August Hawkins and his sister Prudence around 1900

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Building Inventory Form

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Unless indicated below, this is a transcript of the original Society for the Preservation of Long Island Antiquities/Town of Brookhaven survey form.   Since most of the surveys were conducted in the late 1970's and early 1980's, much of the information reflects that time period. 

Corrections to obvious typographical and spelling errors have been made.  Corrections to factual errors in the original surveys, and updates or comments on the information are either enclosed in [square brackets], or are clearly indicated as updated material from the context of the comments. 

Sites which have a suffix of "S" are supplemental sites not included in the original surveys.


Building-Structure Inventory Form

Michelsen House

 If checked, this is a Supplemental Form, not included in the original surveys.

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Inventory Code: Br36.169-S
Prepared Date: 8/17/2011
Last modified: 8/17/2011
Original Submitter
Submitter Name: John Deitz
Submitter Address: 7 Locust Rd.

631-286-3178
Organization:
Identification
1-Building/Site Name:  
2a-County:   Suffolk 2b-Town:  Brookhaven 2c-Village:  Hamlet of Brookhaven
3-Street Location:   169 Old Stump Rd.

 If checked, this site is within the Fire Place (Brookhaven Hamlet) Historic District

Ownership
   4a-Public     4b-Private
5a-Owner  (at original survey date):    5b-Address:    169 Old Stump Road
Use

6a-Original:    Residence

6b-Present:    Residence

Accessibility
 7a-Visible From Road

 7b-Interior Accessible:
7b-Interior Comment:     
Building Materials 
   8a-Clapboard    8b-Stone    8c-Brick
   8d-Board & Batten    8e-Cobblestone    8f-Shingles
   8g-Stucco
8-Other:     
Structural System
   9a-Wood Frame Interlocking Joints    9b-Wood Frame Light Members:    9c-Masonry:
    9d-Metal
9d-Metal Comment:     
   9e-Other
9e-Other Comment:     
Condition
    10a-Excellent   10b-Good   10c-Fair     10d-Deteriorated
Integrity
   11a-Original Site  11b-Moved   If so, when?  
11c-Alterations:   
Photo & Map
12-Photo Photos and images
13-Map
Threats
  14a-None Known:    14b-Zoning   14c-Roads
  14d-Developers :   14e-Deterioration
14f-Other:     
14-Comment:     
Related Outbuildings
and Property

  15a-Barn   15b-Carriage House  15c-Garage
  15d-Privy   15e-Shed   15f-Greenhouse
  15g-Shop   15h-Gardens   15i-Landscape Features
15i-Landscape Features:   
15j-Other:   
15-Comment:     
Surroundings of the Building
  16a-Open Land   16b-Woodland   16c-Scattered Bldgs.
  16d-Densely Built-up   16e-Commercial  16f-Industrial
  16g-Residential 16h-Other:   
Interrelationship of Building and Surroundings
17-Interrelationships:    
Other Notable Features of Building and Site
18-Notable Features:       
Significance
19-Initial Const Date:  
19-Architect:    
19-Builder:    
Historic and Architectural Importance
20-Importance:     
Sources
21-Sources:       
Theme
22-Theme:   Residential   
Prepared By:
  John Deitz
Supplemental Material: