HomeMy WebLinkAboutPlumbing (trans id #686461) Safety and Buildings
'10541N RANCH ROAD
HAYWARD WI 54843
TDD #: (608) 264 -8777
ISCOnSIn www.commerce.state.wi.us /sb
www.wisconsin.gov
Department of Commerce
Scott McCallum, Governor
Philip Edw. Albert, Acting Secretary
November 21, 2001
CUST ID No.225314 ATTN.: Plumbing Inspector
PATRICK R BERTRAM MUNICIPAL CLERK
AHERN GROSS INC CITY OF OSHKOSH
PO BOX 1027 PO BOX 1130
FOND DU LAC WI 54936 OSHKOSH WI 54902 -1130
CONDITIONAL APPROVAL
Identification Numbers
PLAN APPROVAL EXPIRES: 11/21/2003
Transaction ID No. 686461
SITE: Site ID No. 622078
P 1 refer to both ident� nb
Copps Food Center ,
1200 S Koellcr St above,,inzall with the agency.
City of Oshkosh, 54901
Winnebago County
FOR:
Object Type: Sanitary Drain & Vent System Regulated Object ID No.: 819157 CO
Plan Type: Alteration; 21 Fixtures; Interior Drain and Vent
Object Type: Water Supply System Regulated Object ID No.: 821158 PAM
Plan Type: Alteration; 3 faucets; Water Distribution System , , ION
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in SEE I
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Correspondence Notes:
• This plan action is subject to designer comments on the plan.
• Comm 82.20(12)(a). Air admittance valves shall be installed per specific conditions imposed during the
alternate approval process.
• Comm 84.10. No fixture, appliance, appurtenance, material, device or product may be sold for use in a
plumbing system or may be installed in a plumbing system, unless it is of a type conforming to the
standards or specifications of chs. Comm 82 and 83 and this chapter and ch. 145, Stats.
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 101.12(2), nothing in this
review shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
PATRICK R BERTRAM Page 2 11/21/01
Sincerely, Fee Required $ 210.00
Fee Received $ 210.00
Balance Due $ 0.00
Thomas E Devereaux
Plumbing / POWTS Reviewer II , Integrated Services WiSMART code: 7657
(715)634 -3026 , 7:45 am - 4:45 pm Mon. - Fri.
tdevereaux@commerce.state.wi.us
cc: James E Zickert , Plumbing Consultant, (920) 948 -7336
Edmund Pliska Copps Corporation
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DRAIN WASTE, VENT IROMETRIC #I
NATURAL FOODS AREA
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DRAIN WASTE, VENT ISOMETRIC #2
DELI DISPLAY CASES
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DRAIN WASTE VENT IROMETRIC #5
MEAT CASEWORK AREA
Exram.It 44'
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DRAIN WASTE, VENT ISOMETRIC #6
FROZEN FOOD CASEWORK AREA
DRAIN. WASTE, VENT IROMETRIC #3
DELI PREP AREA
Lo -3" off.., - we FoA- l
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\ s EXIs'l1 x 3
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DRAIN, WASTE, VENT ISOMETRIC #4
PRODUCE PREP AREA
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DRAIN, WASTE, VENT ISOMETRIC #7
BEER WINE COOLER
G Gress
PLUMBING CONTRACTORS
Offering 24 Hour Emergency Service
218 South Main - P.O. Box 1027
Fond du Lac, WI 54936 -1027 ItlUIN�N
gccNe
Phone (920) 921 -1414 4.
Fax (920) 921 -2050 PATRICK R.
BERTRAM It s
° 1144
_ _ INDEX FOND ou uc
P -IA GENERAL INFORMATION WITH ISOMETRICS � y
P -1 REVISED FLOOR PLAN (�
P -2 REVISED FLOOR PLAN
GENERAL INFORMATION
PROJECT: INTERIOR BUILDING FLOOR LAYOUT REMODEL WITH NEW
REFRIGERATED CASEWORK AND SINKS.
