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VISHPO Form 2 Buildings Structures

Collection
Research & Technical Reports
Sub-shelf
dpnr.vi.gov
Kind
Research Report
Pages
2
Text
Native Text

THIS COLUMN FOR OFFICE USE ONLY IDENTIFICATION 1. Island: 2. Town or Quarter: Classification:  Building  Structure  Site  Object 3. Address: 4. Assessor’s Parcel No.: 5. Common Name: 6. Other Names: 7. Owner: 8. Owner’s Mailing Address: National Register Status:  Entered Date:__________  Nominated  Eligible  Included within ______________ ______________  District  Thematic Group  Multiple Resource Area   Which is  Entered Date:____________  Nominated  Eligible 9. Present Use: 10. Previous Use(s): 11. Visible From Public Road?: 12. Accessible to the Public? (explain): PHYSICAL DESCRIPTION 13. Style or Building Type: 14. Height in Stories: 15. No. of Bays (front & side): 16. Foundation & First Story (materials & color): 17. Exterior Walls (materials, brick bond, color, etc.): 18. Roof (form, materials, dormers, color): 19. Windows & Doors (including shutters, jalousies, and hardware): NHL/NHS Status:  Designated  Potential 20. Verandahs, Porches, Balconies: NAER Status:  Recorded Date: ___________  Potential 21. …

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Document text

THIS COLUMN FOR  OFFICE USE ONLY  IDENTIFICATION  1. Island:  2. Town or Quarter: Classification:   Building   Structure   Site   Object   3. Address:  4. Assessor’s Parcel No.:  5. Common Name:  6. Other Names: 7. Owner:  8. Owner’s Mailing Address: National Register   Status:    Entered        Date:__________   Nominated   Eligible   Included within    ______________    ______________   District   Thematic Group   Multiple Resource            Area      Which is   Entered         Date:____________   Nominated   Eligible  9. Present Use:  10. Previous Use(s):  11. Visible From Public Road?:  12. Accessible to the Public?  (explain): PHYSICAL  DESCRIPTION  13. Style or Building Type: 14. Height in Stories: 15. No. of Bays (front & side): 16. Foundation & First Story (materials & color):   17. Exterior Walls (materials, brick bond, color, etc.):   18. Roof (form, materials, dormers, color):   19. Windows & Doors (including shutters, jalousies, and hardware):   NHL/NHS Status:    Designated   Potential    20. Verandahs, Porches, Balconies:  NAER Status:    Recorded        Date: ___________   Potential    21. Other Significant Features, Exterior:  Significance:    Local   Regional   National   International    22. Significant Features, Interior:    Priority:  A        B        C  23. Outbuildings and Related Structures (describe each free‐standing structure on a separate form):    Developmental  Constraints:   (SI, M, S, or P)  _____ Earth Changes  _____ Building Re‐use  _____ New Building   24. Context:    25. Condition:  PLEASE SEE REVERSE SIDE  Town or Quarter: Subdistrict: Address or Parcel No.: Name: Date Filed: Site Register Number:  PROJECT:  PROJECT NAME: PROJECT SITE: Save Form Print Form Go to Page 2 THIS COLUMN FOR  OFFICE USE ONLY  HISTORICAL  DESCRIPTION  26. Approx. Date of Construction: 27. Name of Architect or Builder:  Thematic Categories  Applicable:  28. Dates of Known Alterations:  29. Significant Associations:    Condition:    E   G   P   R   A   U    30. Bibliographical Information:  Archeological  Resources:      Prehistoric    Historic    Predicted    Verified            Other Forms  Completed:       Structures    Archaeological    Shipwrecks      PHOTOGRAPH(S)      B&W Negatives:                Prints:              Slides:  SITE PLAN      Prepared by:   Address:  Date:  Photographed by:   Address:  Date:   Go to Page 1