HomeMy WebLinkAboutLetter-Cross Connection Control Assembly Registration
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RECEIVED
NOV 07 2007
DEPARTMENT OF
CUIVIlVlUNI'fY DEV[LON~ENT
INSPECTION SERVICES DIVISION
Safety and Buildings
PO BOX 7162
MADISON WI 53707-7162
TDD #: (608) 264-8777
www.commerce.wi.gov/sb/
www.wisconsin,gov
Jim Doyle, Governor
Mary P. Burke, Secretary
November 06,2007
CUST ID No. 903093
PETER JUNGBACKER
ALEXANDER AND BISHOP LLC
300 N MAIN STE 200300
OSHKOSH WI 54901
KEITH DONALD PETERSEN
KEITH PETERSEN PLUMBING INC
1600 HAMILTON COURT
LITTLE CHUTE WI 54140
CROSS CONNECTION CONTROL ASSEMBLY
REGISTRATION
SITE:
Alexand~r Bishop
. 495 Pearrsr' . '.'
City of Oshkosh, 54901
FOR:
Object Type: Cross Connection Control Device Regulated Object ID No.: 1160601
Device is Serving: IRRIGATION; Device Type: Reduced Pressure Preventer; Location on Property: GARAGE
MECH WEST WALL; Manufacturer: WATTS; Model: 009M2QT; Serial No.: A00194; 1-1/4" Valve Size
Identificatfon.N.\.lmoers'
Transaction 10 No. 1481137
Site 10 No. 732269
Per your request the device(s) described above has been REGISTERED with our agency, in lie.u 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 rocal 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.
~;"
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.
ALEXANDER AND BISHOP LLC
Page 2
11/6/2007
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, '- 'f- ~ V
(I~~
Christine Severson '
Program Assistant, Integrated Services
(608)267-2497 , 7:30 To 16:00
ch risti ne. severson@wisconsin.gov
Fee Required $
Fee Received $
Balance Due $
125.00
125.00
0.00
cc: Municipal Clerk City of Oshkosh, 920/236-5011