GEOGRAPHICAL DATA ACREAGE OF NOMINATED PROPERTY VERBAL BOUNDARY DESCRIPTION FORM PREPARED BY NAME / TITLE STREET & NUMBER CITY OR TOWN 12 STATE HISTORIC PRESERVATION OFFICER CERTIFICATION THE EVALUATED SIGNIFICANCE OF THIS PROPERTY WITHIN THE STATE IS: NATIONAL _ As the designated State Historic Preservation Officer for the National Historic Preservation Act of 1966 (Public Law 89-665). 1 hereby nominate this property for inclusion in the National Register and certify that it has been evaluated according to the criteria and procedures set forth by the National Park Service. STATE HISTORIC PRESERVATION OFFICER SIGNATURE FOR NPS USE ONLY KEEPER OF THE NATIONAL REGISTER GPO 888-445 216-721-5722 CODE COUNTY TELEPHONE ORGANIZATION DATE ZONE Cleveland Ohio NORTHING STATE LOCAL History of Geauga and Lake Counties (Philadelphia, 1878), 234.
Western Reserve Historical Society State Historic Preservation Officer September 1975 UTM REFERENCES ZONE EASTING less than one Atlas of Lake and Geauga Counties (1874), 27. Oct. 9, 1975 LIST ALL STATES AND COUNTIES FOR PROPERTIES OVERLAPPING STATE OR COUNTY BOUNDARIES SINCLUDED IN THE NATIONAL REGISTER Michael W. Fazio, Old Mentor Foundation, Mentor, Ohio. Richard Campen, 10825 East Boulevard 23.76 14,612,318,6,01 12, 9,75 WORKING NUMBER Lake CONTROL REVIEW ARCHITECTURAL HISTORIAN ARCHEOLOGIST Entered KEEPER Re-submit Send-back MAPS National Register Write-up HISTORIAN BRANCH CHIEF Federal Register entry TECH REVIEW REVIEW UNIT CHIEF already on Form No. 10-300 (Rev.
10-74) UNITED STATES DEPARTMENT OF THE INTERIOR NATIONAL PARK SERVICE NATIONAL REGISTER OF HISTORIC PLACES INVENTORY -- NOMINATION FORM DATE ENTERED SEE INSTRUCTIONS IN HOW TO COMPLETE NATIONAL REGISTER FORMS TYPE ALL ENTRIES -- COMPLETE APPLICABLE SECTIONS AND/OR COMMON STREET & NUMBER _NOT FOR PUBLICATION CITY.
TOWN CONGRESSIONAL DISTRICT - VICINITY OF PRESENT USE -WORK IN PROGRESS X PRIVATE RESIDENCE PUBLIC ACQUISITION _IN PROCESS YES: UNRESTRICTED _BEING CONSIDERED 2 - MILITARY OWNER OF PROPERTY 5 LOCATION OF LEGAL DESCRIPTION REGISTRY OF DEEDS, ETC 47 North Park Place REPRESENTATION IN EXISTING SURVEYS DEPOSITORY FOR SURVEY RECORDS 085 039 Madison LOCATION Painesville CODE DATE CLASSIFICATION DISTRICT Ohio ENTERTAINMENT STATE TITLE ACCESSIBLE PRIVATE OWNERSHIP COUNTY CATEGORY EDUCATIONAL SCIENTIFIC BOTH HISTORIC RELIGIOUS SITE AGRICULTURE NAME PUBLIC Lake Lake County Courthouse PARK COURTHOUSE. STATUS _TRANSPORTATION River Street _GOVERNMENT _UNOCCUPIED DATA SHEET _OBJECT X_BUILDING(S) FOR NPS USE ONLY _COMMERCIAL _INDUSTRIAL -STRUCTURE - MUSEUM _OTHER: RECEIVED JUN 1 8 1976 Winans, Dr. J. C., House 11 - J. William Stanton _FEDERAL STATE COUNTY LOCAL Spaulding, Gladys C. and George W.
