HomeMy WebLinkAbout0104063-Storage Tank
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No 104063
STORAGE TANK PERMIT - APPLICATION AND RECORD
Job Address 300 W PACKER AVE
Owner
LYNN C/RUTH E RETZLAFF
Create Date 9/4/03
Contractor CHRISTENSEN & WISNET INC
Category 280 - INSTALL STORAGE TANKS
Tank Type . Metal 0 Fiberglass
Service . Install 0 Remove
Contents 0 Petroleum
D Kerosene
Tank Size 645
Tanks
D Solvent
D Liquid Petroleum
. Above Ground 0 Underground
D Natural Gas
D Other
Use/Nature Tank / Install one 645 above ground UL 142 storage tank for waste oil, as per plans approved
of Work
$2,800.00
Permit Fee Paid
$135.00
Valuation
Issued By:
Date 9/10/03
U Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
702 S OUTAGAMIE
APPLETON
WI 54914 - 0
--
Telephone Number
920-734-1436
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.
Job Site Address:
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09/05/2003 FRI 13: 19 FAX
USTIAST PERMIT CHECKLIST
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Contractor:
Address:-
PhoneNl1rnbeL~ 7Jt.1-=-~_FaxNumbeL q~... 71'-/- 092...'7
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Install Tanks
Upgrade Tanks
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Remove Tanks
Upgrading Piping
Tank Information~
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Composition sre¡;;'L-
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Contents {,AJAS7:G OIl....
Piping ~L
Approximate Cost of Job: ./ ~ f-vo. ..t::!:!-
Approximate Start Date: ) to -+4 \.ð /!I)\
Permit Issuance Approval: Yes- V
Conditions of Approval:___._---
Tank Size
Permit Approved b .
. . .Date: . 'f 1.5-~J tD2-
ew Fee~PERM[T FIE: '" / j.J:
Note: This is not a permit. To obtain the required pennit. present THIS CHECKLIST. along with ¡¡ SITE PLAN 31
a CHECK made payable to the "CITY OF OSHKOSH" for the amount listed in PERMIT FEE. to the Building
!pspectors ornet'. Room 205 at City Hall. between the hours of 7:30-8:30 a.m. and 12:30-1 :30 p.m. Or by
appointment (920) 236-5045. This City Permit. shall 00 obtained and on site prior to commencement of work.
09/05/2003 FRI 13: 17 FAX
~001l001
UST/AST I'ERMIT CH8CKLIST
Job Site Address:
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Address:
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Contractor:
Phone Number: 12-0' 7.1«1- I <11 ~
Fax. Number: q"UJ... 71';- OC}¿,
AST
v'
Install Tanks
Upgrade Tanks
UST
Remove Tanks
Upgrading Piping
Tank Tnformation@
#2
113
114
115
Composition sréC?'-
Tank Size M s:- qJ
Contents l~JASTG ð/I....
Piping s-r1i'tFi.,.
Approximate Cost of Job: I ~ /'710 . ~
Approximate Start Date: ~ to i-~ VI ~
Permit Issuance Approval: Yes V
Conditions of Approval:
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No
Permit Approved b .
Tank System Fcc/ðD.
Note: This is not a permit. To obtain the required permit. present THIS CHECKLIST. along with a SITE PLAN am
a CHECK made payable to the "CITY OF OSHKOSH" for the amount listed in PERMIT FEE. to the Building
Inspectors Office. Room 205 at City Hall. between Ihe houl'S of 7:30.8:30 a.m. and 12:30-1 :30 p.m. or by
appointment (920) 236.5045. This City Permit shall be obtained and on site prior to colnmencen1ent of work.
101 Court Street
Oshkosh. W;scons;n
54901
4t4/236.5240
City of Oshkosh
Fire Department
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August 13, 2003
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Christensen & Wisnet, Inc.
702 S. Outagamie Street
P.O. Box 372
Appleton, WI 54912-0372
RE: CONDITIONAL APPROVAL
CONDITIONAL APPROVAL EXPIRES: August 13, 2005
SITE: Lynn's Service Center
300 W. Packer Avenue
Oshkosh, WI 54901
FOR: Installation of 1- 645 gallon waste oil tank
Your plan has been reviewed for confonnance with applicable Wisconsin Administrative
Codes and Wisconsin Statutes. This plan has been "CONDITIONALLY APPROVED".
The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for
compliance with all code requirements. This tank system shall be installed in accordance
with the Conditionally Approved plans. Any change in the initial installation, which
deviates from the original conditionally approved plans, shall be submitted for review as
a revision. The on-site inspector shall be notified prior to, and shall review any proposed
changes, prior to such changes, to ensure compliance with applicable standards.
NOTES:
1.
COMM 10 notification shall be sent to me prior to any installation
procedures are initiated.
2.
Upon receiving the COMM 10 notification, I will complete my checklist,
which is required to obtain the City installation permit. The fee for this
permit will be $135.00. I will fax a copy of my checklist back to you, which
has instructions for obtaining this permit. You will need to pay for the
permit at City Hall when you pick up the permit.
3.
The brick dike shall be sealed and liquid tight in order to comply with
COMM 10.
A copy of the conditionally approved plans, specifications, and this letter shall be on-site
during the installation construction and available for review by authorized representatives
of the Department. The required City of Oshkosh installation pennit shall be obtained
and on-site at the time of commencement of installation.
Sincerely,
~
John F. Holland-LP.O.
Fire Prevention Bureau
Oshkosh Fire Department
101 Court Street
Oshkosh, WI 54901
(920) 236-5249
jho lland@ci.oshkosh.wi.us
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, . .
P.O: Box 372 · 702 S. Outagamie St. · Appleton, WI 54912-0372
Phone (920) 734-1436 · Fax (920) 734-0929
www. cwgoodguys.com
CHRIsTENSEN & WISNET, INC.
HEATING * COOLING ~ AIR FILTRATION ABOVE GROiiND TANK DESIGN & INSTALLATION