HomeMy WebLinkAboutRooming House License 2011(00)
OSHKOSH
ON THE WATER
No. 424.
ROOMING HOUSE LICENSE
License is hereby granted for a Rooming House located at
541 JEFFERSON ST
, Oshkosh,
Wisconsin,
as described
in Rooming House Inspection and
License Application
Number
�Q
MAXIMUM NUMBER OF OCCUPANTS PER SLEEPING ROOM:
#1 l #2 Z - #3 Z #4 f #5 1 #6 2 #r #S Z, #9 l #10 !
Date of Issuance: 09/19/2011 *11 1
This license expires 09115/2012
Note:
THIS LICENSE MUST BE POSTED WITHIN THE
COMMUNAL AREA ON THE LICENSED PREMISES
Housing Inspector
Date
NO.
CITY OF OSHKOSH
ROOMING HOUSE INSPECTION AND LICENSE APPLICATION
Operator
Agent designated to receive notice
Address of Proposed Rooming House r HiSJh I �T"
Address
Address
Address
Type of occupancy at present
Length of time in present occupancy
Number of sleeping.rooms I '
Maximum number of occupants per sleeping room:
#1 #3 #5 1 #7 #9 (FEE)
#2— #4 #6 #8 # 10 Paid:
Bed Linen and towels furnished by
Responsibility for cleanliness of sleeping 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:
I
Date
Number
Address
Address
OFFICE USE ONLY
Date received
Zoning
Inspected by
Date