KENTUCKY HISTORIC PROPERTIES SURVEY

PREVIOUSLY RECORDED SITES (2016-3)

PAGE [1]

COUNTY Choose One
RESOURCE #
CURRENT NRHP EVALUATION Choose OneA/ National Register Indiv. ListedH/ NR District ContributingI/ NR District Non-Contrib.D/ Eligible IndividuallyN/ Eligible Member of a GroupS/ IneligibleU/ Insufficient Information
CURRENT SHPO EVALUATION Choose OneA/ National Register Indiv. ListedH/ NR District ContributingI/ NR District Non-Contrib.D/ Eligible IndividuallyN/ Eligible Member of a GroupS/ IneligibleU/ Insufficient Information
  1. NAME OF RESOURCE:
    HOW DETERMINED: Choose One1/ Original owner or builder2/ Historic atlas or map3/ Significant persons or events associated w prop4/ Original or later signficant uses of property7/ Accepted professional, scientific, or tech name8/ Location10/ Type of building (house, barn, etc.)9/ Other

  1. ADDRESS/LOCATION:
OWNER CONTACT (if known):
  1. GEOGRAPHIC DATA:
Quad: Date:
Lat: Long:
  1. FIELD RECORDER/AFFILIATION:

  1. DATE RECORDED:

  1. SPONSOR/INITIATION: Choose OneO/ Unknown/Not applicable1 / Survey and planning grant2 / Certified Local Govt project3 / Environmental review4 / NRHP6 / Personal project (homeowner, etc.)7 / Main Street5 / Other
Sponsor Name:
  1. PREVIOUSLY RECORDED: Choose One0/ Not Previously Recorded1/ NRHP2/ KY Survey3/ Locally Designated4/ Main Street program Survey

  1. DATE OF LAST SURVEY:

  1. PREVIOUS NRHP EVAL:
    Choose an item.

  1. REPORT/NR REFERENCE:

  1. CURRENT PRIMARY FUNCTION: Choose One

  1. CURRENT ACREAGE:

  1. CONDITION Choose OneE / Excellent - Fully utilizedG / Good - In good state of repairF / Fair - Under-maintainedP / Poor - In need of major repairsR / RuinsM / MothballedD / Demolished - Entire siteDD/Demolished - Portion of Site

  1. ARCHITECTURAL FORM/SHAPE: Choose OneA/ Square or rectangularB/ Asymmetrical/Irregular (many corners)C/ RoundD/ OctagonalE/ Other

  1. ROOFING:
Configuration: Choose OneA/ Gable, sideB/ Gable, frontC/ Pedimented gableD/ Cross-gabledE/ Clipped gableF/ Parallel gablesG/ Shed (half-gabled)H/ Parapet wallI/ HipII/ Cross-hippedJ/ Gable on hipJJ/ Parallel hipsK/ Half-hippedL/ PyramidalM/ GambrelN/ MansardP/ ShedQ/ FlatR/ MonitorS/ Other (specify)
Slope: Choose One1/ Low- Less than 30 degrees2/ Normal - Between 30 and 45 degrees3/ Steep- Greater than 45 degrees
Roof Covering: Choose One0/ Undetermined/not visible1/ Wood shingles2/ Metal shingles3/ Slate tile4/ Ceramic tile5/ Asphalt shingle6/ Built-up roofing (tar)7/ Standing seam metal9/ Metal sheet roofing (not standing seam)10/ Corrugated panels (iron, aluminum, etc.)11/ Board roofing (wooden)12/ Earthen roofing8/ Other (specify)
  1. WINDOWS: Original Replacement
Current Material: Choose OneW/ WoodM/ MetalV/ VinylC/ CompositeX/ Other
Sash Operation: Choose OneF/ FixedD/ Double or Single HungC/ CasementS/ SlidingH/ HopperA/ AwningP/ PivotL/ Louver/JalousieX/ Other
Glazing Pattern: Choose OneS/ Single LightM/ Multi-Light
  1. NUMBER OF SUPPORT RESOURCES: Choose One0/ NoneA/ 1-5B/ 6-10C/ 11-15D/ 16+
    (If yes, complete #16 and #17 below.)

