Please fill out the form below with any information you can and hit the SUBMIT button when finished. This information below is necessary to identify the property and the information you have to share regarding the property.

If you have trouble completing the form you can have someone else assist you in completing the survey.

Thank you!

Property Address

Street Number (location):*

Direction(Choose N,S,E,W or blank:

East North South West

Street Name(Choose one):*

Adams Aikens Allen Arbor Way Atherton Barnard Beaver Bradley Buckhout Street Burrowes Street, Center Clarence Corl Crestmont Dorum Easterly Ellen Fairmount Fairway Ferguson First Foster Franklin Fraser Fry Garner Gill Glenn High Highland Hillcrest Holmes Homan Irvin Jackson Keller Kemmerer Legion Locust Logan Lytle Manor Martin Marylyn McCormick McKee Metz Mitchell Nimitz Nittany Oak Old Boalsburg Oneida Orlando Osmond Park Patterson Penfield Pine Prospect Pugh Railroad Ridge Robin Rosa Science Second Smithfield Sowers Sparks Storch Sunrise Sunset Taylor Third Thomas Walnut Waring Waupelani Westerly Westview Whitehall Willard William Woodland

Street Type(Choose one):*

Alley Avenue Circle Court Drive Lane Parkway Place Road Row Street Terrace Way

Year Built*

Tax Parcel ID # (optional)

Number of stories:*

Building Materials (exterior):*

Brick Concrete Siding Steel Stone Wood Other (list below)

Other building materials (explain):

Current Owner Information

Property Ownership (choose one):*

Private Borough County Municipal State Federal Penn State University

Name of Owner:*

Owner Address
(if different from above):

Owner email address:

Owner Phone #:

Building Information

The information below will be used by the Historic Resources Commission to review and evaluate a structure's contributing qualities.

Architectural Style (choose one):

Bungalow/Craftsman Colonial Commercial Style Modern Other

Interesting architectural features (include interior, exterior and/or garden, multiple buildings or landscape features):

Builder's Name:

Architect's Name:

Manufactured or other Mail Order Plan:

Original Use:

Business Church school Civic Clinic, Health Club house Medical business/office Meeting hall Multiple dwelling Religious structure School Single dwelling Unoccupied land Other (explain below)

Other Original Use (explain):

Previous Address (structure moved to current location or different known street name/address):

History Associated with building(include any other uses it may have and in addition to present use, background of past owners or former use of land):

Previous owners & years owned:

Submitter Information (if different from above):

Submitter name:

Submitter address:

Submitter Email address:

Submitter Phone #:

Additional Information

May we contact you?

Yes No

How may we contact you?

Phone Email Mail

If you have additional information or questions please call the Planning Office at 814-234-7109 or email planningdept@statecollegepa.us.

Thank you for completing this form.

Press the SUBMIT button below to record your information.