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MONTANA HISTORIC PROPERTY RECORD
Montana State Historic Preservation Office
Montana Historical Society
PO Box 201202, 1410 8th Ave
Helena, MT 59620-1202
Property Address:
Historic Address (if applicable):
City/Town: Bozeman
Site Number:
(An historic district number may also apply.)
County: Gallatin
Historic Name:
Original Owner(s):
Current Ownership Private Public
Current Property Name:
Owner(s):
Owner Address:
Phone:
Legal Location
PM: Montana Township: Range:
¼ ¼ ¼ of Section:
Lot(s):
Block(s):
Addition:
Year of Addition:
USGS Quad Name: Bozeman, MT 7.5 minute topographic map Year: 2014
Historic Use:
Current Use:
Construction Date: Estimated Actual
Original Location Moved Date Moved:
UTM Reference www.nris.mt.gov
NAD 27 or NAD 83(preferred)
Zone: 12 Easting: Northing:
National Register of Historic Places
NRHP Listing Date:
Historic District:
NRHP Eligible: Yes No
Date of this document:
Form Prepared by:
Address:
Daytime Phone:
MT SHPO USE ONLY
Eligible for NRHP: □ yes □ no
Criteria: □ A □ B □ C □ D
Date:
Evaluator:
Comments: Property record form written as part of the “City of Bozeman Cultural Resource Survey 2016 update.”
TABLE OF CONTENTS
merge pages with this form
SUBJECT PAGE
ARCHITECTURAL DESCRIPTION
HISTORY OF PROPERTY
INFORMATION SOURCES/BIBLIOGRAPHY
STATEMENT OF SIGNIFICANCE
INTEGRITY (location, design, setting, materials, workmanship, feeling, association)
CURRENT PHOTOS (building exterior and key interior spaces)
SITE PLAN
USGS 7.5 MINUTE TOPO MAP
NATIONAL REGISTER OF HISTORIC PLACES
NRHP Listing Date:
NRHP Eligibility: Yes No Individually Contributing to Historic District Noncontributing to Historic District
NRHP Criteria: A B C D
Area of Significance: Period of Significance:
Architectural Style: If Other, specify:
Property Type: Specific Property Type:
Architect: Architectural Firm/City/State:
Builder/Contractor: Company/City/State:
Source of Information:
Architectural Description:
Number of stories:
Shape of the building:
Roof shape:
Type of foundation:
Type of construction:
Exterior wall materials:
Window type and configuration:
Other major stylistic elements or distinguishing features (chimneys, porches, and door types, etc.)
History of the Property
Information Sources/Bibliography
Statement of Significance
Integrity (location, design, setting, materials, workmanship, feeling, association)
Photographs
Site Map/Aerial Photo
Topographic Map