XNO EXCELLENT * ORIGINAL SITE X GOOD DESCRIBE THE PRESENT AND ORIGINAL (IF KNOWN) PHYSICAL APPEARANCE the porch columns, balusters, and the spindles that form the lower and curved shingles, the organic relief in the porch gable and the tradition says that it is the former cupola, but if so, the parts have woodwork in various sawn, turned and gouged patterns remains. The altered to make three windows. Across the hall, the front parlor still the old kitchen, which has undergone some modifications, and the old woodshed, now enclosed. On the second floor are three bedrooms individual floral motifs. CONDITION DETERIORATED DESCRIPTION MOVED FAIR was removed. A porch extends across the full width of the facade, of the entry is the former doctor's office.
The original mahogany XALTERED This is a two-and-a-half story frame house with characteristics small amount is carved and gouged.The lathe-turned elements include and a former ballroom with a large framed opening connecting to an The most extraordinary feature of the building is its decorative mill- orchestra podium.Woodwork around doors and windows consists of combinations of jigsaw and lathe work.Also jigsawn are the pointed pedimented heads of the windows. The porte-cochere is a Victorian Eastlake fantasy utilizing the same kinds of millwork.The oral the second floor.Newel and balusters are lathe turned.To the right has the original single "picture" window. In the rear parlor, parquet vertical and horizontal molding with corner blocks decorated with Above the central entry is a stained glass transom.The doorway been very freely worked.
of both the Victorian Italianate and Eastlake styles.Basically it is a leads to a vestibule where a straight run of mahogany stairs rises to large square house with a smaller wing extending to the rear (east). front wall in this room once had a single large window which has been CHECK ONE UNALTERED a light fixture hangs.To the north of this room is the wing which work. The majority of it is lathe turned, some is jigsawn, and a DATE. - UNEXPOSED _RUINS The main portion of the house has a wide bracketed frieze with drop pendants. There is a gable at the center of each elevation and a projecting bay in the center of the facade.
According to oral tradition there was originally a cupola at the center of the hipped roof which large ceiling rosette in a pattern of concentric circles from which flooring can be seen which is typical throughout the house, plus a was once part of an older house.Directly behind the stairway is AREAS OF SIGNIFICANCE -- CHECK AND JUSTIFY BELOW PREHISTORIC _COMMUNITY PLANNING -LANDSCAPE ARCHITECTURE SCULPTURE _OTHER (SPECIFY) SPECIFIC DATES STATEMENT OF SIGNIFICANCE 1700-1799 ARCHEOLOGY-HISTORIC PERIOD and being "a rising member of the profession." ART BUILDER/ARCHITECT SIGNIFICANCE AGRICULTURE MILITARY PHILOSOPHY 1400-1499 LITERATURE INDUSTRY _POLITICS/GOVERNMENT _EXPLORATION/SETTLEMENT _TRANSPORTATION XARCHITECTURE flamboyant expression of Victorian design or more exuberant use of the ARCHEOLOGY-PREHISTORIC Traditionally, the older rear part of the house was built by _COMMUNICATIONS Eastlake style in Lake County, Ohio.
According to Campen, no more and Winans families. _INVENTION SOCIAL/HUMANITARIAN This house is considered the most outstanding example of the lathe and jigsaw can be found in northeastern Ohio."In addition, the _EDUCATION Eastlake portion of the house around the older section at a date -1500-1599 was living in the house at least as early as 1874.He built the major - ENGINEERING _1600-1699 _CONSERVATION _ECONOMICS, It was moved to the present site around 1868-1870.Dr.J.C.Winans _SCIENCE X1800-1899 _COMMERCE -RELIGION -THEATER _1900- -MUSIC -LAW variously estimated from 1876 to around 1880. In 1878 Dr. Winans MAJOR BIBLIOGRAPHICAL REFERENCES History of Geauga and Lake Counties (Philadelphia, 1878), 234.
