HomeMy WebLinkAbout0154293 - Starage Tank (install tank for waste oil) CITY OF OSHKOSH No 154293
OSHKOSH STORAGE TANK PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2167 STATE ROAD 44 Owner QUENTIN/MARY GERLACH Create Date 1/28/2013
Contractor WALT'S PETROLEUM - Category 280-INSTALL STORAGE TANKS _
Tank Type ❑ Metal • Fiberglass Tank Size 3000 Tanks
Service • Install O Remove ❑ Above Ground • Underground
Contents ❑
Petroleum ❑ Solvent ❑ Natural Gas
❑ Kerosene ❑ Liquid Petroleum 0 Other
Use/Nature INSTALL(1)3,000 GALLON UNDERGROUND STORAGE TANK FOR WASTE OIL **check#26343
of Work
it
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Valuation $28,000.00 Permit Fee Paid $225.00
Issued By: nt/i Date 1/29/2013
❑ Permit Voided Parcel Id#1329430200
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 5207 E JELINEKAVE SCHOFIELD WI 54476 -4233 Telephone Number 715-551-0018
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: 2167 State Rd 44
Contractor: Walt' s Petroleum
Address: 5207 E Jelinek Ave
Schofield, WI 54476
Phone #: 715-359-4362 FAX #: 715-355-4936
AST UST X
Install X Remove Upgrade Tanks/Piping
Number, Size, & Contents of Tank(s) :
1-3000 gallon UST Waste Oil
Tank(s) Composition: Fiberglass
Piping Composition: Fiberglass
Cost of Job: $28, 000
Approximate Start Date: 2/4/13
Permit Issuance Approval: YES X No
Conditions of Approval: Per WI Dept of Safety & Professional
Services—SPS 310
Approved by: John Hol nd, LPO
Signature
C � Date: 1/28/13
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.