HomeMy WebLinkAbout2002-Letter (plumbing plan review - cross connection control) 4/5/02 � . - Safety and Buildings
� � 2331 SAN LUIS PL STE 150
� GREEN BAY WI 54304
` TDD#: (608)264-8777
isconsin ��ommercestate wi us/sb
wvnv.wisconsin.gov
Department of-Commerce
Scott McCallum,Govemor
- Philip Edw.Albert,Secretary
ApriL 05, 2002
CUST ID A0.?330S3 ATTN: Plmnbinglns'pector
JEFFREY D OGDEN MUNICIPAL CLERK
OGDEN PLUMBING CITY OF OSHKOSH
1010 STROHMEYER DR PO BOX I li0
NEENAH WI 549�7 OSHKOSH WI Sd902-1130
CO�DITIOVAL APPROVAL
PL.a\APPROVAL EXPIRES: 0a/0S/?004 Identification\umbers
Transuction iD No. 72C677
SITE: � Site ID No. 641759 �
Ge Power System Plan[ Please refer to both identification numbers,
3300 Medalis[Dr I aboce, m all correspondence with the.a_encv.
Ciry of Oshkosh, �4901
Winnebago Counry
FOR:
Description: 2" Watts 909QT Rp Valve Servin2 Test S[ation
Object Type: Cross Conneetion Cootiol Device Regulated Objeet ID No.: 83d713
Device Type: Reduced Pressure Preventer; Location On Property: Hydroflo Test Station; �lanufacturer: Watts; �IodeL
909QT; Plan Type: Addition; 2" Valve Size
The submittal described above has been reviewed for conformance widt applicable Wisconsin Adnunistratice Codes
and Wisconsin S[atures. The submittal has been CO\D[TIONALLY APPROVED. The o�vnec as detined in
chapter 10 L0l(10), Wisconsin Stanues. is responsibla Cor eompliance �vidi all code requiremcn[s.
The following conditions shall be met during construction or installation und prior to occupancy or use:
Key Item(s)
#1. Comm 82.40(3)(d)3. The installation of each RP,RP detector, PVB and SVB shall display a departmen[
assiened identification number.
#2. Insmll assembly pec Comrr�3?.4l (�)(t).
Also Address
. - It is the responsibility of[he o���ner to make sure the device is tes[ed and tha[ the [est report forms
(SBD-9927) is sen[ to tlie Saf'ety and Buildings Division upon comple[ion o(Ihe [esL A deparhnent-lis[ed
BucWlow Prevention Device Tester shall perCorm[he [est. A list ot testers is available from[he
department upon request.
• -A TEST SH?,LL BE CO�DUCTED ON E?,CH RP,PVB,OR SVB PRIOR TO IT BEING PtiT INTO
SERVICE,AND A bIINIY[UM OF ONCE A YEAR THEREAFTER.
• -The backllow preventer shall be installed so that the relief valve outle[is protected by an approved air-
gap. The drain from the relief valve must discharge to ei[her a floor drain or an approced recep[or.\o
part of[he backtlo�v preven[er may be submerged under any circumstance.
. -RP,PVB,or SVB's shall no[ be b��-passed. Escept for repair, the}�shall not be made inoperatire or
removed without departmental appro��al.
A cop}'ot rhe approved plans. speciHcatiuns �nd [his lerter shall be on-site duri�tu co�sm�ction mi� open to
inspzctiun by aud�orized represen[aei��es o[[hz Department, ���hich ma}� includz locsl inspecturs. .-\Il pemlies
JEFFREY D OGDGN Page 2 4i5/02
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation. �
In�ranting this approva]the Division of Safety&Buildin�s resen�es the right ro require chanees or additions sl�ould
conditions arise making them necessary for code compliance.As per state stats 10112(2),nothing in this revie�v
shall relieve the designer of the responsibility for designing a safe building, shucture, or component.
Inquiries conceming this correspondence may be made to me at the telephone number listed below,or at the address
on this letterhead.
Sincerely, �� Fee Required S 12�.00
�_ Fee Received� 1?�.00
� 1 �/� �' Balance Due $ 0.00
/
�Vesle�Cd�be I
Plumbin�Plan Reviewer,Integiated Services WiSMART code: 76�7 '�
(920)49?S613 , M-R 7:00- 16:30, F 7:00- 11:00
wembe�u,c ommeic e.state.wi.us
cr. I D Oeden Plumbing&Hentin�Inc
James E Zickert, Plumbing Consuliant, (920) 943-T36
A-C Compressor i Ge