HomeMy WebLinkAboutLicense #174August 26, 1974
Mr. LeRoy Andresen
5030 Tumblebrook Road
Oshkosh, Wisconsin 54901
ROOMING HOUSE LICENSE .CERTIFICATE
A Rooming .House License has been granted for a rooming house at
505 West Irving Avenue , Oshkosh, Wisconsin
as described below and in rooming house application number 174.
Owner: Mr. LeRoy Andresen gent: Same
5030 Tumblebrook Rd., Oshkos~i
Date of Issuance: August 26, 1974 Expiration Date: August 26, 1976
Maximum Total Occupancy: 11 Persons
Maximum Occupancy by Floor: First Floor 6 Persons
Second Floor 5 Persons Third Floor X Persons
Maximum Occupancy of Each Sleeping Room by Number:
1 2 2 2 3 2 4 2 5 1 6 2 ~ X g X g 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 Ten Dollars pier 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 of the Minimum Housing Code.
5. Please keep this Certificate for your records.
Department of Community Development
City Hall, 215 Church Avenue Housing Inspector
Oshkosh, Wisconsin 54901 Phone: 424-0375
NO. ~ ? 7
CITY Of OSHKOSH
ROOMING HOUSE INSPECTION AND LICENSE APPLICATION
Date , _ / ress of Proposed Rooming House S~ S w -
Owner Address ~ O
Operator L- C r" ~ Address < < l ~
~ C I c t ~
Agent designated to receive notices 1. -L
Type of occupancy at
Length of time in present occupancy
Number of sleeping rooms ~/~
Maximum number of occupants per sleeping room:
#1~ #3_~ #5_~ #7 #9 (FEE)
~ ~ z. ~ 4 7 ;<e ~ ~ ~ R ~ ~ n Pa;~,~ I v. 00
Bed Linen and towels furnished by
Responsibility for cleanliness of sle
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.
p°~ ~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 giv 'ng Inspector within 48 hours after transferring or otherwise
disposing legal control-a~the abov ing house.
/ Owner
Agent
License Issued:
Date
Number
Address
Address
OFFICE USE ONLY
Date received
Zoning
Inspected by
Date
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