Oshkosh Pacur Permit — Ron Johnson 156583 2013

OSHKOSH ON THE WATER CITY OF OSHKOSH No 156583 COMMERCIAL BUILDING PERMIT - APPLICATION AND RECORD Job Address 3555 MOSER ST Create Date 07/08/2013 Project Tank Replacement Project Number 0 Owner RONALD H/JANE K JOHNSON LLC Plan Contractor OWNER Inspector Nicole Krahn Designer Category 240 - Commercial Accessory Structures Type of Plan Zoning M-3 Square Footage Major Occ Const Class Fire Protection O Sprinkled O Unsprinkled Sprinkler Design Occupancy Permit Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 [ ] Projection | Canopies _____ Signs _____ Use/Nature of Work IND/ Replacing 54' tall x 13' dia w/ stainless 52' tall x 13'dia. (tank #3). Zoning approval given by Todd. HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00 Issued By: Date 07/08/2013 Final/O.P. 00/00/0000 [ ] Permit Voided Parcel Id # 1519606400 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 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. I have read and understand the afore mentioned information. Signature Sean C Stock Date 7-8-13 Agent/Owner Address Oshkosh WI 54901 - 0000 Telephone Number To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of 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.

City of Oshkosh P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 www.ci.oshkosh.wi.us Building Permit Application | Project Address | 3555 Moser Street Oshkosh | | :--- | :--- | | Applicant | Owner Contractor Tenant Other (describe) Employee | | Owner / Tenant | Name Ronald H / Jane K. Johnson LLC Phone [illegible] | | | Address 3555 - Moser St Email | | Contractor | Company Name N/A Phone | | | Contact Email | | | Address | | | State Credential #'s , , | | | Dwelling Contractor Qualifier # Dwelling Contractor # Building Contractor Registration # | | Achitect / Designer | Company Name N/A Phone | | | Contact Email | | | Address | | Permit Type | Residential Single Family Residential Duplex Commercial Multifamily Industrial | | Catagory | New Addition Alteration | | Project Description | Install anchor bolts Replace storage tank with new. | | Mechanical Permits | Separate permits will be obtained for the following: Electrical by N/A Plumbing by N/A Heating by N/A | | Value of Job | $ 2000.00 (Value for materials & labor is req. to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # Cash Permit Fee Account | | | I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits to be obtained. I acknowledge and agree to these terms. | | Name: DEAN STAEGLE (Please print) | Date: 7-8-13 | | Signature: [illegible] | |

ANCHOR BOLTS RADIUS IMPORTANT! See Note 1 for Orientation of Anchor Bolts. CHORD 54' to 52' | TANK DIA. | DIMENSIONS | | NO. OF ANCHOR BOLTS EQ. SP. | | :--- | :--- | :--- | :--- | | | RADIUS | CHORD | | | 7 FT. | 36 3/4' | 28 1/8' | 8 | | 8 FT. | 42 3/4' | 32 3/4' | 8 | | 9 FT. | 48 3/4' | 37 5/16' | 8 | | 10 FT. | 54 3/4' | 28 5/16' | 12 | | 11 FT