HomeMy WebLinkAbout2013-Cross Connection Control (survey) CITY OF OSHKOSH INSPECTION SERVICES DIVISION ROOM 205 �
215 CHURCH AVE DEPARTMENT OF COMMUNITY DEVELOPMENT �
PO Box 1130 CORRECTION NOTICE OSHKOSH
OSHKOSH WI 54903-1130
ON THE WATER
Issue Date 12/27/2013 Re Issue Date ___ Complies No
Address 1218 WITZEL AVE
Sent to ✓ Owner ' D K PROPERTIES-OSHKOSH LLP 1218 WITZEL AVE OSHKOSH WI 54902 -5659
Required for Occupancy J Occupancy
Introduction Notification of your correction(s)to the violation(s)cited on the recently conducted cross connection control survey has not
been received.
Item# 1 Code SPS 382.41(3) Complies No Comply By 01/26/2014 IMMEDIATELY
Description Water supply systems and the connection of each plumbing fixture, piece of equipment,appiiance or nonpotable water piping
system shall be designed, instalied and maintained in such a manner to prevent the contamination of water supplies by means
of cross connections. '
Summarv Please make arrangements to correct these violations immediately. Please report the corrections to the Plumbing Inspector
(920)236-5049 M-F 8:00-4:30 so that a foilow-up inspection may be scheduled.
Violations must be corrected and approved by the noted compliance dates of each item. Call for reinspections prior to concealment
and/or occupancy. Upon completing the corrections,the owner/contractoMagent must sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of 1/26/2014
Office hours are Monday through Friday 7:30 a.m. -4:30 p.m. or by appointment.To schedule inspections please call the Inspection
Request line t 236-5128 noting the address, permit number(when applicable),and the nature of what needs to be inspected.
Signature � Date �•�2 7�(3
Inspected by: Jon Mueller 236-5049 jmueller@ci.oshkosh.wi.us
I hereby certify the violations listed on this report have been corrected in compliance with the applicable codes.
Print Name Company
Signature Date
Also Sent to: Bldg __' _ _
Elec _ - — ---- ---.. -- _--
HVAC _ ;
Plbg I — ------- --- _— �
Designer _
Other ---� ---- -- -- - -- _ _
Inspector —', --— -- ---- — — — ---
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