HomeMy WebLinkAbout261-1213-50-000
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Parcel 261-1213-50-000 03/21/2007 08:33 AM
PAGE 1 OF 1
Alt. Parcel 261 - CITY OF NEW RICHMOND
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - DOYLE REAL ESTATE LLC
DOYLE REAL ESTATE LLC
560 DEERE DR
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 560 DEERE DR
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
SP 0030 TID #8 NEW RICHMOND
Legal Description: Acres: 0.000 Plat: 1957-FARM & HOME STORE
SEC 36 T31 N R1 8W COM ON S LN RD 411.75FT Block/Condo Bldg:
W & 250.35FT S OF NE COR;S 450 FT; W 382
FT; N 16 DEG E 316 FT TO S LN RD; N 63 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
DEG E ALG S LN 326 FT TO POB 2.83A ALSO 36-31N-18W NE NE
TH W 382 FT OF LOT 2 CSM 1/61
Notes: Parcel History:
Date Doc # Vol/Page Type
06/30/2000 625667 1523/140 WD
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05/17/2002
Description Class Acres Land Improve Total State Reason
COMMERCIAL G2 0.000 563,000 1,071,000 1,634,000 NO
Totals for 2007:
General Property 0.000 563,000 1,071,000 1,634,000
Woodland 0.000 0 0
Totals for 2006:
General Property 0.000 563,000 1,071,000 1,634,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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mit AP
P I
DATE ' NOV 7 19
PLUh181VG SECTION ~yL
WIS. LEPT. OF HEALTH $ ,~'~7AG SE
f I r RVICES
A ` ~0 THIS APPROVAL SHALL RE VOID IF
NOT INSTALLED WITHIN TWO YEAR;
FROM THE DATE OF APPROVAL
THIS APPROVAL
WITHOUT THE NTRIi7LL BE VOID IF
• DIVISION OF 1, W
EALTIj RIT EN APPROVAL OF TAE D
a
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Plb X67 7/71 Wisconsin Department of Health and Social Servion
Division of Health
SEPTIC TANK PERMIT APPLICATION C~~/L¢dL
TYPE OR USE BLACK INK - PLEASE PRINT
A. OWNER OF PROPERTY
Name Address (Street, City, Zip Code)
B. LOCATION OF PROPERTY WHERE SYST WILL BE CONSTRUCTED ALTERED OR EXTENDED COUNTY
Check Ones 1-2 '4"' „/e 1ja-1
CITY VILLAGE LEGAL DESCRIPTION
TOWNSHIP (Block, Lot, Sec.)
C. IS LOCAL PERMIT REQUIRED FOR THIS WORK? YES No PERMIT NUMBER
D. SEPTIC TANK CAPACITY " GALLONS NEW INSTALLATION 4a. REPLACEMENT ADDITION
MATERIALS: PREFAB CONCRETE POURED IN PLACE STEEL OTHER
NUMBER OF TANKS TO BE INSTALLED:`'
E.. TYPE OF OCCUPANCY
Check Ones One or Two Family Residence Commercial _ Industrial Other (Specify)
Number of persons to be Accommodated: Number of Bedrooms
F. APPLICANCES, ETC: Food Waste Grinder YES _ NO Automatic Clother Washer YES NO
DishKasher YES NO Automatic Potato Peeler YES NO
OTHER (specify) YES NO
G. MASTER PLUMBER MAKING INSTALLATION
Name: f Address s_
SIGNATURE OF APPLICANT:
License Numbers MP
ADDRESS: MP RSW
H. (TO BE COMPLETED BY ISSUING AGENT) D
Date of Application Fees Paid
2 Permit Number
Permit Issued (date) /
Agent (name)Fors
taw-, village, city, , e specify)
NOTES The Application cannot be considered for filing until all of the above questions are answered
and the fee paid. Agents will forward application, the fee of $1.00 for each septic tank and
the third copy of the permit (canary) to the Division of Health. Checks and money orders should
be made payable to the Division of Health.
COMPLETE OTHER SIDE
NAME:
COUNTYs
SEPTIC TANK PERMIT NUMBERt f.L
REPORT ON SOIL PEJWOLATION TEST ~T-
AND SOIL BORINGS
TO
DIVISION OF HEALTH - PLUMBING SECTION
P.O.BOX 309, Madison, Wis. 53701
Pursuant to H 62.20, Wis. Administravive Code
P E R C O L A T I O N T E S T
TEST DEPTH CHARACTER OF SOIL HOURS WATER TEST TIME DROP IN WATER LEVEL INCHES MINUTES
NUMBER INCHES THICKNESS IN INCHES SINCE HOLE IN HOLE INTERVAL SECOND TO EXT TO LAST TO FALL
1st WETTED OVERNIGHT IN MINUTES LAST PERIOD LAST PERIOD PERIOD ONE INCH
EXAMPLE
P - 0 3611 TOP SOIL 10111 C 26" 25 YES OR NO 30 60
,f
lI '
RECORD DATA FROM M~NII`AJM OF 3 TEST HOLES
COMPUTE SIZE OF ABSORPTION AREA IN ACCORD WITH H 62.20 WIS., ADMINISTRATION CODE.
