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NO.
CITY OF OSHKOSH
~! ~,.. ROOMING HOUSE INSPECTION AND LICENSE APPLICATION
Date Address of Proposed Rooming House
Owner Address
Operator Address
Agent designated to receive
Type of occupancy at prase
Length of time in present occupancy
Address
Number of sleeping rooms
Maximum number of occupants per sleeping room:
#1 #3 #5 #7 #9 (FEE)
#2_ #4 #6 #8 # 10 Paid:
Bed Linen and towels furnished by
Responsibility for cleanliness of slapping rooms
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
Agent
License Issued:
Date
Address
Address
OFFICE USE ONLY
Date received
Zoning
Inspected by
Number
CITY I~Inf f
215 Church Avenue
P O dox 1130
(lshkorh, W~sconsn
5asnr i iso
O.fHK01N
ON THE WATER
City of Oshkosh
Mr. LeRoy Andresen
5030 Tumblebrook La.
Oshkosh, WI., 54901
Dear Mr. Andresen:
July 22, 1988
RE: Rooming House at
505 West Irving Avenue
License expires: 8/27/88
According to our records, the license for operating the
rooming house referred to above will soon expire. In
order to renew the license, please fill out the application
form enclosed with this letter and return it to this office
within one week. The fee for renewal of license is $25.00.
~e-~ gear. Make your check or money order payable to the
City of Oshkosh. Please contact me for an appointment to
reinspect the rooming house.. A reinspection is required
before a license will be renewed.
The Oshkosh Municipal Code, Section 16-40 (C), states that
no person may operate a rooming house unless he holds a
current license or temporary permit issued by the Housing
Inspector in his name for the specific rooming house.
Penalties for failure to comply with provisions of the
Minimum Housing Code are listed in Section 16-46.
If you have any questions or comments, feel free to contact
me at the Code Enforcement Office, 215 Church Ave., or by
telephone at 236-5137.
V y ~ my
C LUE~
Housing I
ctor
BL:mr
enclosure