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

C-411(M)

FORM
(1-6-2021)

OMB No. 0607-0350: Approval Expires 05/31/2021
U.S. DEPARTMENT OF COMMERCE
U.S. CENSUS BUREAU

SURVEY OF RESIDENTIAL
BUILDING OR ZONING PERMIT SYSTEMS

Title 13, United States Code, Sections 131 and 182, authorizes the Census Bureau to conduct this collection and to request your voluntary assistance. These data are
typically provided in public records and are not subject to confidentiality. This collection has been approved by the Office of Management and Budget (OMB). The eight-digit
OMB approval number is 0607-0350 and appears at the upper right of this page. Without this approval we could not conduct this survey. We estimate this survey will take
an average of 15 minutes to complete. More information about this estimate and an address where you may write with comments is on the back of this form.

Person Completing
This Survey
Name
Title
Telephone (Include area code)
Fax (Include area code)
E-mail address
Internet web address

This survey form is used to help us
identify permit-issuing jurisdictions
in the United States.

(Please correct any errors in name, address, and ZIP Code)

Mail or Fax to:

We would appreciate your response within 30 days

U.S. Census Bureau
Economic Indicators Division
Residential Construction Branch
Washington, DC 20233–6900
(Fax) 1–301–763–8587

For further information call 1–800–845–8244
Section 1 – Permit System

A. If a new residential housing unit were to be constructed, would a building/zoning permit be required?
Yes – Go to B below

No – Stop! Please return this form now.

B. What types of permits are required? (Please exclude: Driveway, Electrical, Inspection, Plumbing and Septic permits)
Building (Include Land Use and Site permits)

Other – Please describe:

Zoning

C. What types of permits are required for the following structures and who issues these permits?
(Place an "X" in the appropriate boxes.)
Building Permits
Residential
Number of Units

1

2

3

4

Zoning Permits

Commercial
Number of Units

5+

1

2

3

4

Residential
Number of Units

5+

1

2

3

4

Commercial
Number of Units

5+

1

2

3

4

Municipality (city,
borough, town,
township, or village)
County, Borough,
or Parish
State
Other (i.e., Third
Party Agency, etc.)
If "Other" in Section 1C, is completed, please enter the name, address, and telephone number of the office
that issues your permits:

Name
Address
Telephone (Include area code)
Please Continue on Reverse Side

5+

Section 2 – Geographic Coverage
A. What is the geographic area covered by your office? (Select only one)
Entire area of the city, town, village, borough, or township

or
Only a portion of the city, town, village, borough, or township – Describe the area(s) covered below
(Additional space in Section 4)

B. Does your office issue permits for other municipalities?
Yes – Please list the name(s) of the other municipalities below – (Additional space in Section 4)

No

C. Is a portion of your municipality located in another county?
Yes – Please list the name(s) of the other county(ies) – (Additional space in Section 4)

No

Section 3 – Information on Permits Issued
C. Last year (January – December), how many buildings permits were issued for new housing units in your
jurisdiction? (Providing an estimate is acceptable)

Section 4 – Comments/Additional Information

(If more space is needed, please attach a separate sheet.)
FORM C-411(M) (1-6-2021)