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ROOMING HOUSE LICENSE CERTIFICATE
A Rooming House License has been granted for a rooming house at
505 WEST IRVINr, AVENUE ,Oshkosh, Wisconsin as described
below, and in rooming house application number ~
Owner: LEROY ANDRESEN ~ Agent: SAME
5030 TUN~LEBROOK DR,
Date of Issuance: AUGUST 27, 1993 ExpirationDate:
Maximum Total Occupancy: ~ Persons
Maximum Occupancy by floor: First Floor:
Second Floor: 6 Persons Third Floor:
Au~usT 27, 1994
6 Persons
NA Persons
Maximun Occupancy of each sleeping room by number:
1 2 2 2 3 2 4 2 5 2 6 2 7 X g X 9 X 10 X
NOTE: 1. The Rooming House License card must be displayed in a conspicuous
place within the communal areas of the building.
2. The Housing Inspector must be notified within forty-eight hours after any
transfer of legal control of any licensed rooming house.
3. This License may be revoked at any time violations of the Minimum
Housing Code are not corrected by a date specified on a notice listing the
violations.
4. The License must be renewed for continued use of the rooming house.
Application for renewal should be made thirty days prior to expiration date.
Application forms for renewal of the license are available from the Housing
Inspector. The payment of a license fee of 525.00 per license must
accompany the application. No license will be renewed unless the
applicant owner agrees on his application to such inspection as the
Housing Inspector may require to determine whether the rooming house
is in compliance with the provisions oft inimum Hou n Code.
5. Please keep this Certificate for your re rds
HOUSING INS CTOR
... / ~
. ~~~
NO.
.~ JL.
CITY OF OSHKOSH
ROOMING HOUSE INSPECTION AND LICENSE APPLICATION
Date Address of Proposed Rooming House
Owner Address
Operator
Agent designated to receive
~.
Address
Type of occupancy at present
Length of time in present occupancy
Number of sleeping rooms
Maximum number of occupants per sleeping room:
#1 #3 #5 #7 #9_
#2_ #4 #6 #8 # 10
(FEE)
Paid:
Bed Linen and towels furnished by
Responsibility for cleanliness of sleeping
Heating plant is capable of maintaining the premises at 65° F, when the outside timperature is -15° F.
Water heating facilities are capable of heating water to a temperature of at least 120° F.
TO THE HOUSING INSPECTOR: The undersigned hereby applies for a license to operate a rooming house as
described in this application. Operation will be in compliance with the minimum housing code and other ordinances
of the City of Oshkosh and building code of the State of Wisconsin. In accordance with S. 11.13 (11) (d) of the
Municipal Code of the City of Oshkosh, it is further agreed, that the City Clerk will be immediately notified
of any change of agent. In accordance with S. 11.13 (11) (e) of the Municipal Code of the City of Oshkosh, it is
further agreed that written notice will be given the Housing Inspector within 48 hours after transferring or otherwise
disposing legal control of the above rooming house.
Signed:
Owner Address
Agent
Licenselssued:
Date
.,..
Address
Number
Date
Zon
OFFICE USE ONLY
Inspected by
Date
City of Oshkosh
JUNE 27, 1994
ROOMING HOUSE LICENSE
O.fHKO.IH
oN rHE wnrEa 60 DAY EXPIRATION NOTICE
EROY ANDRESEN RE: ROOMING HOUSE LOCATED AT:
030 TUMBLEBROO~1 .DRIVE
OSHKOSH, HII„ 54901 505 WEST IRVING AV~L~UE
LICENSE EXPIRES g/U/94
DEAR PROPERTY OWNER;
According to our records, the license for operating
the rooming house referred to above will expire within
60 days. In order to renew the license, please fill out
the application form enclosed with this letter and return
it to this office within 15 days. The fee for renewal is
$25.00 per year. Make your check or money order payable
to the City of Oshkosh.
Please contact me within 30 days for an appointment
to reinspect the rooming house. A reinspection is re-
quired before a license will be renewed. Licenses will
also not be issued until all violations have been correct-
ed.
The Oshkosh Municipal Code 16-40 (C), states that no
person may operate a rooming house unless he/she holds a
current license or temperoary permit issued by the Housing
Inspector in his/her name for the specific rooming house.
Penalties for operating a rooming house without a
current license are listed in Section 16-46.
If you have any questions, feel free to contact me
in the Code Enforcement Office, Room #205, City Hall or
call 236-5137. ,,~ ~~~
incerely,
'~ ,'~ ~ t, c ~, L~ ~ ~ ~ -,_
BR-IICE LUEDTICE
HOUSING INSPECTOR
enclosure