S O I L B 0 R I N G S- MINIMUM 36" BELOW PROPOSED ABSORPTION SYSTEM
BORING TOTAL DEPTH DEPTH TO GROUND WATER DEPTH TO BEDROCK
NUMBER INCHES OBSERVED ESTIMATED OBSERVED ESTIMATED CHARACTER OF SOIL WITH THICKNESS IN INCHES
EXAMPLE
B - 0 7211 BLACK 0 SOIL " CLAY 8" n MAVEL "
f,
k
2
3
x RECORD DATA FROM
TYPE OF OCCUPANCY: LL-
RESIDENCE: NUMBER OF BEDROOMS OTHERS (SPECIFY) t NUMER OF PERSONS
FOOD WASTE GRINDER: YES N4x` DISHWASHER: YES NOX _ AUTOMATIC CLOTHES WASHER: YES NO
EFFLUENT DISPOSAL SYSTEMS NEW EXTENSION ADDITION, REPLACEMENT
TILE SIZE NO. LINN.` FEET TRENCH WIDTH DEPTH NUMBER OF LINES
SEEPAGE BED: LENGTH/ WIDTH DEPTH TILE SIZN~' r ' NO. LINES
SEEPAGE PITS INSIDE DIAMETER LIQUID DEPTH
Is the undersigned, hereby certify that the percolation tests reported on this form were made by me or under any super-
vision i naccord with the procedures and method specified in Chapter H 62.20 (3 Wisconsin Administrative Code, and
that thud dta rZ), rded and roca!on of test holes are correct to the best of my 2niowledge and belief.
TITLE C..•L v'
NAME ! e
TYPE or PRINT) a
a
REGISTRAT~Ij~2~1 NO. + f OR MASTER,?JUMBER LICENSE NO;
ADDRESS
DATE t' SIGNATURE•.r rC,r~"..J
DO NOT WRITE IN SPACE BELOW - FOR DEPARTMEUS ONLY
DATE RECEIVED ACCEPTED BY RETURNED
FEE RECEIVED VALID NO. PERMIT NO.
REVIEWED BY APPROVED DATE
INITIALS YES OR NO
PIb.+ # 60 w
k3/70 PROJECT DETAIL DATA SHEET
NAME OF BUSINESS
LOCATION
street or highway city or township county
LEGAL DESCRIPTION
OWNER Mailing address
ZIP
ARCHITECT OR ENGINEER Address _
Z I P
PLUMBER Address
ZIP
T.-'Check'appropriate building Ltsage(s) and fill in the information requested opposite
each usage listed.: Existing building New building Addition
If addition to existing building attach detailed memo for each.
( ) Drive in restaurant Car spaces
( ) Restaurant Seating capacity (10 sq. ft./person)
( ) Dining hall Per meal served Toilet waste Yes No
( ) Motel ( ) Hotel ( ) Cottages Number of units: 2 persons/unit
4 persons/unit _ TOTAL NUMBER OF UNITS
( ) Churches Number of persons y_ Kitchen Yes No
( ) Bar or cocktail lounge Seating capacity (10 sq. ft./person)
( ) Nursing or rest home Number of beds
( ) Mobile home-park Number of units - dependent (camper trailer) _
- nondependent (mobile home) _
~
(*'Retail store Number of employees
Number of customers T10 sq. ft./person)
( ) Service station Number of cars served (daily)
( ) School Number of classrooms Meals served Yes
No
Showers provided Yes No
( ) Factory or office building Number of persons (total all shif_ts
( ) Apartments Number of bedrooms
( ) Other Specify
2. Indicate whether or not the following facilities are connected:
Food waste grinder Yes _Y_ es Dishwasher Yes _ No
Automatic clothes washer Yes No Automatic potato peeler Yes
Other . . . (Specify) r~ No
3. Fill in the appropriate information for the following as indicated:
Septic tank capacity planned s
Percolation test results - ATTACH PERCOLATION TEST AND SOIL BORINGS REPORT SHEET
COMPLETE OTHER SIDE
Seepage trench bottom area planned width
Y
linear feet ! *Or dep
9(6 -
Seepage bed area planned width
linear feet & depth
Seepage pit planned outside diameter
depth below inlet depth
4. See approved plan for specifications and details.
Signature of person completing form: STATE DIVISION OF HEALTH, PL RING SECTION
P. 0. Madison, Wis o in 53701
Approv -
Address.:; Date. NOV 7 1972
r.
/;ZIP THIS APPROVAL IS BASED ON STATE PLUMBING
CODE REQUIREMENTS AND DOES NOT EXEMPT THE
Date: INSTALLATION FROM CITY, VILLAGE, TOWNSHIP
OR COUNTY REGULATIONS OR PERMIT REQUIRE-
MENTS AND SHALL BE VOID IF REVISED WITHOUT
THE WRITTEN APPROVAL OF THE DIVISION OF
HEALTH.
THIS APPROVNOT ALL AL SHALL BE
DEPARTMENTAL USE ONLY "'C)MINST
HE ED WITHIN TWOI YEARS
DATE Of APPROVAL