Form SOC-QI/SF.1 Survey of Housing Starts, Sales & Completions (Single-fa

Attachment A

OMB No. 0607-0110: Approval Expires 11/30/2011
U.S. DEPARTMENT OF COMMERCE

FORM SOC-QI/SF.1
(12-03-2009)

Economics and Statistics Administration

U.S. CENSUS BUREAU

SURVEY OF CONSTRUCTION
SINGLE-FAMILY BUILDINGS

TO BE COMPLETED BY CENSUS FIELD REPRESENTATIVE
Address or location of building

Builder/Owner
PSU
Project Name

Building permit number

Permit Month
Issued:

Day

Year Block Lot

BPOID

Serving post office, State, ZIP Code
RO

TO BE COMPLETED BY RESPONDENT
START_DATE

Month

Year

Month

Year

When did excavation start for the footings or
foundation of this house?

FRAMING
What primary material is being used for the framing of this
house?
2

Wood
Steel

When do you expect to complete this house?

3

Concrete/masonry other than insulated concrete forms

COMP_DATE

4

Insulated concrete forms OR SIP
Other – Specify

EXCOMP_DATE

Month

Year

1

5

When was this house completed or occupied?

FOUNDATION

SALE_CATEGORY

What type of foundation will this house have?

Is this house being built –

1

for sale or is it already sold?
for the owner by a contractor on
the owner’s land?

1
2

on owner’s land entirely by owner?
for rent?

3
4

as part of Habitat for Humanity?

5

}

Full or partial basement
Will part or all of this basement be finished?

Skip to
ASSOCIATION

1

Yes – Skip to BASEMENTSQFOOT

2

No – Skip to

TOTAL SQ FOOT
TOTALSQFOOT

3

Crawl space
Slab

4

Raised supports (pilings, piers, etc.)

2

DEPOSIT
5

Was a deposit taken or a sales agreement signed for this house?
Yes
No
This a model home

1
2
3

}

What will be the square foot area of the finished part of
the basement?

CONDO

Month

When was a deposit taken or a sales
agreement signed?
CONDO

Will this house be part of a condominium project?
Yes

No

2

ASSOCIATION

Yes

No

2

DEVELOPMENT

Will this house be in a development that is age-restricted?
1

Yes

2

No

DETACHED

Will this house be –
1

Detached?

Year

TOTALSQFOOT

What will be the square foot area of completely finished
floor space, including finished areas of the basement
and attic?
DIMENSQFOOT

Is the square footage based on interior or exterior dimensions?
1

Will this house be part of a community or
homeowner’s association?
1

2

Skip to
TOTAL SQ FOOT
TOTALSQFOOT

BASEMENTSQFOOT
Skip to

DEPOSIT_DATE

1

Other – Specify

}

Attached?

MANUFACTURE
Modular?

3

Precut?

2

Panelized?

4

Site-built?

USCENSUSBUREAU

Exterior

What is the size of the individual lot
on which the house is being built?
STORIES

How many stories, not including the basement, will be
in this house?
BEDROOMS

1

One – Skip to

2

Two (including 1 1/2 stories)
Three or more (including 2 1/2 stories)
BEDROOMS
Split-level – Skip to

4

1

2

LOT_MEASUREMENT

3

Will this house be –

Interior

PLEASE CONTINUE ON REVERSE SIDE

Attachment A

FOYER

PRIMARYSOURCE

What fuel will be used most for heating this house?

Will this house have a two-story foyer?
1

Yes

No

2

How many of the following will be in this house?
BEDROOMS

Bedrooms

FULLBATHS

Half Bathrooms

HALFBATHS
FIREPLACES

Where will the washer and dryer connections be
located in this house?

3

In the basement
On the first floor
On the second or higher floor

4

In the garage or carport

5

No connection planned
Multiple locations

6

5
6

Wood or wood products

7
8

Stone, rock, or other stone materials
Poured concrete or concrete block

9

Other – Specify

3
4
5
6

8

Will this house have central air conditioning?
1

1

Public water (including community or shared water supply/well)

2

Individual well
Other – Specify

SEWAGE

What sewage disposal system will be used for this
house?
1

Public sewers (including community or shared sewage/septic system)

2

Individual septic system
Other – Specify

Porches

1

CONTRACT_PRICE

Yes
Yes
Yes

2
2
2

$

$

FINANCING

What type of financing was or will be arranged?
1

1

or

What is the current market value of
the improved lot?

Will this house have any of the following?
Patios

No

LOT_VALUE

A carport
Other off-street parking (driveway with no garage or carport)
None of the above

1

2

What is the sales price or contract
price for this house?

A garage for 1 car
A garage for 2 cars
A garage for 3 or more cars

Decks

Yes

SALE_PRICE

What type of parking will this house have?
2

7

3

PARKING

1

Solar
Coal
Other – Specify

6

3

Vinyl siding (including vinyl-covered aluminum)
Stucco
Brick or brick veneer
Fiber cement siding (such as Hardiplank or Hardiboard)

4

4

What water supply source will be used for this house?

Which wall material will cover most of the house
when it is completed?
3

Natural gas
Bottled or liquified petroleum gas (including propane)
Oil (including heating oil or kerosene)
Wood (including pellets)

3

WATER

PRIMARYWALL

2

2

AIRCONDITIONING

LAUNDRY

2

Electricity

5

Full Bathrooms

Fireplaces

1

1

2

No

DECKS

3

No

PATIOS

4

No

PORCHES

5

Conventional
FHA
VA
Cash
Other – Specify

PRIMARYSYSTEM

Which heating system will be used most in this house?
2

Heat pump, air source (including reverse-cycle AC)

3

Heat pump, ground source (geothermal)

4

Forced air furnace without heat pump
Hot water or steam (including hydronic systems)
Electric baseboard (including heat strips and wall panels)
Fireplace with insert
Solid fuel burning stove (including wood or coal stoves)
Liquid fuel burning stove
Passive solar system
No heat – Skip to
AIRCONDITIONING
Other – Specify

5
6
7
8
9
10
11
12

FORM SOC-QI/SF.1 (12-3-2009)

Please visit our website at: www.census.gov/mcd
NOTES:

PLEASE RETAIN THIS FORM FOR YOUR USE WHEN
CONTACTED BY YOUR CENSUS REPRESENTATIVE