......................
..........................
..............................
S s r i d l l e t t e r of t h o b u i l d i n g ..............
D i s t r i c t ( r e g i o n a l toivn)
Commune (town)......
Village(componont locD-lity).........=....9..*.
Stroet
no......
B U I L D I N G
Name and sarnamo of O;'iner
No
of t h o consus d i s t r i c t
No
of t h o guiding and c o n t r o l s e c t o r
No
of t h e cousus s e c t o r
14-15
Number of t h o form
B U L L E T I N
..........................................................................
(foc o n t o r p r i s s ~ , i n s t i t u t i oorganizations
~,
t h o i r nme and the contralbcdy thqybelong to)
G E N G U L DATA
I
1. Purpose for which t h o b u i l d i n g
i o used
4. Occupancy of t h o r o s i d a n t i a l
building
[
T
I
Occupied
Ho s i d o n t ia l b u i I d i
m
ml
Ilon-residontid b u i l d i n g i n
~7hicht h o dwelling i s l o c a t o d
B u i l d i w with c o l l o c t i v e housing u n i t s
c o n s t r u c t i o n , p a r t l y occupied
E
lUndor
by t h o p o p u l a t i o n
m
1 1 1
E
I
Row-houoos
I
U
17
of t h e b u i l d i n g
5. Typo of ownorship
[(]Stato
1
U
proporty
1 Co-oporativo
21
proporty
Proporty of p u b l i c
organizations
[(IProporty
of r o l i g i o u s c u l t s and
I
Ij5]Block-typo b u i l d i n g
3. Year of c o n s t r u c t i o n
20
Under const r u c t i on, occupied
by b u i l d o r s
Unoccupied
2. Typo of r o s i d o n t i a l b u i l d i n g
Individual building with
ono dvrollinf;
o
COEïRUtli~ioS
[
T
Priv
I
a t o propo rty
= u1 7 1
13xo d pr oporey
18-19
~~
BUILDIKG CH.ARAC.l'ERIS.I'ICS
II
6 . Building n o t o r i a 1 of e x t o r n a l
n a l l s and f l o o r s
1
1
1 Roinforcod concreto
151
n
I I
8. Number of l o v o l s
Poinforcod concrot c a r c a s s w i t h
dricl::/orlc or o u b s t f t u t e s nasonry
22
S tononorlr, brickxork or subst i t u t o s
masonry with r e i n f o r c e d concreta flmm
Stonework brickwork o r s u b s t i t u t e s
masonry with woodon floors
Wood ( b o m s , logs etc.)
Framework, unburnt b r i c k , vrattles ,
boaton e a r t h or o t h o r m a t e r i a l s
9. Number of s t o r o y s
t h o roof covoring
I I l 1Shoot
T i l o s hollow t i l e s , aobestos
1 1 2 1 cemont-. E t o r n i %
1
_
Shinglo
Rood, atraw
m
l1
I
16
T8r poper
F l o t roof
Othor m a t o r i a l s
cl
23
* u
26-27
10. Developed useful
f l o o r space of the r e s i d e n t i a l
m
7. Building m a t e r i a l of
U
24-25
r
-u
building
28-32
11. Extent of damage of the r e s i d e n t i a l
building
per cent
-
[TJc%-
1
1
ml
[TI
21%
41%
2M
- 4010
- 6@
- 80%
t3m
61%
h o r
CI
33
CONNECTIONS AND INSTALLATIONS
III
15. Sewage d i s p o s a l system
12. Connection t o t h e e l e c t r i c a l
d i s t r i b u t i on network
(discharge of household w a t e r )
1 1 1 1 The
b u i l d i n g has sewage d i s p o s a l system connected t o thecommunfty system
building
connected t o t h e
1111The
community network
i8
The b u i l d i n g i s connected t o a
l o c a l source(generating set,eto.)
[ I l T h e b u i l d i n g has no connections
13. Connection t o t h e
supply system
The building has i n d i v i d u a l
sewage s r s t e m
The b u i l d i n g has' no sewage
d i s p o s a l system
16. Central h e a t i n g system and kind
of f u e l
m
gas
1-
UZI
[
I
]
The b u i l d i n g i s connected to
t h e gas supply system
The building has no connections
37
Thermal power s t a t i o n
17
with s o l i d f u e l
Thermal pbwer s t a t i o n
with l i q u i d f u e l
[ T I G =
14. Connection t o t h e water
supply system
38
thermal power s t a t i o n
I T 1D i s t r i c t
hoating p l a n t
( X j T h e b u i l d i x g i s connected to
t h e water supply systern
The b u i l d i n g has no connections
I I O !.The b u i l d i n g
19. Vor b u i l d i n g s w i t h c o l l e c t i v e
housing u n i t s , i t should be s h o m :
18. Garage
ml
I
Located i n t h e r e o i d e n t i a l b u i l d i n g
o . . . . . . . . . . . . . . . . . . . .
