HomeMy WebLinkAbout0124090-Storage Tank
CITY OF OSHKOSH l'
STORAGE TANK PERMIT -APPLICATION AND RECOR I
e
OSHKOSH
ON THE WATER
Job Address 2601 2615 S OAKWOOD RD
Owner WILLIAM/CLAIRE J DOUGHERTY
Category 281 - REMOVE STORAGE TANKS
Contractor OSI ENVIRONMENTAL
Tank Type o Metal o Fiberglass
Service o Install . Remove
Contents III Petroleum
o Kerosene
Tank Size 340
No
124090
reate Date 4/5/2007
Tanks
o Solvent
o Liquid Petroleum
. Above Ground jO Underground
o Natural Gas
o Other
Use/Nature Remove 1-340 G Waste Oil Tank
of Work
Valuation
Permit Fee Paid
$100.00
Issued By:
o Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction:
Signature ~ ~ . Date
Agent/Owner '
Date 4/5/2007
Parcelld #1329110100
4/S-!u 7
, I
Address
4702 N 124TH ST
WAUWATOSA WI 53225 -0
Telephone Number 414-375-1900
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), I ur Name and i=>>hone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is r~ceived. Work may
continue if the inspection is not performed within two business days from the time the project is rea~y.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you berform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contabt the
easement holder(s) and to secure any necessary approvals before starting such activity.
~
~
Apr. 4. 2007 2:36PM
OSHKOSH FIRE DEPT
OF SERVICE
CITY OF OSHKOSH FIRE DEPARTMENT
FAX COVER SHEET
DATE: 4/4/07
TO: Allyn Dannhoff
COMPANY/DEPT: Inspections
FAX #: 5084
PHONE#:
# OF PAGES (not including cover sheet): 1
FROM: JOHN HOLLAND
PUBLIC EDUCATION SPECIALIST
LPG
j h olland@ci.oshkosh.wi.us
PHONE #: 236-5249
FAX #: 236-5295
No. ~736 p, 1
**WILL BE BRINGING CHECK TOMORROW 8:00 TO PIC : UP
I
PERMIT-THANKS, JOHN I
,~q;AP r. 4. 20071 2: 36PMAl19~~r9}~H~n R_E_Y~!lIRONMENTAL, INC No. 1~736 P 2@OOllOOI
Mar. 28. 2007 10:43AM OSHKOSH FIRE DEPT N.o.1619 P. 2
___._m....__..._. .-.........-........."....-.-----;-..-...... ....... , . ....--...., "'" --.. '..-.----.-.r...-...-.. ..-.
USJf7AS I l"t:;;H..MII <":H~CK.US I j
Job Site Address:' 2' I~ 5. o,lrI!wOo b - 'i2o"'h I M/.( Itcst.J. (S~1~
Contractor:
Address: ~7o z.
WMt;.J'4~SA ~ I
sr:
2.5""
Phone Number; (~/"I) 37.$""-/'700
I
Fax Nl,Jmber: ( '-114'\ ~7S'- '~08
AST
./
Install Tanks
-
Upgrade Tanks
UST
Remove Tanks /
Upgrading Piping
Tank CnfOrmation@ #2 "3 ~ #5
Composition (!~~ S-~
T;\nk Size 3'/0 ~L
~
Contents ~ Ivsc~ ~~ O.lL
. ~NE.
Piplflg
.$ 'f:2
Approximate Cost of Job;_' 300 /'
Approximate Stan Date: : '~/5"(~ 7
Permit lssuan~ Appr~val~ Yes No
'..'
Conditions of Approval; .. .
.' ..
, .
Permit Approved
Tank System Fce
Dale:
_I)ERM[T FEE:
Note: This is not a. permit. To obtain {he required pennil. pre~en( THIS CHECKLIST, along with a SITE PLAN ~n(
· CHeCK -. p'yoble [0 the -~lTY OF OSHKOSH' ror thellmouR! I,sted in PERMIT 1t. to the Building .
Inspectors; Office. ROom 205 at Cuy HaH...J~~[wem the hours of7:30~8;30 a.m. and f2;30-li30 ().m.orby
appointment (920) 236.504S. lllis Ci1Y:.I~~~t~~tt."be QJitained and o.n site prior- to commbncerneot of v.rork.
" .