HomeMy WebLinkAbout0127786-Storage Tank (diesel)
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OSHKOSH
ON THE WATER
Job Address 725 BUTLER AVE
CITY OF OSHKOSH
No
127786
STORAGE TANK PERMIT -APPLICATION AND RECORD
Owner WINNEBAGO COUNTY
Category 280 -INSTALL STORAGE TANKS
Create Date 11/13/2007
Contractor Owner
Tank Type . Metal o Fiberglass
Service . Install o Remove
Contents ~ Petroleum
D Kerosene
Tank Size 1500
Tanks
D Solvent
D Liquid Petroleum
. Above Ground 0 Underground
D Natural Gas
D Other
Use/Nature Install 1500 G above ground diesel subtank for emergency generator. * Great Lakes Tank Systems is contractor.
of Work
Issued By:
Permit Fee Paid
$375.00
Valuation
Date 11/13/2007
D Permit Voided I
Parcelld # 1529500000
...
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
PO BOX 2808
OSHKOSH
WI 54903 - 2808
Telephone Number
.
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.
REC IVED
FLAMMABLE AND COMBUSTIBLE MATERIAL STORAGE TANK REVI~cWfsKti1rrfT
Address of Job Site ~l ~5 ~v~ k \" ~~ - DEPARTMENT OF
COMMUNITY DEVELOPMENT
Owner \ A) ; (\ (\'€ ,bC\ ~ 7""l 0 V\ ("'\ ~t INSPECTION SERVICES DIVISION
Contractor - C,,"::\r-p~-\-> L~~'LP~ ~~ 'c_ S~~--ber<'\ S
COntractor Address ~~~:~:~' t\r:2:; ~
Contractor Phone qLC - <f,?)2- - '2-C\ :2. '-t
Install Tanks~ Remove Tanks____
Underground Above Ground____
Number and Size of Tanks (\ ~~ ~sq;o 26~\\"f"'\ -AS\"
\P'^ -~.!:; C'C\f> ~(,\L~ J0pr~--\-vr ')
List Materials Stored '~\'PS.~ \
.
Tank Composition (Check the proper Categories)
Fiberglass____ Steel~ Fiberglass Coated Steel____
Proposed Start Date * ~L ~\(~~ O"-'f' *
Cost Of Job ~O()
Permit Fees to be Collected .$'2::,,5 o~
Y~N_
Review Approved For Permit Issuance
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 AN ,TIV~ IN I~D ON THIS FORM.
Signature of Reviewing Offic r
Da t e \ \ \ '\ \ DJ
\ \
STORTANK