* o . . . . * . . * . *
- Number
of rooms ( h o t e l rooms,
h o s p i t a l words, d o r m i t o r i e s ,
Located i n t h e c o u r t y a r d
boarding schools etc.)
- pCopacity
by number of
laces
.
,
I
46-48
U
- Form
Number of persons recordod on
P2
- Number
of psrsons'recordod
on Vorn P g ...............
Capacity. of t h e garage by number
of oars
49-52
S C H E D W OE' DWELLINGS II? THE BUILDING
I
.
No
of
Porm
I42
No.
of
iwellings
Name and surname
of main ocoupant
A
-
1
B
Ic3-45
I
,
II
III
Enumorat; o r ,
umber of house- Nooaf perhold members
s o m beof whom: lowin@;
BWOY i n t o o t h e r
No.
other
houseof
l o c a & . h o l d s md
house
cor a
Who haw
holds Total
l o w e r come t o
p e r i o d t h e loca'
of
lity for
timo p ~ ~ & j e ~
time
2
3
4
5
46-4d 49-52
X
X
I
Grand T o t a l
,
Iv
v
,
VI
Doto of f i l l i n g : doy
Chief e nume r o t o r ,
;
hz$
.
NO
Code
r--i
- housing
Name ond kind of t h e c o l l e c t i v e
unit
(
7
1garage
-I V
has no l i f t
... March 1966
...
..
,
_-
-.
....
S e r i a l l o t t e r of t h o b u i l d i n g
staircam...
No of d w o l l i n s ; Cfl'stl
storey
........
'
'Ode
DWELLING
18
19
20
21
22
23-24
B U L L E T I N
....... ........................
Neme ond s u r n m o of main occupnnt ; Ó
,
Noms and urnam of 7
(for e n ~ e r p r P g ~ ~ ~ i ' n s t i t u t i b ~ , b r ' @ ; a ; 1
l i i ah 'ktiikb hak'
~
&d. the' C'onkr'el' bb& ih;;
Ö:lb&
I GENERN; DATA
1. Typo of dwelling
3. The l e v e l on which t h e dwolling
I I 1 1 f i 7 e 1 l i n g proper
p j P e r m a n e n t l y occupied rooms l o c a t e d
i n c o l l e c t i v e housing u n i t s
Nocossity dwelling l o c u t e d i n :
25
p r o v i s i o n a l s t r u c t u r e s ( b a r a c k , shack e t c . )
I T ] - household s t r u c t u r e s o r outhouses
dotachod from t h o 'Duilding(inde endont
k i t chen, garago, storehouse e t C.
accossoriov and spaces f o r nonr o s i d o n t i d purposes i n t h e b u i l d i n g
(drying m ; L a u n d r y , c d b r , g a r r o t e t c. )
1mobile housing u n i t , pormanontly
occupied(wagon, t r a i l o r , b a r g e , otc. )
2. The d z o l l i n g i s :
Occu;?isd
Unoccupiod
26
m
l
-
7
[
X
I
-
n
U
ml
II D1lELLIKG CHARACTERISTICS
5. ro on^ f o r h a b i t a t i o n
D i a s m i o z. Area
Room
L,?ry$h \'¡idth
sqmm.
II O
n.
1
2
[ T a ] Ground f l o o r
I
.
' I
6. Rooas usod o u t of n e c e s s i t y
for h a b i t a t i o n
- Numbor
Mote
1
I
I
27-28
T I F l o o r No
1 1 Attic
4. Typo of ownership
1 7 1S t a t o p r o p e r t y
i 1 1Co-operativo property
[ T iProporty of p u b l i c o r g a n i z a t i o n s
1 1 1 P r o p e r t y of r e l i g i o u s c u l t s and
' '
coimunities
1-1
Privato property
[ T I Mixed p r o p e r t y
I
n'
is l o c a t e d
[
I
1
rasement
[ T qSemi-basement
m.
3
ko)
t
O
29
U
Area
7. F l o o r i n g m o t o r i a l of
room f o r habitation
U
1
1
1
1F l o o r
m]
3s
Parquet
ITIP
cv
arpet
[ T TBeaton c l a y
)
T
I
Other m o t o r i a l s
30-31
III ACCESSORIES
32-34:
~
a. Kitchen
mJLocated i n s i d e
ml
t h e dwelli%
outside t h e dwelling but
insids t h e b u i l d i n g
Located o u t s i d e t h e b u i l d i n g
o
39
I T I L o c a t e d outsido t h e dwelling
] T I N O bath
Show i f t h e b a t h has:
a b a t h tube
-'
Tg
b$!?'
