HomeMy WebLinkAboutAmbulatory Surgiacal Center - DIS-072531075
Wisconsin Department of Safety and Professional Services Phone: 608-266-2112
Division of Industry Services Web: http://dsps.wi.gov
4822 Madison Yards Way Email: dsps@wisconsin.gov
Madison, WI 53705
Tony Evers, Governor
Dan Hereth, Secretary
September 16, 2025
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 09/16/2027
MUNICIPALITY:
CITY OF OSHKOSH
WINNEBAGO COUNTY
SITE:
AMBULATORY SURGICAL CENTER
2130 S WASHBURN STREET
OSHKOSH, WI 54904
SUBMITTAL INCLUDES:
SITE REQUIREMENTS
• A full size 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. If plan index sheets were submitted in
lieu of additional full plan sets, a copy of this approval letter and index sheet shall be attached to plans that correspond with the
copy on file with the Department. If these plans were submitted in an electronic form, the designer is responsible to download,
print, and bind the full-size set of plans along with our approval letter. A Department electronic stamp and signature shall be on
the plans which are used at the job site for construction.
The following conditions shall be met during construction or installation and prior to occupancy or use:
KEY ITEM(S)
1. SPS 382.20(4). Electronic plans were submitted for this plan review. This plan set includes 5 pages including the index
cover sheet.
2. SPS 382.20(8). The plumbing system shall be installed in accordance with approved plans.
REMINDERS
• SPS Table 382.20-2 Line 1. Submittal does not include any interior work. New installations, additions and alterations to
drain systems, vent systems, water service systems, and water distribution systems involving 16 or more plumbing fixtures to
be installed in public buildings require plan approval prior to installation.
Identification Numbers
Plan Review No.: PL-092500322-PRSO
Application No.: DIS-072531075
Site ID No.: SIT-148533
Please refer to all identification numbers in each
correspondence with the Department.
TIMOTHY NED WITTMANN
AMBULATORY SURGICAL CENTER
1164 PROVINCE TERRACE
MENASHA, WI 54952-3190
Water service
Diameter (in inches): 6, GPM Demand: 81.5
• SPS 382.40(7). The size of the combination domestic/fire main has been approved for the domestic demand only. It is the
responsibility of the designer to ensure that the combination domestic/fire main size is adequate for the overall system
demand in accordance with the applicable NFPA guidelines. Review of NFPA 24 was not included with this approval.
Standard NFPA 24 for combination water services and combination private water mains may include more stringent
requirements for testing.
• SPS 382.40(8)(i)4. New or repaired combination water services or combination private water mains shall be flushed and
disinfected prior to use in accordance with NFPA 24.
• SPS 382.21(1)(b)1.a. ‘Notice of inspection.’ The plumber responsible for the installation shall notify the plumbing inspector
in person, by telephone or in writing when the work is ready for inspection.
• SPS 382.20(8). REVISIONS. All changes or modifications, which involve the provisions of chs. SPS 382 to 384, made to
plumbing plans and specifications, which have been granted approval under sub. (1), shall be submitted to the department or
agent municipality for examination. All changes and modifications shall be approved in writing by the department or agent
municipality prior to installation of the plumbing.
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Code §§ SPS 381, 382,
and 384 only. 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. You are
responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams.
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per Wis. Stat. § 145.06.
All permits required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation. Pursuant to Wis. Stat. § 145.05(1), a city of the first, second, or third class shall supervise the
installation, alteration, and repair of plumbing within its jurisdiction. Should the project fall under jurisdiction of the Department,
please contact the DSPS inspector copied at the bottom of this letter.
In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise
making them necessary for code compliance. As per Wis. Stat. § 101.12(2), nothing in this review shall relieve the designer of the
responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or
construction of the reviewed items.
Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this
letterhead.
Sincerely,
Robert Franke
Plumbing & Public Pool Plan Reviewer, Division of Industry Services
State of Wisconsin Dept. of Safety and Professional Services
262-548-8604
robert.franke@wi.gov
Cc: Matthew Marciniak, Plbg & Pool Consultant, (920) 492-7186, 608-279-9057 (c) Matthew.Marciniak@wisconsin.gov
Diane Bartlett, Clerk
Timothy Wittmann, Designer
Eric Larson, Owner