National Register of Historic Places Registration Form

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National Register of Historic Places Registration Form NPS Form 10-900 OMB No 10024-0018 (Oct. 1990) United States Department of the Interior National Park Service National Register of Historic Places Registration Form This form is for use in nominating or requesting determinations for individual properties and districts. See instructions in How to Complete the National Register of Historic Places Registration Form (National Register Bulletin 16A). Complete each item by marking "x" in the appropriate box or by entering the information requested. If an item does not apply to the property being documented, enter "N/A" for "not applicable." For functions, architectural classification, materials, and areas of significance, enter only categories and subcategories from the instructions. Place additional entries and narrative items on continuation sheets (NPS Form 10-900a). Use a typewriter, word processor, or computer, to complete all items. 1. Name of Property historic name de Richardville, Chief Jean-Baptiste, Hnuse other names/site number Richardville, Chief John TV House 2. Location street & number 5705 Rlufflnti Road N/A D not for publication city or town Fort Wayne______ N/A p vicinity state Indiana_____ code TN county Alien code QQ3 zip code 46809 3. State/Federal Agency Certification As the designated authority under the National Historic Preservation Act, as amended, I hereby certify that this f3 nomination P request for determination of eligibility meets the documentation standards for registering properties in the National Register of Historic Places and meets the procedural and professional requirements set forth in 36CFR Part 60. In my opinion, the property KJmeets O does not nne^Lthe National Register criteria. I recommend that this property be considered significant (3 nationally D statpwde/G locally. ( G See continuation sheet for additional comments.) Signature of ceififyingyBfficial/Title Indiana Department of Natural Resources State or Federal agency and bureau In my opinion, the property D meets D does not meet the National Register criteria. ( Q sheet for additional comments.) Signature of certifying official/Title Date State or Federal agency and bureau 4. National Park Service Certification hereb^certify that the property is: Date of Action 42 entered in the National Register. Q See continuation sheet. Q determined eligible for the National Register [j See continuation sheet. Q determined not eligible for the National Register n removed from the National Register G other, (explain:) _________ de Richardville, Chief Jean-Raptiste, House Alien. JN_ County and State 5. Classification Ownership of Property Category of Property Number of Resources within Property (Check as many boxes as apply) (Check only one box) (Do not include previously listed resources in the count |X] private [X] building Contributing Noncontributing D public-local D district buildings D public-State Dsite 1 0 D public-Federal D structure 1 0 sites D object 0 0 structures 0 0 objects 2 0 Total Name of related multiple property listing Number of contributing resources previously listed (Enter "N/A" if property is not part of a multiple property listing.) in the National Register N/A 6. Function or Use Historic Functions Current Functions (Enter categories from instructions) (Enter categories from instructions) DOMRSTTC;________ Single Dwelling - Museum 7. Description Architectural Classification Materials (Enter categories from instructions) (Enter categories from instructions) MTTVIOthc.-_________ Greek Revival foundation STONR: Limestone OTTTFJR T-hnuse walls BRICK STUCCO roof WOOD- Shingle other STONR: Limestone WOOD Narrative Description (Describe the historic and current condition of the property on one or more continuation sheets.) de Richardville, Chief Jean-Raptiste, House Alien Name of Property____________ County and State 5. Classification Ownership of Property Category of Property Number of Resources within Property (Check as many boxes as apply) (Check only one box) (Do not include previously listed resources in the count IX) private IX! building Contributing Noncontributing D public-local D district buildings D public-State D site 1 0 D public-Federal n structure 1 0 sites D object 0 0 structures 0 0 objects 2 0 Total Name of related multiple property listing Number of contributing resources previously listed (Enter "N/A" if property is not part of a multiple property listing.) in the National Register ____________N/A___________ 6. Function or Use Historic Functions Current Functions (Enter categories from instructions) (Enter categories from instructions) DOMESTIC; Single Dwelling RECREATTON/CT JLTIJRE: Museum 7. Description Architectural Classification Materials (Enter categories from instructions) (Enter categories