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HomeMy WebLinkAbout0104063-Storage Tank e 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: J()O tJ, ? Irc..,t:.-C"'fL ~ 001/001 11/1 _J~ æ V- '1t;;7 IJ I} 09/05/2003 FRI 13: 19 FAX USTIAST PERMIT CHECKLIST C/Ht.-.({;'rr¡.Jsr:;,J .¡- IA)/ t,.;e-r 7 6 'Z- S . () /Á. T 1+ .6...!i:Au.ff~_- f1f1¡}U3T¡¿3'd lA-)! ~'i9)o/' , Contractor: Address:- PhoneNl1rnbeL~ 7Jt.1-=-~_FaxNumbeL q~... 71'-/- 092...'7 AST V-::' Install Tanks Upgrade Tanks UST Remove Tanks Upgrading Piping Tank Information~ #2 113 #4 #5 ::bh n (1 CUVl 0 ú.Y C\¡£C{dD) . 1::-/1 JSJOO~O ~('þ V~" CO4t~f'~ 08 ¿CCJ V W¡~ ;::;- OJ" Ô'-I'J..... . <OP~ No . ~~l' Composition sre¡;;'L- & t.f 5'" qJ 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: JIJD ¿J. ? !f¿.,t:.-C"'fL Address: C/fíL,I{;r-r:¡.J~e.J .¡- IAJr s.,.;e-r 7 () z.. S . f) /Á. Tr1 (, rl- /h ,(: fl-f¡herl),.J ,fA) I .5"'i9)'f 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: Ô'-I'J..... . 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 ~ OfHKOfH August 13, 2003 1Ji "A¡~.~. fI¡Þ/~.' ~ ~g7 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 ,% fa\ / , . . 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