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HomeMy WebLinkAbout0112708-Storage Tank e OSHKOSH ON THE WATER CITY OF OSHKOSH No 112708 STORAGE TANK PERMIT - APPLICATION AND RECORD Job Address 2601 S OAKWOOD RD Owner WilLIAM/CLAIRE DOUGHERTY Create Date 2/18/05 Contractor Oil EQUIPMENT COMPANY INC Category 280 - INSTAll STORAGE TANKS Tank Type . Metal 0 Fiberglass Service . Install 0 Remove Contents 0 Petroleum D Kerosene Tank Size 340 Tanks D Solvent D Liquid Petroleum . Above Ground 0 Underground D Natural Gas D Other Use/Nature IND/ Install 340 gal AST for Waste Oil as per plans approved by OFD. (2615 S Oakwood Rd) of Work $1,000.00 Permit Fee Paid $135.00 Valuation Issued By: Date 2/18/05 U Permit Voided I Parcelld # 1329110100 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 GREEN BAY WI 54304 - 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. e OSHKOSH ON THE WATER CITY OF OSHKOSH No 112708 STORAGE TANK PERMIT - APPLICATION AND RECORD Job Address 2601 S OAKWOOD RD Owner WilLIAM/CLAIRE DOUGHERTY Create Date 2/18/05 Contractor Oil EQUIPMENT COMPANY INC Category 280 - INSTAll STORAGE TANKS Tank Type . Metal 0 Fiberglass Service . Install 0 Remove Contents 0 Petroleum D Kerosene Tank Size 340 Tanks D Solvent D Liquid Petroleum . Above Ground 0 Underground D Natural Gas D Other Use/Nature IND/ Install 340 gal AST for Waste Oil as per plans approved by OFD. of Work $1,000.00 Permit Fee Paid $135.00 Valuation Issued By: Date 2/18/05 U Permit Voided I Parcelld # 1329110100 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 1140 ASHWAUBENON GREEN BAY WI 54304 - 0 -- Telephone Number 920-336-9116 Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. UST/AST PERMIT CHECKLIST Job Site Address: ;:)l.Q ~ ~ s . OG~~Dð¿ Kð. Contractor: Ö,s \ E^~\.(() (\m.pí\--\-~ \ )-::::r;", c:. Address: \ :::L ~::, '" LÒ-e.:s.+ Cc", -\.e J ~~ - '~uB--\-eí " ~ 5 ~oo ., Phone Number:«(Dl> )Î32. - :5 ¡"""Il.. Fax Number: (2..Is>2) "lo"D - "I3<¿í'i? AST / Instal! Tanks /' Upgrade Tanks UST Remove Tanks Upgrading Piping Tank Information@ #2 #3 #4 #5 Composition Tank Size Cö ';):-tl ~ ~ -e- \ 3l\b ~\-\ W~$~ '\ U}A -$ \ OD 0 , Contents Piping Approximate Cost of Job: Approximate Start Date: Permit Issuance Approval: Yes x ( No Conditions of Approval: Permit Approved b : Tank System Fee \ D D Date:~ PERMIT FEE: , \~Ç Note: This is not a permit. To obtain the 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, 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. /' ". ¡ . II) q;: - II) ¡; 0 Wt 5: :s::: d5 I. ;;; CJ) ~ I 0 ... ìZ "" N