HomeMy WebLinkAbout0114512-Storage Tank
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114512
STORAGE TANK PERMIT - APPLICATION AND RECORD
Job Address 250 CITY CENTER
Owner CITY CENTER
Create Date 6/7/05
Contractor U.S. PETROLEUM & EQUIPMENT
Tank Type . Metal 0 Fiberglass
Service . Install 0 Remove
Contents 0 Petroleum
D Kerosene
Category 280 - INSTALL STORAGE TANKS
Tank Size 486
Tanks
D Solvent
D Liquid Petroleum
. Above Ground 0 Underground
D Natural Gas
D Other
Use/Nature Install a 486 G AG tank base for an emergency generator.
of Work
Valuation
$850.00
Permit Fee Paid
$135.00
Issued By:
Date 6/7/05
U Permit Voided I
Parcelld #
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
920-730-4240
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.
Jun. 6. 2005 3: 10PM
OSHKOSH FIRE DEPT
UST/AST PERMIT CHECKLIST
No. 1377
P. 2/2
~ C~ ú ("I4P í
,Cont~ctor:1J- S ~E"l{'(ì \~I^ \"^
Address: ~.s <::¡; {\:>~r C~
L\~~l \'-\ t IA"t:r
Job Sitc Address:
.s ~: \ :<, 1...0
PhoncNumber: -¡~S-~2~ì l~axNumber: .""Y4 ~ 0,4-1.
AST / Install Tanks /' Upgrade Tanks
UST
Remove Tanks
Upgrading Piping
Tank Information@
#2
113
114
#5
Composition
Tank Size
-p~/~ . s-kd---
~'ç~ G~ \
V\t>s,~. \
Contents
~~ -
Approximate Cost of JOb:~_~~--\-òr ~-;\-
Approximate Start Date: Co ll"5 -
Permit Issuance Approval: Yes X No
,
Conditions of Approval: ~r 't\~ \ 'l"" C>Q\ -.Ie. <l
In c... \<.Å~~ ~
Permit Approved by:
Tank System Fee ¡ ae Plans Review Fee 3S
Date:
~ 00
PERMIT FEE: I ß5 -
Note: This is not a permit. To obtain thc 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 ~05 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 sitc prior to commencement of work.