HomeMy WebLinkAboutCross Connection Control Assembly Registration
~'~ '
NOV 2 1 2007
Safety and Buildings
PO BOX 7162
MADISON WI 53707-7162
TOD #: (608) 264-8777
www.commerce.wi.gov/sb/
www.wisconsin.gov
"""-Ii commerce.wi.gov
"'u:.Ii!~9on~!n
RECEIVED
DEPARTMENT OF .
COMMUNITY DEVELOPMENT . . Jim Doyle, Governor
INSPECTION SER"ICES DIVI5IO~ack L. Flscher,A.I.A., Secretary
November 20, 2007
CUST ID No. 580367
PETE ZWIRCHITZ
OSHKOSH TRUCK CORP
PO BOX 2566 2307 OREGON ST
OSHKOSH WI 54901
WAYNE C BROCKMAN
LEES PLUMBING
1316 WEST RICHMOND PO BOX 7292
APPLETON WI 54912
CROSS CONNECTION CONTROL ASSEMBLY
REGISTRATION
SITE:
Oshkosh Truck Corporation Defense Plant
2737 Harrison St
City of Oshkosh, 54903
; Fire Dept ID: 7003
FOR:
Object Type: Cross Connection Control Device Regulated Object ID No.: 1162838
Device is Serving: BOILER;' Device Type: Reduced Pressure Preventer; location on Property: BOilER
ROOM 100 WEST WALL; Manufacturer: WATTS; Model: 009M3QT; Serial No.: A59342;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.
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
~.; ~
OSHKOSH TRUCK CORP
Page 2
11/20/2007
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.
Si~~
Christine Severson
Program Assistant I 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