HomeMy WebLinkAbout2011-Rooming House License0 No. q l(
OSHKOSH
ON THE WATER
ROOMING HOUSE LICENSE
License is hereby granted for a Rooming House located at
911 WISCONSIN ST
, Oshkosh, Wisconsin, as described
in Rooming House Inspection and License Application Number gy
MAXIMUM NUMBER OF OCCUPANTS PER SLEEPING ROOM:
#1 l #2 t #3 #4 #5 l #6 #7 1 #8 1 #9 #10
Date of Issuance:
This license expires
09/08/2011
09/1512012
Note:
THIS LICENSE MUST BE POSTED WITHIN THE
COMMUNAL AREA ON THE LICENSED PREMISES
k }. -,..R -
Housing Inspector
NO.
CITY OF OSHKOSH
A� ROOMING HOUSE INSPECTION AND LICENSE APPLICATION
Date Address of Proposed Rooming House
r r
i
Owner. ^ i Address /_�_� �j �1 Z/_ -1/1 fc o
Operator 1 Address I N ��bz ^ t 6LI L l { t l 1� /
Agent designated to receive notices _Ag v 4 4 ( l �
Address
.i
Type of occupancy at present J o i 'I � f .� i l oo)
o o) i
Length of time in present occupancy �' ! i r ( J
Number of sleeping.
Maximum number of occupants per sleeping room:
#1 l #3 #5 #7 #8 (FEE)
# 2_ # 4 # 6 # 8 i # 10 Paid: 7-3 't
Bed Linen and towels furnished by r' r Ci i
r
Responsibility for cleanliness of sleeping rooms U ( ( 1)
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
Number
Address
Address
OFFICE USE ONLY
Date received
Zoning
Inspected by
Date