NEVADA

 

 

STATE HISTORIC PRESERVATION OFFICE

 

 

HISTORIC RESOURCES

 

 

INVENTORY FORM

 

 

 INSTRUCTIONS

 

 

 

 

 

 

 

 

 

State Historic Preservation Office

100 N. Stewart Street

Carson City, NV 89701

 

May 2003

 

 

NEVADA STATE HISTORIC PRESERVATION OFFICE

HISTORIC RESOURCES INVENTORY FORM

INSTRUCTIONS

 

Copies of the Historic Resources Inventory Form can be obtained from the Nevada State Historic Preservation Office.  Each resource requires a separate form.  If there are associated structures, such as a garage or shed, please indicate this on the form under Section 9(H), and include the Associated Structure/Feature Form with your submission.  Several sections of this form require continuation sheets.  Please indicate the resource name and location, section number, and page number on each continuation sheet.  Always use factual information.  If you must provide an estimate of name, date, etc., please so indicate.  If spaces are left blank, please insert “N/A” or “Unknown.”   To complete the form, follow the instructions below:

 

1.  Property Name

1A. Historic Name: use the original name of the building, if known.  For houses, use the name of the original owner (e.g., Smith, John, House).  In cases where the original owner was not the principal long-term occupant or there were multiple long-term historic owners, combine the last names of the original owner and subsequent owners with a hyphen (e.g., Smith-Johnson-Tyler House).  For non-residential buildings, use the historic name of the building, usually the name of the business or institution that first occupied the building (e.g., Commercial Bank Building, Southside School, etc.).

 

1B. Current/Common Name:  List the current/common name of the building, if applicable.  If not applicable, enter street address.

 

2.  Property Address

Enter the complete address, state, zip code, and county.

 

3.  Owner Name and Address

3A. Original Owner:  Provide the name of the original owner(s).

 

3B. Current Owner:  Provide the name and mailing address of the current owner, and the current Assessor’s Parcel Number.

 

4.  Current Property Status

Indicate the appropriate property status.  If other, please specify.

 

5.  Property Use

5A. Current Use: indicate all categories that apply.  If other, please specify.

 

5B. Historic Use: indicate all categories that apply.  If other, please specify.

 

6.  Current Access

Indicate current access.  If other, please specify.

 

7.  Acreage

Enter the total acreage of the property.  If estimated, so indicate.

 

8.  Property Location

8A. UTM Location/Reference:  if the property comprises fewer than ten acres, list one UTM reference. If ten or more acres, list at least three UTM references that approximately encompass the property.  Refer to National Register Bulletin 28, Using the UTM Grid System to Record Historic Sites, for assistance.

 

8B. Township/Range/Section: indicate the township, range, and section from the appropriate USGS           7.5-minute quadrangle.  Provide the map name and date.

 

9.  Resource Description

9A. Resource Type: indicate the category that best describes the resource.  If other, please specify.  If the resource is a historic district, submit the Historic District Addendum, an inventory form describing the district as a whole, and a separate form for each contributing element of the district.

 

9B. Exterior Resource Features: indicate all elements that apply to the resource.  If other, please specify.

 

9C-F. Materials and Systems: select from the lists in Appendix A, all materials and systems codes that apply to the resource.

9G. Written Description: continuation sheets must be used to complete this section.  Be sure to mark all sheets with the property name, section number, and page numbers.  Begin the description with a summary paragraph that creates a rough sketch of the building and its site.  Use subsequent paragraphs to fill in the details following the outline established in the summary paragraph.  Describe the building in a logical sequence—from the ground up, façade by façade, from the exterior to the interior.  Also, clearly delineate between the original appearance and current appearance.  Include a general description of the setting, threats to the resource, and its current condition.

9H. Associated Structures/Features: indicate the presence of associated outbuildings and landscape features on the inventory form, and briefly describe each on the Associated Structures/Features Summary Form.

9I. Integrity: select from the provided fields the items that best describe the resources integrity.  Include the date(s) of alterations or when resource was moved.  If not known, so indicate.  If a continuation sheet is used, make sure to reference the section and page numbers.

9J. Condition: select the category that best describes the resource’s current condition. Discuss this in more detail in the Section 9(G).

