New Irrigation Systems
Building
Permits
A City of
1)
Name of individual installing backflow preventer. Anyone performing the installation, other
than
the homeowner, must be a Wisconsin Licensed Plumber.
2)
Cost of backflow preventer installation.
3)
Type of device installed including the model number or ASSE number (Example:
ASSE 1020 typically
found on top of device).
New & Existing Irrigation Systems
Registration
& Testing
Wisconsin
Uniform Plumbing Code Section requires all pressure & reduced pressure type
backflow preventers be registered with the Wisconsin Department of
Commerce. More importantly, the Wisconsin
Uniform Plumbing Code requires that all backflow preventers be tested by a
licensed tester and the results reported to the Wisconsin Department of
Commerce and Hudson Water Utility at the following intervals:
1.) At the time
of installation. 2.) Anytime repairs or alterations are made to the system. 3.)
At least annually.
PLEASE
NOTE: THE
Second Meter Installations for Existing
Irrigation Systems
Prior to the
installation of a second water meter, the homeowner must provide the Hudson
Water Utility with a completed Water Meter Set Application. The backflow preventer's Wisconsin Department
of Commerce Registration Number and the testing history of the device will be
necessary as part of the application. If a registration number can not be
provided and/or the testing history is not available, it will be the
homeowner's responsibility to register and/or test the device before the second
water meter can be installed. Results of
testing from a licensed tester and a completed registration form are necessary
prior to a second meter being installed.
Second Meter Installation for Outside
Hose Bibs (Faucet)
A second meter can
be installed to supply hose bibs used for irrigation purposes. However, only
water lines serving exterior hose bibs can be installed downstream of the
secondary meter. All domestic water lines must be metered through the primary
water meter. All hose bibs must be protected with existing vacuum breakers or have
new vacuum breakers installed prior to the installation of a second water
meter.
City of
City of
Wisconsin
Department of Commerce: www.
commerce.state.wi.us
Wisconsin
Department of Commerce –
Wisconsin Department of Commerce –
Backflow Prevention Device Testers
Mike Kilmer David
Triemert
Apple Irrigation
651.437.0073
715.246.5422
mkilmer@appleirrigation.com
715.684.9379
Rich Asher
Asher Backflow
715.235.2170
Steve Trubshaw
M & T
Backflow Prevention Assembly Testing
715.834.8884
Ernest Spinks
OFC Properties,
Inc.
715-796-5299
(c) 651.983.4177
Bob Gunther
Precision
Backflow Prevention, LLC
715.247.2550
(c) 715.760.0884
Countryside
Plumbing & Heating
New
715-246-2660
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CITY OF (715)386-4775 |
CITY OF BUILDING PERMIT APPLICATION |
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Owner's Name |
Telephone (Daytime) |
Fax (Daytime) |
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Mailing Address |
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Applicant's Name |
Telephone (Daytime) |
Fax (Daytime) |
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Mailing Address |
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Building/Site Address |
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Project Description ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ |
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Approximate Cost |
Start Date |
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Contractor(s)
& Contractor License
Number(s) General____________________________________________________________________________________________________ Electrical___________________________________________________________________________________________________ Heating/Venting/Air Conditioning_______________________________________________________________________________ Plumbing___________________________________________________________________________________________________ |
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The owner/applicant agrees
to comply with Chapter 106 and all other applicable Municipal Code
requirements; understands that the issuance of the permit creates no legal
liability on the City and certifies that all of the submitted information is
accurate. SIGNATURE OF
APPLICANT_____________________________DATE___________________ |
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City of
Water Meter Set Application
Application Date:_______________________
Application
for: Meter Set ____ Water Service: ____ Date Needed: ___________________________________
Applicant
Name: _____________________________________________________________________________________
Address: _____________________________________________________________________________________
_____________________________________________________________________________________
Owner's
Name: _____________________________________________________________________________________
Service
Address: _____________________________________________________________________________________
_____________________________________________________________________________________
____ Domestic Service
____ Irrigation System Service
____ New (Building Permit Required)
____ Existing
Backflow Device
Registration Number: ____________________ Type of Device: ____________________
Test Results: Yes ____ No ____ If
yes, date: __________________
Provide Copy.
____ Outside Hose Bibs Only (Verify Installed w/Vacuum Breakers)
Size
of Service: ____ 3/4 ____ 1" ____ 1 1/2 " ____ 2" ____ 4" ____
6"
Size
of Meter: ____ 5/8" ____ 3/4" ____ 1" ____ 1 1/2" ____ 2" ____ 4"
Notice: No installation of any meter or water service
and location of same shall be allowed without prior approval of the Public
Water Utility Director or duly authorizes representative of the Hudson Public
Utilities Commission.
The
attached sheet shows a typical meter installation. These guidelines for meter installations
shall be adhered to along with Hudson Public Water Utilities Commission
Technical Specifications for water main and service construction. All persons now receiving a water supply from
the Hudson Public Water Utility, or who may hereafter make application, shall
be considered as having agreed to be bound by the rules and regulations as
filed with the Public Service Commission of Wisconsin and the Wisconsin
Department of Natural Resources.
Signature
of Applicant: ______________________________________________________________________________
Date
Approved
By: ______________________________________________________________________________
Date
Comments: ______________________________________________________________________________
______________________________________________________________________________