16 MAC Pt. 3, R. 12.16.3
Instructions for Completing the Mississippi Historic Resources Inventory
Cite as 16 Miss. Admin. Code Pt. 3, R. 12.16.3
Instructions for Completing the Mississippi Historic Resources Inventory
Form
General Instructions: The inventory form is intended to be a permanent record kept in the files
of the Division of Historic Preservation. Please be sure that all information is as complete and
accurate as possible. Entries should be typed or neatly printed. If an item of information is not
known, enter "unknown" or leave it blank; if the item is not applicable to the inventoried
resource, enter "N/A."
Photographs: One clear, sharp 4” x 6” black-and-white photograph showing the main facade (if
for a building or other structure) or a general view (if there is not one principal building on the
property) should be attached to the lower left-hand corner of the front of the inventory form with
archivally stable glue. Do not use staples or clips to attach photos. Any additional photos
should be mounted on a sheet of white bond paper with archivally stable glue, or inserted into
acid-free photo sleeves and clipped to the inventory form.
Maps: Normally, Historic Resource Inventory forms will be used in conjunction with a map or
maps upon which the survey sequence number (block #14) of each inventoried property will be
marked. Rural properties should be documented on an 8½ x 11 photocopy of the pertinent part of
the U.S. Geological Survey (USGS) quadrangle map, with the location of the property
highlighted or circled in color. Properties in towns and cities should be shown on larger scale
maps or, at a minimum, sketch maps. For surveys funded wholly or partially by MDAH, the map
requirements will be stated in the survey project agreement or instructions. For other survey
activities, contact the Survey and Inventory Manager at the Division of Historic Preservation,
Mississippi Department of Archives and History.
Block-by-block instructions for the Historic Resources Inventory form:
1.a. Property name, historic: Enter the name by which the property was first known or best-
known historically. For a building without some other historic name, identify it by the name
of the first or best-known occupant. If a newer building has the same name, put "old" or
"former" in parentheses before the name. If no historic name is known for the property, leave
this space black.
EXAMPLES: John W. Jones House; (Old) First National Bank
1.b. Property name, common: Enter the name(s) by which the property is most commonly
known today, or write "same" if the historic name is still used. Other names can be given in
parentheses. If no name is known, identify the property by functional type: house,
commercial building, etc.
2. Property address/descriptive location: For properties located in towns, give the street
address of the property. For properties which have only rural route numbers, describe the
location by giving the name of the rural community (if any), the distance and direction from
the nearest town, and the name(s) or number(s) of the nearest road(s).
EXAMPLE: One mile west of Smithville on Hwy 4 and one-half mile south on County Road
44.
3. Legal description (and acreage, if required): For properties located in towns, give the
lot and block designation, as shown on the deed or tax assessor's maps. For properties located
in rural areas, give the surveyed location as shown on the deed, including section, township
and range.
EXAMPLE: Lot 2 and south 25 feet of lot 4, Block 6, Doe's Addition.
EXAMPLE: NW ¼, NE ¼, NE ¼, Section 17, Township 6S, Range 21E.
Ordinarily, this information will be used only for locational purposes. Therefore, it is not
necessary to include the complete text of a long, complex legal description unless the
inventory form is intended to provide information to be used in an individual National
Register nomination, in which case a full legal description of the specific area to be
nominated should be given here. If the description is too long to fit in the area provided,
include it on an attached sheet titled "Legal description" and reference the sheet in the box by
entering "see continuation sheet."
If the inventory form is intended to be the basis for an individual National Register
nomination, the acreage of the land area to be nominated is also required. For very small
areas, such as an individual building, an acreage estimate of "less than one acre" is sufficient.
For properties within proposed historic districts, the acreage is not needed.
4. Former/historic use(s): Enter the original and/or significant historic use(s) of the
inventoried property: residence, church, retail store, bridge, cemetery, warehouse, etc.
5. Present use(s): Enter the present use(s) of the property. If the property is not being used,
enter "vacant," "ruins," or other description, as appropriate. For sites, enter the current use of
the land: park, cultivated farmland, forest, etc.
