National Register of Historic Registration Form

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National Register of Historic Registration Form NPS Form 10-900 >:p. OMB No. 10024-0018 (Rev. 10-90) i ^-——_______ }(l . ' I United States Department of the Interior National Park Service NATIONAL REGISTER OF HISTORIC 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 Forni (National Register Bulletin 16A). Complete each item by marking "x" in the appropriate box or by entering the information requested. If any 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 The Toll House other names/site number Stone House; Administration Building, Darling State Forest Park 2. Location street & number _2028 Mountain Road not for publication n/a city or town Burke vicinity n/a state Vermont code VT county Caledonia code 005 zip code 05832 3. State/Federal Agency Certification As the designated authority under the National Historic Preservation Act, as amended, I hereby certify that this x nomination __ 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 36 CFR Part 60. In my opinion, the property X meets __ does not meet the National Register Criteria. I recommend that this property be considered significant __ nationally Y statewide __ _ locally. ( __ See continuation sheet for additional comments.) Signature of certifying official/Title " ' Date Vermont State Historic Preservation Office____________________ State or Federal agency and bureau In my opinion, the property __ meets __ does not meet the National Register criteria. ( __ See continuation sheet for additional comments.) Signature of commenting or other official/Title Date State or Federal agency and bureau USDI/NPS NRHP Registration Form The Toll House Burke Caledonia County, Vermont (Page 2) 4. National Park Service Certification I herebycertify that this property is: y entered in the National Register. ___ See continuation sheet. ___ determined eligible for the National Register. See continuation sheet. determined not eligible for the National Register, removed from the National Register other (explain): ______ Signature of Keeper Date of Action 5. Classification Ownership of Property (Check as many boxes as apply) x private __ public-local __ public-State ___ public-Federal Category of Property (Check only one box) x building(s) __ district __ site __ structure ___ object Number of Resources within Property Contributing Noncontributing _____1_____ __________ buildings __________ __________ sites __________ __________ structures __________ __________ objects 1 Total Number of contributing resources previously listed in the National Register 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: RECREATION AND CULTURE Sub: outdoor recreation DOMESTIC_______ ____institutional housing USDI/NPS NRHP Registration Form The Toll House Burke Caledonia County, Vermont (Page 3) Current Functions (Enter categories from instructions) Cat: _______DOMESTIC_______ Sub: ______single dwelling 7. Description Architectural Classification (Enter categories from instructions) OTHER: Adirondack Rustic Materials (Enter categories from instructions) foundation CONCRETE roof Shingle walls Log Granite other Weatherboard Granite Narrative Description (Describe the historic and current condition of the property on one or more continuation sheets.) SEE 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.) Property is: ____ 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. USDI/NPS NRHP Registration Form The Toll House Burke Caledonia County, Vermont (Page 4) Areas of Significance (Enter categories from instructions) ______ARCHITECTURE_____ ENTERTAINMENT/RECREATION Period of Significance ______1940-1956 Significant Dates _________1940 1941 Significant Person (Complete if Criterion B is marked above) _________n/a_____________ Cultural Affiliation n/a Architect/Builder Baker, W.F. Civilian conservation Corps Narrative Statement of Significance (Explain the significance of the property on one or more continuation sheets.) SEE CONTINUATION SHEETS 9. Major Bibliographical References Bibliography (Cite the books, articles, and other sources used in preparing this form on one or more continuation sheets.) SEE CONTINUATIONS SHEETS Previous documentation on file (NPS) ___ preliminary determination of individual listing (36 CFR 67) has been requested. ___ 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 X Local government ___ University ___ Other Name of repository: _______________________ 10. Geographical Data Acreage of Property _________2.18 Acres____________ UTM References (Place additional UTM references on a continuation sheet) Zone Easting Northing Zone Easting Northing 1 19 269561 4941744 3 2 4 USDI/NPS NRHP Registration Form The Toll House Burke Caledonia County, Vermont (Page 5) Verbal Boundary Description (Describe the boundaries of the property on a continuation sheet.) SEE CONTINUATION SHEET Boundary Justification (Explain why the boundaries were selected on a continuation sheet.) SEE CONTINUATION SHEET 11. Form Prepared By name/title Deborah Noble, Principal_____________________________ Organization Deborah Noble Associates date 10/2005 street & number PO Box 106 telephone (802) 695-2507 city or town Concord state VT zip code 05824 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 the SHPO or FPO.) name Larry J. Compiano and Karyl Ryczek_______ street & number 14 Franklin St and 4 Smidt Ave. ___ telephone (978) 979-0584 city or town Peabody state MA zip code 01960 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 the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding this burden estimate or any aspect of this form to the Chief, Administrative Services Division, National Park Service, P.O. Box 37127, Washington, DC 20013-7127; and the Office of Management and Budget, Paperwork Reductions Project (1024-0018), Washington, DC 20503. NPS Forni 10-900-a (8-86) OMB Approval No. 10244018 United States Department of the Interior National Park Service National Register of Historic Places Continuation Sheet The TOM House Section number 7 Page _i__ Burke, Caledonia County, VT DESCRIPTION NARRATIVE DESCRIPTION The 2 story, 2X3 bay, gable roofed Adirondack Rustic style Toll House at the base of Burke Mountain in the town of Burke, Vermont, has flanking, offset 1-1/2 story wings. A 1-1/2 story wing housing the former toll office and caretakers quarters is adjacent to the road and a 1 story, gable roofed garage wing projects from the southwest end of the former administration building
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