 

9K. Threats:  list any long- or short-term threats to the resource.  Discuss these in more detail in Section 9(G).  If there are no current identified threats to the property, so indicate.

 

10.  Resource Data and Significance

10A. Architect/Engineer/Designer: enter the name(s) in the space provided.  If unknown, so indicate. Refer to the State Comprehensive Preservation Plan for a list of design professionals identified in Nevada history.

10B. Builder/Contractor: enter the name(s) in the space provided.  If unknown, so indicate.  Refer to the State Comprehensive Preservation Plan for a list of builders identified in Nevada history.

10C. Architectural Style/Period: select from the list in Appendix B the architectural style and period

most applicable to the resource.  If other, please specify.

 

10D. Construction Date(s): enter the date(s) in the space provided.  If estimated (circa), so indicate.

 

10E. Date(s) of Significance: enter the date(s) of significance in the space provided.  If unknown, so indicate.  Refer to National Register Bulletin 16A for assistance with this section.

 

10F. Historic Resource Theme: select from the list provided in Appendix C the appropriate        

historical theme(s) identified in the Nevada Comprehensive Preservation Plan.

 

10G. National Register Eligibility: select from the provided fields the items that best describe the resource’s National Register eligibility.  If other, please specify.  Refer to Appendix D for the National Register eligibility criteria.

 

10H. Justification: this section requires the use of continuation sheets.  Be sure to label each page with the resource name, section number, and page number.  In narrative form, provide justification for the eligibility category chosen in Section 10(G).  Refer to National Register Bulletin 15 and 16A for assistance.

 

11.  Bibliography

Using properly labeled continuation sheets, provide a complete bibliography of sources.  Be sure to include title, author, publisher’s name, and date and place of publication for all sources.  Also include map references and primary sources.

 

12.  Form Information

Complete all fields in this section.

 

13.  Attached Documentation

Indicate with check marks attachments provided with the inventory form.  Continuation sheets for Sections 9(G), 10(H), and 11, photographs, site location maps, and plans are minimum requirements.  Other forms of documentation are encouraged, however.

 

Continuation sheets—all continuation sheets must include the resource name, section number, and

page number.

 

Photographs—a minimum of two views that accurately depict the resource (e.g., a view of the main elevation and of the contextual setting) are required.  Digital images printed in black-and-white may be imbedded in the form or attached on a separate sheet of paper.  Provide the following information for each photograph:

 

                                                                Name of the property, street address, and county

Date of the photographer

                      Description of the view indicating the direction of the camera

 

                        Contact sheet labeled with roll number and project name

                        Black-and-white negatives in archival sleeves labeled with roll number and project name

                        Photo logs for each roll.  The numbering system on the photo log must correspond with each

                              negative number and indicate the name and/or address of the property, the date of the

                             photograph, and the direction of the camera

                        Negatives, contact sheets, and photo logs should be placed at the end of the report

 

            Note:  A CD copy of the survey report and digital photographs may be included in an archival sleeve at the

                        back of the report.

 

Location Map—a site location map, on a separate 8.5-x-11-inch sheet, showing the location of the resource and properties must be provided.  For rural properties, the preferred base map is a 7.5-minute USGS quadrangle.  For urban properties, a city street map may be more appropriate.  Choose a map scale that will include sufficient area surrounding the resource to show the property in reference to cross streets and/or other local landmarks.  All maps must have the resource, and all associated structures and/or features, clearly marked and identified, a north arrow, and the name and date of the map.  An Assessor’s Parcel Map with the subject property indicated on it may be submitted in addition to the site location map.

 

Plans—on a separate sheet(s) provide a line drawing of floor plan of the building(s) showing its layout, footprint, and orientation.  If the resource includes associated structures, provide a line drawing of buildings’ arrangement and relationship to other features (e.g., creeks, roads, etc.).  Label all features and elements and include a north arrow, the property name, and the name of the preparer.  Line drawings need not be drawn to scale, but please indicate the scale if there is one.

 

Other—specify the nature of all other pieces of documentation provided.  If possible, include copies of original plans or historic photographs. 

 

Historic District Addendum—if the subject resource is part of a district, include the Historic District Addendum with your submission.  Additional documentation is required for a historic district, as listed on the addendum form.  Be sure these items are included with a historic district submission.

Rev. 05/03