Architectural Review Board
Regular MeetingFredericksburg, VA · February 10, 2025
Minutes
10 February 2025
To: Kate S. Schwartz
ksschwartz@fredericksburgva.gov
cc: Planning@fredericksburgva.gov
The Historic Fredericksburg Foundation has reviewed the upcoming agenda and related
COA documents for the February 10, 2025 meeting of the Architectural Review Board and
submits the following comments on select projects.
Public Hearing:
10.A.i. COA 2501-0093 – 314 William Street
HFFI appreciates the applicant’s modest increase in the setback of the proposed second story
addition to six feet behind the existing parapet wall. Other modest revisions to the addition’s façade
that could increase the compatibility of this project could include a reduction in the opaque solid
surface above the proposed windows along the addition by enlarging the windows. We encourage
the applicants to reconsider the rigid programmatic desires for diners to better view the street
below, as opposed to the beautiful historic skyline of our city. More space for windows would
provide customers with what is essentially a privileged perspective not afforded to people on street
– a rooftop view that doesn’t emphasize looking down but rather looking up and all around.
HFFI also supports staff’s recommendations for the applicant to provide information on the roof’s
slope, drainage improvements, and rooftop access from within the proposed addition. The district’s
design guidelines reinforce good stewardship of our historic built environment by the downtown
businesses and property owners that derive value and profit from them. Properly maintaining and
preserving Fredericksburg’s historic resources does not include a consistent chipping away of their
historic fabric or replacement of the character-defining materials that comprise them. Thus, HFFI
further requests that the applicant provide additional information, through good faith photographic
documentation, of the existing parapet wall to illustrate its condition and material context.
10.A.ii. COA 2501-0092 – 822 Caroline Street
HFFI conducted some research into the history of this cinder-block addition at the rear of 822
Caroline and found that the addition was constructed after 1927 and before 1947, according to local
Sanborn maps. It may have even been erected in 1947, when surviving building records note a
large $7,000 addition was made to 824 Caroline, which is also cinderblock. Regardless of its
origins, the existing door appears to have been significantly altered over time. The proposed design
for the replacement door uses contemporary materials in a design that is sympathetic to the door’s
historic appearance and construction—as a modern interpretation of historic patterns. Therefore,
HFFI concurs with staff’s recommendation to approve this COA as submitted.
Historic Fredericksburg Foundation, Inc. | 1200 Caroline Street, Fredericksburg, VA 22401
10.A.iii. COA 2501-0095 – 1101 Gateway Boulevard
HFFI is glad to see the City’s continued efforts to preserve the Idlewild site and its surviving historic
features. We support the proposed rehabilitation plan of the site and hope that City staff might invite
multiple preservation partners to contribute to its interpretation efforts, including HFFI and the National
Park Service.
General Public Comment:
12. A. Fall Hill Avenue Medical Historic District National Register Nomination
HFFI supports the private property owners’ efforts to create a historic district in the area surrounding the
1949 Mary Washington Hospital building on Fall Hill Avenue. A national register nomination is
essentially a report on the history and significance of a particular place that tangibly reflects important
trends, events, individuals, architecture, and/or archaeological evidence known to have cultural value to
a community.
Such a report is intended to convey a depth of archival research to detail its history and an intensive
architectural study of the physical fabric in order to assess the historic integrity of a property or
properties as with a historic district. Consultants hired to produce such reports work diligently to gather
this data and we are pleased to see some of this information presented in the proposed Fall Hill Medical
Historic District nomination.
HFFI’s volunteers and local preservation professionals have also worked diligently to record, assess,
and honor the history and historic resources in our community. Therefore, we are pleased to support
this nomination with additional research to improve the accuracy of its information—as the district
document will serve as a tool for research well into the future for our area.
