HomeMy WebLinkAbout2007-Storage Tank (install)
o
OSHKOSH
ON THE WATER
Job Address 2400 S WASHBURN ST
CITY OF OSHKOSH
No
125524
STORAGE TANK PERMIT -APPLICATION AND RECORD
Owner C S I WI l TD PRTSP
Category 280 -INSTAll STORAGE TANKS
Create Date 6/26/2007
Contractor Oil EQUIPMENT COMPANY INC
Tank Type o Metal . Fiberglass
Service . Install o Remove
Contents ~ Petroleum
D Kerosene
Tank Size 20000
Tanks
D Solvent
D Liquid Petroleum
o Above Ground . Underground
D Natural Gas
D Other
Use/Nature Install 6 UG Petroleum Storage Tanks. 3-20K, 2-10K, 1-15K
of Work
Valuation ~..
Issued By:
Permit Fee Paid
$350.00
Date 6/26/2007
D Permit Voided I
Parcel Id # 1325500000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address
1140 ASHWAUBENON
Agent/Owner
GREEN SAY 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.
Jun.22. 2007 2:56PM
OSHKOSH FIRE DEPT
No. 8652 P. 2
UST/AST PERMIT CHECKLiST
,
Job Site Address:~,+ ~~. 't. S. tAJa..s. hbvtf0
Contractor D -\\F;~~(\ i- U:, .
Address: l.1-9 D. Il~s. h V- Ie- j A bP l\() n st
G~e0tS~ LuSS -..--
Phone Number: '\20- ~Ck> - ot \ \ \.,
Fax Number: q 2b -"S ~(p -=_~~_~ 'l
AST
Install Tanks
~..
Upgrade Tanks
UST
b
Remove Tanks
Upgrading Piping
Tank Information # I
#2
fI)
#4
#5
-tb-b
f" .
Composition ~\ I-r:;-'oecc \~~ ~ . CbN"\~()S t.\-~
Tank Size W~ 'L lr.l) ~ . (J) \$\(... D t
Contents ('\};>I;) t.. ~~h+ t>~((\ ~ {;~ (\) '20'(, ~o L,e').d- L' ') '20 "- s
~~ing(' )~C> 'C'V""\ ~~. L\ )\$ '(" Po u>~.L f\VlS
Approximate Cost of Job: $
Approximate Start Date: ~ ~ '() t
Permit Issuance Approval:
Conditions of Approval:
No
Permit APproved~~l~~~)\:
Tank System fee Plans Review Fcc"
Date:~~~\ 0,:1
~\
PERMIT FEE: ''35:0
Note: This is nol a permiL To obtain the required pen-nit. prescnt THIS CHECKLIST. along with a SITE PLAN (I
a CHECK made payable to the "CITY OF OSHKOSH" for the amounllisled in PERMIT fEE. to the Building
Inspectors Officc. Room 205 at City Hall. between the hours of 7:30-8:30 a,m. and 12:30~ I :30 p.m. or by
appointment (920) 236-5045_ This City Permit shall be obtained and on site prior to commencemenl of work.