Kentucky Heritage Council * Frankfort, KY 40601 * (502) 564-7005 http://www.heritage.ky.gov

KENTUCKY HISTORIC PROPERTIES SURVEY

PREVIOUSLY RECORDED SITES (2016-3)

PAGE [1]

18. PHOTO A
/ PHOTO B

COUNTY Choose One

RESOURCE #

NRHP EVALUATION

SHPO EVALUATION

  1. SUPPORT RESOURCES:

SITE PLAN KEY / FUNCTION / CONSTRUCTION DATE / METHOD/MATERIAL
Choose One / Choose One0: UndeterminedA: 2001-Present1: 1975-20002: 1950-19743: 1925-19494: 1900-19245: 1875-18996: 1850-18747: 1825-18498: 1800-18249: Before 1800 / Choose OneOO/ UndeterminedH1/ Heavy timber frame, mortise and tenonH2/ Timber frame with nogging (brick, sod blocks)H3/ Combination/timber braced frameW1/ Box frame (vertical plank)W2/ Balloon frameW3/ Frame construction, type unknownL1/ Log, notch unknownL2/ Log, full dovetailL3/ Log, half dovetailL4/ Log, v-notchL5/ Log, diamond notchL6/ Log, square notchL8/ Log, saddle notchS1/ Stone, drylaidS2/ Stone, mortarB0/ BrickP0/ Poured concreteP1/ Concrete blockC1/ Clay tileM1/ MetalPP/ Prefabricated PanelVV/ VeneeredXX/ Other (specify)
Choose One / Choose One0: UndeterminedA: 2001-Present1: 1975-20002: 1950-19743: 1925-19494: 1900-19245: 1875-18996: 1850-18747: 1825-18498: 1800-18249: Before 1800 / Choose OneOO/ UndeterminedH1/ Heavy timber frame, mortise and tenonH2/ Timber frame with nogging (brick, sod blocks)H3/ Combination/timber braced frameW1/ Box frame (vertical plank)W2/ Balloon frameW3/ Frame construction, type unknownL1/ Log, notch unknownL2/ Log, full dovetailL3/ Log, half dovetailL4/ Log, v-notchL5/ Log, diamond notchL6/ Log, square notchL8/ Log, saddle notchS1/ Stone, drylaidS2/ Stone, mortarB0/ BrickP0/ Poured concreteP1/ Concrete blockC1/ Clay tileM1/ MetalPP/ Prefabricated PanelVV/ VeneeredXX/ Other (specify)
Choose One / Choose One0: UndeterminedA: 2001-Present1: 1975-20002: 1950-19743: 1925-19494: 1900-19245: 1875-18996: 1850-18747: 1825-18498: 1800-18249: Before 1800 / Choose OneOO/ UndeterminedH1/ Heavy timber frame, mortise and tenonH2/ Timber frame with nogging (brick, sod blocks)H3/ Combination/timber braced frameW1/ Box frame (vertical plank)W2/ Balloon frameW3/ Frame construction, type unknownL1/ Log, notch unknownL2/ Log, full dovetailL3/ Log, half dovetailL4/ Log, v-notchL5/ Log, diamond notchL6/ Log, square notchL8/ Log, saddle notchS1/ Stone, drylaidS2/ Stone, mortarB0/ BrickP0/ Poured concreteP1/ Concrete blockC1/ Clay tileM1/ MetalPP/ Prefabricated PanelVV/ VeneeredXX/ Other (specify)
Choose One / Choose One0: UndeterminedA: 2001-Present1: 1975-20002: 1950-19743: 1925-19494: 1900-19245: 1875-18996: 1850-18747: 1825-18498: 1800-18249: Before 1800 / Choose OneOO/ UndeterminedH1/ Heavy timber frame, mortise and tenonH2/ Timber frame with nogging (brick, sod blocks)H3/ Combination/timber braced frameW1/ Box frame (vertical plank)W2/ Balloon frameW3/ Frame construction, type unknownL1/ Log, notch unknownL2/ Log, full dovetailL3/ Log, half dovetailL4/ Log, v-notchL5/ Log, diamond notchL6/ Log, square notchL8/ Log, saddle notchS1/ Stone, drylaidS2/ Stone, mortarB0/ BrickP0/ Poured concreteP1/ Concrete blockC1/ Clay tileM1/ MetalPP/ Prefabricated PanelVV/ VeneeredXX/ Other (specify)