First, HFFI homed in on primary sources to get accurate construction dates for both the Medical Arts
Building (2301 Fall Hill Ave) and Doctor’s Office (2501 Fall Hill Ave), constructed in 1956–57 and 1964–
66, respectively. Second, we are pleased to provide information on alterations over time to the Old
Hospital and Medical Arts Building, detailed in a June 20, 2024 blogpost on HFFI’s website (see Figure
1 and attached article). Lastly, we’d like to express our disappointment that the Fredericksburg Public
Health Center (435 Hunter Street) was not included within the proposed district as it is directly
connected to the significant medical history of the area. Designed by local architect John J. Ballentine in
the late 1950s with a 1975 addition by Ballentine and another local architect, Mary Ellen Wheeler—this
locally significant resource will soon be demolished without any documentation of its interior design.
The Public Health Center’s omission from the Area’s Character Structures List may have sealed its fate
roughly 6 years ago. Thus, HFFI would like to remind the Architectural Review Board of the important
role that proper survey and thorough research plays in identifying emerging historic resources has in
protecting our unique cultural landscape. While hired consultants may be required for more intensive
survey efforts, collaboration with local preservationists and our colleagues at the Department of Historic
Resources is critical to amplifying the positive impact of such efforts.
As appointed representatives of historic preservation practice for our City, HFFI sincerely thanks those
ARB members who make a concerted effort to forge connections with members of the local
preservation community. If you have not yet been to HFFI’s archives, we invite you to visit the Lewis
Store to gain a greater understanding of the specific resources we maintain to support preservation
therein. For more than 50 years HFFI volunteers have compiled and supported the practices of historic
Historic Fredericksburg Foundation, Inc. | 1200 Caroline Street, Fredericksburg, VA 22401
preservation in conjunction with local organizations, City staff, commissions, as well as state and
national agencies. We love sharing the knowledge that generations of Fredericksburg residents have
invested in our organization and thank the community that has nurtured the preservation of what makes
our City both historic and distinct.
Figure 1: At left, detail of September 26, 1964 Free Lance Star article about a building permit for a new medical office at 2501
Fall Hill Avenue. At right, January 25, 1966 advertisement for Dr. Nutter’s “new, modern Doctor’s Building.”
Historic Fredericksburg Foundation, Inc. | 1200 Caroline Street, Fredericksburg, VA 22401
The Ties Between Modern Architecture and Healthcare History in Fredericksburg
By Danae Peckler, HFFI Preservationist (June 20, 2024)
https://hffi.org/the-ties-between-modern-architecture-and-healthcare-history-in-fredericksburg/
In the last few years, there has been much talk about the future of the old hospital building at 2300 Fall
Hill Avenue and the neighboring lots. The property was owned by Medicorp Properties Inc—an arm of
Mary Washington Hospital—until earlier this year (FredGIS 2024). Since the site plan for the St. Mary’s
Landing townhouse project was initially submitted to the City at the end of January 2024, the public has
become aware of the developer’s intention to demolish two extant buildings on the block across from
the hospital bounded by Fall Hill Avenue, Hunter, and Elm streets. One is a brick bungalow built in 1947
by contractor H.H. Tyler for Arthur Greene and currently addressed at 2315 Fall Hill Avenue, while the
other is the former Fredericksburg Public Health Center at 435 Hunter Street, designed by architect John
J. Ballentine, Jr. and constructed between 1959 and 1960 by contractor L.C. Mitchell.
While little funding is ever dedicated to documenting our historic built environment, the demolition of
our existing building stock is not something we should continue to overlook. Like the conservation of
natural resources, preserving and repurposing our built environment has great benefits. It is estimated
that 25-30% of our landfills are now filled with construction debris, some of which has proven toxic to
our air, water, and wildlife. In effort to save high-quality historic building materials from going to waste,
some localities have established programs to foster the salvage and reuse of valuable building materials.
Acknowledging that some older buildings cannot be salvaged or that the greater needs of the
community outweigh the benefits of preserving them, many localities have policies and procedures that
allow for the thorough documentation of historic properties, recording their historic occupation, use,
and physical fabric prior to their removal. HFFI hopes to add historic context to the old hospital and
associated healthcare buildings around it, along with the architecture and time period that defined
them.
