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HomeMy WebLinkAbout261-1213-70-000 d 0 w p K v n r~ G y l M ' 0 3 rap m ~ m ~ c • m m % Ui 2 2 ? W N N W O ~ ~ Q1 Q) O O O r O N w o D C , O O- CL a C') W O7 Z co O ~V} W N O m m N ~o m Z \ ~ 0 --j < O .i O CD CD O CT y C O O O r-.- U N N , 3 O ,J i d C cn O 1w Z D CD a co a * t"~A o O v, a T C 3 J ° M rn p b z (O (O ° < 0 O C ~~yy J rn m _ N a CD " lM CD ~ ~ halt (Z O O O C o ' * * * 3 1.- < , Z g o D m o o n o E; v o n m m m ty m m m N < N cn N O ° m CL V Z Z 0) Z O CD O 0 CL =3 ~1 • 4 C ((D (D m N N Cl) N v/ 4 c m m W T ° O Z T. Ip -I N 0 U C A ~ n p Z O v ° G) O 0 Z W m co -o m m m Z 0 3 ' X O r. Z 3 m N Z ~ ~ m A O n ~ Cn ° 7~ < O O T (D 7 4) C ~ Ut ~ Q m O 3 m O -O N N O 1a (D O m tn tll CD O_ e. a O t m _ ° v CD n ° Iv n N zz 7 A 0- 0 b JI Q ~ W O i Parcel 261-1213-70-000 03/21/2007 04:53 PM 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 - BUSINESS POSTAL SYSTEMS, OF WISCONSIN INC OF WISCONSIN INC BUSINESS POSTAL SYSTEMS 1201 15TH AVE S PRINCETON MN 55371 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 1159 JOHNSON DR SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE COM NE COR NE 1/4 OF NE 1/4 SEC 36 T31N Block/Condo Bldg: R1 8W, TH S 1,000.35 FT, W 33 FT TO POB: S ALG W LN JOHNSON ST 125 FT TH W 348.48 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) FT: TH N 125 FT: TH E TO POB A/K/A LOT 1 CSM 1/266 Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1035/605 WD 07/23/1997 1018/39 WD 07/23/1997 1013/550 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 63,600 82,000 145,600 NO Totals for 2007: General Property 0.000 63,600 82,000 145,600 Woodland 0.000 0 0 Totals for 2006: General Property 0.000 63,600 82,000 145,600 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 RF?'ORT OF IMSP CTIO'i__I-~Tr7i1IDITAL Sr,7.7A'~E DISPOSAL SYSTFT~'i Sanitary Permit ' tate `.peptic 17AI, F. TOWNSHIP St. Croix County SrIPTIC TAITVI Sipe _Ai~t` gallons. lumber of Compartments Distance From: T-?e11 ~ ~t. 12% cr_ greater slope ''ziilding 7-z- ft. Wetlands f: B' ' ixw~~ter ft. DISPOSAL S`ISTEAA ~lil.e Field or Seez)ac,re Pi',_ (s) Di stc ica From: 'ell C LL) ft. 12`/, or greater slope `-ft wilding J_ ft. 14etlanus ft FIFJI1) p i~hwater r_t. Total length of lines ft. 'A::lumber of lines Z-- eng;tri of each line ~ft. Distance between lines ~b ft. !Jidth of the trench -/--Z-ft. Total absorption area O2_ sq. ft. Depth of rock below the Z in. Depth of rock over tile / in. Cover over ro ' _ Depth of the below grade in. Slope of trcnca _zLin ner 100 ft. Depth to Bedrock: --'ft. Dept.1 to ground water ft. I 'Jnr, ber of nits Outsi; e diameter ft. Dentli below inlet ft. Gravel around pit: yes no. Total absorption area sq. ft. Square feet of seepage trench bottom area required Square feet of_ epage nit area required inspected by 'Z - ~ Title Approved Date Twne_ ZA 197 Rejected Date 197r S VV 6 Gt. CS_ l/ 2 6 Pib 67 State and County State Permit 'Permit Application County Permit # for Private Domestic Sewage Systems County i *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: B. LOCATION: Section - T N, R E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township, l C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) s: vE Variance Single family Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES NO # of Bathrooms Automatic Washer YES /&NO Other (spe ify) E. SEPTIC TANK CAPACITY ,wZY~) Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement- Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) , 2) 3) I Total Absorb Area C) sq. ft. New A Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length caCJ Width j 7?