HomeMy WebLinkAbout2013-Storage Tank (install) � CITY OF OSHKOSH No 156734
OSHKOSH STORAGE TANK PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1500 PLANEVIEW DR Owner DGB INVESTMENTS LLC Create Date 7/17/2013
Contractor U.S. PETROLEUM&EQUIPMENT Category 280-INSTALL STORAGE TANKS
Tank Type � Metal � Fiberglass Tank Size 8000 Tanks
Service � Install � Remove � Above Ground � Underground
Contents ❑ Petroleum � Solvent � Natural Gas
❑ Kerosene � Liquid Petroleum 0✓ Other
Use/Nature INSTALL(1)8'DIA,8,000 GALLON UNDERGROUND DOUBLE WALL FOR DEF WITH THE POSSIBILITY OF HAVING DIESEL IN THE
of Work FUTURE STORAGE TANK '�check#4641 I
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Valuation $83,800.00 Permit Fee Paid $100.00
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Issued By: �,�, Date 7/17/2013__ _
❑ Permit Voided I Parcel Id#1369500000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
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: 1500 PLANEVEW DRIVE, OSHKOSH, WI
Contractor: US PETROLEUM EQUIPMENT
Address: 558 CARTER CT
KIMBERLY, WI 54136
Phone #: 920-730-7149 FAX #: 920-739-0741
AST UST 1
Install 1 Remove Upgrade Tanks/Piping
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Number, Size, & Contents of Tank(s) : :
8' DIA, 8, 000 GALLON DOUBLE WALL FOR DEF WITH THE POSSIBLITY OF !
HAVING DIESEL IN THE FUTURE
Tank(s) Composition: DOUBLE WALL FIBERGLASS
Piping Composition: DOUBLE WALL FIBERGLASS PIPE
Cost of Job: $83, 800
Approximate Start Date: 7-15-13
Permit Issuance Approval: YES No
Conditions of Approval: Per WI Dept of Safety & Professional
Services—SPS 310
Approved by: John H lland, LPO
Signatu Date: �1�� l�
Tank System Fe�� Plan Review Fee: Permit Fee:���
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 tYie commencement of any work.