Funding for the construction of the hospital and public health building stems from landmark health-care
legislation referred to as the Hill-Burton Act. Passed by Congress in 1946, “this bill invested significant
sums of federal tax dollars to increase access to healthcare for citizens across the nation. Among its
many initiatives, the program offered local governments the majority of funds necessary to build
dedicated structures for their health departments” (Marshall 2021:96–97). Government’s role in
preserving the health of its people was certainly nothing new, but the impacts of wartime mobilization
revealed both the relative scarcity of healthcare facilities across the country and how successful “public
health centers” could be in maintaining it, distributing vaccines and offering basic care.
Work to erect Fredericksburg’s third hospital building began in 1949. More than $520,000 in Federal
funds and over $314,000 from the state of Virginia supported its construction, augmented by roughly
$350,000 from local sources and donations (Alvey 1989:60,62). On February 18, 1951, a small dedication
ceremony was held on the grounds of 2300 Fall Hill Avenue to mark the official opening of the new Mary
Washington Hospital. At five stories tall and encompassing nearly 28,000 square feet, this new brick,
steel, and concrete facility became the very model of a modern healthcare facility (Figure 1). The
hospital was designed to accommodate future growth; the building underwent seven major upgrades
and expansions between 1951 and 1990. An aerial image taken in 1980 and more recent photographs
from the 2023 property listing provide a striking contrast to its initial architectural form and design
(Figure 2 and 3).
Figure 1: Early 1950s postcard image of the old Mary Washington Hospital on Fall Hill Avenue.
Figure 2: 1980 aerial photograph shows two new wing additions under construction (“Hospital
Expansion,” The Free-Lance Star, Feb. 28, 1980).
Figure 3: Ground view of south elevation (top) and aerial image looking west (bottom), presented in the
property listing and offering memorandum (Coldwell Banker Commercial Elite 2023).
The growth and success of Mary Washington Hospital prompted the construction of other supportive,
Modern-era, healthcare buildings around it. The “Medical Arts Building” at 2301 Fall Hill Avenue was
constructed in 1956 by local builder/contractor, Bernard Cline, as a “professional office building” for a
select group of physicians with private practices. The building also contained commercial space. A
second Peoples Drug Store opened in the Medical Arts Building that year, offering “free prescription
delivery service anywhere in the city” (The Free Lance-Star, Dec 20, 1956:16). A third-floor expansion
was made in 1964, though demand from local practitioners grew (Moore 1979:13). In the fall of 1969,
drawings by architect Henry C. Johnson, Jr., for a sizable addition to the north side of the building were
submitted to the City Engineers Office, along with a request for exemption from the setbacks and height
limits of earlier residential development. The requested variance was granted, but Johnson’s Modernist
addition to this Georgian Revival-style building did not materialize (Figure 4 and 5). However, a single-bay
addition matching the original material composition of the building was added to the north elevation
sometime after 1969, while other modifications changed the symmetry of the façade, replaced all of the
double-hung windows, altered several window openings, and removed the paneled door with sidelights,
transom, and entablature of the central entrance.
The Medical Arts Building’s original Georgian Revival styling reflects a conscious choice by the physicians
who funded its construction. Did the doctors believe a more traditional look to the building would give a
sense of continuity to their previous practices or instill greater trust among new patients in the
physicians’ depth of experience? Or perhaps they felt that a Georgian exterior would help their new
multi-story office building blend with the surrounding residential neighborhood (Figure 6), comprised of
one- and two-story dwellings?
Figure 4: Sheet 5, “Preliminary Design Addition to Medical Arts Building, Fredericksburg, Virginia,” by
H.C. Johnson, Jr. Architect, AIA (October 1969). Full image of west or Fall Hill Avenue elevation (top) and
detail of “Existing Construction” (bottom) (City of Fredericksburg Planning Department). Note: most of
the Georgian Revival architectural features depicted in these drawings have since been removed and
replaced.
Figure 5: Façade or west elevation (top) and southeast oblique of Medical Arts Building (bottom)
presented in the property listing and offering memorandum (Coldwell Banker Commercial Elite 2023).
