SIASCONSET HISTORICAL RESEARCH PROGRAM
Questionnaire


The NHA and the Siasconset Historical Research Program appreciates your taking time and effort to provide us with information about a property. All responses are appreciated; however, to fully participate in the project, we need to receive your answer in electronic format. We have provided an online form for your convenience, but answers may also be provided as a word processing document, text (PC format), or email. 

You may cut and paste answers into the online form, or mail this document to bsimons@nha.org.

Thank you.



HOUSE/PROPERTY IDENTIFICATION

1. House address: 
2.  House name: 
3.  Tax parcel number(s) if known (on your real estate tax bill): 
4. Title holder (Name(s) and address(es) of person(s) or entity(ies) having legal ownership of the property): 
5. Name(s) and address(es) of primary owner/family occupant(s) of this house (if same as title holder, just enter “same as above”): 

 

OWNERSHIP AND OCCUPANT HISTORY

6. In what year did the above primary occupant(s) first come to ’Sconset and/or Nantucket? 
7. In what year did the above primary occupant(s) first reside in this house?  
8. Was the owner’s/family’s first occupancy of this house as owner or tenant? 


HISTORY

9. What can you tell us about the history of this house (year of construction, movement, expansion(s), changes, former names, etc.)? 

10. What can you tell us about its ownership and/or occupancy prior to your and/or your family’s ownership/occupancy? 

11. Do you or does your family have any documents, records, photos, correspondence, diaries, stories, etc. relating to the history of this house? 

12. Would you suggest any other person who might have such materials or any other information about this house? 



FAMILY CONNECTIONS TO ’SCONSET

13. Do you have other living family members, or deceased family members, of current or previous generations, who have resided or reside at this location or at other locations in ’Sconset? Tell us about them and other residences in ’Sconset, whether owned or rented. 

14. Please share any stories, traditions, or legends relating to this house or its previous inhabitants 


SUGGESTIONS

15. Do you have any suggestions that might improve this questionnaire and/or that relate in general to the Siasconset Historical Research Program?


YOUR INFORMATION

16. Please enter the following:

Your name: 
 
Your email address: 

Your mailing address: 
 
Your phone number: 

HOUSE OCCUPANCY

17. General characterization: (choose one)

Seasonal (primarily rental-tenant occupied)
Year around (owner/family occupied)
Year around (rental-tenant occupied)
Another pattern

Date submitted: 

Person submitting:  

This is my first submission Yes | No
 	I have previously submitted information; this is additional information. Yes | No