HomeMy WebLinkAboutPlumbing Plan Approval
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.. Ii commerce.wi.gov
, 'Wi!~!lc!1n
Safety and Buildings
1340 E GREEN BAY ST STE 300
SHAWANO WI 54166
TOD #: (608) 264-8777
www.commerce.wLgov/sb/
www.wisconsin.gov
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Jim Doyle, Governor
Mary P. Burke, Secretary
January 31, 2007
CUST ill No. 227294
THOMAS SCOTT EVERS
BASSETT MECHANICAL
1215 HIGHLAND AVE
PO BOX 7000
KAUKAUNA WI 54130-7000
A~:J:.1l!mbing Inspector
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MUNICIPAL CLERK
CITY OF OSHKOSH
PO BOX 1130
OSHKOSH WI 54903-1130
CONDITIQNAL APPROVAL
PLAN APPROVAL EXPIRES: 01/31/2009
Transaction ill No. 1363159
Site ill No. 666890
SITE:
Mercy Medical Center
500 S Oakwood Dr
City of Oshkosh, 54904-7944
; Fire Dept ill: 7005
FOR:
Object Type: Plumbing System, Building Specific
Plan Type: Alteration, Room lC425
Regulated Object ill No.: 1115566
ObjeCt Type: Interior Sanitary Drain & Vent System Regulated O~j~ct ill No.: 1115567
Object Type: Interior Water Distribution System Regulated Object ill No.: 1115568
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY AP~ROVED. The owner, as defmed in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
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.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Key Item(s)
. Comm 82.41(3)(a)1. Potable water supply systems at the supply box shall be protected against contamination
due to cross connections orbackflow conditions by one of the methods or devices specified in Table 82.41-1 or
82.41-2.
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
construction!installation! operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 1 0 1.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or c ~ r: '.\ IE
Inquiries concerning this correspondence may be made to me at the telephone number list ,~ E f~s 0
on this letterhead.
FEB 02 2001
. DEPARTMENT OF .
COMMUNITY DEVELOPMENT
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THOMAS SCOTT EVERS
Page 2
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Fee Required $
Fee Received $
Balance Due $
Curt Wendorff
Plumbing Plan Reviewer, Integrated Services
(715)526-9056, M-r 7:15 -17:00, F 7:15 - 11:15
curt.wendorff@wisconsin.gov
l/3l/2007
110.00
110.00
0.00
cc: James E Zickert,Plumbing Consultant, (920) 948-7336
Gary Kusnieiz, AffInity Health Systems