HomeMy WebLinkAbout0146955-Storage Tank (install) CITY OF OSHKOSH No 146955
OSHKOSH STORAGE TANK PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2855 S OAKWOOD ST Owner BRUNSWICK CORP Create Date 7/25/2011
Contractor U.S. PETROLEUM & EQUIPMENT Category 280 - INSTALL STORAGE TANKS
Tank Type • Metal 0 Fiberglass Tank Size 3000 Tanks
Service • Install 0 Remove • Above Ground 0 Underground
Contents ❑ Petroleum ❑ Solvent ❑ Natural Gas
❑ Kerosene ❑ Liquid Petroleum ►,1 Other
Use /Nature INSTALL (1) 3000 GALLON ABOVE GROUND DIESEL TANK * *check #4179
of Work
Valuation $1,900.00 Permit Fee Paid $225.00
Issued By: Date 7/25/2011
❑ Permit Voided I Parcel Id # 1329110000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 558 CARTER CT KIMBERLY WI 54136 - 2200 Telephone Number (920) 735 -8287
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.
CITY OF OSHKOSH UST /AST PERMIT CHECKLIST
Job Site Address: 2855 South Oakwood Road
Contractor: US Petroleum Equipment
Address: 558 Carter Court
Kimberly, WI 54136
Phone #: 920- 735 -8287 FAX #: 920 - 739 -0741
AST X UST
Install X Remove Upgrade Tanks /Piping
Number, Size, & Contents of Tank(s):
1 -3000 gallon Diesel tank
Tank(s) Composition: Steel
Piping Composition: Steel
Cost of Job: $1900
Approximate Start Date: 8/01/11
Permit Issuance Approval: YES X No
Conditions of Approval: Per WI Department of Commerce COMM 10
Approved by: John Holland, LPO
Signatu � / Date: 07/18/2011
Tank System Fee: $100 Plan Review Fee: $125 Permit Fee: $225
PLEASE NOTE: THIS IS NOT A PERMIT. To obtain the required
permit, present this checklist, along with a check made payable
to the "CITY OF OSHKOSH" for the amount listed in "Permit Fee"
(above) at the Building Inspection Office, Room 205 at City Hall,
between the hours of 7:30 -8:30 AM and 12:30 -1:30 PM; or by
appointment (920) 236 -5045. This permit shall be obtained and
on -site prior to the commencement of any work.
REC!$VED
JUL 2 2 2011
DEPARTMEN OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION