PRELIMINARY PROJECT INTAKE FORM
Owner or Developer Contact Information
Owner or Developer:
Participating Non-Profit Agency (if applicable):
Contact Person, Title:
Address:
City, Zip Code:
Phone: Fax:
E-mail:
Project Name:
Project Information (leave blank if not available/applicable)
Project Name:
Type and Use of Landscape (e.g., park, landscape outside a city building such as library, city hall, community center, multi-family housing, commercial property, etc.):
Special Characteristics (e.g., historic preservation):
Location:
Total Estimated Project Cost: ______
Total Square Feet/Acreage of Project: ______
Approximate Square Feet/Acreage of Total Landscape Area: ______
Additional Contact Information (leave blank if not available/applicable)
Project Manager (Name, Title):
Phone:
Email:
Project Landscape Architect Firm (if applicable):
Contact Name:
Phone:
Email:
General Contractor Firm (if applicable):
Contact Name:
Phone:
Email:
Landscape Contractor Firm: ______
Contact Name:
Phone:
Email:
Project is (check one): q Design, Bid, Build q Design – Build
Project Status (leave blank if not available/applicable)
Project Status(as of: ) / Expected
Start Date / Expected
Completion Date
Programming
Schematic Design
(Conceptual, Preliminary)
Design Development
Construction Documents
Expected date of complete construction: ______
Other Participating Agencies/Organizations (Redevelopment, Non-Profits, etc.):
Updated October 10, 2012