General Instructions: The inventory form is
intended to be a permanent record kept in the files of the Division of Historic
Preservation. Please be sure that all information is as complete and accurate
as possible. Entries should be typed or neatly printed. If an item of
information is not known, enter "unknown" or leave it blank; if the item is not
applicable to the inventoried resource, enter "N/A."
Photographs: One clear, sharp 4" x 6"
black-and-white photograph showing the main facade (if for a building or other
structure) or a general view (if there is not one principal building on the
property) should be attached to the lower left-hand corner of the front of the
inventory form with archivally stable glue. Do not use
staples or clips to attach photos. Any additional photos should be
mounted on a sheet of white bond paper with archivally stable glue, or inserted
into acid-free photo sleeves and clipped to the inventory form.
Maps: Normally, Historic Resource Inventory
forms will be used in conjunction with a map or maps upon which the survey
sequence number (block #14) of each inventoried property will be marked. Rural
properties should be documented on an 8- x 11 photocopy of the pertinent part
of the U.S. Geological Survey (USGS) quadrangle map, with the location of the
property highlighted or circled in color. Properties in towns and cities should
be shown on larger scale maps or, at a minimum, sketch maps. For surveys funded
wholly or partially by MDAH, the map requirements will be stated in the survey
project agreement or instructions. For other survey activities, contact the
Survey and Inventory Manager at the Division of Historic Preservation,
Mississippi Department of Archives and History.
Block-by-block instructions for the Historic Resources
Inventory form:
1.
a.
Property name, historic:
Enter the name by which the property was first known or best-known
historically. For a building without some other historic name, identify it by
the name of the first or best-known occupant. If a newer building has the same
name, put "old" or "former" in parentheses before the name. If no historic name
is known for the property, leave this space black.
EXAMPLES: John W. Jones House; (Old) First National Bank
b.
Property name,
common: Enter the name(s) by which the property is most commonly known
today, or write "same" if the historic name is still used. Other names can be
given in parentheses. If no name is known, identify the property by functional
type: house, commercial building, etc.
2.
Property address/descriptive
location: For properties located in towns, give the street address of
the property. For properties which have only rural route numbers, describe the
location by giving the name of the rural community (if any), the distance and
direction from the nearest town, and the name(s) or number(s) of the nearest
road(s).
EXAMPLE: One mile west of Smithville on Hwy 4 and one-half
mile south on County Road 44.
3.
Legal description (and acreage, if
required): For properties located in towns, give the lot and block
designation, as shown on the deed or tax assessor's maps. For properties
located in rural areas, give the surveyed location as shown on the deed,
including section, township and range.
EXAMPLE: Lot 2 and south 25 feet of lot 4, Block 6, Doe's
Addition.
EXAMPLE: NW 1/4, NE 1/4, NE 1/4, Section 17, Township 6S,
Range 21E.
Ordinarily, this information will be used only for
locational purposes. Therefore, it is not necessary to include the complete
text of a long, complex legal description unless the inventory form is intended
to provide information to be used in an individual National Register
nomination, in which case a full legal description of the specific area to be
nominated should be given here. If the description is too long to fit in the
area provided, include it on an attached sheet titled "Legal description" and
reference the sheet in the box by entering "see continuation sheet."
If the inventory form is intended to be the basis for an
individual National Register nomination, the acreage of the land area to be
nominated is also required. For very small areas, such as an individual
building, an acreage estimate of "less than one acre" is sufficient. For
properties within proposed historic districts, the acreage is not needed.
4.
Former/historic
use(s): Enter the original and/or significant historic use(s) of the
inventoried property: residence, church, retail store, bridge, cemetery,
warehouse, etc.
5.
Present
use(s): Enter the present use(s) of the property. If the property is not
being used, enter "vacant," "ruins," or other description, as appropriate. For
sites, enter the current use of the land: park, cultivated farmland, forest,
etc.
6.
Architect:
Enter the name of the designer (architect, engineer, landscape architect, etc.)
if there was one, and mark whether this information is documented or
attributed. Give the source for this information in block #25. If there was no
designer, leave this block blank.
7.
Builder/Contractor: Give the
name of the builder(s) or contractor(s), if known.
8.