from instructions) MTD-1Qthc.! Greek Revival foundation _SIQNE: Limestone OTHER: T-house walls RRTCK STUCCO roof WOOD: Shingle other STONK: Limestone Narrative Description (Describe the historic and current condition of the property on one or more continuation sheets.) dg Richardville, Chief .Tean-Rapfiste, House Alien, JNL Name of Property County and State 8. Statement of Significance Applicable National Register Criteria Areas of Significance (Mark "x" in one or more boxes for the criteria qualifying the property (Enter categories from instructions) for National Register listing.) PQH1ICS/GQYERNMENI_ [X] A Property is associated with events that have made a significant contriibution to the broad patterns of ETHNIC HERITAGE- Native American our history. ETHNICLHERITAGE: European £QMMERCK ^ g Property is associated with the lives of persons ARCHITECTURE significant in our past. ARCHAEOLOGY; Jlistoric-AboriginaL [x] c Property embodies the distinctive characteristics of a type, period, or method of construction or represents the work of a master, or possesses high artistic values, or represents a significant and distinguishable entity whose components lack Period of Significance individual distinction. c.1818-1841______ [X] D Property has yielded, or is likely to yield, information important in prehistory or history. Significant Dates Criteria Considerations (Mark "x" in all the boxes that apply.) 1827_______ Property is: Q A owned by a religious institution or used for religious purposes. Significant Person (Complete if Criterion B is marked above) D B removed from its original location. .RichardvilTe, Chief lean R____ Q C a birthplace or grave. Cultural Affiliation D D a cemetery. Miami________ D E a reconstructed building, object, or structure. D F a commemorative property. Q Q less than 50 years of age or achieved significance within the past 50 years. Architect/Builder Hanna, Hugh BallarfLAjCL Narrative Statement of Significance (Explain the significance of the property on one or more continuation sheets.) 9. Major Bibliographic References Bibliography (Cite the books, articles, and other sources used in preparing this form on one or more continuation sheets.) Previous documentation on file (NPS): Primary location of additional data: D preliminary determination of individual listing (36 IX] State Historic Preservation Office CFR 67) has been requested D previously listed in the National Register [X] Other State agency D previously determined eligible by the National D Federal agency Register D Local government D designated a National Historic Landmark [X] University D recorded by Historic American Buildings Survey # ______________ KI Other D recorded by Historic American Engineering Record # ______________ Name of repository: Indiana State Library, Indiana University-Purdue de Richardville, Chief Tean-Baptiste, House Alien. .JN_ Name of Property County and State 10. Geographical Data Acreage of Property .Sac UTM References (Place additional UTM references on a continuation sheet.) 54 3|0|0 4(5 4 3 6 5|0 Easting Northing Zone Easting Northing I I See continuation sheet Verbal Boundary Description (Describe the boundaries of the property on a continuation sheet.) Boundary Justification (Explain why the boundaries were selected on a continuation sheet.) 11. Form Prepared By name/title Richardville Cnmrmttee/T,nis Headings, Historian; Oaig Leonard^ HP Consultant Organization Alien Cniinty-Fnrt Wayne Historical Society date 10-7.8-Q6 street & number 302 R. Berry St_____________ telephone 7,19485-5911 city or town Fort Wayne state zip code 46802 Additional Documentation Submit the following items with the completed form: Continuation Sheets Maps A USGS map (7.5 or 15 minute series) indicating the property's location. A Sketch map for historic districts and properties having large acreage or numerous resources. Photographs Representative black and white photographs of the property. Additional items (Check with the SHPO or FPO for any additional items) Property Owner___________________________________________ (Complete this item at the request of SHPO or FPO.) name Alien County-Fort Wayne Historical Society street & number 302 R-Rerry St. telephone 31Q 436-3887. city or town Fort Wayne state IN- zip code 46802 Paperwork Reduction Act Statement: This information is being collected for applications to the National Register of Historic Places to nominate properties for listing or determine eligibility for listing, to list properties and to amend existing listings. Response to this request is required to obtain a benefit in accordance with the National Historic Preservation Act, as amended (16 U.S.C. 470 et seq.). Estimated Burden Statement: Public reporting burden for this form is estimated to average 18.1 hours per response including time for reviewing instructions, gathering
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