10 GEOGRAPHICAL DATA less than one ACREAGE OF NOMINATED PROPERTY UTM REFERENCES FiNd NORTHING VERBAL BOUNDARY DESCRIPTION LIST ALL STATES AND COUNTIES FOR PROPERTIES OVERLAPPING STATE OR COUNTY BOUNDARIES 11 FORM PREPARED BY NAME / TITLE September 1975 STREET & NUMBER CITY OR TOWN 12 STATE HISTORIC PRESERVATION OFFICER CERTIFICATION NATIONAL - As the designated State Historic Preservation Officer for the National Historic Preservation Act of 1966 (Public Law 89-665). I hereby nominate this property for inclusion in the National Register and certify that it has been evaluated according to the criteria and procedures set forth by the National Park Service.
STATE HISTORIC PRESERVATION OFFICER SIGNATURE State Historic Preservation Officer FOR NPS USE ONLY DATE APR 2 6 1976 DATE APR 28 1976 KEEPER OF THE NATIONAL FEGISTER 216-721-5722 ORGANIZATION TELEPHONE CODE DATE Ohio Cleveland COUNTY LOCAL STATE Western Reserve Historical Society ATTEST: ZONE EASTING Atlas of Lake and Geauga Counties (1874), 27. Eric Johannesen, Preservationist Oct. 9, 1975 GPO 888-445 THE EVALUATED SIGNIFICANCE OF THIS PROPERTY WITHIN THE STATE IS: T HEREBY CERTIFY 1 E NCLUDED IN THE NATIONAL REGISTER ZONE 10825 East Boulevard Michael W. Fazio, Old Mentor Foundation, Mentor, Ohio. [4,612.318,60] Photos 3 ARCHITECTURAL HISTORIAN Inventory - REVIEW UNIT CHIEF Send-back 2,24,74 IN T:2106-74 OTHER KEEPER HAER TECHNICAL CONTROL Review Re-submit ARCHEOLOGIST Maps Federal Register Entry State National Register Write-up BRANCH CHIEF Working Number/2. 9.
75, 12.15.75 Thio HISTORIAN Entered United States Department of the Interior National Park Service WAso No. 7 4-22-26 1 -APR 2 6 1976 6-1-76 PROPERTY OF THE NATIONAL REGISTER Form No. 10-301a (Rev. 10-74) UNITED STATES DEPARTMENT OF THE INTERIOR NATIONAL PARK SERVICE NATIONAL REGISTER OF HISTORIC PLACES JUN 1 8 1976 PROPERTY PHOTOGRAPH FORM DATE ENTERED TYPE ALL ENTRIES -- ENCLOSE WITH PHOTOGRAPH Winans, Dr. J. C., House AND/OR COMMON CITY, TOWN _VICINITY OF DATE OF PHOTO NEGATIVE FILED AT DESCRIBE VIEW. DIRECTION, ETC. IF DISTRICT, GIVE BUILDING NAME & STREET GPO 892.454 1975 Madison Ohio LOCATION HISTORIC IDENTIFICATION RECIEVED PHOTO CREDIT STATE Western Reserve Historical Society E. Johannesen West facade, looking east. PHOTO REFERENCE NAME PHOTO NO.
SEE INSTRUCTIONS IN HOW TO COMPLETE NATIONAL REGISTER FORMS COUNTY Lake FOR NPS USE ONLY PROPERTY OF THE NATIONAL REGISTER Form No. 10-301a (Rev. 10-74) UNITED STATES DEPARTMENT OF THE INTERIOR NATIONAL PARK SERVICE JUN 1 8 1976 NATIONAL REGISTER OF HISTORIC PLACES PROPERTY PHOTOGRAPH FORM TYPE ALL ENTRIES -- ENCLOSE WITH PHOTOGRAPH AND/OR COMMON CITY, TOWN VICINITY OF DATE OF PHOTO DESCRIBE VIEW. DIRECTION, ETC. IF DISTRICT. GIVE BUILDING NAME & STREET PHOTO NO GPO 892-454 Madison Ohio 1975 Lake IDENTIFICATION COUNTY RECIEVED STATE LOCATION West and south elevations, looking northeast. Western Reserve Historical Society PHOTO REFERENCE PHOTO CREDIT E. Johannesen DATE ENTERED SEE INSTRUCTIONS IN HOW TO COMPLETE NATIONAL REGISTER FORMS NEGATIVE FILED AT NAME FOR NPS USE ONLY HISTORIC Winans, Dr. J. C., House PROPERTY OF THE NATIONAL REGISTER Form No. 10-301a (Rev.
