oregon state historic preservation office historic resource record for rural historic theaters --------------------------------------------

OREGON STATE HISTORIC PRESERVATION OFFICE
HISTORIC RESOURCE RECORD FOR RURAL HISTORIC THEATERS
----------------------------------------------------
Instructions
Use this form to request that SHPO staff evaluate a historic theater
for inclusion in the National Register of Historic Places. This form
should only be used if the property is a historic theater (movie,
stage, or other), located in a community with a population of 30,000
or less, and applying for the 2020 Historic Theater Grant application.
To have the theater evaluated for its potential for listing in the
National Register, please complete all blanks. Provide as much
information about the exterior and interior of the theater as
possible, such as the number of stories, cladding materials, general
theater layout, and known alterations under “General Description.”
Under “Building History,” include any information about the architect,
builder, original owners and subsequent occupants, and historic
activities or events that occurred at the property. Lastly, include
current photos of all the required features and elevations, listed
below. Attach historic photos, newspaper clippings, obituaries, and
other documentation to help the reviewer better understand your
property. Use additional sheets if necessary.
Required current, color photos include:
*
Exterior: all visible sides of the theatre, marquee, entryway,
associated storefronts (if applicable), ticket booth.
*
Interior: stage, projection booth, concession stand, bathrooms,
green/dressing rooms, auditorium, seating, balcony/mezzanine,
lobby/entry, equipment, decorative elements (ceilings, walls,
flooring, lighting fixtures), etc.
For assistance completing this form, contact Katelyn Weber with
Restore Oregon at [email protected] or (503) 946-6379. Mail
completed forms to National Register Program, Oregon State Historic
Preservation Office, ATTN: Tracy Collis, 725 Summer St. NE, Salem, OR
97301 or email them to [email protected] with “HRR” in the
subject line. Emailed submissions must be under 10MB in size and
include digital photos of the property. Mail submissions must include
printed photographs.
All materials submitted to the Oregon State Historic Preservation
Office become property of the State of Oregon and are available as
public records. Materials submitted to the SHPO will not be returned.
Applicant Information
Name
Date
Mailing Address
City/State/Zip
Phone Number
E-mail
Property Information
Historic Name, if known
Street Address
City/Town
County
Owner Information
Complete if the applicant is not the owner. Response will be sent to
the applicant and owner. Private property cannot be listed in the
National without owner consent.
Name/Institution
Contact Name
Mailing Address
City/State/Zip
Phone Number
E-mail
Property Name and Address:
Exterior & Interior Description
Construction Date ______ Note source (estimated, deed, other record(s)
______________________________
Original use. Drama Concert Movie Multiple Use Other:_________________
Check all that apply
Current Use:
­­­­­­­­­­­___________________________________________________
Siding material(s). Horizontal Wood Vertical Board Brick Stone
Asbestos Vinyl
Check all that apply
Other:
­­­­­­­­­­­_________________________________________________________
Write a general exterior description, including building shape,
height, roof type, and any special features (e.g.
marquee, ticket booth).
Write a general interior description, including general layout, major
rooms, and any special features. Please add
specific details on the lobby, theater room (stage and seating),
bathrooms, and decorative features.
List known or probable alterations and the approximate date the work
was done.
Building History
================
Please explain what significant events and persons are associated with
this property (including owners) and whether the theater’s
architecture or the construction methods used to build it are
noteworthy. Include any changes in use (e.g. 35mm film to digital, or
theater space to worship space). Provide all known dates. Use
additional pages if necessary.
======================================================================
Historic Documentation
======================
Include copies of historic photos, newspaper clippings,
advertisements, and other documentation, if available.
=======================================================
Updated December 2019

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