HomeMy WebLinkAbout0123420-Storage Tank
o
OSHKOSH
ON THE WATER
Job Address 3815 OREGON ST
Contractor PETROLEUM EQUIPMENT, INC.
CITY OF OSHKOSH
No
123420
STORAGE TANK PERMIT -APPLICATION AND RECORD
Owner POW'R GARD GENERATOR CORP
Category 280 - INSTALL STORAGE TANKS
Create Date 2/5/2007
Tank Type . Metal
o Fiberglass
Tank Size
Tanks
Service . Install 0 Remove
Contents ~ Petroleum
D Kerosene
D Solvent
D Liquid Petroleum
. Above Ground 0 Underground
D Natural Gas
D Other
Use/Nature Install 2 petroleum storage tanks. 1-600 G Gasoline, 1-2900 G Diesel, 1-560 Gail.
of Work
V.luat;on ~.
Issued By:
Permit Fee Paid
$375.00
Date 2/5/2007
D Permit Voided I
Parcel Id # 1413680802
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
3950 W DOUGLAS AVE
MILWAUKEE WI 53209 -0
Telephone Number 414-466-3000
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 ybu 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::;) <:16 \ 'S () ('~DC\ S+ .
Contracto~-e~\-e-L\N'\ ~\A: f'Me^-1 (::t::'V\. C
Address: ?,~ 'S 0 W -~~\;;'l:::' -tw~
M ~ ~\AY~AAlQ-e) -. 50~D~
Phone Number:(4\4~ L\bln -SOD 0
Fax Number:C 4 \ lot ') L\ lo l:. -"'3-1 '3 2..
AST
... / Install Tanks
...
'~'/""Upgrade Tanks
UST
Remove Tanks
Upgrading Piping
Approximate Start Date:
o
Composition C.v ~~ 'S-\-~ -e.- \
\~ \000 (~2\. ~) 'J-C\C?D b~_X ~
\) &~o\\^-e 2)\)\~-e- \
C O~..\:-2 c\_ .s~ e \
Approximate Cost of Job: ';L '\ ::A \.Q- ~ 6(0 t-
~\~~\Ol ..
f Yes'" /
Tank Size
3) 5lcb Gt~\..
7> ') 0.tw 0'\ \
Tank Information # I
#2
#4 #5
Contents
Piping
Permit Issuance Approval:
No
Conditions of Approval:
Permit APprove.d ~~JV( Date:~\ :>- \ 0-'
o 00
Tank System Fee blSO-rlans Review Fee \ '2.S ~ PERMIT FEE: '6l.S --
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 of7:30-8:30 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.