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Nomination Form NPS Form 10-900 0MB No. 1024-0018 {Rev. Aug. 2002) United States Department of the Interior V1l- 4/:/1 National Park Service NATIONAL REGISTER OF HISTORIC PLACES N~1Jf 11/t /r REGISTRATION FORM This form is for use in nominating or requesting determin at,ons for 1nd1vidual properties and distncls See instructions 1n How to Complete /ho Nal1onal Regis/er of H1 sloric Places Regis/ration Form (National Register Bulletin 16A). Complete each 1lem by marking "x" in the appropriate box or by entering the in(ormalion requested. If any1tem does not apply to the property being documented, enter "NIA" for "not applicable " For funcl!ons, architectural classiflralion, materi als. and areas of s1gn 1ncance. enter only categones and subc.ategones from the instructions Place additional entries and narrative items on continuation sheets (NPS Form 10-900a) Use a lypewriter, word processor, or computer, to complete all 11ems ========================================================================-==-====--=--=----- 1. Name of Property ============================================================================-==-==-=--=--=- historic name ____B_e_lf_ie_ld_-_E_m~p..._o~r_ia_H_is_t_o_ri_c_D_i_s_tr_ic_t ____ (_1 _09_-_0_0_2_0~) _________ other names/site number ___N-' o~rt_h_ E_m~p..._o~r_ia_________________ _ ========================================================================-==========-==-==-= 2.Location ==================================================================================-==-===== street & number Roughly bounded by the Petersburg & Danville RR, Budd St., Atlantic Av., & Valley SL not for publication NIA city or town __E_m~p_o_ri_a _______________ _______ vicinity __ state Virginia code VA county Independent City code 595 zip code 2384 7 3. State/Federal Agency Certification As th e design ated authority under the National Historic Preservation Act, as amended, I hereby certify that this _X__ nomination __ request fo r determination of eligibility meets the documentation sta ndards for registering properties in the National Register of Historic Places and meets \lie procedural and professional requirements set forth in 36 CFR Part 60 . ln my opinion, the property_X__ meets _ _ does not meet the Na tional Register Criteria I recommend that this property be considered srgn1ficanl _ na tionally statewide X locally. L.._See continuation sheet for additional comments.) <~~ .. , /;,;---- ···-. ~"'-~~ <.....~ ·-- Sig natueofcerofyingofficial"'-S Virginia Department of Historic Resources State or Federal Agency or Tribal government In my opinion, the property __ m eets __ does not meet lhe National Register crtleria. ( See continuation sheet for addi\1onal co mments.) Signature of commenting official/Title Date State or Federal agency and bureau 4. National Park Service Certification ==-==-=-==-========~===============================================-==========-==-=====-=== I, h e reby certify that this property is: __ enlered in the National Register See continuation sheet. _ _ determined eligible for the National Register Signature of the Keeper See continuation sheet ____ determined not eligible for th e National Register . ---··· removed from th e National Register Da te of Action ______ __ -··----- ------ - · ___ other (explain): - --- -- - - - =========================================================================================== 5. Classification =========================================================================================== Ownership of Property (Check as many boxes as apply) Category of Property (Check only one box) _X_ private ___ building(s) _X_ public-local _X_ district ___ public-State ___ site ___ public-Federal ___ structure ___ object Number of Resources within Property Contributing Noncontributing _41__ _ 9_ buildings __0__ __0_ sites __0__ _ 0 structures __0__ _ 0_ objects _41 _ _ 9_ Total Number of contributing resources previously listed in the National Register __1__ Name of related multiple property listing (Enter "N/A" if property is not part of a multiple property listing.) ___N/A_____ =========================================================================================== 6. Function or Use =========================================================================================== Historic Functions (Enter categories from instructions) Cat: Commerce/Trade___________ Sub: ___Specialty Store_______ __ _ Commerce/Trade _ _____ ___Financial Institution__ ___ _ Domestic ____ ______ ___Hotel_____________ ____ __ Transportation _ _____ ___Rail Related__________ __ ____________________________ _______________________ __ Current Functions (Enter categories from instructions) Cat: __ Commerce/Trade ____ Sub: ____Specialty Store__________ ____Commerce/Trade___ _ __ __ ____Professional____________ ____Domestic__________ ____ _ _ __Single Dwelling__________ ____Transportation________ ___ _ _Rail Related____________ ____________________________ __________________________ =========================================================================================== 7. Description =========================================================================================== Architectural Classification (Enter categories from instructions) ____Italianate______________________________ ____Commercial Style_______________________ __________ _______________________________ Materials (Enter categories from instructions) foundation ___Brick_____________________________ roof ________Metal_____________________________ walls _______Brick______________________________ other ______ Tin, Vinyl___________________________ Narrative Description (Describe the historic and current condition of the property on one or more continuation sheets.) =========================================================================================== 8. Statement of Significance =========================================================================================== Applicable National Register Criteria (Mark "x" in one or more boxes for the criteria qualifying the property for National Register listing) _X__ A Property is associated with events that have made a significant contribution to the broad patterns of our history. ____ B Property is associated with the lives of persons significant in our past. _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 individual distinction. ____ D Property has yielded, or is likely to yield information important in prehistory or history. Criteria Considerations (Mark "X" in all the boxes that apply.) ____ A owned by a religious institution or used for religious purposes. ____ B removed from its original location. ____ C a birthplace or a grave. ____ D a cemetery. ____ E a reconstructed building, object, or structure. ____ F a commemorative property. ____ G less than 50 years of age or achieved significance within the past 50 years. Areas of Significance (Enter categories from instructions) _Commerce_____________________ _Transportation__________________ _Architecture__________________ _ _______________________________ _______________________________ Period of Significance __1832-1957_______________ Significant Dates _______1887, 1904, 1920________________ Significant Person (Complete if Criterion B is marked above)____N/A__________________________ Cultural Affiliation ______N/A__________________________________________________________ Architect/Builder ______Unknown________________________________________ Narrative Statement of Significance (Explain the significance of the property on one or more continuation sheets.) =========================================================================================== 9. Major Bibliographical References =========================================================================================== (Cite the books, articles, and other sources used in preparing this form on one or more continuation sheets.) Previous documentation on file (NPS) ___ preliminary determination of individual listing (36 CFR 67) has been requested. _X_ previously listed in the National Register ___ previously determined eligible by the National Register ___ designated a National Historic Landmark ___ recorded by Historic American Buildings Survey # __________ ___ recorded by Historic American Engineering Record # __________ Primary Location of Additional Data _X__ State Historic Preservation Office ___ Other State agency ___ Federal agency ___ Local government ___ University ___ Other Name of repository: ____Virginia Department of Historic Resources____________________________ =========================================================================================== 10. Geographical Data ========================================================================================== Acreage of Property ___8.9 acres_______ UTM References (Place additional UTM references on a continuation sheet) Zone Easting Northing Zone Easting Northing Zone Easting Northing Zone Easting Northing 1. 17 273268 4063785 2. 17 273440 4063651 3. 17 273321 4063478 4. 17 273208 4063645 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.) Form Prepared By =========================================================================================== name/title_Sandra Scaffidi/Architectural Historian
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