HomeMy WebLinkAbout02 February Report DUE DATE: OMB No.0607-0094:Approval Expires 03/31/2016
RIVI C-404
' „ REPORT OF BUILDING OR ZONING PERMITS U.S.DEPARTMENT OF COMMERCE
J 20,0,3, Economics and Statistics Administration
ISSUED FOR NEW PRIVATELY-OWNED HOUSING UNITS U.S.CENSUS BUREAU
Please read instructions on
the back of this form. JULIE A HULTMAN
For further assistance,call
1-800-845-8244. - COMMUNITY DEVELOPMENT OFFICIAL
o r e mail us at
MCD.RCB.BPS@eensus.gov FOR CITY OF OAK PARK HEIGHTS
How can I report? 14168 OAK PARK BLVD N PO BOX 2007
Via Fax: 1-877-273-9501
OAK PARK HEIGHTS MN 55082
Via Mail:
U.S.Census Bureau
1201 East 10th Street
Jeffersonville,IN 47132-0001 0 Name Change p Spelling Correction EI Political Description Change
Via Internet or to get Help: (Please correct any errors in name,address,and ZIP Code)
hdp://econheip.census.govibps
Use your unique username and original password. Username: Password:
1. PERIOD IN WHICH PERMITS WERE ISSUED February 2015
2.GEOGRAPHIC COVERAGE(For our latest information on your office's coverage,see www.census.goviconstruction/bps/pdfifootnote,pdf)
Did your permit system have a geographic coverage change? El Yes,continue. Ulla,skip to Section 3.
Mark an(X)in the appropriate box and enter the requested information.If more space is needed continue in Section 5.
c„n Permits no longer required to build new residential buildings Effective Date
052 El Permit office has merged with another permit jurisdiction , . Effective Date Name of permit jurisdiction with which your office has merged
053[0 Permit offislebassplit into two or more jurisdictions ..... Effective Date Name of additional jurisdictionls)now issuing permitls)
054°Extraterritorial jurisdiction,ETJliAnnexation . . ... .. .. . Effective Date Define ETJ or annexation
3.NEW HOUSING UNITS
a. re there any building permits issued for new housing units during this period?
LlYes,enter data below. 0 No,stop and return this form.Your report is important even if no permits were issued.
Total Number of Total Valuation
Type of Structure
not b.Single-family houses,detached and attached(must meet the follow
no unit above or below the other;wall extends from ground to roof;and,
separate utilities for each unit)(Exclude manufactured Htip-inspected homes.]
103 c.Two-unit buildings
-m a d.Three-and four-unit buildings
105 e.Five-or-more unit buildings ing tritera:
Buildings Housing Uni of Construction
ts ($value-omit cents)
(1) (2) (3)
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 is value-omit cents)
(1) (21 (3) i4) (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)
E-mail address
6.PERSON TO CONTACT REGARDING THIS REPORT JHULTMANOCITY0FOAKPARKHEIGHTS.COM
Name JULIE A HULTMP N Internet web address
Telephone Fax
651 351 1661 651 439 0574
See instructions on reverse side.