HomeMy WebLinkAbout0103692-Storage Tank CITY OF OSHKOSH
STORAGE TANK PERMIT - APPLICATION AND RECORD
OSHKOSH
ON THE WATER
JobAddress 631 HAZEL ST Owner GITCHI GUMEE LLC
Contractor ONYX SPECIAL SERVICES
Tank Type · Metal ~) Fiberglass
Service (~ Install · Remove
Contents [~ Petroleum [] Solvent
[] Kerosene [] Liquid Petroleum
No 103692
Category 281 - REMOVE STORAGE TANKS
Create Date 8/20/03
Tank Size 0 Tanks
(~ Above Ground · Underground
[] Natural Gas
[] Other
ofUSe/Naturework I~.emove 1-10K deisel fuel tank and 1-25K fuel oil tank. Both underground.
Valuation $11,000.00 Permit Fee Paid $700.00
Issued By:
[] Permit VoidedJ
Date 8/26/03
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature ~2~ Date Agent]Owner
Address N104 W13275 DONGIES BAY RD GERMANTOWt WI 53022 - 0 Telephone Number 262-236-8130
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 enfome 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 apprevals before starting such activity.
08/15/2005~FRI 11:58 FAX ~001/001
UST AST PERMI I CHECKLIST
lob Site Address:
Address: /,) tot'/ 0.,' /~g?ff" 'bor0C~t~ t~/}'-/
AST Install Tanl~ I Upgrade Tanks
UST__ c~ Remove Tanks ~ Upgrading Piping
Tank Information ~) ~
Composition ~T~'~6 ~ T~(~
Tank Size /.,t..~ o~ ~ ~
Contents ~1 ~S~ & ~L,. O I L
Piping ~
#3 #4 #5
Approximate Cost of Job: ~_ _///O'~n,
Approximate Start Date: ~::~/2~d,/~,
Pennit issuance Approval: Yes
Canditions of Approval:
No
PERMIT FEE: 4~f 700.
Note: This is not a permit. To obtain the required p~rmit, 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. 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.