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pdfAttachment B
OMB No. 0607-0110: Approval expires 06/30/2009
U.S. DEPARTMENT OF COMMERCE
FORM SOC-QI/MF.1
7/14/2008
SURVEY OF CONSTRUCTION
Economics and Statistics Administration
U.S. CENSUS BUREAU
MULTIFAMILY BUILDINGS
TO BE COMPLETED BY CENSUS FIELD REPRESENTATIVE
Address or location of building
Builder/Owner
PSU
Project Name
BPOID
Building permit number
Permit Month
Issued:
Day
Year
Block
Lot
Serving post office, State, ZIP Code
RO
TO BE COMPLETED BY RESPONDENT
START_DATE
Month
Year
When did excavation start for the footings or
foundation of this building?
IF_ATTACHED
Will each unit be separated by a ground to roof wall, with a
separate heating system, and with individual meters for public utilities
such as water/sewer, electricity, gas, etc.?
EXCOMP_DATE
Month
Year
When do you expect at least half of the units to be
available for occupancy?
COMP_DATE
Month
Year
When were half of the units in this building available
for occupancy?
1
Yes
2
No
DEVELOPMENT
Will this building be in a development that is age-restricted; that is,
intended for occupancy by persons 55 years of age or older?
BUILDINGS
1
Yes
Does this permit cover -
2
No
1
a single building
4
more than one unconnected building - Skip to TOTAL_UNITS
5
a single housing unit - Skip to FLOORS
BUILDING_UNITS
MANUFACTURE
Will this building be 1
Modular?
2
Panelized?
4
Site built?
How many total housing units will there be in this
building?
Skip to FLOORS
TOTAL_UNITS
FRAMING
What primary material will be used for the structural framing of this
building?
How many total housing units will these buildings
cover?
1
Wood
2
Steel
FLOORS
3
Concrete/masonry other than insulated concrete forms
4
Insulated concrete forms
How many floors will be in this building, excluding
the basement?
ATTACHED
Will any of the units be attached side-by-side with no other units
above or below?
1
Yes
2
No - Skip to DEVELOPMENT
ATTACHED_UNITS
How many units will be attached side-by-side with no
other units above or below?
TOTALSQFOOT
What will be the total square foot area of all floors in this
building, excluding boiler rooms, garage space, etc.?
How many units will have no separate bedrooms (efficiency)?
EFFICIENCY
one bedroom?
ONE_BEDROOMS
two bedrooms?
TWO_BEDROOMS
three or more bedrooms?
THREE_BEDROOMS
PLEASE CONTINUE ON REVERSE SIDE
Attachment B
PRIMARYSOURCE
How many units will have one bathroom?
ONE_BATHROOMS
one and a half bathrooms?
1_1/2 BATHROOMS
two bathrooms or more?
TWO_BATHROOMS
FIREPLACE
What principal energy source will be used for heating this building?
1
Electricity
2
Gas (including propane, natural, bottled, tank, or butane)
3
Oil (including heating oil or kerosene)
4
Other - Specify
How many units will have a built-in fireplace?
AIRCONDITIONING
LAUNDRY
What laundry facilities will this building have?
1
Individual washer/dryer connections in every unit
2
Shared laundry facilities
3
Both individual washer/dryer connections and shared
laundry facilities
4
No shared laundry facilities or individual washer/dryer
connections
HEATPUMP
Will this building have any heat pumps?
1
Yes
2
No
3
No heat
Will this building have air conditioning?
1
Yes
2
No
OWNERSHIP
Will the units in this building be 1
For rent?
2
For sale?
PARKING
Will this building be in a complex that has a parking garage?
1
Yes
2
No
Please visit our website at: www.census.gov/mcd
NOTES:
PLEASE RETAIN THIS FORM FOR YOUR USE WHEN CONTACTED BY YOUR CENSUS REPRESENTATIVE
File Type | application/pdf |
File Title | SOC QI_MF1_draft.pdf |
Author | coope322 |
File Modified | 2008-08-04 |
File Created | 2008-08-04 |