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HISTORIC RESOURCE INVENTORY FORM
IDENTIFICATION
Property name(if any)
OFFICE USE ONLY
USN:
Address or Street Location 1865 Trumansburg Road/Route 96
County Tompkins Town/City Ulysses Village/Hamlet: Jacksonville
Owner
Address
Original use Single-family Current use
Architect/Builder, if known
DESCRIPTION
Materials -- please check those materials that are visible
Single-family (in-home business)
Date of construction, if known 1835-1850
Exterior Walls: R1 wood clapboard ❑ wood shingle ❑ vertical boards ❑ plywood
❑ stone ❑ brick ❑ poured concrete ❑ concrete block
❑ vinyl siding ❑ aluminum siding ❑ cement -asbestos ❑ other:
Roof: 13 asphalt, shingle ❑ asphalt, roll ❑ wood shingle ❑ metal ❑ slate
Foundation: ® stone ❑ brick ❑ poured concrete ❑ concrete block
Other materials and their location: See continuation sheet.
Alterations, if known:
Condition:
Explain:
ATTAruRACNITC
See continuation sheet.
Date:
❑ excellent ❑ good [3 fair ❑ deteriorated
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: Katelin Olson
Address Trumansburg, NY
Telephone: 5s5 -5s9 -25n2 Email keo249cornell.edu Date August 2014
(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