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03rd Street West 0901 Site Inventory Form State Historical Society of Iowa (December 1, 1999) State Inventory No. 31-05493 D New rgJ Supplemental D Part of a district with known boundaries (enter inventory no.) _ Relationship: D Contributing D Noncontributing D Contributes to a potential district with yet unknown boundaries National Register Status:(any that apply) D Listed D De-listed D NHL D DOE 9-Digit SHPO Review & Compliance Number _ D Non-Extant (enter year) _ 1. Name of Property historic name Tri-State Convalescent Center/Manor Car Health Services other names/site number 2. Location street & number 901 3rd Street city or town Dubuque Legal Description: (If Rural) Township Name D vicinity, county Dubuque Township No. Range No. Section Quarter of Quarter (If Urban) Subdivision_ 3. State/Federal Agency Certification [Skip this Section] 4. National Park Service Certification [Skip this Section] 5. Classification Category of Property (Check only one box) IZI building(s) D district D site D structure D object Block(s) _ Lot(s) see below Number of Resources within Pro ert If Non-Eligible Property If Eligible Property, enter number of: Enter number of: Contributin Noncontributin 1 buildings Q Q buildings snes snes ~ructures ~ructures o~ects o~ects Total Q Q Total 1 Name of related project report or multiple property study (Enter "N/A" if the property is not part of a multiple property examination). Title Historical Architectural Data Base Number The Architectural and Historical Resources of Dubuque, 1833-1955 t:U6 6. Function or Use Historic Functions (Enter categories from instructions) Current Functions (Enter categories from instructions) Medical center Medical center 7. Description Architectural Classification (Enter categories from instructions) Materials (Enter categories from instructions) Colonial Revival foundation concrete walls brick roof Asphalt other Narrative Description (IZI SEE CONTINUATION SHEETS, WHICH MUST BE COMPLETED) 8. Statement of Significance Applicable National Register Criteria (Mark "x" representing your opinion of eligibility after applying relevant National Register criteria) DYes IZI No D More Research Recommended A Property is associated with significant events. DYes IZI No D More Research Recommended B Property is associated with the lives of significant persons. DYes IZI No D More Research Recommended C Property has distinctive architectural characteristics. DYes IZI No D More Research Recommended D Property yields significant information in archaeology or history. County Dubuque City Dubuque Criteria Considerations D A Owned by a religious institution or used for religious purposes. D B Removed from its original location. DCA birthplace or grave. D D A cemetery Address 901 3rd Street Site Number 31-05493 District Number D E A reconstructed building, object, or structure. D F A commemorative property. D G Less than 50 years of age or achieved significance within the past 50 years. Areas of Significance (Enter categories from instructions) Significant Dates Construction date 1971 D check if circa or estimated date Other dates Architecture Significant Person (Complete if National Register Criterion B is marked above) N/A Architect/Builder Architect Unknown Builder Unknown Narrative Statement of Significance (IZI SEE CONTINUATION SHEETS, WHICH MUST BE COMPLETED) 9. Major Bibliographical References Bibliography IZI See continuation sheet for citations of the books, articles, and other sources used in preparing this form 10. Geographic Data UTM References (OPTIONAL) Zone Easting Notthing Zone Easting Notthing 1 3 2 4 D See continuation sheet for additional UTM references or comments 11. Form Prepared By name/title James E. Jacobsen organization History Pays! Historic Preservation Consultinq Firm street & number 4411 Inqersoll Avenue city or town Des Moines state IA date June 15, 2005 telephone 515-274-3625 zip code 50312 ADDITIONAL DOCUMENTATION (Submit the following items with the completed form) FOR ALL PROPERTIES 1. Map: showing the property's location in a town/city or township. 