House History Template
(Download the printable PDF here.)
Submitter's Name*:
Date:
House number:
Street address:
Year built:
Architect:
Historic name?
Style of home:
Information or photographs of distinctive interiors or exterior features:
Special gardens or natural features:
Major alterations:
Past residents (by year):
Information about each resident:
Are there stories about the house or its occupants?
Photos or documents:
*To protect privacy, no information about current residents will be published on The Cayuga Heights History Project website.
Date:
House number:
Street address:
Year built:
Architect:
Historic name?
Style of home:
Information or photographs of distinctive interiors or exterior features:
Special gardens or natural features:
Major alterations:
Past residents (by year):
Information about each resident:
Are there stories about the house or its occupants?
Photos or documents:
*To protect privacy, no information about current residents will be published on The Cayuga Heights History Project website.
Please submit completed house history in any of the following ways:
c/o Randi Kepecs
Marcham Hall
836 Hanshaw Road
Ithaca, NY 14850
- electronically by filling in the House History Electronic Submission Form
- by email to rkepecs@cayuga-heights.ny.us
- or by mail to:
c/o Randi Kepecs
Marcham Hall
836 Hanshaw Road
Ithaca, NY 14850
