HomeMy WebLinkAbout2004-Storage TankOSHKOSH
ON THE WATER
.lob Address 2200 S WASHBURN ST
6ontractor FOXVALLY LP
Tank Type O Metal (~ Fiberglass
Service O Install (~) Remove
Contents [] Petroleum
] Kerosene
CITY OF OSHKOSH No 106190
STORAGE TANK PERMIT - APPLICATION AND RECORD
Owner SHORELAND DEVELOP CORP Create Date 1/22/04
Category 280 - INSTALL STORAGE TANKS
Tank Size 1000 Tanks 1
~ Above Ground ~ Underground
[] Solvent [] Natural Gas
[] Liquid Petroleum [] Other
Use/Nature
of Work
1000 gallon tank as per plans to be used to re-fill cylinders. Landscape / Screening must comply with planning departmnet regulations.
Valuation
Issued By:
$1,500.00 Permit Fee Paid $135.00
Permit Voided
Date 1/27/04
Parcel Id # 1325530000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1140 ASHWAUBENON ST GREEN BAY WI 54901 - 0 Telephone Number 920-336-9116
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
OSHKOSH
ON THE WATER
.lob Address 2200 S WASHBURN ST
6ontractor FELKER PETROLEUM
Tank Type O Metal (~ Fiberglass
Service O Install (~) Remove
Contents [] Petroleum
] Kerosene
CITY OF OSHKOSH No
STORAGE TANK PERMIT - APPLICATION AND RECORD
Owner SHORELAND DEVELOP CORP Create Date
Category 280 - INSTALL STORAGE TANKS
Tank Size 1000 Tanks
~ Above Ground ~ Underground
[] Solvent [] Natural Gas
[] Liquid Petroleum [] Other
1/22/04
106190
Use/Nature
of Work
1000 gallon tank as per plans to be used to re-fill cylinders. Landscape / Screening must comply with planning departmnet regulations.
Valuation
Issued By:
$1,500.00 Permit Fee Paid $135.00
Permit Voided
Date 1/27/04
Parcel Id # 1325530000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1140 ASHWAUBENON ST GREEN BAY WI 54901 - 0 Telephone Number 920-336-9116
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
, , , '~ ..... ~ UST/AST PERMIT CHECKLIST
Job Site Address:
Contractor:
Address:
Phone Number: ~/)/,~ - q ~'Y - ~ ? 7 Fax Number:
AST / Install Tanks ~ Upgrade Tanks
UST Remove Tanks. Upgrading Piping
Tank Information # 1 tt2 113 114 #5
Composition
Tank Size
Contents
Piping
Approximate Cost of Job:
Approximate Start Date:
Permit Issuance Approval:
No
Conditions of Approval:
Permit Approved by: ~~-~ Date:
Tank System Fe~/F')~ ~"~lans ~vie~ Fe~,17'. ~ PERMIT
Note: This is not a permit. To obtain the required permit, present THIS CHECKLIST, along with a SITE PLAN and
a CHECK made payable to the "CITY OF OSHKOSH" for the amount listed in PERMIT FEE, to the Building
Inspectors Office, Room 205 at City Hall, between the hours of 7:30-8:30 a.m. and 12:30-1:30 p.m. or by
appointment (920) 236-5045. This City Permit shall be obtained and on site prior to commencement of work.