HomeMy WebLinkAbout11 November DUE DATE: DECEMBER 4,2010 OMB No.0607-0094:Approval Expires 03/31/2013
FORM C-404 REPORT OF BUILDING OR ZONING PERMITS U.S.DEPARTMENT OF COMMERCE
Economics and Statistics Administration
ISSUED FOR NEW PRIVATELY-OWNED HOUSING UNITS U.S.CENSUS BUREAU
Please mail OR fax this form to: 0027556900 2 40401201011
U.S.Census Bureau 27 556900 2 163 1 0 NVR
1201 East 10th Street 378 33460
Jet 'nville,IN 47132-0001 SEQ03598
JULIE A HULTMAN
F .-877-273-9501 COMMUNITY DEVELOPMENT OFFICIAL
FOR CITY OF OAK PARK HEIGHTS
Please read instructions on 14168 OAK PARK BLVD N PO BOX 2007
the back of this form. OAK PARK HEIGHTS MN 55082
For further s.gov/per,call II I II I II II I
II II I II II II
1-800-845-8244, oto
www.census.gov/permitsfaq
ore-mail us at
MCD.RCB.BPS@census.gov (Please correct any errors in name,address,and ZIP Code)
1. PERIOD IN WHICH PERMITS WERE ISSUED NOVEMBER 2010
2.GEOGRAPHIC COVERAGE (For our latest information on your office's average,see www.census.gov/permitsfaq)
Did your permit system have a geographic coverage change? ❑Yes,continue., No,skip to Section 3.
Mark an(Xl in the appropriate box(es)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❑Permit office has merged with another permit jurisdiction Effective Date Name of permit jurisdiction with which your office has merged
053['Permit office has split into two or more jurisdictions Effective Date Name of additional jurisdiction(s)now issuing permitlsl
054❑Extraterritorial jurisdictionlETJ)/Annexation Effective Date ETJ in miles or define annexation
3.NEW HOUSING UNITS
a.Were there any building perjjts issued for new housing units during this period?
❑Yes,enter data below. No,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) 121 131
101 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 unitl/Exclude manufactured HUD-inspected homes.)
103 C.Two-unit buildings
104 d.,I ree-and four-unit buildings
too a .-or-more unit buildings
4.ADDITIONAL INFORMATION ON INDIVIDUAL RESIDENTIAL PERMITS,FROM SECTION 3,VALUED AT$1,000,000 OR MORE
(If more space is needed,please attach a separate sheet.)
Number of
Description and Site Address Owner or Builder Valuation of Construction
Buildings Housing Units 1$value-omit cents)
(11 (2) (31 (41 (5)
Kind of building Name
Site address Address
City,State,ZIP Code City,State,ZIP Code
Kind of building Name
Site address Address
City,State,ZIP Code City,State,ZIP Code
5.COMMENTS(Continue on a separate sheet)
E-mail address
6.PERSON TO CONTACT REGARDING THIS REPORT JHULTMANOCITYOFOAKPARKHEIGHTS.
Name Internet web address
JULIE A HULTMAN
Telp+.xne Fax
(651)351-1661 (651)439-0574
USCENSUSBUREAU See instructions on reverse side.