DSN 1003 Revised 11/20/06

Indiana Department of Local Government Finance

SCHOOL PROPERTY TAX CONTROL BOARD

School District Building Analysis

Instructions

1)  Complete at least one of these forms for each individual building in this project.

2)  Complete a separate form for each construction category (new construction, additions, remodeling, or demolition). If there are two buildings in a project, one is being remodeled and another is being remodeled plus receiving an addition - you must complete three of these forms.

3)  Please do NOT include more than one building on each form.

4)  Please do NOT include more than one construction category on each form. List each new construction, addition, remodeling, and demolition activity on a separate form.

I. Building Data Section
School Corp. Code:
School Corp Name:
Building Name:
Year Built: / Building Type: / ElementaryElementary/MiddleElementary/HighMiddle SchoolMiddle/High SchoolHigh SchoolSpecial EducationAdult EducationVocational SchoolAthletic Fields/FacilitiesSchool AdministrationDistrict ProjectsSchool RoadsFuture School Sites
Grades Housed: / Project Type: / NewAddedRemodeledDemolitionOther

II. Facilities Detail Section

Complete ONLY column one in the following sections until AFTER the financing bonds are sold.

Have the financing bonds been sold?

Academic Facilities

/ Number
of Rooms / Current Size
in Sq Ft / Project Impact
in Sq Ft
General Classrooms[1]
Science/Lab
Physical Education/Gym
(Seating Capacity: )
Physical Education Locker Room
Family & Consumer Sciences
Industrial Tech
Vocational Shops
Library/Media Center
Computer Lab
Music
Arts/Crafts
Multipurpose Room
Auditorium/Theater Stage
(Seating Capacity: )
Photo Lab
TV/Radio Studio
Other (Describe: )
Total Academic Facilities / 0 / 0 / 0

Support Facilities

/ Number
of Rooms / Current Size
in Sq Ft / Project Impact
in Sq Ft
Offices
Infirmary/Clinic
Cafeteria
Kitchen
Lockers
Restrooms
Storage
Unassigned[*]
Auditorium Support
Bookstore
Other (Describe: )
Total Support Facilities / 0 / 0 / 0

Athletic Support

Locker Rooms
Track
Bleachers
Field House
Fitness Center
Offices
Tennis Courts
Pool
Stadium
Fields/Playground
Unassigned[*]
Other (Describe: )

Total Athletic Support

/ 0 / 0 / 0

Other Facilities

Mechanical/Electrical
Plumbing
Technical
Other-1 (Describe: )
Other-2 (Describe: )
Other-3 (Describe: )
Total Other Facilities / 0 / 0 / 0

III. Totals Summary Section

/ Sq Ft Prior to Current Project / Current Project Impact in Sq Ft / Sq Ft After
Current Project /
Total Academic Facilities in Sq. Ft. / 0 / 0 / 0
Total Support Facilities in Sq. Ft. / 0 / 0 / 0
Total Athletic Support in Sq. Ft. / 0 / 0 / 0
Total Other Facilities in Sq. Ft. / 0 / 0 / 0
Total All Facilities in Sq. Ft. / 0 / 0 / 0
% of Facilities Related to Academic / 0 / 0 / 0

When bonds have been sold, please submit a completed School District Design-Build Building Analysis (this form) reflecting the project impact in square feet.

Department of Local Government Finance Design-Build Building Analysis - Page A

[1] Includes classrooms for English, Mathematics, Social Studies, Health & Wellness, Special Education, Foreign

Languages and Business.

[*] Unassigned spaces include hallways, stairwells, walls, etc.

[*]