C-411(m) Survey Of Residential Building Or Zoning Permit Systems

Attachment B
FORM

C-411(M)

OMB No. 0607-0350: Approval Expires / /
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

SURVEY OF RESIDENTIAL BUILDING
OR ZONING PERMIT SYSTEMS - MUNICIPAL OFFICES

U.S. CENSUS BUREAU

Person Completing
This Survey
Name
Title
Telephone
Fax
E-mail address
Internet web address

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 –

No –

B. What types of permits are required?
Building

Zoning

Land Use

Other –

C. Does your office issue these permits?
Yes –

No –
State Office
Other –

Name
Address

Telephone

( - -2011)

County Office

Municipal Office

Section 2 – Geographic Coverage
B. What is the geographic area covered by your office?
Entire area of the city, town, village, borough, or township
Only a portion of the city, town, village, borough, or township -

C. Does this office issue permits for other municipalities?
Yes - Please list the name(s) of the other municipalities below -

D. Does your office issue permits for any extra-territorial jurisdiction (EJT)

E. Does this municipality extend into other counties?
Yes –

Section 3 – Information on Permits Issued
A. Please indicate the type of permit issued for the following types of new residential construction
No
Residential Commercial
Permit issued by another office
Type of construction
permit
permit
permit
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.
No –
Yes

Building(s)

Unit(s)

Valuation of construction

C. How many new housing units were built in your jurisdiction during the prior calendar year (estimate is acceptable)?

Section 4 – Comments/Additional Information

Mail to: U.S. Census Bureau
Manufacturing and Construction Division
Residential Construction Branch
Washington, DC 20233–6900
or
Fax to: (301) 763–8587
FORM C-411 ( - -2011)