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0103411-Storage Tanks (six)
OSHKOSH ON THE WATER ,Job Address 1901 OSBORN AVE Contractor U.S. PETROLEUM & EQUIPMENT Tank Type O Metal (~ Fiberglass Service O Install (~) Remove Contents [] Petroleum ] Kerosene CITY OF OSHKOSH STORAGE TANK PERMIT - APPLICATION AND RECORD Owner MICHAEL E COYLE et al Category 280 - INSTALL STORAGE TANKS Tank Size 500 Tanks ~ Above Ground ~) Underground [] Solvent [] Natural Gas [] Liquid Petroleum [] Other No 103411 Create Date $/$/03 Use/Nature NSTALL 6 TANKS/ 2- 500 gal steel tanks for oil, 1 275 steel tank for aff oil, 1- 500 gal steel tank for waste oil, 1-250 gal steel tank for anti-freeze, of Work 1-250 gal steel tank for windshield wash fluid. Valuation Issued By: $30,000.00 Permit Fee Paid $385.00 Permit Voided Date $/$/03 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 558 CARTER COURT KIMBERLY WI 54136 - 0 Telephone Number 735-8237 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 Job Address 1901 OSBORN AVE Owner MICHAEL E COYLE et al Contractor U.S. PETROLEUM & EQUIPMENT Category 280 - INSTALL STORAGE TANKS CITY OF OSHKOSH No 103411 STORAGE TANK PERMIT - APPLICATION AND RECORD Create Date 8/8/03 6 Tank Type · Metal (~ Fiberglass Tank Size 500 Tanks Service · Install O Remove · Above Ground (~ Underground Contents [] Petroleum [] Solvent [] Natural Gas [] Kerosene [] Liquid Petroleum [] Other NSTALL 6 TANKS/ 2- 500 gal steel tanks for oil, I 275 steel tank for afl oil, 1 - 500 gal steel tank for waste oil, %250 gal steel tank for ~nti-freeze, 1-250 gal steel tank for windshield wash fluid. Use/Nature of Work Permit Fee Paid $385.00 [] Permit Voided] Date 8~8~03 Valuation $30,0500 I$~ tghn~tPue~°rm2 c~i.~¢ r~m~k pursuant t° rules g°veming the described c°nst~ucti°n ~ate AgentJOwnsr Address 5 ARTER COURT KIMBERLY WI 54t35 - 0 Telephone Number 735-8237 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. 08-/07/2003 THU 17:46 UST/AST PEKMIT CHECKLIST 001/001 fob Site Address: t OtOI .~ oSb,~ .1'~ Phone Number: 9 '20 AST x~. Install Tanks Fax Number: '7 Upgrade Tanks UST Remove Tanks Upgrading Piping. 'Tank Information ~ #2 //3 g4 #5 Composition g-fee.[ ~"l..e'.~.. ( Tank Size ~0c5 500 Contents =5 I 0q I ~12" ~...~'', ( Approximate Cost of J0b: ~©r oo Approx mate Start Date: ~ -/?- Permit Issuance Approval: Yes ,5('" No Conditions of Approval: Permit Approved by: . Date: Tank System Fee r'55 O Plans Review Fee ~ ~ PERMIT FEE',~'~ /~ .5, O~ Not~f Th~s is not a permit. To obtain the required permit, present THIS CHECKLIST, along with a SITE PLAN ant a CHECK made payable to the "CITY OF OSHKOSIt" for the amount listed in PERMIT FEE, to the Building Inspectors OFfice, Room 205 at City Hail. 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 Pein'fit shall be obtained and on site prior to commencement of work. 08/07/2003 THU 17:45 ? FAX city inspectors UST/ASTPERM[TCHECKLIST 001/00! 7 ~ -o ~) Job Site Address: t ~,0~ ~ O~hol~,i~.x. Contractor; Address: AST '~' lostall Tanks ~:~ Fax Number:_? ~q -- O' ?ct'[ Upgrade Tanks ~ UST Remove Tanks .Upgrading Piping Tank Information #2 #3 #4 #5 /~..~ Ta~ Si~ $06 500 ~)- ..... ~ ~yo ~0 Approximate Cost of Job: Approxima~ Sta~ Date: Pe~it l~umce Approval: Condkions of App~val: YeseS' No Tank System Fee e~ 2) O Plans Review Fee...~ ~3 PERMIT FEE' ~ ~_~__~ Note: This is not a permit. To obtain tile required permit, present THIS CHECKLIST, along with a SITE PLAN an(: a CHECK made payable to the "CITY OF OSHKOSH~ for the amount listed in PERMIT FEE, lo tile 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 Pemfit shall b¢ obtained and on sitc prior to commencement of work.