HomeMy WebLinkAbout05 May Report DUE DATE: OMB No.0607-0094:Approval Expires 03/31/2016
FORM C-404 U.S.DEPARTMENT OF COMMERCE
to Zo Za,3, REPORT OF BUILDING OR ZONING PERMITS E<onom,�sa„d s,at'n� .
ISSUED FOR NEW PRIVATELY-OWNED HOUSING UNITS U.S.CENSUS 8uREAUi
Please read instructions on
the back of this form. JULIE A HULTMAN
For further assistance,call
1-800-845-8244. COMMUNITY DEVELOPMENT OFFICIAL
Or<e-snail us at
MCD,RCB.BPS @census.gav 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 ❑ Name Change ❑ Spelling Correction ❑ Political Description Change
Via Internet or to get Help: (Please correct any errors in name,address,and ZIP Code)
http:/leconhelp.census.gov/bps
Use your unique username and original password. Usentarne: Password:
1. PERIOD IN WHICH PERMITS WERE ISSUED May 2015
2.GEOGRAPHIC COVERAGE(For our latest information on your office's coverage,see www.census.gov/construction/bps/pdf/footnote.pdf)
Did your penult system havesgeographic coverage change? D Yes,continue. i¢NG,skip to Section 3.
Mark an(X)in fheappropiiate box and enter the requested information.If more space is needed continue in Section 5.
051 El Permits no longer required to build new residential buildings Effective Date
052 n Permit office has merged with another permit jurisdiction , . Effective Date Name of permit jurisdiction with which your office has merged
053 f Permit office has split mto teo or more Jurisdictions . . Effective Date Name of additional jurisdiction(s)now issuing permit(s)
0540 Extraterritorial jurisdiction(EiTJ)/Annexation Effective Date Define ETJ or annexation
3.NEW HOUSING UNITS
a.ire thane t►y buildit tg s Issued for arew housing arilts daring this period?
�/Yes,enter data belpw. DNe,stop and return this form.Your report is important even if no permits were issued.
Total Number of Total Valuation
Type trf Structure Buildings Housing Units ($value-om't ce ts)
(1) `.(21 131
101 b.Single-family houses,detached and attached(must meet the following criteria:
no unit above or below the other;wall extends from ground to roof;and,. 5 1,000,000
separate utilities for each unit)(Exclude manufactured I(UD•inspected homes)
103 c.Two-unit buildings
1oa d.Three andfour unit buildings
too e.Five-or-More unit buildings
4.ADDITIONAL,INFORMATIC N ON INDIVIDUAL RESIDENTIAL PERMITS,FROM SECTION 3,VALUED AT 51,000,000 OR MORE
(/f more space is needed,l lease attach a separate sheet.)
Number of
Description and Site Address Owner or Builder - Valuation of Construction
I3uildings Housing Units ($value-omit cents)
111;: 121 _ (3) (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)
The units noted in the report are 5 side by side constructed townhouse units valued by the
contractor at$200,000 each on their construction permit.
6.PERSON TO CONTACT REGARDING THIS REPORT E-mail address
JHULTMAN ACITYOFOAKPARKHEIGHTS.COM
Name JULIE A HULTMAN Internet web address
Telephone Fax
651 351 1661 651 439 0574
See instructions on reverse side.