HomeMy WebLinkAboutWarranty/Ronald Lewellyn, JrDocument Number
STATE BAR OF WISCONSIN FORM 2 - 2000
WARRANTY DEED
This Deed, made between Ronald R. Lewellyn, Jr. Grantor, and
Redevelopment Authority of the City of Oshkosh Grantee.
Grantor, for a valuable consideration, conveys and warrants to Grantee
the following described real estate in Winnebago County, State of Wisconsin
(if more space is needed, please attach addendum):
The North 1/2 of the East 1/2 of Lot Six (6) of Block Seventy -two (72) in the
Fourth Ward, City of Oshkosh, Winnebago County, Wisconsin, per
LEACH'S MAP OF 1894.
This is not homestead property.
(is) (is not)
Dated this 16th da uly, 2010
* Rona 'ewellyn, Jr.
*
AUTHENTICATION
Signature(s)
authenticated this day of
*
1 i4E 7E,3
REGISTER'S OFFICE
WINNEBAGO COUNTY, WI
RECORDED ON
08/06/2010 02:12Pt1
JULIE PAGEL
REGISTER OF DEEDS
RECORDING FEE 30.00
TRANSFER FEE
t OF PAGES
Recording Area
169. 50
}
Name and Return Address
City of Oshkosh RDA
215 Church Avenue
Oshkosh, WI 54901
904 -0232
Parcel Identification Number (PIN)
*
*
ACKNOWLEDGMENT
STATE OF WISCONSIN )
) ss.
Winnebago County. )
Personally came before me this
July
Ronald R. Lewellyn, Jr.
16th day of
, 2010 the above named
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, to me known to be the person(s) who uted the foregoing
authorized by §706.06, Wis. Stats.) i a strument and ack o i - i ge
THIS INSTRUMENT WAS DRAFTED BY
Atty. Lynn Lorenson -
Notary Public, State of Wis' in
My Commission is permanent. (If not, state expiration date:
57-Z7—/ 2.- •)
(Signatures may be authenticated or acknowledged. Both are not necessary.)
* Names of persons signing in any capacity must be typed or printed below their signature. INFO -PRO
STATE BAR OF WISCONSIN
FORM No. 2 - 2000
WARRANTY DEED
(800)655 -2021 www.infoproforms.com
Commerce control number
CERTIFICATE OF COMPLIANCE
Rental Unit Energy
Type or print using black ink Efficiency Standards
Personal information you provide may be used for secondary purposes [Privacy Law s. 15.04(1)(m)]
The Department of Commerce does not discriminate on the basis of disability in the provision of services or in employment. It
you need this printed material interpreted or in a different form or if you need assistance in using this service, please contact us
at our voice relay number: TTY 608 - 264 -8777.
Owners name(s):) LQ'\\
� p
Street address:
L\--31 \iv \� t
City: \ State & Zip de`
Z.SL , \A5
9
Owners telephone number including area code:
Rental building location - Street address:
City: (County:
�T�S�, VVhhP tP∎o
Number of rental
buildings on this
property:
Total number
rental units:
Has this building ever been issued
a stipulation? ,Yes ❑ No
Stipulation Number:
s- 4laL 1 r)
Legal description of rental unit property (you may attach a separate sheet):
\\J E Ltzt
%\\-,
PARCEL INDENTIFICATION NUMBER:(PIN)
Return to: A 04 is CI1uve/
asiiku04, b./12 $Z/
PIN: i0(-/_ UZ��
Instructions: This certificate is to be completed and signed by an inspector currently licensed by the Department of Commerce for Rental Unit Energy Efficiency
Inspection. TO CLEAR THE TITLE ON THIS PROPERTY THIS ORIGINAL DOCUMENT MUST BE RECORDED WITH THE REGISTER OR DEEDS. Notice to
inspectors: Per Comm 67.08 (2), the yellow copy of the certificate must be forwarded to the department within 15 days of issuance. A copy of the Field Inspection Report
(JDUIJ IJ -/1f JI ivuiu uc a«aa.,ic� •v
Requirement
.I,.. y......
Insulation
Initial
•• .......... -.
Level
I Final
-_ - _„.
Fail dates
Pass
date
Commerce
exemption number,
or comments
NOT
Applicable
Accessible
Inspection dates
1
_1ti 1�
1
Doors
\ 10
2
2
Windows
Z ,O
3
3
Caulking
I
10
Purpose: Section 101.122 (4) and
(6), Wis. Stats, requires that a
properly authorized Certificate of
Compliance, Stipulation, or Waiver
accompany the transfer documents
at the time of recording. This process
is further explained in Chapter
Comm 67.08 and 67.10, Wis. Admin.
Code. Receipt of the Certificate of
Compliance form a currently licensed
inspector is proof of conformance
with energy conservation standards
of Comm 67.05. In lieu of the
Certificate of Compliance, the
purchaser may accept responsibility
for future conformance with either a
Stipulation or a Waiver.
4
Weather - stripping
1 _ZZ.,,
5
Blower door test
I\
6
Box sill
R=
R=
7
Floors over vented spaces
R=
R=
�[
/�
8
Forced air ducts
R=
R=
9
Steam heating pipes
R=
R=
x
10
Hydronic heating pipes
R=
R=
■
11
Domestic water pipes
R=
R=
12
Shower flow restricters
13
Access panels and doors
R=
R=
.3.:,1
14
Attic insulation
R=
R=
.1.-1-- •I
15
Moisture control: attic/ -
crawl space
Certificate
the
of Compliance: The rental unit described above is certified as meeting the minimum rental energy efficiency standards of Comm 67. Each applicable item on
checklist complies with Comm 67.05 or has been issued an exemption number. Certificate not valid unless signed and dated by inspector.
P4nspe tor's name:
�v� c. W to rve-
Inspector telephone number:
(°11) �3 . -\ag).
Certified inspector number:
�. &ii31
Date rental unit certifi d: J
-1� �
This certificate is valid for life of building(s) if recorded at Register of Deeds.
Insp ors • na re: �
'"\-)
1 L_ /°n ,
Commerce Transfer
Authorization number: C- 1 3 6
v ri
This instrument was drafted by: Wisconsin Dept of Commerce, Rental Weatherization, PO Box7302, Madison WI 53707 -7302 Telephone: (608) 267 -2240
SBD 7114 -A (R.10 /01)
Copy Distribution: White- Owner; Yellow- Commerce; Green - Inspector