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pdfAttachment B
OMB No. 0607-0110: Approval Expires 11/30/2011
U.S. DEPARTMENT OF COMMERCE
FORM SOC-QI/MF.1
(3-30-2009)
Economics and Statistics Administration
U.S. CENSUS BUREAU
SURVEY OF CONSTRUCTION
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 Day
Issued:
Year Block Lot
Serving post office, State, ZIP Code
RO
TO BE COMPLETED BY RESPONDENT
Month
START_DATE
Year
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?
When did excavation start for the footings or
foundation of this building?
EXCOMP_DATE
Month
Year
When do you expect at least half of the units
to be available for occupancy?
Month
COMP_DATE
Year
1
Yes
2
No
DEVELOPMENT
Will this building be in a development that is
age-restricted?
When were half of the units in this building
available for occupancy?
1
BUILDINGS
2
Yes
No
Does this permit cover –
4
a single building
more than one unconnected building – Skip to
5
a single housing unit – STOP INTERVIEW
1
MANUFACTURE
TOTAL_UNITS
BUILDING_UNITS
Will this building be –
1
Modular?
2
Panelized?
Site built?
3
How many total housing units
will there be in this building?
FRAMING
Skip to
TOTAL_UNITS
FLOORS
What primary material is being used for the structural
framing of this building?
2
Wood
Steel
3
Concrete/masonry other than insulated concrete forms
4
Insulated concrete forms or SIP
5
Other – Specify
1
How many total housing units will these
buildings cover?
FLOORS
How many floors will be in this building,
excluding the basement?
TOTALSQFOOT
What will be the total square foot area of all floors
in this building, excluding boiler rooms, garage
space, etc.?
ATTACHED
Will any of the units be attached side-by-side
with no other units above or below?
1
Yes
2
No – Skip to
How many units will have –
DEVELOPMENT
ATTACHED_UNITS
no separate bedrooms (efficiency)?
EFFICIENCY
one bedroom?
ONE_BEDROOMS
two bedrooms?
TWO_BEDROOMS
three or more bedrooms?
THREE_BEDROOMS
How many units will be attached side-by-side
with no other units above or below?
PLEASE CONTINUE ON REVERSE SIDE
USCENSUSBUREAU
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
3
Gas (including propane, natural, bottled, tank, or butane)
Oil (including heating oil or kerosene)
4
Other – Specify
How many units will have a built-in fireplace?
AIRCONDITIONING
LAUNDRY
Will this building have air-conditioning?
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
1
2
Yes
No
OWNERSHIP
Will the units in this building be –
1
2
For rent?
For sale?
HEATPUMP
What type of heating system will be used in this building?
1
2
3
Heat pump(s)
Other type of heating system
No heating system
PARKING
Will this building be in a complex that has a parking garage?
1
2
Yes
No
Please visit our website at: www.census.gov/mcd
NOTES:
PLEASE RETAIN THIS FORM FOR YOUR USE WHEN CONTACTED BY YOUR CENSUS REPRESENTATIVE
FORM SOC-QI/MF.1 (3-30-2009)
File Type | application/pdf |
File Title | socqimf1p1_09.g |
File Modified | 2011-02-10 |
File Created | 2009-05-28 |