HomeMy WebLinkAbout3601 Oregon St Cross Connection
January 24, 2007
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Safety and Buildings
1340 E GREEN BAY ST STIE 300
SHAWANO WI 1>4166
TOO #: (608) 264-8n7
www.commerce.wi.gov/sb/
www.wisconsin.gov
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Jim Doyle, Governor
Mary P. Burke, Secretary
CUST 10 No. 605902
JILL MCEWEN
FOX VALLEY TECHNICAL COLLEGE
1825 N BLUEMOUND DR
APPLETON WI 54913
SHEILA M DOWNING
SOMERVILLE INt
2100 RIVERSIDE DR
GREEN BAY WI 54301
CROSS CONNECTION CONTROL ASSEMBLY
REGISTRATION
. .... ,'ldentificatiol1Numbets
Transaction 10 No. 1364020
Site 10 No. 670473
SITE:
Wisconsin Technical College
3601 Oregon St
Cityof Oshkosh, 54901
SE1/4, SE1/4, S2
Lot: 2, Subdivision: Csm No. 4546
FOR~ .... .. . .. ............>.'.:;,..,.."'.>..<..c';..,
.. Facility: 677927 WISCONSIN TECHNICAL COLLEGE FABTECHTRAINING CENTER
3601 OREGON ST .
OSHKOSH 54901
Object Type: Cross Connection Control Device Regulated Object 10 No.: 1116199
Device is Serving: Boilers; Device Type: Reduced Pressure Preventer; Location on Property: Mechanical
Room 203; Manufacturer: WATTS; Model: 909QTS; 3/4" Valve Size
Per your request the device(s) described above has been REGISTERED with our agency, in lieu of plan
review by our agency. As owner of this building, you should understand:
1. That there will be no review of the installation plans for this project conducted by the Department of
Commerce.
2. That there will be no routine inspections conducted by the Department of Commerce during the
installation of this project.
3. That.plan review and/or inspections by the local municipality may be required by local permitting
ordinances.
4. That this registration does not affect the requirements to submit plans for building systems, plumbing
systems, private sewage systems, swimming pools, elevators or other plans if applicable.
5. That upon completion of construction, this installation shall be in compliance with all applicable
Wisconsin codes and standards.
6. That as the owner, you are responsible to assure that a performance test is conducted for the above
assemblies at the time of installation, immediately after repairs or alteration to the assembly and at
least annually. .'
8. No person may engage in or work at plumbing in the state unless licensed to do so by the department
per s.145.06 stats.
FOX V ALLEY TECHNICAL COLLEGE
Page 2
1/24/2007
Prior to the start of construction, all applicable plumbing permits should be obtained from the authorities
having jurisdiction in accordance with local laws and ordinances. This registration is valid for the period
indicated above. Thereafter, the unfinished portions of the project shall be redesigned to the code existingl
at that time and shall be re-registered with our agency. .
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at
the address on this letterhead. Please refer to the Transaction 10 No. referred to in the regarding line
when making an inquiry or submitting additional information.
7i~~
Vicky Brennan
Customer Service Representative, Integrated Services
(~20) 492-5601, Mon. - Fri. 8:00 a.m. - 3:00 p.m.
vicky.brennan@wisconsin.gov
Fee Required $
Fee Received $
Balance Due $
125.00
125.00
0.00
cc: Municipal Clerk City of Oshkosh, 920/236-5011