HomeMy WebLinkAbout12 December DUE DATE: OMB No.0607-0094:Approval Expires 02/28/2015
FORM C-404 U.S.DEPARTMENT OF COMMERCE Title 13.United States Code.Sections 131 and 182,authorizes the Census Bureau to conduct this collection and to request your
13 21 20161 Economics and starrurios Administrationvoluntary assistance These data are subject to provisions of Title 13,United States Code,Section 9(a)exempting data that are
U.S.CENSUS BUREAU customarily provided in public records from rules of confidentiality.This collection has been approved by the Office of Management
and Budget IOMB).The eight-digit OMB approval number is 0607-0094 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 8 minutes per response for those that report
REPORT OF BUILDING OR ZONING monthly and 23 minutes for those that report annually to complete.More information aboutthis estimate and an address where you
mey write with csmments is on the back of th s form.
PERMITS ISSUED FOR NEW
PRIVATELY-OWNED JULIE A HULTMAN
HOUSING UNITS
BUILDING OFFICIAL
IMPORTANT:
Please see the back of this form for more FOR CITY OF OAK PARK HEIGHTS
information and instructions for completing
the survey. 14168 OAK PARK BLVD N
For further assistance,call 1-800-845-8244,or OAK PARK HEIGHTS MN 55082
e-mail us at EID.RCB.BPS@census.gov
How can I report?
Via Fax: 1-877-273-9501
Via Mail: E Name Change ❑ Spelling Correction ❑ Political Description Change
U.S.Census Bureau
1201 East 10th Street
Jeffersonville,IN 47132-0001
Via Internet or to get Help: (Please correct any errors in name,address,and ZIP Code)
econhelp.census.gov/bps
Use your unique username and original password. Username: Password:
1. PERIOD IN WHICH PERMITS WERE ISSUED December 2018
2.GEOGRAPHIC COVERAGE(For our latest information on your office's coverage,see www.census.gov/construction/bps/pdf/footnote.pdf)
Did your permit system have a geographic coverage change? 0 Yes,continue. No,skip to Section 3.
Mark an IX)in the appropriate box and enter the requested information.If more space is needed continue in Section 5.
051❑Permits no longer required to build new residential buildings Effective Date
052 U Permit office has merged with another permit jurisdiction . , Effective Date Name of permit jurisdiction with which your office has merged
0530!Permit office has split into two or more jurisdictions Effective Date Name of additional jurisdiction(s)now issuing permit(s)
054 0Extraterritorial jurisdiction(ETJ)/Annexation . . . . . . . . . Effective Date Define ETJ or annexation
3.NEW HOUSING UNITS
a.rfalere there any building permits issued for new housing units during this period?
os,enter data below. 11/IN 0,stop and return this form.Your report is important even if no permits were issued,
Total Number of Total Valuation
Type of Structure of Construction
Buildings Housing Units ($value-omit cents)
1) (2) (3)
rot b.Single-family houses,detached and attached(must meet the following criteria:
no unit above or below the other;wall extends from ground to roof;and,
separate utilities for each unit)(Exclude manufactured HUD-inspected homes.]
103 c.Two-unit buildings
104 d.Three-and four-unit buildings
roe e.Five-or-more unit buildings
4.ADDITIONAL INFORMATION ON INDIVIDUAL RESIDENTIAL PERMITS,FROM SECTION 3,VALUED AT S1,000,000 OR MORE
(If more space is needed,please attach a separate sheet.)
Number of
Description and Site Address Owner or Builder Valuation of Construction
Buildings Housing Units (S value-omit cents)
111 121 (31 (4) (5)
Kind of building Name
Site address Address
MN
City,State,ZIP Code City,State,ZIP Code
Kind of building Name
Site address Address
MN
City,State,ZIP Code City,State,ZIP Code
5.COMMENTS(Continue on a separate sheet)
6.PERSON TO CONTACT REGARDING THIS REPORT E-mail address
JHULTMAN Cc3 CITYOFOAKPARKHEIGHTS.COM
Name JULIE A HULTMAN Internet web address
Telephone Fax
651 351 1661 651 439 0574
See instructions on reverse side.