Future site
of hospital
Figure 6: Detail of 1941 Sanborn Fire Insurance Company map of Fredericksburg, Sheet 21, showing
scattered residential development in the area.
On another lot across from the hospital and southeast of the Medical Arts Building is the modest one-
story Public Health building, at 435 Hunter Street. Fredericksburg’s City Council voted unanimously to
support its construction with the understanding that at least 55 percent of the cost would be obtained
through the Hill-Burton Act (Figure 7; The Free Lance-Star, Aug 29, 1958:1). Designed by local architect,
John J. Ballentine, Jr., in conjunction with Fredericksburg Health Director, Dr. Frederick J. Spencer, this
Modernist building was completed and open to the public in 1960 (Figure 8; The Free Lance-Star, May
20, 1960:11).
At a time when “new planning techniques, modern medical equipment, advanced building systems, and
sterile treatment spaces radically changed health-care design,” some historians view health-care
architecture in the postwar period as the embodiment of medical technology utilized for patient
treatment (Marshall 2021:102). The administration of Modern-era healthcare planning and services
placed stringent demands on its architecture—the design of such facilities needed to be as maintenance
free as possible and support the efficient and economical administration of services, while remaining
flexible to meet new and growing demand from the community. A Public Health Center’s plan was
“delineated by five primary functions: patient waiting, administration, clinic, assembly, and service”
(Marshall 2021:102).
Figure 7: News article detailing City’s approval for creating the Fredericksburg Public Health building
(The Free Lance-Star, Aug. 29, 1958).
Figure 8: Image of the south elevation and main entrance to the “Health Center” (The Free Lance-Star,
May 20, 1960:11).
While many new public healthcare facilities embraced the cost-effective, minimal maintenance
construction of the Modernist designs with International and Contemporary elements, great stylistic
variation occurred in Virginia’s units. Modernist examples most often appeared when the buildings were
erected at the urban fringe—similar to the approach and design trends that impacted public schools
during this time period.
Fredericksburg’s Public Health Unit was not the only one John J. Ballentine, Jr., designed in Virginia. In
1954, he was selected by the Board of Supervisors in Caroline County to design their new public health
center, which would be located across from Bowling Green’s town hall (Marshall 2021:107). Given the
site’s surrounding architectural context at the town’s historic civic core, the selected design featured a
traditional exterior skin—featuring what Ballentine called “Pseudo-Colonial” styling—with a Modernized
floor plan informed by recommendations from the Virginia Department of Health and Caroline County’s
Director of Health (Figure 9; Marshall 2021:108).
In Fredericksburg, Ballentine customized his design in a series of seven schematic drawings to suit local
officials and medical professionals, using the popular International style. The individual with the most
influence appears to have been Fredericksburg’s Health Director, Dr. Frederick J. Spencer, a young
physician from England, who had been selected for training by the State Health Department (Suffolk
News-Herald, Apr. 3, 1956:1). In his mid-30s at the time, Dr. Spencer held the position in Fredericksburg
for just a few years before moving to Richmond circa 1962 to become the State Health Department’s
Director of Communicable Disease Control (Suffolk News-Herald, Oct 8, 1962:6).
Figure 9: Figures of Caroline County’s War Memorial Health Center printed in “’A Suitable Memorial’: The
History of Public Health Centers in Post-World War II Virginia,” an article written by Andrew Marshall,
Preservation Architect at John Milner Associates Preservation Division, and published in the Fall 2021
issue of Buildings & Landscapes, a journal of the Vernacular Architectural Forum.
Ballentine’s use of the International style at Fredericksburg’s Public Health Center strongly reflects the
building’s modern medical purpose and use, as well as its public funding, location, and context within
the community (Figure 10). He continued to work in the International style when he was hired to design
an addition to the building in the mid-1970s. Drawings finalized in 1975 included a one-story, three-bay,
brick addition to the east end of the center, designed with the capacity for the addition of a second story
(Figure 11).