Choose One / Choose One0: UndeterminedA: 2001-Present1: 1975-20002: 1950-19743: 1925-19494: 1900-19245: 1875-18996: 1850-18747: 1825-18498: 1800-18249: Before 1800 / Choose OneOO/ UndeterminedH1/ Heavy timber frame, mortise and tenonH2/ Timber frame with nogging (brick, sod blocks)H3/ Combination/timber braced frameW1/ Box frame (vertical plank)W2/ Balloon frameW3/ Frame construction, type unknownL1/ Log, notch unknownL2/ Log, full dovetailL3/ Log, half dovetailL4/ Log, v-notchL5/ Log, diamond notchL6/ Log, square notchL8/ Log, saddle notchS1/ Stone, drylaidS2/ Stone, mortarB0/ BrickP0/ Poured concreteP1/ Concrete blockC1/ Clay tileM1/ MetalPP/ Prefabricated PanelVV/ VeneeredXX/ Other (specify)
Choose One / Choose One0: UndeterminedA: 2001-Present1: 1975-20002: 1950-19743: 1925-19494: 1900-19245: 1875-18996: 1850-18747: 1825-18498: 1800-18249: Before 1800 / Choose OneOO/ UndeterminedH1/ Heavy timber frame, mortise and tenonH2/ Timber frame with nogging (brick, sod blocks)H3/ Combination/timber braced frameW1/ Box frame (vertical plank)W2/ Balloon frameW3/ Frame construction, type unknownL1/ Log, notch unknownL2/ Log, full dovetailL3/ Log, half dovetailL4/ Log, v-notchL5/ Log, diamond notchL6/ Log, square notchL8/ Log, saddle notchS1/ Stone, drylaidS2/ Stone, mortarB0/ BrickP0/ Poured concreteP1/ Concrete blockC1/ Clay tileM1/ MetalPP/ Prefabricated PanelVV/ VeneeredXX/ Other (specify)
Choose One / Choose One0: UndeterminedA: 2001-Present1: 1975-20002: 1950-19743: 1925-19494: 1900-19245: 1875-18996: 1850-18747: 1825-18498: 1800-18249: Before 1800 / Choose OneOO/ UndeterminedH1/ Heavy timber frame, mortise and tenonH2/ Timber frame with nogging (brick, sod blocks)H3/ Combination/timber braced frameW1/ Box frame (vertical plank)W2/ Balloon frameW3/ Frame construction, type unknownL1/ Log, notch unknownL2/ Log, full dovetailL3/ Log, half dovetailL4/ Log, v-notchL5/ Log, diamond notchL6/ Log, square notchL8/ Log, saddle notchS1/ Stone, drylaidS2/ Stone, mortarB0/ BrickP0/ Poured concreteP1/ Concrete blockC1/ Clay tileM1/ MetalPP/ Prefabricated PanelVV/ VeneeredXX/ Other (specify)
Choose One / Choose One0: UndeterminedA: 2001-Present1: 1975-20002: 1950-19743: 1925-19494: 1900-19245: 1875-18996: 1850-18747: 1825-18498: 1800-18249: Before 1800 / Choose OneOO/ UndeterminedH1/ Heavy timber frame, mortise and tenonH2/ Timber frame with nogging (brick, sod blocks)H3/ Combination/timber braced frameW1/ Box frame (vertical plank)W2/ Balloon frameW3/ Frame construction, type unknownL1/ Log, notch unknownL2/ Log, full dovetailL3/ Log, half dovetailL4/ Log, v-notchL5/ Log, diamond notchL6/ Log, square notchL8/ Log, saddle notchS1/ Stone, drylaidS2/ Stone, mortarB0/ BrickP0/ Poured concreteP1/ Concrete blockC1/ Clay tileM1/ MetalPP/ Prefabricated PanelVV/ VeneeredXX/ Other (specify)
