HomeMy WebLinkAbout01 January DUE DATE: FEBRUARY 4,2005 DMB No.0607-0094:Approval Expires 02/28/2007
FORM
i z C-404 REPORT OF PRIVATELY-OWNED U.S.DEPARTMENT OF COMMERCE
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RESIDENTIAL BUILDING OR ZONING PERMITS ISSUED EconomlcsantlS.CENSUSBUREAU
U.S.CENSUS BUREAU
Please mail OR fax this form to: 1. PERIOD IN WHICH PERMITS WERE ISSUED- JANUARY 2005
U.S.Census Bureau
`1 East 10th Street
ersonville,IN 47132-0001
x:1-800-438-8040
Please read instructions on
oe bath this form.
111111
I)I III III III III II
For furtherr assistance,call
1-800-845-8244 or go to 0027556900 2 40401200501
www.census.gov/permitsfaq 27 556900 2 163 1 0 NVR
2.GEOGRAPHIC COVERAGE 378 33460
If your permit system had a coverage SE004447
change,mark(XI in the appropriate box,
provide an explanation in Section 6,then
continue with Section 3. JULIE A HULTMAN
061❑Permits no longer required to build COMMUNITY DEVELOPMENT OFFICIAL
new sidential buildings FOR CITY OF OAK PARK HEIGHTS
14168 OAK PARK BLVD N PO BOX 2007
052❑Permit office has merged with OAK PARK HEIGHTS MN 55082
another permit jurisdiction
053 E Permit office has split into two
or more jurisdictions
054❑Extraterritorial
jurisdiction/Annexation
(Please correct any errors in name,address,and ZIP Code)
3.NEW RESIDENTIAL BUILDINGS too
a.If no new residential permits were issued during this period,mark an(X)in the box and proceed to Section 4 -->sl
Number of I Valuation of construction
Type of structure I Item No.
Buildings Housiiig units (Omit cents)
0) 121 131 141 (5)
b.Single-familytached( e houses,iattachednba andj
detached(see definition on back) 101
[Exclude manufactured HUD
inspected homes.]
c.Two-unit buildings 103
d.Three-and four-unit buildings 104
Five-or-more unit buildings 105
f.TOTAL-Sum of 101-105 109
4.ADDITIONS,ALTERATIONS Item No. Number of permits Valuation of construction(Omit cents)
AND RENOVATIONS TO 111 121 (3)
RESIDENTIAL STRUCTURES
434 25,000
5.ADDITIONAL INFORMATION ON INDIVIDUAL RESIDENTIAL PERMITS,FROM SECTION 3,VALUED AT
$500,000 OR MORE(If more space is needed,please attach a separate sheet.)
Description Name and address of owner or builder Buildings Housing units Valuation of
construction
(1) 121 (31 141 (5)
a.Kind of building
110
Site address
111
b.Kind of building
120
Site address
121
6.COMMENTS(Continue on a separate sheet)
600
7.PERSON TO CONTACT REGARDING THIS REPORT a.Name
70°JULIE A HULTMAN
b.Telephone 1 Area code I Number 35I-11.04,/ c.Fax Area code I Number
710 I (651) 1439 4439 EXT 2-4G- 720 (000) 1000-0000
E-mail address e.Internet web address
730 JHULTMAN@CITYOFOAKPARKHEIGHTS. 740
See instructions on reverse side.