ROCHESTER – When Dan Larson and his wife, Kathryn, purchased their Pill Hill home in 2022, they assumed the neighborhood’s status on the National Register of Historic Places came with protections for preserving their house.
“The house has a plaque and everything,” Larson said. “The neighborhood has always kind of been known to be historic. And we kind of were surprised that wasn’t the case.”
Larson soon found he was not alone among residents of the storied Rochester neighborhood — named for the influx of medical professionals who took up residence there in the early 20th century.
In 2023, as the city considered a zoning change that would have potentially allowed the redevelopment of the neighborhood, residents of Pill Hill began to grapple with the limitations of the honorary federal designation.
How could they safeguard a neighborhood so closely linked to the story of Mayo Clinic from redevelopment pressures being brought on by the massive expansion of the same institution?

“There are very real development pressures in Rochester; and one of the things, having lived here so long, some of it happens just slowly enough that you almost don’t notice it,” said Pill Hill resident Martha Grogan. “We really need to preserve these historic structures and weave them into the fabric of the city and the community of the future.”
While the city never moved forward with plans to rezone the neighborhood, it didn’t shake the feeling among residents that it could only be a matter of time that the wave of redevelopment in the city could encroach on Pill Hill, a neighborhood known as much for its Colonial and Tudor revival architecture as its famous past inhabitants, including Mayo’s founders.
“The temptation could still be there to just sell a house to a builder who will demolish it and build a large high-rise,” said Bobbi Pritt, a pathologist at Mayo who owns one of the oldest homes on her block. “And once you’ve destroyed a historic property, you never get it back. It changes the whole character of the neighborhood.”