HomeMy WebLinkAboutCross Connection Registration
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Safety and Buildings
PO BOX 7162
MADISON WI 53707-7162
TOO #: (608) 264-8777
www.commerce.wi.gov/sb/
www.wisconsin.gov
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~1AY 2 2001
Ui:.Y AiHMENT OF
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Jim Doyle, Governor
Mary p, Burke, Secretary
April 30, 2007
CUST ID No. 904674
TONY PlASHKO
OSHKOSHA.B..~A SCHOOL DISTRICT
215 SEAGLE ST
OSHKOSH WI 54902
MARK A HUITING
BASSETT MECHANICAL
1215 HYLAND AVE
PO BOX 7000
KAUKAUNA WI 54130
CROSS CONNECTION CONTROL ASSEMBLY
REGISTRATION
Identification Numbers
Transaction 10 No. 1393026
Site 10 No. 183445
Please refer to both identification
numbers, above, in all correspondence
. with the a ent ,.' .
SITE:
Oshkosh Area School Dist Admin Building
215 South Eagle St
City of Oshkosh, 54903
FOR:
Object Type: Cross Connection Control Device . Regulated Object 10 No.: 1129166
Device Type: Reduced Pressure Preventer; location on Property: SOUTH END OF GREENHOUSE;
Manufacturer: WATTS; Model: 995QT; Serial No.: 01385; 1" Valve Size
Object Type: Cross Connection Control Device Regulated Object 10 No.: 1129167
Device Type: Reduced Pressure Preventer; location on Property: KITCHEN TUNNEL WEST SIDE;
Manufacturer: WilKINS; Model: 97-5Xl; Serial No.: 1881052; 1" 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
per s.145.06 stats.
o y e epartment
MAY 3 Z007
DEPARTMENT OF
COMjV1UNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
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OSHKOSH AREA SCHOOL DIS1RICT
Page 2
4/30/2007
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 existing
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.
Sincerely,
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Christine Severson V
Program Assistant, Integrated Services
(608)267-2497,7:30 To 16:00'
christine.severson@wisconsin.gov
Fee Required $ 250.00
Fee Received $ . 250.00
Balance Due $ 0.00
cc: Municipal Clerk City of Oshkosh, 920/236-5011