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AWp HISTORIC RESOURCE INVENTORY FORM
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IDENTIFICATION
Property name(if any)
Methodist Parsonage (former)
Address or Street Location 5069 Jacksonville Road
OFFICE USE ONLY
USN:
County Tompkins Town/City Ulysses Village/Hamlet: Jacksonville
Owner
Address
Original use Parsonage Current use Single-family residence
Architect/Builder, if known
DESCRIPTION
Date of construction, if known
ca. 1843
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
[3 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:
ATTA,rLIRACKITC
See continuation sheet.
Date:
❑ excellent ® good ❑ 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