HomeMy WebLinkAboutHRIF- 1822 Trumansburg Road, Jacksonville.jpge OPEPTiON HS
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HISTORIC RESOURCE INVENTORY FORM
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IDENTIFICATION
Property name(if any)
Address or Street Location
County
Owner
Original use
Architect/Builder, if known
Town/City
Address
Current use
OFFICE USE ONLY
USN:
Village/Hamlet:
Date of construction, if known
DESCRIPTION
Materials -- please check those materials
that are visible
Exterior Walls: ❑ wood clapboard
❑ wood shingle
❑ vertical boards
❑ plywood
❑ stone
❑ brick
❑ poured concrete
❑ concrete block
❑ vinyl siding
❑ aluminum siding ❑ cement -asbestos
❑ other:
Roof: ❑ asphalt, shingle
❑ asphalt, roll
❑ wood shingle
❑ metal ❑ slate
Foundation: ❑ stone
❑ brick
❑ poured concrete
❑ concrete block
Other materials and their location:
Alterations, if known: Date:
Condition: ❑ excellent ❑ good ❑ fair ❑ deteriorated
Explain:
ATTACHMENTS
Photos
Provide several clear, original photographs of the property proposed for nomination. Submitted views should
represent the property as a whole. For buildings or structures, this includes exterior and interior views, general
setting, outbuildings and landscape features.
Please staple one photograph providing a complete view of the structure or property to the front of this sheet.
Additional views should be submitted in a separate envelope or stapled to a continuation sheet.
Maps
Attach a printed or drawn map indicating the location of the property in relation to streets, intersections or other
widely recognized features so that the property can be accurately positions. Show a north arrow. Include a scale
or estimate distances where possible.
Prepared by:
Telephone:
Address
Email
Date
(Continued on reverse)
Field Services Bureau • Division for Historic Preservation • New York State Office of Parks, Recreation and Historic Preservation
Peebles Island, P. 0. Box 189, Waterford, NY 12188 • www.nysparks.com/shpo - 518-237-8643
STATE AND NATIONAL REGISTERS PROGRAM
HISTORIC RESOURCE INVENTORY FORM
PLEASE PROVIDE THE FOLLOWING INFORMATION
Narrative Description of Property: Briefly describe the property and its setting. Include a verbal description of the
location (e.g., north side of NY 17, west of Jones Road); a general description of the building, structure or feature
including such items as architectural style (if known), number of stories, type and shape of roof (flat, gabled,
mansard, shed or other), materials and landscape features. Identify and describe any associated buildings,
structures or features on the property, such as garages, silos, privies, pools, gravesites. Identify any known
exterior and interior alterations such as additions, replacement windows, aluminum or vinyl siding or changes in
plan. Include dates of construction and alteration, if known. Attach additional sheets as needed.
Narrative Description of Significance: Briefly describe those characteristics by which this property may be
considered historically significant. Significance may include, but is not limited to, a structure being an intact
representative of an architectural or engineering type or style (e.g., Gothic Revival style cottage, Pratt through -
truss bridge); association with historic events or broad patterns of local, state or national history (e.g., a cotton mill
from a period of growth in local industry, a seaside cottage representing a locale's history as a resort community, a
structure associated with activities of the "underground railroad."); or by association with persons or organizations
significant at a local, state or national level. Simply put, why is this property important to you and the community.
Attach additional sheets as needed.
Revised 9/09
Field Services Bureau • Division for Historic Preservation • New York State Office of Parks, Recreation and Historic Preservation • www.nysparks.com/shpo