handling). The information will be reviewed and verified by the Commission at its next regular meeting, then forwarded to Ould Colony Artisans.

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1 Thank you for your interest in the Historic Marker Program. The Hampton Heritage Commission has established this program to recognize buildings in Hampton that contribute in some positive way to the appreciation and understanding of our unique architectural and historical heritage. They are intended for buildings that are at least 50 years old, are well maintained and that retain the integrity of their original design. The program is voluntary and does not impose any property restrictions. The markers will identify buildings of historical and architectural significance, and will serve to heighten community awareness, while encouraging the continued care and preservation of buildings and neighborhoods. These hand-painted building markers are custom made for us by Quid Colony Artisans Featured on each marker is the date of your house's construction, and the Winnacunnet pine tree logo originally used during Hampton's Tri-Centennial Celebrations in In this packet you will find the application and architectural form along with instructions on how to fill them out. Please submit these to the Hampton Heritage Commission, 100 Winnacunnet Rd. Be sure to include a check to OULD COLONY ARTISANS for $62.00 ($55.00 for marker plus $7.00 for shipping and handling). The information will be reviewed and verified by the Commission at its next regular meeting, then forwarded to Ould Colony Artisans. If you have any questions please call Maryanne McAden, Project Coordinator, at (603) or Elizabeth Aykroyd at

2 HAMPTON-HERITAGE-COMMISSION HAMPTON HERITAGE MARKER PROGRAM APPLICATION FORM I/We hereby apply for a Hampton Heritage Marker for our property located at : Applicant's Address (if different from Subject Property): Telephone Number: I/We understand this program is voluntary and in no way restricts the use of said property. I/We understand and agree that if this application is approved, all information (except telephone number and address) may be made public. I/We have enclosed the following items: q A completed Hampton Heritage Commission Individual Structure Survey Form. q A plot plan from the Hampton Assessor's Office. q A copy of the earliest known deed. q A check for $62.00 made out to Old Colony Sign Makers. ($55.00 for the sign, $7.00 for shipping.) I/We propose the following date for our plaque : I/We pledge, to the best of my/our knowledge, the submitted information is reliable and correct. Signature and Date Signature and Date Revised 12/2006

3 HAMPTON ARCHITECTURAL INVENTORY STREET : INDIVIDUAL STRUCTURE SURVEY FORM NO. : HISTORIC NAME : COMMON NAME: a. MUNICIPALITY : HAMPTON, NH COUNTY : ROCKINGHAM MAP/LOT# : USGS QUAD : EXETER 1 :25, X 15 MINUTE QUAD OWNER/ADDRESS : UTM REFERENCES: DESCRIPTION Construction Date : Architect : Style : Source of Date: Builder: Form/Plan Type: Number of Stories: Foundation: Exterior Wall Fabric: Windows: Roof/Chimneys: Additional Architectural Description: PHOTO

4 INFORMATION ON FOUNDATIONS, OTHER STRUCTURES, AND LANDSCAPE FEATURES: SURROUNDING ENVIRONMENT: Urban q Suburban q Scattered Buildings q Open Space q Woodland q Residential q Agricultural q Village q Industrial q Downtown Commercial q Highway Commercial q Other q SIGNIFICANCE: ORIGINAL USE : PRESENT USE : PHYSICAL CONDITION : Excellent q Good q Fair q Poor q ANY THREATS TO SITE? : Roads q Development q Zoning q Deterioration q EXPLAIN: No Threat q Other q REFERENCES: RECORDED BY : DATE :

5 Hampton Heritage Commission Individual Structure Survey Form Instructions Street and Number (No.) - List your street name and house number. Historic name - The historic name could be the earliest known name, the name of the original owner, the name of the most significant occupant, or the building's most significant use. If several historic names are known, use the one most closely associated with the most notable aspects of its history. Common name - This is usually the name by which a site is currently popularly identified. It may be the same as the historic name. Map/Lot Number - Get this data from the Assessor's Office. UTM references - Leave this field blank. Owner/Address The name and address of the property owner. Construction date- If known, please indicate the exact date of construction (e.g or ). If the exact date is not known, give the construction date by circa date. Source of date (e.g. 1806, 1841 and 1892 maps, stylistic evidence, cornerstone) should be cited. Architect and Builder Fill in if known. (Identify source of information.) Style - Choose from the list below the style that best describes your house. If unknown, leave this field blank, and the Hampton Heritage Commission will help you to complete it. Art Moderne Georgian Revival Renaissance Revival Art Deco Gothic Revival Second Empire Colonial Greek Revival Shingle Colonial Revival Italian Renaissance Spanish Colonial Revival Craftsman Italianate Stick Dutch Colonial Revival Revival Tudor Revival Eastlake Modernistic None Federal New Englander Other (specify) Georgian Queen Anne Form/Plan type - Choose from the list below the building form that best describes your house. If unknown, leave this field blank, and the Hampton Heritage Commission will help you to complete it. Apartment Gable Front Semi-Detached Bungalow I-House Side Hall Cape Cod Irregular Split Level Center Hall Ranch Other (specify) Duplex Row Four Square Saltbox Number of Stories - The number of floors, excluding basement. Foundation and Exterior wall fabric - Indicate the type of material (choose from list below). Aluminum Siding Brick Concrete Block, Rusticated Asbestos Siding Cast Stone Concrete Block, Modern Asphalt Shingle Concrete Corrugated Steel

6 Glass, Block Stone, Cobblestone Wood, Plank Homasote Stucco Wood, Half Timbered Insulbrick Terra Cotta Wood, Shaped Shingles Permastone Vinyl Siding Wood, Board and Batten Pressed Metal Wood, Clapboard Wood, Flush Stone, Rubble Wood, Shiplap Wood, Shingles Stone, Ashlar Wood, Plywood Wood, Other Stone, Vermiculated Wood, Bead Board Other (specify) Windows The number of bays on the front facade of your house. If you are unsure of how to complete this field, leave it blank, and the Hampton Heritage Commission will help you fill it in. Roof/Chimneys - The type of roof (e.g. gabled, Mansard, cross-gabled, jerkinhead) and number and location of chimneys (e.g. internal ridge, central, end). If you are unsure of how to complete this field, leave it blank, and the Hampton Heritage Commission will help you fill it in. Additional Architectural Description Provide any relevant information, if known. Photo Include at least one clear photograph of the front facade; detail photos or photos of other elevations may be helpful as well. Information on Foundations, Other Structures, and Landscape Features A brief description of the construction of your foundation. Indicate if there are any historic or significant outbuildings, such as a carriage house, barn, garden structure, or outhouse. Describe any significant landscape features. Surrounding environment Leave blank. Significance In your own words, tell us what you know about your house : what it looks like, who lived there, when it was built, how it is a part of Hampton's history. Original Use and Present Use Self-explanatory. Physical Condition Self-explanatory. Threats - Leave blank. References - What sources did you use to gather information about your house and its history (e.g. deeds, family history, maps, newspapers)? Revised 12/2006