HomeMy WebLinkAboutPlumbing (trans id 454538) - 12/11/2000 Safety and Buildings
� 1340 E GREEN BAY ST STE 300
SHAWANO WI 54166
_ � TDD#: (608)264-8777
�scons�n W�commercestate wi us/SB
DepartrY�ent of Commerce Tommy G.Thompson,co�err,or
Brenda J. Blanchard,Secretary
[)ecember 1 I. 2000
CUS"I' ID No.264165 �7'N': Pltrmbin,I.NSYECTOR
RICfiARD LliND
REEKE MAROLD CO INC
1�37 S BROADWAY CITY OF OSHKOSH
PO QOX 224� PO BO� 1 130
GRLEN B.A1' WI �4306 OSHKOSH W[ i4902-1130
RE: CONDIT[ONAL APPROVAL
PLAN APPRO�"AL EXPII2ES: 12/11/2002
Ide�itification Numbers
� Transaction ID Vo.454�38 �i
Site [D No. 199865 �
SfTE: Please refer to both identiFication numbers,
Site 1D: 199�6�, OSHKOSH HIL'f01" GaILUEV� [\N above, in aLl con-espondence with the agency. �
WINNEBAGO County, City of OSHKOSH; 13�� W 20TH AVE� NINTH AVE, OSHKOSH �4901
FOR:
Description: RP Valve Serving the Boilers
Object Type: Cross Connection Control Device Regulated Object ID No.: 773046
De��ice Type: Reduced Presswe Pre��enter, Location on Property: Mechanical Room 183, Manufacturer: WATTS,
Model: 009, Plan Type: Ne�v, 3/�" Val��e Size
The submittal described above has been reviewed for conformance with ap}�licable Wisconsin Admiiiistrative Codes
and �'isconsin Statutes. The subnuttal has bcen COND[T[ONALLI" APPRO\�'ED. The owner, as defined in
chapter 101.01(10), Wisconsin Stanites, is responsible for compliance with all code require�nents.
fhe f�oll�>���in��conditions shall be mct �iuring construction or installation a��d prior tu occupancy or use:
-A TEST SHALL BE CONDUCTED ON EACH RP,PVI3, OR SVB PRIOR 1'O IT BEING PUT INTO
SERV[CE, AND A MIIYIMUM OF ONCE A YEAR"THEREAFTER.
- It is the responsibility of the o���ner to make sure the de�•ice is tested and that the test report forms(SE3D-
9927) is sent to the Safety and Buildings Divisio►i upon completion of the test. A department-listed Backtlo���
Prevention llevice Tester shall perform the tesL A list of testers is available from the department upon
request.
A ropv �f the apnroved plans, specitications and this letter shall be on-site durin�� consh-uction and open to
inspechon by authorized representati��es of the [)epartment, ��hich may include local inspectors. All permits
required by the state or the local munic�pality shall be obtained prior to commencement of
c�instruction installation'operation_
lnquu�ies coi�cerning this correspondence may be ulade ro me at the telepllone number listed belo�v, or at tlie address
oii this letterhead.
Sincerely, DA"CL. RECENED 12i0�!2000
� FEE EZEQUIRED � 12�.00
i'� ' �L- /'���
'�� �'�� PEE RGCEIVED � 1?�.00
CURT �VE'�DORFF , PLUMB[NG PLAti REVIF,WEIZ E3AL�NCE DUE $ 0.00
lntegrated Srrvices
(il�) �26-�)U�6, FAX: (71�) �2-1-;6>; , ;�I-R 7:1� -17:00, F 7:1� - l l:l�
C'I�VE\�I)ORI�F�rrC'OMMERCE.STAI�E.���Ll'S WiSMART code: 7657
cc: Jt1MES E Z[CKER"1� , PLliMB[tiG CO��SI�L"1�.<��'T, (920) 572-26�6
"COM AR?�'OT E3EECHWOOD PLAZ.A I�fOTGL OF OSHKOSII LLC