HomeMy WebLinkAbout0158695-Storage Tank (install) � CITY OF OSHKOSH No �sssss
OSHKOSH STORAGE TANK PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 825 N WASHBURN ST _ Owner MILLER INVESTMENTS INC Create Date 8/27/2013
Contractor U.S. PETROLEUM&EQUIPMENT _ Category 280-INSTALL STORAGE TANKS
Tank Type � Metal � Fiberglass Tank Size 210 Tanks
Service � Install 0 Remove � Above Ground � Underground
Contents ❑ Petroleum � Solvent � Natural Gas
❑ Kerosene � Liquid Petroleum �✓ Other
Use/Nature INSTALL(1)ABOVE GROUND 210 GALLON STORAGE TANK FOR DIESEL-DBL WALL STEEL SUB BASE GENERATOR TANK-
of Work ENGINE SUPPLY 8 RETURN HOSE CONNECTIONS VENT&FILL PIPE-SCHDL.40 BLK STEEL TO OUTSIDE BUILDING *'check
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Valuation $1,800.00 Permit Fee Paid $160.00
Issued By: ��� Date 11/11/2013
❑ Permit Voided j Parcel Id#1621010000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 558 CARTER CT _KIMBERLY WI 54136 -2200 Telephone Number (920)735-8287
Inspection (i.e. Footing, Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not perFormed within two business days from the time the project is ready.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Aug 27, 2013 8: 50AM Oshkosh Fire Dept No, 4313 P. 2
CITY OF OSHKOBH U3T/A3T PERMIT CHECKLI9T
Job Site Address: 925 N, WA3HBURN 3T - (AT&T-03HK09K OPE9T mI6034)
Contraator: U.S. PETROLE�M EQ�IPMENT
Address; 558 CARTER COURT
KZMBERLY, WI , 59136
Phone #: 920-735-8287 �AX #: 920-739-0791
AS� X U$� �
znstall X Remove Upgrade Tanks/Piping
Number, Size, & Contents of Tank(s) :
1 210 GALZONS DIESEL
Tank(s) Compoaitxon; DBL WALL STEEL SUB BASE �EN�RATO� TANK
Pipxng CompOSition: ENGINE SUPPLY � RETURN HOSE CONNECTIONS
VENT & FILL PIPE - SCHDL. 40 ��� ST��� TO OUTSIDE BUILDING
Coat of dob: $1, 600.00
Approximate Start Date: September 2013
Permit Ia�uance Approval: YES No
Conditions of Approval: Per WI Dept of Agriculture, Trade &
Consumer Protection — SPS 310
Approved by; John Holl nd, LPO
signatuxe: � ` Date: `�6 �ln 1 3
1 I
Tank System Fee: �,ej(� Plan Review Fee: (p� Permi t Fee: � ��(�
PLEA3E NOTE: THIS IS NOT A PERMIT. To obta�,n the xequired
permit, present this checklist, along �wi�h a check made pa�abJ.e
to the ��C�TY OF OSHKOSH" £or the amount listed �.n "Permit Fee"
(above) a� the Building Inspecti.on Office, Room 205 at City Hall,
between the hours o� 7;30-8:30 AM and 12 ; 30-1 :30 PM; or by
appointment (920) 236-5095. This permit sha11 be obtained and
on-siCe prior to the commenGement of any work,