Relatively few truly Modernist designs made it off Ballentine’s cutting room floor in Fredericksburg—a
community dedicated to preserving its Colonial history and architecture. Ballentine was successful,
however, in balancing Modern architecture within a traditional context. Aside from the Public Health
Center, the most recognizable of his Modernist works include the commercial shopping center now
home to Fahrenheit and Castiglia’s restaurants at 320–324 William Street (1956), the Virginia ABC store
at 505 William Street (1963), and the U.S. Post Office (1972) at 600 Princess Anne Street (Spencer 2016).
He is more often remembered in Fredericksburg for his efforts to preserve and rehabilitate historic
buildings in the community, often in conjunction with HFFI—an organization for which he served as
President for a time. As strong a preservationist as he was architect, Ballentine donated his collection of
architectural drawings to the Historic Fredericksburg Foundation, Inc., many of which are in being
digitized by our friends at UMW’s Department of Historic Preservation.
Over time, Ballentine’s Mid-Century Modern exterior at Fredericksburg’s Public Health Center has been
somewhat “Colonialized” by the addition of stucco, removal of its ribbon windows, and the replacement
of its original breeze-block vestibule with a pedimented portico. But the cover is not book. This
customized example of Modern medical architecture is worth a closer look. HFFI hopes that there will be
an opportunity to more fully document this cultural historic resource, inside and out, so that we might
continue to learn from it in the future.
The omission of Fredericksburg’s Public Health building from the area’s “Character Structures” list also
offers a few lessons to us all regarding the ways in which we identify and assess our historic built
environment, particularly what parts of it provide valuable “character” to our neighborhoods. It gives
little comfort to those who care about Fredericksburg’s cultural historic resources that even IF the Public
Health building had been identified as a “Character Structure” in Area 6, current zoning does nothing to
prevent or discourage its demolition.
Some might say, why does this keep happening? Preservationists sometimes sound the alarm at the 11th
hour! Yet what is both more common and less public are the many times when the insights and efforts of
local preservation advocates are ignored, dismissed, or excluded from the discussion in the “hours”
(months, years, and even decades) leading up to the alarm ringing.
This situation, however, seems timely. This is an opportunity to re-evaluate the process by which we
select and protect “Character Structures,” and also how we handle the demolition of our historic
resources in and outside of the Historic District.
Next week is the first of many public meetings about rewriting much of Fredericksburg’s Comprehensive
Plan: June 26, 2024, 6:30-8:30 p.m., 210 Ferdinand Street in the School Board meeting room. Sure hope
to see you there!
References:
Alvey, Edward, Jr.
1989 90 Years of Caring: Mary Washington Hospital 1899–1989. Mary Washington Hospital. Moran &
Company: Charlottesville, Virginia.
Coldwell Banker Commercial Elite
2023 2300 Fall Hill Avenue, Offering Memorandum and property listing. Coldwell Banker Commercial
Elite, https://cbcelite.com/property-search/?propertyId=1195794-sale
Marshall, Andrew
2021 “A Suitable Memorial”: The History of Public Health Centers in Post-World War II Virginia,
Buildings & Landscapes, Vol. 28, Issue 2, Fall 2021, pp. 96–123.
Spencer, Michael
2016 “John Jennings Ballentine, Jr., Fredericksburg Architect,” Historic Fredericksburg Foundation, Inc.,
https://hffi.org/john-j-ballentine-jr-fredericksburg-architect/
Stanton, Gary. 2014. “Surviving Fredericksburg Building Permits: 1938-1960,” Fredericksburg Research
Resources. Department of Historic Preservation, University of Mary Washington,
https://resources.umwhisp.org/fredburg.htm
Figure 10: Details from Ballentine’s January 6, 1959, “Fredericksburg Public Health Center, Sketch #6,”
drawing with Hunter Street elevation (top) and proposed floor plan (bottom). Note: all elevations in
Sketch #6 appear consistent with the as-built design; however, it is unclear if the interior floor plan from
this model was also built. No documentation has been made of existing conditions at the interior.
Figure 11: Details from Ballentine’s March 1975, “Additions and Alterations to Fredericksburg Public
Health Center, Schematic Sketch II…” drawing showing exterior elevations and site plan for expansion.
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