HomeMy WebLinkAbout0105569-Storage Tank (install)OSHKOSH
ON THE WATER
.lob Address 2351 WESTOWNE AVE
Contractor QUALITY STATE OIL CO
Tank Type O Metal (~ Fiberglass
Service O Install (~) Remove
Contents [] Petroleum
] Kerosene
CITY OF OSHKOSH
STORAGE TANK PERMIT - APPLICATION AND RECORD
Owner MENARD INC
Category 280 - INSTALL STORAGE TANKS
Tank Size 300 Tanks
~ Above Ground ~) Underground
[] Solvent [] Natural Gas
[] Liquid Petroleum [] Other
No 105569
Create Date 11/25/03
Use/Nature
of Work
1-300 G above ground diesel fuel tank in stock yard. * Tank to be located in compliance with all codes.
Valuation
Issued By:
$4,500.00 Permit Fee Paid $135.00
Permit Voided
Date 12/2/03
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2201 CALUMET DR SHEBOYGAN WI 53082 -0 Telephone Number 920-459-5640
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.
11/24/2003 10N 11:19 FAX 001/001
UST/AST PERMIT CHECKLIST
Job Site Address:
Contractor:
Address:
AST / Install Tanks ~ Upgrade Tae, ks
UST Remove Tanks Upgrading Piping
Tank Information
#2 #3 ~4 #5
Composition
Tank Size
Contents
Piping
Approximate Cost of Job:
Approximate Start Date:
Pem~it Issuance Approval:
Conditions o£Approval:
/
Yes tJ Ilo
Note: This is not a peri'att. To obtain the required permit, present TI IlS CHECKLIST. along with a SITE PLAN an~
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, belween thc: hours of' 7:30-8:30 a,m. and 1:2:30-1:30 p.m. or by
appointment (920) 236-5045. This City Permit slmll be obtained and on site prior to commencement of work.