifications
Yes No
5. Venting Requirements
Yes No
6. Access Control Requirements
Yes No
7. Security Devices
Yes No
8. Data or Telephone Communication Devices
Yes No
Office of Greek Affairs
P.O. Box 197
Middle Tennessee State University
Murfreesboro, Tennessee 37132
(615) 898-5812
9. Other anticipated needs:
Step 3: Contact Terri Carlton at 898-5382, tcarlton@mtsu.edu for consultations and assistance in
further completion of the planning guide.
Step 4: After having reviewed this form with all appropriate FSD staff person(s) and submitted all
necessary work orders, email this form by using the email submit button at the bottom of the page.
The signature page needs to be forwarded to Construction/Renovation at Box 32. If you prefer, you
can fax the completed form to Construction/ Renovation at 898-2298. Print a copy for your records.
Signatures:
House Manager:
________________________________________
Print Name
________________________________________
Signature
Project Manager/
House Corp. Officer:
________________________________________
Print Name
________________________________________
Signature
Department Head/
Office of Greek Affairs:
___________________
Date
___________________
Date
________________________________________
Print Name
________________________________________
Signature
___________________
Date