ADDRESS: COPPS FOOD STORE - #8105 OSHKOSH
1200 SOUTH OSHKOSH �OELLERROAD ,tditLOnallya
CE
PLAN ID #: 686461 HAYWARD OFFICE P
THE NEW STATE SUBMITTAL (686461) IS BEING SUBMITTED ON THE Etyt
ORIGINAL STATE SUBMITTAL (GS -885 AUGUST 24, 1984) / AS -BUILT SPONt� j
DRAWING FOR CLARIFICATION. L
e MATERIAL SPECIFICATION '
ar
INTERIOR DRAIN, WASTE, AND VENT MATERIAL
r PVC SCHEDULE 40 PIPE WITH SOLVENT WELD, DRAINAGE PATTERN
FITTINGS.
_ INTERIOR DOMESTIC WATER MATERIAL
t COPPER TYPE "L" HARD TUBING WITH SWEAT SOLDER FITTINGS
AND FULL PORT BALL VALVES.
CD -3 CONDENSATE DRAINS
PVC SCHEDULE 40 PIPE WITH 4 "X3" INCREASER IF NEEDED.
S -1 BAKERY HAND SINK
OWNER FURNISHED CONTRACTOR INSTALLED AMTEKCO DHA9
STAINLESS STEEL HAND SINK WITH REMOTE OPERATED FAUCET.
S -2 DELI PREP SINK
OWNER FURNISHED CONTRACTOR INSTALLED AMTEKCO C -1 -1818
SINGLE COMPARTMENT (18" X 18" X 13 "), STAINLESS STEEL DELI
PREP SINK WITH FAUCET. WASTE DISCHARGE TO OPEN SITE HUB
DRAIN AND NEW GREASE TRAP PER CODE.
S -3 PRODUCE PREP SINK
OWNER FURNISHED CONTRACTOR INSTALLED AMTEKCO C- 2 -1824-
18R TWO COMPARTMENT, STAINLESS STEEL PRODUCE PREP SINK
WITH FAUCET. WASTE DISCHARGE TO OPEN SITE HUB DRAIN PER
CODE.
MVT -1 AIR ADMITTANCE VENT
STUDOR AIR ADMITTANCE MINI -VENT.
GT -1 GREASE TRAP
SCHIER PATG -3050 POLYETHYLENE GREASE TRAP WITH STEEL
COVER AND 50 GPM FLOW RATE.
EXISTING GREASE TRAP IS TO SMALL: ROCKFORD GF -1820
20 GPM FLOW RATE
NEW GREASE TRAP
EXISTING SINK (S -3) 2 X 18" X 24" X 11" = 9504
(2 - COMPARTMENTS)
NEW SINK (S -2) 18" X 18" X 13" = 4212
(I COMPARTMENT) TOTAL 13,716
13,716 / 231 = 59.376 GALLONS
59.376 X 75 %= 44.53 GALLON GREASE TRAP REQUIRED
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( l »ek all that apply ( ) Slor (Clear Water Drain and Vent Previous Related Trans. ID:
A) ( ) Oulslde work ONLY ( ) Water Supply System 11 - 19 - 01
Appointment
B) Corlakts ore or more: (:N) Sanitary Drain and Vent Data':
( )cross Connection Control ( ) New ( -; ) Alteration Assigned Reviewer. Tom Devereank
as W" ( ) Addiction ( ) Petition
()' ateh BsskMI mleneptor ( )ReWsionto Previously App. Plan Assigned Omer Hayward
( )'. °roese Interceptor Plan No. Revised 'Plans must be received In the office of the appointment no later
( 10 hemical Waste System ( ) Multiple Buildings than 2 working days before the confirmed appointment.
( ) aantlary Dump Station Number of Buildings
C) TOM Number of Fixtures In ( ) Health Care Facility
Project/Building Complete last page of this form for
(r) 1 -30 () 201 -250 multiple buildings or cross connection
O 31-50 O 251.300
assemblies
O 51 -100 O 301 -350
O 101 -150 ( )351 -400 3. Project Information - FIII in all known information.
