Layers:
1. Background--minor levels tweak
2. Pointilist: Sparse Colored. Normal 58%
3. Pencil Sketch: Detailed Monochrome. Overlay 26%. Adjust midtone levels to 1.74
4. Paint: Craquelure. Normal 36%

USM to combined levels: Amount 19%; Radius 210 pixels; Threshold 0

Original photo found here: http://www.pbase.com/malewis/image/44438787