10-74) UNITED STATES DEPARTMENT OF THE INTERIOR FOR NPS USE ONLY NATIONAL PARK SERVICE NATIONAL REGISTER OF HISTORIC PLACES JUN 1 8 1976 PROPERTY PHOTOGRAPH FORM TYPE ALL ENTRIES -- ENCLOSE WITH PHOTOGRAPH Winans, J. Co, House AND/OR COMMON CITY. TOWN VICINITY OF PHOTO REFERENCE DATE OF PHOTO NEGATIVE FILED AT DESCRIBE VIEW. DIRECTION, ETC. IF DISTRICT, GIVE BUILDING NAME & STREET GPO 892-454 1975 Madison IDENTIFICATION Ohio COUNTY Lake STATE HISTORIC LOCATION Western Reserve Historical Society RECIEVED PHOTO CREDIT E. Johannesen DATE ENTERED SEE INSTRUCTIONS IN HOW TO COMPLETE NATIONAL REGISTER FORMS PHOTO NO. NAME Porte-cochere, looing east. east. Form No.
10-301 UNITED STATES DEPARTMENT OF THE INTERIOR FOR NPS USE ONLY NATIONAL PARK SERVICE NATIONAL REGISTER OF HISTORIC PLACES PROPERTY MAP FORM SEE INSTRUCTIONS IN HOW TO COMPLETE NATIONAL REGISTER FORMS TYPE ALL ENTRIES -- ENCLOSE WITH MAP AND/OR COMMON CITY, TOWN VICINITY OF COUNTY Lake MAP REFERENCE TO BE INCLUDED ON ALL MAPS 1. PROPERTY BOUNDARIES 2. NORTH ARROW 3. UTM REFERENCES INT: 34 64 - 75 Madison LOCATION REQUIREMENTS RECEIVED DATE SCALE 1:24000 HISTORIC STATE NAME SOURCE Ohio JUN 1 8 1976 Winans, Dr. J.C., House DATE ENTERED 7.5 MINUTE SERIES (TOPOGRAPHIC JUN 1 8 1976 UNITED STATES MADISON QUADRANGLE MADI8ON,OHIO DEPARTMENT OF THE INTERIOR DEPARTMENT OF NATURAL RESOURCES DEPARTMENT OF HIGHWAYS STATE OF OHIO GEOLOGICAL SURVEY Unimproved dirt DEC 9 December 4, 1975 Dr.
William Murtagh, Keeper National Register of Historic Places Department of the Interior National Park Service 18th & C Streets, N.W. Dear Dr. Murtagh: Enclosed you will find Xerox copies of the National Register nominations for: Rock Mill Covered Bridge, Fairfield County; Dr. J.C. Winans House) Lake County; St. Luke's Episcopal Church, Licking County; Mary Worthington Macomb House, Ross County; Ox- ford Female Institute, Butler County; Jones-Cutler House, Pike County and Colerain Works Archaeological District, Hamilton forwarded to Washington on October 9th with five other nomin- ations are found or replaced with new originals. Thomas H.
Smith State Historic Preservation Officer Director, Ohio Historical Society Ohio Historical Center I-71& 17th Avenue Columbus, Ohio 43211 (614) 466-8727 Sincerely, REGISTER RECEIVED enclosures: NATIONAL Ohio Historic Preservation Office County.The original niminations with photos and maps were your office for further processing until the misplaced nomin- Mott requested these nominations be Xeroxed and forwardedto THS : jp Washington, D.C. 20240 1975 Marguerite Winans, Dr. J. C., House Dunlap Vicinity St. Luke's Episcopal Church Maconb, Mary Worthington, House Hon. Thomas N. Kindness Hon. J. William Stanton CPR:MMott: cam:4/26/76 Location Ross County STATE Oxford Name Hon. Donald D.