Brief description: Give a
brief description of the resource, to include the following information:
For a building:
a. Number of stories
b. Plan shape (I-plan, H-plan, rectangular,
etc.) or vernacular building form (dogtrot, shotgun, etc.)
c. Exterior wall materials (clapboard, brick,
etc.)
d. Roof shape (gable, hip,
etc.) and materials (tin, asphalt shingles, etc.)
e. Chimney placement (interior, exterior,
center) and number
f. Number and
placement of windows and exterior doors on each floor of the main facade(s)
g. Porch type (wrap-around,
portico, stoop, etc.) and placement (e.g., north side)
h. Types of windows (4/4 wooden
double-hung-sash) and doors (3-light, 2-panel wood door)
i. Any other notable feature(s)
EXAMPLE: A two-story brick I-house with gable roof and end
exterior chimneys. Five 2/2 double-hung-sash windows on second floor over four
identical windows and centered 2-panel door on first floor. Full-width,
single-story gallery with shed roof resting on boxed wood columns. Very intact.
For a structure or object:
a. Type or purpose
b. Materials
c. Size
d. Any other notable feature(s)
EXAMPLE: Iron, single-span, Warren-truss bridge with wood
decking. Roadway is 15' wide and 65' long.
For a landscape feature:
a. Acreage or dimensions
b. Vegetation and use
c. How enclosed or bounded
d. Any other notable feature(s)
EXAMPLE: 200' x 200' cemetery surrounded by chainlink fence.
Well-maintained. Several markers date to the 1880s.
Note: If the resource is described in greater
detail on an attached sheet or in another referenced document, that description
may be cited here instead. In this case, a copy of the referenced document
should be attached.
9.
Outbuildings or secondary
elements: Identify any outbuildings or other structures or notable
landscape features associated with the inventoried resource. For a farmstead,
list the buildings that it comprises. Attach another inventory form for each
structure that has particular architectural or historical interest (see
instructions for block #14), and note attachment(s) in this block.
10.
County: Enter the name of
the county in which the resource is located.
11.
City or town: Enter the name
of the city or town in which the property is located. If the property is in a
rural area, enter the name of the nearest city, town, or post office in the
same county and mark the "vicinity of" box.
12.
Owner's name and address: If
the information is required or is conveniently available, give the name and
address of the current owner of the resource. If it has more than one owner,
write "multiple" and list the owners in block #24 or continue on another sheet
of paper.
This information is not required in all cases. For example,
if the property is to be included within a district of over 50 buildings, the
name of each property owner is not needed. The names of owners of sites of
non-extant properties are not needed. In addition, if the surveyed property is
not intended to be nominated to the National Register, ownership information is
not necessary. However, if it is known to be owned by a public entity such as a
governmental or quasi-public agency, enter the name here.
13.
Was interior surveyed? If
the resource is a building or enclosed structure, indicate whether you examined
the interior by writing "yes," "no," "first story only," "lobby only," etc. If
the resource has no accessible interior space, enter "N/A."
14.
Survey sequence number: When
more than one resource is inventoried as part of a survey, each form should be
given a sequence number. Secondary structures, such as garages or barns, should
be given the same sequence number as the associated major resource, with the
addition of a suffix letter. This sequence number may be used to show location
on any associated maps.
EXAMPLE: A house might have sequence number 23. Its carriage
house, if inventoried, would be numbered 23B. The house itself is understood to
be 23A.
15.
USGS
quadrangle map: Ordinarily field surveyors will only use this block when
conducting surveys of rural areas. In the case of rural surveys using USGS
maps, enter the name of the map which shows the location of the inventoried
resource. (If a 15-minute series map is used, please indicate "15-min."
following the name. Otherwise, the map is assumed to be in the 71/2-minute
series). Be sure to mark the location of the property on the map, numbered with
the property's survey sequence number. For urban surveys, leave this block
blank unless instructed otherwise by the Survey and Inventory Manager.
16.
UTM reference:
Leave this block blank unless instructed otherwise by the Survey and Inventory
Manager.
17.
Date of
construction: Enter the date(s) of construction and mark whether this is
estimated or documented. If it is documented, state the source in block #25. If
estimated, state "circa" or "c." before the date.
18.
Integrity: In pencil, mark
the appropriate box using the following standards for buildings, structures,
and objects:
Very intact: The resource has had few or no
changes since its creation and is being well-maintained.
Some changes: The resource has had some
noticeable changes since its creation, but still retains much of its original
appearance.
Extensive changes: The resource has had many
changes and is significantly altered from its original appearance.
Deteriorated: The resource is standing but is
not maintained or not structurally sound.
Ruins: Only remnants of the resource remain
visible above ground.
