The hospital was authorized by the Virginia General Assembly in the early 1850s as the Trans-Allegheny Lunatic Asylum. Following consultations with Thomas Story Kirkbride, then-superintendent of the Pennsylvania Hospital for the Insane, a building in the Kirkbride Plan was designed in the Gothic Revival and Tudor Revival styles by Richard Snowden Andrews (1830-1903), an architect from Baltimore whose other commissions included the Maryland Governor's residence in Annapolis and the south wing of the U.S. Treasury building in Washington. Construction on the site, along the West Fork River opposite downtown Weston, began in late 1858. Work was initially conducted by prison laborers; a local newspaper in November of that year noted "seven convict negroes" as the first arrivals for work on the project. Skilled stonemasons were later brought in from Germany and Ireland.
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. . . with Dave Tango and Steve Gonsalves from Ghost Hunters
. . . with Kadrolsha Ona Carole and