2. Site plan: showing position of buildings and structures on the site in relation to public road(s). 3. Photographs: representative black and white photos. If the photos are taken as part of a survey for which the Society is to be curator of the negatives or color slides, a photo/catalog sheet needs to be included with the negatives/slides and the following needs to be provided below on this particular inventory site: Roll/slide sheet # 7486 Frame/slot # 1Q Date Taken Jan. 2005 Roll/slide sheet # Frame/slot # Date Taken Roll/slide sheet # Frame/slot # Date Taken D See continuation sheet or attached photo & slide catalog sheet for list of photo roll or slide entries. D Photos/illustrations without negatives are also in this site inventory file. FOR CERTAIN KINDS OF PROPERTIES, INCLUDE THE FOLLOWING AS WELL 1. Farmstead & District: (List of structures and buildings, known or estimated year built, and contributing or non-contributing status) 2. Barn: a. A sketch of the frame/truss configuration in the form of drawing a typical middle bent of the barn. b. A photograph of the loft showing the frame configuration along one side. c. A sketch floor plan of the interior space arrangements along with the barn's exterior dimensions in feet. State Historic Preservation Office (SHPO) Use Only Below This Line Concur with above survey opinion on National Register eligibility: DYes D No D More Research Recommended D This is a locally designated property or part of a locally designated district. Comments: Evaluated by (name/tit/e): Date: Iowa Department of Cultural Affairs State Historical Society of Iowa Iowa Site Inventory Form Continuation Sheet Site Number 31-05493 Related District Number Paqe 1 Tri-State Convalescent Center/Manor Car Health Services Name of Property 901 3rd Street Address Dubuque County Dubuque City 7. Narrative Description: Architectural Style And Key Stylistic Elements: Sprawling single-story complex with inner court Building Permit Cards: 1966-repair fire damage to multiple-family dwelling (George Connelly) 1970-Board of Adjustment approves building permit, $84,500. 1980- Tri-State Convalescent, remodel brick commercial building, $3,000 1985- Tri-State Convalescent, 10x20 storage building. 1995-96 Board authorizes expansion 38x41 addition, $200,000 Outbuildings: None Landscaping Notes: Large corner lot, parking drive in front 8. Narrative Statement of Significance: Historical Notes: Probable casualty was home of Geo. B. Burch, corner Burch and 3rd, who remodels same 1887 (Times, February 27, 1887). Geo. B. Burch Jacob Rich owns when sewered 1891. Burch bought Scott Mansion, in 1874, completely remodeled, new slate roof, new porches, carriage porches, several thousand dollars (Times, February 2, 1874; Herald, May 8, 1874). Historical Image Notes: The 1909 Sanborn map shows two large houses, 381/879 and 423/923 West Third which are non- extant. The 1909/36 Sanborn map shows the same, and adds a small tile garage to the west of the house. 9. Major Bibliographical References: Sanborn Fire Insurance Maps, 1884, 1891, 1909/36 Dubuque City Directories, 1902, 1915, 1925, 1934 Bruce Kriviskey, Dubuque, lowa--Architectural Survey 1978/1979, Atlas of City Wide and District Survey Maps, Dubuque; n.p., c.1979 Dubuque County Assessor's Data Newspapers and other primary sources as noted in the text above. Historical photographs, Center For Dubuque History, Loras College Iowa Department of Cultural Affairs State Historical Society of Iowa Iowa Site Inventory Form Continuation Sheet Site Number 31-05493 Related District Number Paqe 2 Tri-State Convalescent Center/Manor Car Health Services Name of Property 901 3rd Street Address Dubuque County Dubuque City 10. Additional Documentation: Legal Description: Lot 1-, Lot 2-1, Burch's NO.2 Sub Map: ,/ \ -'\ .\ .\ Fenelon Place Contour Map S \/ '-- 2-foot Contours Fenelon Area Survey Contour Map Blackened house locates subject property (City of Dubuque, 2005) ~--~~1 -. """\~~'1 ;~~~~~~ i......~- . _ ~Ii._. __......... I miii\':! ~",\;,,, ~ ~'~~l'~.., . , " [ .. ".", '. '" i;,. 'ijO II ' ~rl . . :; .;'-._~ I " _.-".~ I Ii .~ " ; , ,,"~....c~ 11 _... " +~.~... ~. ~ ... \ f" I . . " ..At. ~ 11 .4 ~ r II' ~. .- -- ----- -