6. Architect: Enter the name of the designer (architect, engineer, landscape architect, etc.) if
there was one, and mark whether this information is documented or attributed. Give the
source for this information in block #25. If there was no designer, leave this block blank.
7. Builder/Contractor: Give the name of the builder(s) or contractor(s), if known.
8. Brief description: Give a brief description of the resource, to include the following
information:
For a building:
a. Number of stories
b. Plan shape (I-plan, H-plan, rectangular, etc.) or vernacular building form (dogtrot,
shotgun, etc.)
c. Exterior wall materials (clapboard, brick, etc.)
d. Roof shape (gable, hip, etc.) and materials (tin, asphalt shingles, etc.)
e. Chimney placement (interior, exterior, center) and number
f. Number and placement of windows and exterior doors on each floor of the main
facade(s)
g. Porch type (wrap-around, portico, stoop, etc.) and placement (e.g., north side)
h. Types of windows (4/4 wooden double-hung-sash) and doors (3-light, 2-panel
wood door)
i. Any other notable feature(s)
EXAMPLE: A two-story brick I-house with gable roof and end exterior chimneys. Five 2/2
double-hung-sash windows on second floor over four identical windows and centered 2-
panel door on first floor. Full-width, single-story gallery with shed roof resting on boxed
wood columns. Very intact.
For a structure or object:
a. Type or purpose
b. Materials
c. Size
d. Any other notable feature(s)
EXAMPLE: Iron, single-span, Warren-truss bridge with wood decking. Roadway is 15' wide
and 65' long.
For a landscape feature:
a. Acreage or dimensions
b. Vegetation and use
c. How enclosed or bounded
d. Any other notable feature(s)
EXAMPLE: 200' x 200' cemetery surrounded by chainlink fence. Well-maintained. Several
markers date to the 1880s.
Note: If the resource is described in greater detail on an attached sheet or in another
referenced document, that description may be cited here instead. In this case, a copy of the
referenced document should be attached.
9. Outbuildings or secondary elements: Identify any outbuildings or other structures or
notable landscape features associated with the inventoried resource. For a farmstead, list the
buildings that it comprises. Attach another inventory form for each structure that has
particular architectural or historical interest (see instructions for block #14), and note
attachment(s) in this block.
10. County: Enter the name of the county in which the resource is located.
11. City or town: Enter the name of the city or town in which the property is located. If the
property is in a rural area, enter the name of the nearest city, town, or post office in the same
county and mark the "vicinity of" box.
12. Owner's name and address: If the information is required or is conveniently available,
give the name and address of the current owner of the resource. If it has more than one
owner, write "multiple" and list the owners in block #24 or continue on another sheet of
paper.
This information is not required in all cases. For example, if the property is to be included
within a district of over 50 buildings, the name of each property owner is not needed. The
names of owners of sites of non-extant properties are not needed. In addition, if the surveyed
property is not intended to be nominated to the National Register, ownership information is
not necessary. However, if it is known to be owned by a public entity such as a governmental
or quasi-public agency, enter the name here.
13. Was interior surveyed? If the resource is a building or enclosed structure, indicate
whether you examined the interior by writing "yes," "no," "first story only," "lobby only,"
etc. If the resource has no accessible interior space, enter "N/A."
14. Survey sequence number: When more than one resource is inventoried as part of a
survey, each form should be given a sequence number. Secondary structures, such as garages
or barns, should be given the same sequence number as the associated major resource, with
the addition of a suffix letter. This sequence number may be used to show location on any
associated maps.
EXAMPLE: A house might have sequence number 23. Its carriage house, if inventoried,
would be numbered 23B. The house itself is understood to be 23A.
15. USGS quadrangle map: Ordinarily field surveyors will only use this block when
conducting surveys of rural areas. In the case of rural surveys using USGS maps, enter the
name of the map which shows the location of the inventoried resource. (If a 15-minute series
map is used, please indicate "15-min." following the name. Otherwise, the map is assumed to
be in the 7½-minute series). Be sure to mark the location of the property on the map,
numbered with the property's survey sequence number. For urban surveys, leave this block
blank unless instructed otherwise by the Survey and Inventory Manager.
