HomeMy WebLinkAbout0127383-Remove storage tank
o
OSHKOSH
ON THE WATER
Job Address 3100 FOND DU LAC RD
CITY OF OSHKOSH
No
127383
STORAGE TANK PERMIT - APPLICATION AND RECORD
Owner JAMES E LARSON
Category 281 - REMOVE STORAGE TANKS
Create Date 10/19/2007
Contractor FOUST EXCAVATING
Tank Type o Metal o Fiberglass
Service o Install . Remove
Contents ~ Petroleum
o Kerosene
Tank Size 500
Tanks
o Solvent
o Liquid Petroleum
o Above Ground . Underground
o Natural Gas
o Other
Use/Nature Remove 1- 500 G UG strorage tank. Contents/use unknown - assumed to be petroeum based products.
of Work
$1,000.00
Permit Fee Paid
$100.00
Valuation
Issued By:
Date 10/19/2007
o Permit Voided I
Parcelld # 1416400000
erform all work pursuant to rules governing the described construction.
() ('C..j.~
Date
/ c;/l1/o7
Signature
Agent/Owner
Address
2824 CLAIRVILLE RD
OSHKOSH
WI 54904 - 0
Telephone Number 426-5808
Inspection (Le. 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.
i
Oct. 18. 2007 4:26PM
OSHKOSH FIRE DEPT
No.9875 P.
r06
F~BLE AND COMBUSTI.BLE MATERIAL STORAGE TANK
~~Oc) FoN0&0-\c.L
OWner Kv....n...A- K'-e~ l~Q
Contractor ::J c.J=F P~k <; 1-
Contractor Address 2. 6z..'t C\ o..-'(l.. IS ,\l-e.. (lcf)
e ~J( (), ~ \ ~ -;c- S "..'1 C \..{
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Address of Job Si te
REVIEW CHECKLIST
(2.o~
Contractor Phone
Install Tanks____
UndergrOUnd~
Number and Size of Tanks
Remove Tanks~
Above Ground____
Ol\e:.
1'""' q" '^ It-
5 co Go.. \
List Materials Stored
f.A. v... k ~ 0 t.U 0-.
J'f~~b~
G-o..~f-. ~
Tank Composition (Check the proper Categories)
Fiberglass____ Steel~ Fiberglass Coated Steel
Proposed Start Date Jt) /2..2./07
Cost Of Job J j()c)O
w
Permit Fees to be Collected 1 JOO.J.(9O
Review Approved For Permit Issuance Y~ N____
Conditions of Approval:
NOTE: THIS IS NOT A PERMIT. THIS FORM MUST BE PRESENTED TO THE
INSPECTORS IN ROOM 205, CITY HALL, BETWEEN THE HOURS OF 8 - 9 A.M;
OR 1 - 2 P.M. TO OBTAIN THE: REQUIRED PERMITS. PERMITS SHALL BE
OBTAINED PRIOR TO COMMENCING ANY ACTIVIT NDICATED o FORM.
Signature of Reviewing Officer\ OJl~' ......~... L ~
Date /0 flt(;(D7 .~
5 TORTANK