Oi511-200 ( ) 401 -500 Copps Food Center
2
- 'otal number Number a Sheet: 1200 South Koeller Road, Oshkosh, WI
D) ( ) F roJect is Apartment/
Condo only Legal Description:
E)(I Frood contains identical Winnebago Oshkosh
Eulkifts. Number of County _. ( ) City ( ) Village ( ) Town of
ldenUCrl buildings Tenant name or building designatlon: Example: West MalUJlm's Shoes, Bldg Ri
F)OBUucture te greater than
3 stores In Might. Copp Food Center
G) I I Manufactured Roma Tenant or building address Zip Code
Commkmky and/or Campground Same
() Less than SO ales for sewer
Les, 4 After plans are reviewed, please: (check all that apply)
( ) than 50 saes for water
O Mor than 50 sties for _Call Customer 1, 2, 3, 4 (drde number)* "Refers to customers listed below
( ) Moy than 50 sites for water _ Requesting party will pick up.
H) Aitc.,: 1167,xpadmord
( ) AH# - gate Plumbing System '' Mail plans to customer 1, XIt,)b (circle number)-
inmenl Plumbing system
5. Complets the following deslgnedownedrequesting informatlon. Utilize the check boxes when designer, owner or requesting party is the
a
flsYi atl .. tistdney 'd iR/ W4 ",1 " JRequestlng Party If different than designer CZ`m0; r,3). ..., _.k"LI'
F�pt Na:. 'Past Name mbar Finn Name Last Name Custwner Nu
YatC R. Bert � ram
c A ern- Gross, Inc. 268955
cempaey ""°
Add—
Address
218;4outh Main Street, P.O. Box 1027
f
Q
City State Zip,4 (9 digits)
Fon e Lac, WI 54936 -1027
Phone N (area ode) Fax a Internal
(921 ,921 -1414 (920) 921 -2050
Plane Number (area code) Fax or Internet
Check o- applicable I
Check others if applicable
1 payer I I R!nuestIM paq
gwner Payer
Wloner4ht�vtra JSa1 tiP #'
*Omu Pbaa' Customsr4'CtgBwa�r'+d4#N!E•d
Find Narrg last Name Customer Number
First Name Last Name Customer Nu
vi
Company Name
A ? gl ayne Street, P.O. 187
Addfe
C Slate Zip-4 (9 digits)
to s Point, WI 54481
City state ZJp.4 (9 dpits)
P h one N (area ode) Fax or Internet
(71 341 -7449 (715) 341 -7303
Phone Number (area ode) Fax or Internet
amossame
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` 7hwonstn APPLICATION FOR REVIEW GENERAL PLUMBING
D Marc — -Complete - Complete all pages -
Safety d, Buildings Division This page may be utilized for fax appointment requests.
Bureau of Integrated Services Indicate date plans will be in our office.
Circlo your choice of review location: 1. Next available appointment in any office, �ZX 'r3bkXyY,X#(?tlli — I
Y VVYYA�VY YrY)AMM MXX VY', YMY YYY WY5LYYY
NOTE: Personal Information you provide may be used for secondary Complete for confirmed appointments':
puW [Privacy Law s. 15.04(1)(m), Slats.] 6
1, P lumbing Submittal 2. Type(s) of Submittal: Transaction 10:
( l »ek all that apply ( ) Slor (Clear Water Drain and Vent Previous Related Trans. ID:
A) ( ) Oulslde work ONLY ( ) Water Supply System 11 - 19 - 01
Appointment
B) Corlakts ore or more: (:N) Sanitary Drain and Vent Data':
( )cross Connection Control ( ) New ( -; ) Alteration Assigned Reviewer. Tom Devereank
as W" ( ) Addiction ( ) Petition
()' ateh BsskMI mleneptor ( )ReWsionto Previously App. Plan Assigned Omer Hayward
( )'. °roese Interceptor Plan No. Revised 'Plans must be received In the office of the appointment no later
( 10 hemical Waste System ( ) Multiple Buildings than 2 working days before the confirmed appointment.
