HomeMy WebLinkAbout2007-Control Assembly Registration (trans id #1396881)
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Safety and Buildings
PO BOX 7162
MADISON WI 53707-7162
TOD #: (608) 264-8777
www.commerce.wLgov/sb/
www.wisconsin.gov
MAY 1 7 2007
DEPARTfVJENT OF
COfvlMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Jim Doyle, Governor
Mary P. Burke, Secretary
May 15, 2007
CUST 10 No. 1050289,
s
SHALLBETTER INC
3110 PROGRESS DR
OSHKOSH WI 54901
CROSS CONNECTION CONTROL ASSEMBLY
REGISTRATION
GARY A KRUGER
KRUGER ENGINEERING LLC
785 FIELDCREST DR
NEENAH WI 54956
SITE:
Shallbetter Inc
3110 PrOgressDr
City of Oshkosh, 54901
FOR:
Object Type: Cross Conriection Control Device Regulated Object 10 No.: 1132293
Device is Serving: PRESURE WASHER; Device Type: Reduced Pressure Preventer; Location on Property:
WASH DOWN AREA SOUTH WALL; Manufacturer: WATTS; Model: 9090T; Serial No.: 611728; 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 duririg 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 requ'irements 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.
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
SHALLBETTER lNe
Page 2
5/15/2007
indicated above. Thereafter, the unfinished portions of the project shalf be redesigned to the code existing
at that time and shalf be re-registered with our agency.
Inquiries concerning this correspondence may be made to me atthe 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
Program Assistant, Integrated Services
(608)267-2497 , 7:30 To 16:00
christine.severson@wisconsin.gov
Fee Required $
Fee Received $
Balance Due $
125.00
125.00
0.00
cc: Municipal Clerk City of Oshkosh, 920/236-5011