[
T
I
[
T
o
i
n l ya shavser
I&
k?'!fh#e
k i t chon
If the d w o l l i n g has a summer
k i t chen, give i t s area- If the dwolling has no k i t c h e n
show l a c e of cooking(in t h e
room En t h e vootibule etc.).......!
Cooking f o c i l i t i e s ueed:
\
T
I
gos i n s t a l l a t i o n
[
T
I
- gas c y l i n d e r
I
I
S
)
- other f a c i l i t i e a
9. Bath
I T j L o c a t o d i n s i d e t h s dwelling
U
46
CI
47
10. T o i l e t
r--- 7
L - Ai
((1lLocated i n s i d e t h e dwelling
I T l L o c a t e d outside t h e d w o l l i n g but
inside the building
/ I f l o t h e r o i t u a t i ons
Show t y p e of t o i l e t i n s t a l l a t i o n
flush toilet
1 1 2 1 non-flush t o i l e t
1
48
1-
-
49
i
N
1NSTALLATIONS
11. Water supply system
Source of water supply:
1711-
12. Hot water i n s t a l l a t i o n
the community system
1 1 2 ) -
I
U
m]
n
4
(dThe
U
well, f o u n t a i n e t c .
50
The water supply o u t l e t is i n s t a l l e d :
111- i n s i d e t h e dwelling
E]inside the building
\ T I - in t h e courtyard
i i -
outside t h e courtayrd
Distance t o t h e o u t l e t l o c a t e d
outside t h e courtyard
under 100 m.
100-500 m.
[TI
121
I T ] over 500 m.
U
52
The dwelling has hot water
i n s t a l l a t i on
dwelli-hg has no sewage
d i s p o s a l system
14. E l e c t r i c l i g h t i n g i n s t a l l a t i o n
I T i T h e dwelling has e l e c t r i c
install tion
The dw 8111 h?-s no e l e c t r i c
0 instalfatis
15. Heating f a c i l i t y and k i n d of f u e l
The dwelling has c e n t r a l heating
aThe
dwelling has‘-stoves w i t h
a s o l i d fuel
I l T h e d w e l l i w has gas s t o v e s
(]Other
heating f a c i l i t i e s
171
Name and sur-
If oc8 of t h e households name o f t h e head
r e g i s t e r e d i n Chapter V of househould. . . . . .
also occupies another
egion......................
d w o l l i n g in t h e l o c a l i t y
( a t another address) or
in acother l o c a l i t y ,
dwel- Commune(town)........~=...
. e
8koiA:
li% ~illage(.oornponent locality).Street
NO
.
..............
0 .
-
Code
I
I
II
IIII
rv v
I
. o - -
CI
55
U
56
Name and s u r name of the head
of household
eg eg ion....................^.^.
gis8
District(regional
of tbCommune (town)
town) *..-=..
............... .
filling: day ... March 1966
dwel- v i l l a g e ( component locality)
Street
NO......
ling
Dote of
VI
Enumerator,
L!l
/ r
Chief enurno r a t or,
b.
*
................................
D i s t r i c t ( r o g i o n a l town) ..............
Commune (town)........
No of t h e guiding and cozltrol s e c t o r
No of t h 3 census s e c t o r
...........
,
No of t h 3 forn
L1
L2
--
.....
.....
....
....
i
-
.................
Village (component 1ocalit;v.
i
No of t h e census d i s t r i c 5
Region
S e r i a l l e t t e r of building
staircase
storey
Number of dwelling ( f l a t )
TAKE CAEBI
Chapters I,II,III and IV should be completed by t r a n s c r i b i p g from Form L 2, t h e codee
corresponding t o t h e s i t u a t i o n reported
SAldPLE SURVEY O
F HOUSING CONDITIONS AND DURABLE GOODS
1. Type of dwslling (Form L 2, item 1)
Level on which t h e dwelling is located(Fom L 2,item 3)
2.
3. Type of ownership (Form L 2, item
u
-u
-
4)
11 INSTALLATIONS I N THE D!VSLLING
;c
4. Place .of water supply
(Forn L 2,item 11)
5. Place where t h e water supply
outlet is installed
(Form L 2,item 11)
6. Distance t o t h e water
supply o u t l e t
(Form L 2,item 11)
7. Hot water i n s t a l l a t i o n
(Form L 2,item 12)
-L
-b
7
a
III
CHARACTERISTICS
(IF
1
THE KITCmN
located
(Form L 2,item 8)
CI'
...............
