HomeMy WebLinkAbout1998-Plan Review Letter (RP Valve) Safety and Buiidings
� 1340 E GREEN BAY ST STE 300
SHAWANO WI 54166
� �
isconsin 5 ti�-.� '' Tommy G.Thompson,Governor
�� ry� ''"� , Philip Edw.Albert,Acting Secretary
Department of Commerce
December 09, 1998
CUST ID P�o.4134 � ATTN:Plumbing INSPECTOR �
PLUMBING&HEATING&AIR CONDITIONING
KURT ZENTNER&SONS CITY OF OSHKOSH
2860 OREGON ST PO BOX 1130
OSHKOSH WI 54901-7136 OSHKOSH WI 54902-1130
RE: CONDITIONAL APPROVAL
APPROVAL EXPIRES: 12/09/2000 Identification Numbers
Transaction ID No. 196511
Site ID No. 163099
SITE: Please refer to both identification numbers,
Site ID: 163099 above, in all cones ondence with the a enc .
WINNEBAGO County, City of OSHKOSH; 2100 S OAKWOOD, OSHKOSH 54901
Facility: SMC METAL FABRICATORS 2100 S OAKWOOD, OSHKOSH 54901
FOR:
Description: 1 1/4 INCH WATTS RP VALVE FOR PARTS WASHER
Object Type: Cross Connection Control Device Regulated Object ID No.: 440133 '
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
-A TEST SHALL BE CONDUCTED ON EACH REDUCED PRESSURE PRINCIPLE BACKFLOW
PREVENTER PRIOR TO IT BEING PUT INTO SERVICE,AND A MINIMUM OF ONCE A YEAR
THEREAFTER.
-It is the responsibility of the owner to make sure the device is tested and that the test report forms(SBD-
9927) is sent to the Safety and Buildings Division upon completion of the test. The test shall be performed by
a department-listed Backflow Prevention Device Tester. A list of testers is available from the department
upon request.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be-obtained prior to commencement of
c onstruc tion/insta llation/operation.
Inquiries conceming this conespondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely, DATE RECEIVED 12/03/1998
�����,���� FEE REQUIRED $ 110.00
FEE RECEIVED $ 110.00
CURT WENDORFF,PLUMBING PLAN REVIEWER BALANCE DUE $ 0.00
Integrated Services
(715)526-9056,M-R 7:15 AM-5:00 PM, F 7:15-11:15
CWENDORFF@COMMERCE.STATE.WI.US WiSMART code: 7657
cc: DONALD KAY, PLUMBING CONSULTANT,(920) 834-3093
SMC METAL FABRICATORS