No visible remains: No above-ground remains are
visible, either because the site has been cleared or because possible extent
visible remains have been obscured.
Note: For complexes, sites, and landscape
features, check the box which seems most appropriate, or enter "N/A" at the top
of the block.
19.
Dates of changes, if any: Identify and give the dates of any major
changes that have been made to the resource either historically or in the more
recent past.
Moved: The resource has been moved from its
original site
Enlarged/altered: The resource has had
additions or its original style has been altered in some way (for instance, an
addition of a rear wing on a house)
Artificial siding: The building has siding that
is not original or not a replication of the original siding (i.e., vinyl siding
over clapboards, or Masonite over asbestos shingles)
Replaced windows/doors: The windows or doors
(exterior) have been replaced
Enclosed/altered porch: The porch has been
either wholly or partially enclosed or has been altered in some way (for
example, the original wood deck has been replaced with an on-grade concrete
slab).
Storefront alterations: The original storefront
has been replaced or altered with some other materials or style.
20.
Architectural character
or style: If the building has an identifiable architectural character or
style, enter it here. If not, leave this block blank. If you are not sure,
enter the tentative answer lightly in pencil, or consult the Survey and
Inventory Manager.
21-22. Leave
blank unless instructed otherwise.
23.
Historical information: Use
this block to provide general historical information about the property or to
explain any historical or architectural importance. Sources for this
information, such as books, diaries, or interviews, should be listed in block
#25.
EXAMPLES:
1. This
was the home of U.S Senator John D. Doe from 1890 until his death in 1920.
2. This building served as the
first courthouse of Brigg County from 1840 to 1856.
3. This house is an exceptionally intact
example of a dogtrot log house, one of very few remaining in the country.
4. This house is typical of the
houses built in the First Street neighborhood during the early period of the
town and thus contributes to the character of the neighborhood.
5. This building is an exceptionally
accomplished example of Greek Revival design.
6. Although it has been greatly altered, it
is the only surviving ante-bellum commercial building in the town.
7. First owned by J.W. Smith (?), an
attorney. Purchased in 1895 by J.G. Doe, owner of Doe Livery Stable. Doe died
in 1920. His wife Jane resided here until her death in 1930, when the house was
inherited by their son J.L. Doe. His daughter Mary Doe Jones acquired the house
in 1965.
8. Henderson's Dry Goods
Store was located here from 1880 to 1910, when the building became a feed
store. It has had a variety of commercial uses in recent years.
24.
Additional remarks or
continuation of other sections: Use this block to continue information
from other blocks or to add relevant remarks that do not fit anywhere else.
25.
Sources of
information: Identify the sources of any specific information about the
property, including interviews (give name of informant and date of interview),
newspaper articles, and books. Also mention sources of information on or at the
property, such as cornerstones or historical markers.
26.
Sketch of building plan or site
plan: Sketch a plan of the building, showing building shape, windows,
chimneys, and exterior doors. If interior was surveyed, include interior plan.
If relevant, sketch the site, showing distance and direction to major roads,
positions of outbuildings, and a north arrow. A copy of a Sanborn map that
depicts the property may be attached if one is available.
27.
Photographer or photo
source: Enter the name of the person(s) who took the attached
photograph(s). If the negatives for the photographs are to be kept in some
location other than the MDAH offices, give the location of these negatives.
28.
Photo roll and frame
number(s): Enter the roll and frame number for the photographs. If the
negatives are to be kept at the MDAH offices, consult with the Survey and
Inventory Manager before assigning roll numbers. If the negatives are to be
stored in some other location, enter the numbers assigned to the rolls at that
location.
29.
Photo
date: Enter the date the photographs were taken.
30.
Inventory form completed by:
Give your name and, if applicable, the organization for whom you are completing
the survey or inventory form.
31.
Survey project name: If the inventory is part of a survey project,
give the project's name. If not, leave this block blank.
32.
Date form completed: Give
the date the inventory information on the form was compiled.
33.
Evaluation: Leave blank
unless instructed otherwise. The National Park Service requires that all
properties identified in a fully documented survey be evaluated for eligibility
for listing in the National Register of Historic Places. In order to insure
consistency in the evaluation of historic resources, this evaluation will
normally be completed by MDAH staff. In certain cases, qualified field
surveyors may be authorized to conduct evaluations.
Any questions about the use of the Historic Resources
Inventory form or about the procedures for conducting an historic resources
survey should be directed to the Survey and Inventory Manager at the Division
of Historic Preservation.