SOC-QI/MF.1 Survey of Housing Starts, Sales & Completions ((Multiuni

Attachment B

FORM SOC-QI/MF.1
(11-2-2011)

OMB No. 0607-0110: Approval Expires 10/31/2014
U.S. DEPARTMENT OF COMMERCE
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
Project Name

SAMPLE FORM
Building permit number

PSU

BPOID

Permit Month Day
Issued:

Year Block Lot

Serving post office, State, ZIP Code
RO

TO BE COMPLETED BY RESPONDENT
Month

START_DATE

Year

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

DEVELOPMENT
Will this building be in a development that is
age-restricted?

EXCOMP_DATE

Month

Year

Yes
No

1
2

When do you expect at least half of the units
to be available for occupancy?

MANUFACTURE
Month

COMP_DATE
When were half of the units in this building
available for occupancy?

Year

Will this building be –
1

Modular?

2

Panelized?
Site built?

3

BUILDINGS
FRAMING

Will this project be –
1

Detached Housing Unit

What primary material is being used for the structural
framing of this building?

2

Stacked Building

3

Side-by-Side Building

1

Wood

4

Mixture of Units Building

2

5

More than One Building - Skip to TOTAL_UNITS

3

Steel
Concrete/masonry other than insulated concrete forms

4

Insulated concrete forms or SIP

5

Other – Specify

BUILDING_UNITS
How many total housing units
will there be in this building?

TOTALSQFOOT
Skip to

TOTAL_UNITS

FLOORS

What will be the total square foot area of all floors
in this building, excluding boiler rooms, garage
space, etc.?

How many total housing units will these
buildings cover?
FLOORS
How many floors will be in this building,
excluding the basement?

IF_ATTACHED

How many units will have –
no separate bedrooms (efficiency)?

EFFICIENCY

one bedroom?

ONE_BEDROOMS

two bedrooms?

TWO_BEDROOMS

three or more bedrooms?

THREE_BEDROOMS

Will any of the units be attached side-by-side
with no other units above or below?
1

Yes

2

No

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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

What principal energy source will be used for heating this
building?

7

Electricity
Natural Gas
Bottled or liquefied Gas (including propane)
Oil (including heating oil or kerosene)
Wood (including pellets)
Solar
Coal

8

Other – Specify

1
2

FIREPLACE

3

How many units will have a built-in fireplace?

6

LAUNDRY
What laundry facilities will this building have?
1
2

4
5

Individual washer/dryer connections in every unit
Shared laundry facilities

3

Both individual washer/dryer connections and
shared laundry facilities

4

No shared laundry facilities or individual
washer/dryer connections

AIRCONDITIONING
Will this building have air-conditioning?
1

Yes

2

No

OWNERSHIP

HEATPUMP
What type of heating system will be used in this building?
Air-source heat pump
2

Will the units in this building be –
1

For rent?
For sale?

3

Ground-source heat pump

4

Forced-air furnace

5

Hot water or steam

6

Electric baseboard

7

Fireplace with insert

8

Solid stove

1

Within the Building

Liquid stove

2

Within the Complex

10

Passive Solar

3

Both

11

No heat

4

Other/None

12

Other - Specify

9

2

PARKING
Will this building be in a complex that has a parking garage?

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 (11-2-2011)

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