Clancy Jasper Date Entered Madison Lake County State Historic Preservation Officer Colerain Works Archeological District Jones-Cutler House Chillicothe Regional Director, Midwest Region Butler County Also Notified Licking County ENTRIES IN THE NATIONAL REGISTER Hon. Robert Taft, Jr. Rock Mill Covered Bridge Director, The Ohio Historical Society Hon. John M. Ashbrook Hon. Clarence E. Miller Interstare /l at 17th Avenue Hon. Willian H. Harsha Granville Oxford Female Institute Hamilton County Dr. Ihionas H. Smith 0DR 2 6 1976 June 10, 1976 Dr. William Murtagh, Keeper Department of the Interior 18th & C Streets, N.W. Washington, D.C. 20240 Dear Dr. Murtagh: of these forms were thought to have been sent to your office on October 9th, 1975 copies were subsequently mailed as temporary replacements and, at this date, all of the properties have been placed on the Register.
for reasons unknown, sent them to our archives where they were dutifully cataloged. We regret the inconvenience this has caused you and have taken these original nominations, photographs, and maps as replacements for the Thomas H. Smith State Historic Preservation Officer Director, Ohio Historical Society Colerain Works Archaeological District, Hamilton Co. Jones-Cutler House, Pike Co. Oxford Female Institute, Butler Co. Macomb, Mary Worthington, House, Ross Co. St. Luke's Episcopal Church, Licking Co. /.Dr. J.C. Winan's House, Lake Co. Rock Mill Covered Bridge, Fairfield Co. Brunswick. Town Hall and School, Medina Co. Sincerely, REGISTER enclosures: RECEIVED THS/g1k NATIONAL Dhio Historic Preservation Office National Park Service Xerox copies you presently have.
along with a letter of transmittal and three emergency nominations.Your Transmitted herewith are eight completed National Register forms.All National Register of Historic Places hio Historical Center i-71& 17th Avenue Columbus, 0hio 43211 (614) 466-8727 The nominations, it turns out, were never sent to your office. Our mailroom, steps to see that this type of error does not happen again. Please accept- July 20, 1977 Dr. William Murtagh, Keeper National Register of Historic Places Department of the Interior National Park Service 18th & C Streets, N.N. Washington, D.C. 20240 Dear Dr.
Murtagh: It has come to our attention that there are several changes which we requested be made in our National Register records in September of Johnson's Island Civil War Prison & Fort, Ottawa Co.: The cemetery is owned by NPS as stated, but the remainder of the district is owned by 143 River St., Madison, Ohio 44057. Rd., N. Fairfield, Oho 44855. PROPERTIES MOVED Note also that the notification read Kirkland, not Kirtland; please change records. National Register. Davis, Anson, House, Franklin Co.: location should read Dublin vicinity. Davis, Samuel, House, Franklin Co.: location should read Columbus vicinity. OTHER CHANGES: Dhio Historic Preservation Office Ohio Historical Center I-71 & 17th Avenue Columbus, 0hio 43211 (614) 466-8727 Johnson's Island, Inc; the form reflected only the private ownership.
CHANGES OF OWNERSHIP: properties which have been demolished and should be removed from the Roland of your staff and she suggested that we write to you again J.C.Winan's Home,Lake Co.:new owner -Mr. Mrs.William D.Smith, Phoenix Mills,Huron Co.:new owner -Ardin McClish.,Rt.1 Box 93,Mill and request that the necessary changes be made. There are four Kirtland, Jared P., House, Mahoning Co. Move was authorized on Aug. 1976. 1976 which have not been taken care of. We have ta.ked with Mrs. July 20, 1977 Brown, John, Tannery, Portage Co. Demolished June, 1976 Brunswick Town Hall, Medina Co. Demolished September, 1976 Sayler House, Hamilton Co. Demolished June, 1975 Director, Ohio Historical Society Sincerely, Murtagh THS/g1k DEMOLISHED PROPERTIES State Historic Preservation Officer and page 2 Leonard Schlater House (part of Ohio City Preservation District), Thomas H.