13. If t h e ,dwelling has no kitchen
show place of cooldng
*
9. E l e c t r i c l i g h t i n g i n s t a l l a t i o n
(Form L . 2 , i t e m 14)
-n
U
10. Heating f a c i l i t y and kind
of f u e l
(Form L 2,item 15)
I
IV CHAHACPERISTICS
11. Place where t h e k i t c h e n I s
12, Cooking f a c i l i t y uoad
(Form L 2,item 8 )
8. Gewage d i s p o s a l system
(Form L 2, item 1 3 )
(IF
TIZE BATH AND TOUET
14. Place where t h e b a t h i a
l o c a t e d (Form L 2,item 3)
15. The b a t h has a bathtub o r onlya aBower
o m ~2 ,item 9)
16. Plaae when, t h e t o i l e t i s
loc ted
t ~ o r mL 2,item 10)
17. Flush t o i l e t o r non-flush
toilet
(Form L 2,ltem 1 0 )
L
_
o
o
.
rV a RESTINATION
OE' BOOMS 1N
Doatination
l
O
A Rooms for h a b i t a t i o n
T o t a l (Code 101-161)
Bodroom
Bodroom
Bodroom
I Bodroom
D i n i n g room,living roon
Dining room,living room
Children's room
I Sorvants 'room
Guosts'room
Livins hall
B Spacos for passage
? O t a l ( code 301-305)
Non-livina h a l l
IVestlbule( anteroom)
1Off i c e
Passcgewag, c o r r i d o r
Bntranco h a l l of a peasant'8
C
Accessories
1Sunmr kitchen
Pantry
Lumber room
Iseparato t o i l e t
T o t a l f l o o r spaco
of t h o dwelling
Servico spaces
T o t a l (codß 701-702)
Balcony,loggia,terrace
B ox
D.
VI SCHEDULE OF HOUSHOLDS IN 'IEIE D'tJELLING
Name ond surname
of t h e head of household
( t h e i n i t i a l of t h e f a t h e r ' s
surname w i l l a l s o be given)
Sri,
No
Tonure
8t a t u s
(owner,
tenant
other)
I
I
1
O
1
3
4
I
8
I
2
3
No. ol persons
b o l o n g i q to
othor housohol&aud who
avmy i n othor havo CORO t o
localitios
tho locality
for a longor
period of timo poriodaf t i m o
Number of household
Ye a r
s i n c e thoy
occupy
the
dwelling
I
4 1
I
I
5
6
i
From Chßp. V I
o
3
2
4
I
_
_
-
Codo
-
VII
DATA ON THE HOUSTSHOLD
o l n t i onship
o tho head
household
Should
S
Codo
bo
of room not
i n tvhidl c omp: et
other,mothoc
he( shß )
sloops
rrS f o , husbond
on, daughtor,
Nano and aurnamo
( t h e i n i t i a l of t h o f a t h e r ' s
nurnma w i l l also bo givon)
u-lam, s i s t e r
cother-in-
[roar d oge'3
O1
O2
O3
O7
Og
3.0
I
.......
.......
............ .......I
............
I........
0
.
-*.-i
............
............
I
I
............
I
............
............
I
............
............ .......
Ikk
. . o . . * .
I
I
1
5
P?%?P?E.
I
I
O8
3
2
Hond of
To bo taken fron Form P l,Chßp.I
VIII
ROO=
USED BY TEE HOUSEHOLD
and Chap.:
........
........
ßd bs
t h o ßnu
me r o t o r
Code
Ix
Code
A
O
o1
02
DURABLG GOODS OWNED BY THE HOUSHOLD
I
1
It 0m
Code
O
C
Furniture
Radio s e t
21
Wood and i r o n beda
Tran.sistor r a d i o s e t
22
Couch beda
TV s e t
23
I
24
Tape recorder
~~
26
X
X
and "Rdcamiert'
~
I
ELitchen,sldeboards and b e f e t s
Household goods
28
Bookcases{ including booka tands,
book shelves)
29
Tables
X
30
Armchairs
X
I X 1 . X
13
Gas stove range
31
14
Washing machine
32
17
-
3
Camera
12
16
2
l
i
Mvans
Chai-beds
sofas
Wardrobes, c h e s t s of drawers
Buffets afdeboarda, g l a s s
cabinet
25
~~~
Re cord-pl ayer
kurchase
1
Goods f o r cultxml. purposes
Loudspe aker
15
Item
I Writing t a b l e s
I Chaira
I I .
I
1
Vacuum c l e a n e r
Sewing machine
C
Transport f a c i l i t i e s
E l e c t r i c amo0 thing i r o n
41
Cars
42
Motor cycles
43
I Scooters
IMotor b i c y c l e s
44
Chief
X I
X
X
x
I I
I I
Date of f i l l i n g . .
Enurnerat o r ,
II
I I
I
enurnerat o r ,
... March 1966