Choose One / Choose One0: UndeterminedA: 2001-Present1: 1975-20002: 1950-19743: 1925-19494: 1900-19245: 1875-18996: 1850-18747: 1825-18498: 1800-18249: Before 1800 / Choose OneOO/ UndeterminedH1/ Heavy timber frame, mortise and tenonH2/ Timber frame with nogging (brick, sod blocks)H3/ Combination/timber braced frameW1/ Box frame (vertical plank)W2/ Balloon frameW3/ Frame construction, type unknownL1/ Log, notch unknownL2/ Log, full dovetailL3/ Log, half dovetailL4/ Log, v-notchL5/ Log, diamond notchL6/ Log, square notchL8/ Log, saddle notchS1/ Stone, drylaidS2/ Stone, mortarB0/ BrickP0/ Poured concreteP1/ Concrete blockC1/ Clay tileM1/ MetalPP/ Prefabricated PanelVV/ VeneeredXX/ Other (specify)
Choose One / Choose One0: UndeterminedA: 2001-Present1: 1975-20002: 1950-19743: 1925-19494: 1900-19245: 1875-18996: 1850-18747: 1825-18498: 1800-18249: Before 1800 / Choose OneOO/ UndeterminedH1/ Heavy timber frame, mortise and tenonH2/ Timber frame with nogging (brick, sod blocks)H3/ Combination/timber braced frameW1/ Box frame (vertical plank)W2/ Balloon frameW3/ Frame construction, type unknownL1/ Log, notch unknownL2/ Log, full dovetailL3/ Log, half dovetailL4/ Log, v-notchL5/ Log, diamond notchL6/ Log, square notchL8/ Log, saddle notchS1/ Stone, drylaidS2/ Stone, mortarB0/ BrickP0/ Poured concreteP1/ Concrete blockC1/ Clay tileM1/ MetalPP/ Prefabricated PanelVV/ VeneeredXX/ Other (specify)
Choose One / Choose One0: UndeterminedA: 2001-Present1: 1975-20002: 1950-19743: 1925-19494: 1900-19245: 1875-18996: 1850-18747: 1825-18498: 1800-18249: Before 1800 / Choose OneOO/ UndeterminedH1/ Heavy timber frame, mortise and tenonH2/ Timber frame with nogging (brick, sod blocks)H3/ Combination/timber braced frameW1/ Box frame (vertical plank)W2/ Balloon frameW3/ Frame construction, type unknownL1/ Log, notch unknownL2/ Log, full dovetailL3/ Log, half dovetailL4/ Log, v-notchL5/ Log, diamond notchL6/ Log, square notchL8/ Log, saddle notchS1/ Stone, drylaidS2/ Stone, mortarB0/ BrickP0/ Poured concreteP1/ Concrete blockC1/ Clay tileM1/ MetalPP/ Prefabricated PanelVV/ VeneeredXX/ Other (specify)
Choose One / Choose One0: UndeterminedA: 2001-Present1: 1975-20002: 1950-19743: 1925-19494: 1900-19245: 1875-18996: 1850-18747: 1825-18498: 1800-18249: Before 1800 / Choose OneOO/ UndeterminedH1/ Heavy timber frame, mortise and tenonH2/ Timber frame with nogging (brick, sod blocks)H3/ Combination/timber braced frameW1/ Box frame (vertical plank)W2/ Balloon frameW3/ Frame construction, type unknownL1/ Log, notch unknownL2/ Log, full dovetailL3/ Log, half dovetailL4/ Log, v-notchL5/ Log, diamond notchL6/ Log, square notchL8/ Log, saddle notchS1/ Stone, drylaidS2/ Stone, mortarB0/ BrickP0/ Poured concreteP1/ Concrete blockC1/ Clay tileM1/ MetalPP/ Prefabricated PanelVV/ VeneeredXX/ Other (specify)
  1. SITE PLAN (Complete if #14 and #16 were answered or if you are using sub-numbers):

COUNTY Choose One

RESOURCE #

NRHP EVALUATION

SHPO EVALUATION

  1. MAP (Scan or attach copy of map showing exact location of resources):

22. COMMENTS/PREVIOUSLY UNRECORDED OR CORRECTED HISTORICAL INFORMATION:

Kentucky Heritage Council * Frankfort, KY 40601 * (502) 564-7005 http://www.heritage.ky.gov

KENTUCKY HISTORIC PROPERTIES SURVEY

PREVIOUSLY RECORDED SITES (2016-3)

PAGE [1]

COUNTY Choose One

RESOURCE #

NRHP EVALUATION

SHPO EVALUATION

  1. (continued) ADDITIONAL IMAGES:

Caption:

COUNTY Choose One

RESOURCE #

NRHP EVALUATION

SHPO EVALUATION

Caption:

1