Smith our files every 6 months. triet Columbus, Ohio 43211 1. No. 4. Present Name(s) 5. Other Name(s) 3. Location of Negatives 6. Specific Location 16. Thematic Category 28. No. of Stories 29. Basement? Yes M 17. Date(s) or Period ca. 1880 30. Foundation Material 7. City or Town If Rural, Township & Vicinity 18. Style or Design 31. Wall Construction 8. Site Plan with North Arrow 19. Architect or Engineer wood frame 32. Roof Type & Material 20. Contractor or Builder 33. No. of Bays Side 3 21. Original Use, if apparent 34. Wall Treatment 22. Present Use 35. Plan Shape rectangular 23. Ownership 36. Changes Addition O Private X 9. Coordinates Altered O in #42) 24. Owner's Name & Address, Moved O if known 37. Condition U.T.M. Reference 25. Open to 38. Preservation Site O Structure O Object O 26. Local Contact Person or Organization Endangered? 11. On National By What? 27.
Other Surveys in Which Included 13. Part of Estab. Yes O District 40. Visible from Hist. Dist.? 15. Name of Established District 41. Distance from and 30' x 75 42. Further Description of Important Features Unusually elaborate Eastlake ornament; veranda with turned Dr. Winans turned pendants; window pediments with incised pattern; medal- 43. History and Significance 44. Description of Environment and Outbuildings 45. Sources of Information 46. Prepared by 47. Organization 48. Date 49. Revision Date(s) Easting excellent residence County Soc. Front Exterior Zone clapboard Northing WRHS stone LAK-63-7 Places Register? William Smith Ohio Historical Center Underway? Lake hip shingle Lat. 2-1/2 Long. Ohio Historic Preservation Office Madison Hist. (Explain Eligible? Madison Quadr. SAXTON National Register of Historic Architecture-l9th century painting since 1977.
the older rear part was built by Lemuel Kimball, original settler of the township. posts, spindle frieze, pierced rosettes; eaves brackets with Village street with many good houses on narrow lots. Michael Fazio, Old Mentor Foundation, Mentor, Ohio. Architecturally an unusually fine example of late Victorian ornamentation. OHIO HISTORIC INVENTORY Interior 143 River Street 7/75 E. Johannesen Lot 52, E. Harvey's Survey, less than one acre. major Victorian portion of the house sometime between 1876and 1880. Traditionally, Frontage on Road Public Road? Potent'l? RIVER ST. lions, dentils, porte-cochere with turned open-work and pen- History of Geauga and Lake Counties (Phila., 1878), 234. House Photo Atlas of Lake and Geauga Counties (1874), 27. an extensive practice and was a rising member of the profession.He built the Winans, Dr. J.
House Winans lived in this house as least as early as l874.He had Photos - OTHER CONTROL TECHNICAL KEEPER HAER Maps Entered HISTORIAN ARCHEOLOGIST Send-back 2.3.81 Re-submit State National Register Write-up United States Department of the Interior-Heritage Conservation and Recreation Service Federal Register Entry Working Number 4-15-80 1138 6-2.80 21. 143 River Street APR 1 5 1980 Historic Resources of Madison 1979 Rick Keyse Madison H.S. Madison Multiple Resource ARea Lake County, Ohio Multiple Property Cover Sheet Please refer to the map in the for this property Multiple Property Cover Sheet Reference Number: 64000634 2 OTHER NAMES: 4 county code: COSTATE - FEDERAL " state who prepared form? 2) WITHIN NATIONAL HISTORIC LANDMARK?
