HomeMy WebLinkAbout0156180-Storage Tank (install) � CITY OF OSHKOSH No 156180
OSHKOSH STORAGE TANK PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 490 N CAMPBELL RD Owner WIS PUBLIC SERVICE CORP Create Date 5/28/2013
Contractor U.S.PETROLEUM 8�EQUIPMENT Category 280-INSTALL STORAGE TANKS
Tank Type � Metal � Fiberglass Tank Size 344 Tanks
Service � Install � Remove � Above Ground � Underground
Contents ❑ Petroleum � Solvent � Natural Gas
� Kerosene � Liquid Petroleum �✓ Other
Use/Nature �INSTALL(1)344 GALLON ABOVE GROUND DIESEL STORAGE TANK-DBL WALL STEEL SUB BASE GENERATOR TANK **check
of Work #4623
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Valuation $1,250.00 Permit Fee Paid $160.00
Issued By: �(� Date 6/14/2013
❑ Permit Voided I Parcel Id#1608710200
In the performa f is work a e to erform all work pursuant to rules governing the described construction.
Signature Date � �
AgenbOwner
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 specifed 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.
may Z4 ZU13 1U: 16AM Oshkosh Fire Dept No 3809 P, 2
CxTY OF OSHK03H UST/AST PERMIT CHECKLIST
Job Site Addreas: 990 CAMPBELL ROAD, rTi� WARNER CABLE HCJH#7
Contractor: U,S , P��FtOT,EUM EQUI PMENT
Address: 556 CART�� COURT
KIMBER�,Y, WT . 59136
Phone #: 920-735-8287 FAX #: 920�739-0791 '
AST X UST
Install X Remove Upgrade Tanka/Piping
Number, Size, & Contenta of Tank(s) ;
1 39Q GALLOt�S DIESEL
Tank(s) Composition: DBL WALL ST�ET� SUB BASE GENE��OR TANK
Piping Composition; EI�GINE SUPPLY & RETURN I�OS� CONNECTIONS
Cost of Job: $1, 250. 00
Approximate Start Date: JUNE 2013
Pe�mit Issuance Approva : YES ` No
Conditiona oE Approval; Per ept of Safety & Professional
Services�-SPS 310 :
Approved by• hn lland, LPO
signat Date:s���( ��
Tank Sya em Fee: �\pC� Plan Review Fee:��Q Permit Fee:��,�P�
PLEAS� NOTE: THIS I3 NOT A PERMIT. To obtain the �eguired
permit, �resent this checklist, al.ong with a check made payable
�o the ��CITY OF OSHKOSH" �or the amount listed in ��permit Fee"
(above) at the �uilding Ynspection Office, Room 205 at City' Hall,
between the hours of 7: 30-E ; 30 AM and 12 : 30-1:30 PM; or by
appointment (920) 236-5045. This permit sha11 be obtained �nd
on-site prior to the commencement oP any work,