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pdfAttachment A
OMB No. 0607-0110: Approval expires 06/30/2009
U.S. DEPARTMENT OF COMMERCE
FORM SOC-QI/SF.1
8/4/2008
Economics and Statistics Administration
SURVEY OF CONSTRUCTION
U.S. CENSUS BUREAU
SINGLE-FAMILY BUILDINGS
TO BE COMPLETED BY CENSUS FIELD REPRESENTATIVE
Address or location of building
Builder/Owner
PSU
Project Name
BPOID
Building permit number
Permit Month
Issued:
Day
Year
Block
Lot
Serving post office, State, ZIP Code
RO
TO BE COMPLETED BY RESPONDENT
START_DATE
Month
Year
When did excavation start for the footings or
foundation of this house?
FRAMING
What primary material will be used for the framing of this house?
EXCOMP_DATE
Month
Year
When do you expect to complete this house?
COMP_DATE
Month
Year
When was this house completed or occupied?
1
Wood
2
Steel
3
Concrete/masonry other than insulated concrete forms
4
Insulated concrete forms
SALE_CATEGORY
FOUNDATION
Is this house being built -
What type of foundation will this house have?
1
for sale or is it already sold?
2
for the owner by a contractor on the
owner's land?
3
on owner's land entirely by owner?
1
for rent?
5
as part of Habitat for Humanity?
DEPOSIT
Was a deposit taken or a sales agreement signed for this house?
1
Yes
2
No
3
This is a model home
Year
When was a deposit taken or a sales agreement
signed?
CONDO
Will this house be part of a condominium project?
2
No
ASSOCIATION
Yes
2
No
2
Crawl space
3
Slab
4
Raised supports (pilings, piers, etc.)
5
Other - Specify
Skip to
TOTALSQFOOT
TOTALSQFOOT
What will be the square foot area of completely finished
floor space, including finished areas of the basement
and attic?
DIMENSQFOOT
Is the square footage based on interior or exterior dimensions?
Will this house be part of a community or homeowner's association?
1
Yes
What is the square foot area of the finished part of the
basement?
Month
Yes
1
BASEMENTSQFOOT
Skip to CONDO
DEPOSIT
1
W part or all of this
Will
basement be finished?
b
Skip to
ASSOCIATION
4
Full or partial basement
2
No
DEVELOPMENT
1
Interior
2
Exterior
LOT_MEASUREMENT
What is the size of the individual lot on
Will this house be in a development that is age-restricted (55 or over)? which this house is being built?
1
Yes
2
No
DETACHED
How many stories, not including the basement, will be in this house?
Will this house be 1
Detached?
STORIES
2
Attached?
MANUFACTURE
Will this house be 1
Modular?
3
Precut?
2
Panelized?
4
Site-built?
1
One - Skip to BEDROOMS
2
Two (including 1 1/2 stories)
3
Three or more (including 2 1/2 stories)
4
Split-level
PLEASE CONTINUE ON REVERSE SIDE
Attachment A
FOYER
PRIMARYSOURCE
What fuel will be used most for heating this house?
Will this house have a two-story foyer?
1
1
Electricity
2
Gas (natural or bottled, including propane)
3
Oil (including heating oil or kerosene)
Full Bathrooms
FULLBATHS
4
Wood (including pellets)
Half Bathrooms
HALFBATHS
5
Solar
Fireplaces
FIREPLACES
6
Coal
7
Other - Specify
2
Yes
No
How many of the following will be in this house?
BEDROOMS
Bedrooms
LAUNDRY
Where will the washer and dryer connections be located in this house? AIRCONDITIONING
1
In the basement
Will this house have central air-conditioning?
2
On the first floor
1
2
Yes
No
3
On the second or third floor
WATER
4
In the garage
5
No pre-determined location
What water supply source will be used for this house?
PRIMARYWALL
Which wall material will cover most of the house when it is completed?
2
Vinyl siding (including vinyl-covered aluminum)
1
Public water (including community or shared wells)
2
Individual well
3
Other - Specify
3
Stucco
SEWAGE
4
Brick or brick veneer
What sewage disposal system will be used for this house?
5
Fiber cement siding (such as Hardiplank or Hardiboard)
1
Public sewers or shared septic system
6
Wood or wood products
2
Individual septic system
7
Stone, rock, or other stone materials
3
Other - Specify
8
Poured concrete or concrete block
SALE_PRICE or CONTRACT_PRICE
9
Other - Specify
What is the sales price or contract price
for this house?
PARKING
$
LOT_VALUE
What type of parking will this house have?
1
A garage for 1 car
What is the current market value of the
improved lot?
$
2
A garage for 2 cars
FINANCING
3
A garage for 3 or more cars
What type of financing was or will be arranged?
4
A carport
1
Conventional
5
Other off-street parking (driveway with no garage or carport)
2
FHA
6
None of the above
3
VA
4
Cash
5
Other - Specify
Will this house have any of the following?
2
Yes
No
Decks 1
DECKS
Patios
1
Yes
2
No
PATIOS
Porches
1
Yes
2
No
PORCHES
PRIMARYSYSTEM
Please visit our website at: www.census.gov/mcd
NOTES:
Which heating system will be used most in this house?
2
Heat pump, air source (including reverse-cycle AC)
3
Heat pump, ground source (geothermal)
4
Forced air furnace without heat pump
5
Hot water or steam (including hydronic systems)
6
Electric baseboard (including heat strips and wall panels)
7
Fireplace with insert
8
Solid fuel burning stove (including wood or coal stoves)
9
Liquid fuel burning stove
10
Passive solar system
11
No heat - Skip to AIRCONDITIONING
12
Other - Specify
PLEASE RETAIN THIS FORM FOR YOUR USE WHEN
CONTACTED BY YOUR CENSUS REPRESENTATIVE
File Type | application/pdf |
File Title | SOC QI_SF1_draft.pdf |
Author | coope322 |
File Modified | 2008-08-04 |
File Created | 2008-08-04 |