( ) aantlary Dump Station Number of Buildings
C) TOM Number of Fixtures In ( ) Health Care Facility
Project/Building Complete last page of this form for
(r) 1 -30 () 201 -250 multiple buildings or cross connection
O 31-50 O 251.300
assemblies
O 51 -100 O 301 -350
O 101 -150 ( )351 -400 3. Project Information - FIII in all known information.
Oi511-200 ( ) 401 -500 Copps Food Center
O lAom than 500 fixtures- pro 1 ecUSite Name
- 'otal number Number a Sheet: 1200 South Koeller Road, Oshkosh, WI
D) ( ) F roJect is Apartment/
Condo only Legal Description:
E)(I Frood contains identical Winnebago Oshkosh
Eulkifts. Number of County _. ( ) City ( ) Village ( ) Town of
ldenUCrl buildings Tenant name or building designatlon: Example: West MalUJlm's Shoes, Bldg Ri
F)OBUucture te greater than
3 stores In Might. Copp Food Center
G) I I Manufactured Roma Tenant or building address Zip Code
Commkmky and/or Campground Same
() Less than SO ales for sewer
Les, 4 After plans are reviewed, please: (check all that apply)
( ) than 50 saes for water
O Mor than 50 sties for _Call Customer 1, 2, 3, 4 (drde number)* "Refers to customers listed below
( ) Moy than 50 sites for water _ Requesting party will pick up.
H) Aitc.,: 1167,xpadmord
( ) AH# - gate Plumbing System '' Mail plans to customer 1, XIt,)b (circle number)-
inmenl Plumbing system
5. Complets the following deslgnedownedrequesting informatlon. Utilize the check boxes when designer, owner or requesting party is the
same fJ avoid repeating Information.
flsYi atl .. tistdney 'd iR/ W4 ",1 " JRequestlng Party If different than designer CZ`m0; r,3). ..., _.k"LI'
F�pt Na:. 'Past Name mbar Finn Name Last Name Custwner Nu
YatC R. Bert � ram
c A ern- Gross, Inc. 268955
cempaey ""°
Add—
Address
218;4outh Main Street, P.O. Box 1027
CnY Slate Zip -4 (9 digite)
City State Zip,4 (9 digits)
Fon e Lac, WI 54936 -1027
Phone N (area ode) Fax a Internal
(921 ,921 -1414 (920) 921 -2050
Plane Number (area code) Fax or Internet
Check o- applicable I
Check others if applicable
1 payer I I R!nuestIM paq
gwner Payer
Wloner4ht�vtra JSa1 tiP #'
*Omu Pbaa' Customsr4'CtgBwa�r'+d4#N!E•d
Find Narrg last Name Customer Number
First Name Last Name Customer Nu
CanWM
Co / Division of Round 's
Company Name
A ? gl ayne Street, P.O. 187
Addfe
C Slate Zip-4 (9 digits)
to s Point, WI 54481
City state ZJp.4 (9 dpits)
P h one N (area ode) Fax or Internet
(71 341 -7449 (715) 341 -7303
Phone Number (area ode) Fax or Internet
Check as icable
Che Othm Uapp mble �f
( ) P
( ) Payer over
Make c b payable to Dept of Commerce, Attach Check ern
Total amount due, Review, coda 7657 =
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PLUMBINIC5, FIXTURE SCHEDULE-
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WATER CLQC * KOV41-F-R Y,- 2SZ)OO - EB/ K,- 4670 - C 0PEll
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FLOOR DRAtNWAbE W[5" POLISHED t3RPG5
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FLOOR DRAIN t WADE W - 1304" 8' C.1 .
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