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Show HISTORIC SITE SHORT FORM (11/17) UTAH OFFICE OF HISTORIC PRESERVATION For Section 106 Review Only (Do not use this form to record archeological sites) 1 IDENTIFICATION Historic Property Name (if known): Address: 1005 N 300 W City, County: Lehi, Utah 106 Project Title: 1005N_300W_Lehi Lat/Long (Optional): Geographical Data (Optional): 2 EVALUATION Evaluation (select one) ✔ The property is considered Eligible at this time because it is already listed in the National Register or • is at least 50 years old and retains its historic integrity (minimal alterations to key features), and has potential significance. The property is considered Not Eligible at this time because it: • is less than 50 years old, or is 50 years or older but there have been major alterations to key features. 3 DOCUMENTATION Required ✔ Upload two photos site sketch map (optional) other: Research Sources (optional, check all sources consulted, whether useful or not) abstract of title ✔ tax card & photo building permit Sanborn Maps other: 4 ARCHITECTURAL DESCRIPTION AND HISTORY Date of Construction: 1971 No. of Stories: 1 Use Building Type: Select One Building Style: Modern (1950-1970s) Original Use: Residential Foundation Material: Concrete Wall Material(s): Wood Current Use: Residential Additions: ✔ none minor major (describe below) Alterations: none minor ✔ major (describe below) No. of contributing outbuildings and/or structures: No. of non-contributing outbuildings and/or structures: Briefly describe the original building, any major additions or alterations and their dates, and associated outbuildings and structures. Also provide a brief history of the building's construction and use (if known). Use continuation sheets as necessary for additional photos and text. Original building used as a residence. Alterations include previous installation of vinyl windows, vinyl siding, and steel entry doors. 5 PROPOSED ACTION Describe the impending action (e.g., road widening, rehabilitation, alteration, demolition). Use continuation sheets as necessary for additional photos and text, submit as a pdf/a. Infiltration Reduction; Foundation Insulation DWH Pipe Insulation; DWH Tank Insulation; Install Six Low-E Windows; Install ASHRAE Compliance Fan; Install CO Monitor; Fix Water Heater Flue Sloping Issue; Install Smoke Detector. Form completed by: Karen Schriefer Date (mo/yr): 09/18 1005 N 300 W, Lehi, UT 84043 |