OO YES, NAME 1 CONDITION O deteriorated 17) features: @SUBSTANTIALLY INTACT -2 Dexeellent 2m NOT INTACT-O Dunexposed - Unknown -unexcavated Z0 NOT APPLICABLE -7 IS PROPERTY A HISTORIC DISTRICT?
Dyes Ono 2 AREAS OF SIGNIFICANCE : 2CLAIMS: explain -RECREATION -28 CARCHEOLOGY -prehistoric-2 C LAW- 16 C RELIGION-22 D SETTLEMENT-29 -ARCHEOLOGY -historic-1 - COMMUNICATIONS-1 - LITERATURE - 17 - SCIENCE- 23 'oldest' O - CONSERVATION - 8 C HEALTH-27 - MILITARY - 18 ARCHITECTURE- L ECONOMICS-9 C INDUSTRY- 13 - MUSIC - 19 - SOCIAL / CULTURAL - 30 'only' D CART-5 C EDUCATION-10 C INVENTION - 14 - PHILOSOPHY -20 - TRANSPORTATION -25 WHEN HISTORICALLY SIGNIFICANT: house 3architectural style(s): @master bulider: 1 Interior decorator: EVENTS : CE IF ADDITIONAL SPACE NEEDED, NUMBER& PUT ON REVERSEW county ASSOCIATION ETHNIC GROUP INSTITUTIONAL: 085 ENTERTAINMENT-26 ENGINEERING-11 ACREAGE CURRENTLY: historic events: COMMERCE-6 URBAN PLANNING-31 NATIONAL REGISTER DATA SHEET ADMINISTRATOR: NATIONAL REGISTER WRITE-UP PRIVATE ORGANIZATION Dgood 4-26-76 as it apppars on federal register: vicinity of SAVED?YES Bfunctions NAMES give role & date Doriginal site EXPLORATION-12 of entry: GNPS REGION: 12SOURCE Of NOMINATION Oruins "first'O Madison Mid west 5O UNKNOWN-6 @artist: -LANDSCAPE ARCH.- 15 C POLITICS / GOVT.- 21 landscape architect/ garden designer: AGRICULTURE-3 Dreconstructed 3artisan: 2architect: Daltered No Access Dmoved House Ofair CONGRESS.DISTRICT Tess Johannecen ---T120T.
Restr icted +05a. Vicinity State code Q Hf Ob jects Field may be left blank if information is not given. multiple nome from p. 2. 12-19-84 Date Sites County List This field should be left blank. Stop City Public (local) tll. No. of Contr ibut ing Non-contr ibut ing Bui ldings NATIONAL REGISTER OF HISTORIC PLACES DATA OOLLECTION FORM Public (State) State Public (Fedetal) Star Ownet ship: t0la. Control No. Stiuctures Resoul ce Type (B. D, S, U, O) Resour ce Name P Pivate +12. Federal Agency Other Nane/Site Nunber page 2 of 4 +19a. Othet Certification Dates Field may be left bland if information is not given. Mandatory data element; field wust be filled in. 12-19-84 Federal Local S State Multiple Nane This field should be left blank. *13. Nan/Det Type S -- T120) t19. Curtent Certification tl6. Nan.Nane/Designations NaninatoL Other NPS Patk Nane 22.
Construction Materials Funct ion/Subfunct ion Codes Other Description Criteria Consideration Pet iods of Significance 20/20a. 12-19-84 30. Cultual Affiliation Arch Style Applicable Criteria *24. Level of Significance This field should be left blank. 0301_ +29a. Specific Significant Yeats * Mandatory data element that must be completed. Data element that may be left blank if information is not given. +25a. Foundation Roof Walls Other Significant Petson's Nane 132. Other Docurentatiort *33. Acreage - - Mandatory data element; field wust be filled in. DOE 12-19-84 NHL 32a. This field should be left blank. *34. UIM Cooldinates 32b. HAER/NO. +0l.Reference Nunber HABS/NO.