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Resource Number: 5BL 11307 <br />Temporary Resource Number: 157508484001 <br />OAH P 1403 <br />Rev. 9/98 <br />COLORADO CULTURAL RESOURCE SURVEY <br />Architectural Inventory Form <br />I. IDENTIFICATION <br />1. Resource number: 5BL 11307 <br />2. Temporary resource number: 157508484001 <br />3. County: Boulder <br />4. City: Louisville <br />5. Historic building name: Carlton House <br />6. Current building name: Mossoni House <br />7. Building address: 841 Jefferson Avenue, Louisville, <br />CO 80027. Alternate previous addresses: 340 and <br />845 Jefferson. Louisville addresses were changed <br />in the 1930s. <br />8. Owner name and address: Mossoni, C/O Mark <br />Mossoni 2951 W 149th Ave Broomfield, CO 80023. <br />II. GEOGRAPHIC INFORMATION <br />Official eligibility determination <br />(OAHP use only) <br />Date Initials <br />Determined Eligible- NR <br />Determined Not Eligible- NR <br />Determined Eligible- SR <br />Determined Not Eligible- SR <br />Need Data <br />Contributes to eligible NR District <br />Noncontributing to eligible NR District <br />9. P.M. 6 Township 1S Range 69W <br />SW 1/4 of NE 1/4 of NW 1/4 of SE 1/4 of section 8 <br />10. UTM reference NAD 83 <br />Zone 1 3 ; 488481 mE 4425375 mN <br />11. USGS quad name: Louisville, Colorado <br />Year: 1965 revised 1994 Map scale: 7.5' X 15' Attach photo copy of appropriate map section. <br />12. Lot(s): 1 Block:0 <br />Addition: Mossoni Place Year of Addition: 1998 <br />13. Boundary Description and Justification: The surveyed area is bounded by Jefferson Avenue on the east, Walnut <br />Street on the north, and property lines on the west and south. <br />III. Architectural Description <br />14. Building plan (footprint, shape): Irregular plan <br />15. Dimensions in feet: Length 48 x Width 40 <br />16. Number of stories: One <br />17. Primary external wall material(s): Brick, plywood/particle board <br />18. Roof configuration: Cross gabled roof <br />1 <br />