16. UTM reference: Leave this block blank unless instructed otherwise by the Survey and
Inventory Manager.
17. Date of construction: Enter the date(s) of construction and mark whether this is
estimated or documented. If it is documented, state the source in block #25. If estimated,
state "circa" or “c.” before the date.
18. Integrity: In pencil, mark the appropriate box using the following standards for
buildings, structures, and objects:
Very intact: The resource has had few or no changes since its creation and is being well-
maintained.
Some changes: The resource has had some noticeable changes since its creation, but still
retains much of its original appearance.
Extensive changes: The resource has had many changes and is significantly altered from
its original appearance.
Deteriorated: The resource is standing but is not maintained or not structurally sound.
Ruins: Only remnants of the resource remain visible above ground.
No visible remains: No above-ground remains are visible, either because the site has
been cleared or because possible extent visible remains have been obscured.
Note: For complexes, sites, and landscape features, check the box which seems most
appropriate, or enter "N/A" at the top of the block.
19. Dates of changes, if any: Identify and give the dates of any major changes that have
been made to the resource either historically or in the more recent past.
Moved: The resource has been moved from its original site
Enlarged/altered: The resource has had additions or its original style has been altered in
some way (for instance, an addition of a rear wing on a house)
Artificial siding: The building has siding that is not original or not a replication of the
original siding (i.e., vinyl siding over clapboards, or Masonite over asbestos shingles)
Replaced windows/doors: The windows or doors (exterior) have been replaced
Enclosed/altered porch: The porch has been either wholly or partially enclosed or has
been altered in some way (for example, the original wood deck has been replaced with an
on-grade concrete slab).
Storefront alterations: The original storefront has been replaced or altered with some
other materials or style.
20. Architectural character or style: If the building has an identifiable architectural
character or style, enter it here. If not, leave this block blank. If you are not sure, enter the
tentative answer lightly in pencil, or consult the Survey and Inventory Manager.
21-22. Leave blank unless instructed otherwise.
23. Historical information: Use this block to provide general historical information about
the property or to explain any historical or architectural importance. Sources for this
information, such as books, diaries, or interviews, should be listed in block #25.
EXAMPLES:
1. This was the home of U.S Senator John D. Doe from 1890 until his death in 1920.
2. This building served as the first courthouse of Brigg County from 1840 to 1856.
3. This house is an exceptionally intact example of a dogtrot log house, one of very
few remaining in the country.
4. This house is typical of the houses built in the First Street neighborhood during the
early period of the town and thus contributes to the character of the neighborhood.
5. This building is an exceptionally accomplished example of Greek Revival design.
6. Although it has been greatly altered, it is the only surviving ante-bellum
commercial building in the town.
7. First owned by J.W. Smith (?), an attorney. Purchased in 1895 by J.G. Doe, owner
of Doe Livery Stable. Doe died in 1920. His wife Jane resided here until her death in
1930, when the house was inherited by their son J.L. Doe. His daughter Mary Doe
Jones acquired the house in 1965.
8. Henderson's Dry Goods Store was located here from 1880 to 1910, when the
building became a feed store. It has had a variety of commercial uses in recent years.
24. Additional remarks or continuation of other sections: Use this block to continue
information from other blocks or to add relevant remarks that do not fit anywhere else.
25. Sources of information: Identify the sources of any specific information about the
property, including interviews (give name of informant and date of interview), newspaper
articles, and books. Also mention sources of information on or at the property, such as
cornerstones or historical markers.
26. Sketch of building plan or site plan: Sketch a plan of the building, showing building
shape, windows, chimneys, and exterior doors. If interior was surveyed, include interior plan.
If relevant, sketch the site, showing distance and direction to major roads, positions of
outbuildings, and a north arrow. A copy of a Sanborn map that depicts the property may be
attached if one is available.
27. Photographer or photo