Form C-411 Survey of Residential Building or Zoning Permit Systems

Attachment A
OMB No. 0607-0350: Approval Expires 9/30/2008

C-411

U.S. DEPARTMENT OF COMMERCE

FORM
(4-17-2006)

SURVEY OF RESIDENTIAL
BUILDING OR ZONING PERMIT SYSTEMS

Economics and Statistics Administration

U.S. CENSUS BUREAU

Person Completing
This Survey
Name
Title
Telephone (Include area code)

SAMPLE

Fax (Include area code)
E-mail address
Internet web address

This survey form is used
to help us identify
permit-issuing jurisdictions in
the United States.

For further information call
1–800–845–8244

(Please correct any errors in name, address, and ZIP Code)

Mail or Fax to:
U.S. Census Bureau
Manufacturing and Construction Division
Residential Construction Branch
Washington, DC 20233–6900
(Fax) 301–457–1987

We would appreciate your response within 30 days

Section 1 – Permit System
A. Are permits required, by law, to build new residential housing units in the area shown in the above "FOR" line of
the address label?
Yes – Go to B
No – Stop! Please return the form
B. What types of permits are required? (Select all that are applicable)
Building

Zoning

Other – Please explain

C. Does this office issue these permits?
Yes – Go to Section 2, if Municipal office; Go to Section 3, if County office
No – Mark the type of office and enter the name, address, and telephone number of the office that issues these permits:
This is a:

State Office

County Office

Other – Please describe

Name
Address

Telephone (Include area code)
Stop! Please return the form now if the "No" box is marked.

Section 2 – Municipal Permit Office
A. What is the geographic area covered by your office? (Select only one)
Entire area of the city, town, village, borough, or township
Only a portion of the city, town, village, borough, or township – Describe the area covered in Section 5
B. Does this office issue permits for other municipalities?
Yes – Please list the name(s) of the other municipalities
No

Please Continue on Reverse Side

Section 2 – Municipal Permit Office – Continued
C. Does this municipality extend into other counties?
Yes – Please list the name(s) of the other counties
No
D. Does your office issue permits for any extra-territorial jurisdiction (ETJ) (i.e., a specified perimeter beyond the
corporate limits)?
Yes – Quantify the ETJ in Section 5
No
Go to Section 4

Section 3 – County Permit Office
A. What is the geographic area covered by your office? (Select only one)
Entire county (includes all of the incorporated and unincorporated places)
Entire unincorporated area only
Entire unincorporated area and some of the incorporated places – List the incorporated places in Section 5
Part of the unincorporated area only – Describe the area(s) covered in Section 5
Part of the unincorporated area and some or all of the incorporated places – Describe the area(s) covered and list
the incorporated places in Section 5
B. Does this office issue permits for other jurisdictions outside the county limits?
Yes – Please list the municipality(ies) along with their respective county(ies) in Section 5
No

Section 4 – Information on Permits Issued
A. Please indicate what type of permit would be issued for the following types of new residential construction (place an "X" in
the appropriate boxes):
Type of construction

Residential permit

Commercial permit

No permit

Permit issued by another office
(Explain in Section 5)

Single-family house
Two-unit building
Three-unit building
Four-unit building
Five or more unit building
Assisted living facility

B. The Census Bureau collects information from each permit office on number of buildings, number of units, and valuation of
construction for new residential structures. Are these three data items available from your office?
Yes

No – Please explain in Section 5

C. Please provide an estimate of how many new housing units were built in your jurisdiction during the prior calendar
year:

Section 5 – Comments/Additional Information

(If more space is needed, please attach a separate sheet.)
FORM C-411 (4-17-2006)