- Depth Tile Depth t~C No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size S% Percent slope of land r`' is Distance from critical slope I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative -de, and that I have sized the effluent disposal system from the EH-115 prepared by the Ce ie Soil _ ester NAME _ V d L`w C.S.T. # > and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# Phone PLAN VIEW: Provide sketch below osystem (include direction of slope and all distances in accord with H62.20, including well). E E E 3 - z t ` f f ' s I t t { F E , S Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application & '4 V % ~ Fees Paid: State , 0-0 County Date ~ S Permit Issued/Rejected (date) rte / j ~p -Issuing Agent Name 6 6(--Z ~ Inspection Yes--X~ 0 Valid# Date Recd 1. county (white copy) 3, owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 3/1/75 rry 1 10 (1 1-/4) WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISM, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: Section T_N, R _ E (or) W, Township or Municipality Lot No. ,Block No. Subdivision Name County Owner's Name: Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET SOIL TYPE PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL RATE BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES NUMBER CHARACTER OF SOIL WITH THICKNESS, INCHES INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B- B- B- PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. or distances. Give reference point. Indicate slope. Indicate scale tN I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. Name (print) Signature Certification No. Name of installer if known Copy C - Local tau€losi`y State of Wisconsin \ DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HE, MAIL ADDRESS: P. O. BO. May .L~j3, 197 MADISON, WISCONSIN 5- IN I IN REPLY PLEASE REFER TC y; SECTION OF PLUMBING AND FIRE PROTECTION SYSTEMS Pow" C+ >E Prs s bouts 76OU97 Plan Identification No. Aev `gtch.. d2 54017 Dear Sir: Rickard Slsctric Retail Store Re : J See. 36, T31-4 !!tlV Towuship of Star Prairto (St. Croix Cousty) Sewage Dispaaa►l This is to acknowledge receipt of your plans and specifications for the above- indicated project. When referring to this plan in the future, it will be absolutely necessary to utilize the plan identification number assigned to the project. The spaces below indicate if proper fees have been submitted or if more information is required. Providing plan review is not completed within thirty (30) days, a permit to start construction may be issued if requested. See Section H 62.25, Wisconsin Administrative Code, for limitations in reference to permits to start construction. Preliminary plan review for determination of fees does not hold the department liable in the event additional fees may be required upon complete plan review. Preliminary review indicates the plan review Fee required is $ /S Fee received is $ is Plan accepted for review. Fee is being returned because of II Overpayment Q underpayment. Providing one of the two categories above is checked, please remit correct total fee in one payment. Indicate plan identification number on remittance. No fee has been remitted. Plans submitted with no fees will be held in abeyance until remittance is received. Indicate plan identification number on remittance. Additional information required. See attached Plb. 100. The permit to start construction will not be issued until 30 days after requested information is received and accepted. Q Plans being returned. See attached Plb. 100. Sincerely, a~i ames A. Sarg Z Ch ie f JAS:fjs ~l R; IV :OJEGT DETAIL'DATA SHEET APR 2 7 19'/ ")CATION J"✓/G~[ ) S :_._A52r street or highway city or township cc, ? LEGAL DESCRIPTION 41ER Mai 1 i nn address ZIP appropriate building usage(s) and fill in the information requested opposite listed: ,"i lding _ New building Add If addition to'existing building attach detailed memo for } Drive in restaurant Car spaces } Restaurant Seating ca Dining hall Per meal served Toilet waste Yes Nc; } Motel ( ) Hotel ( ) Cottages Number of units: 2 persons/unit 4 persons/unit TOTAL NUMBER OF UNITS Churches Number of persons _ Kitchen Yes Pao Bar or cocktail lounge Seating capacity ( 0 sq. ft./person) i _ } 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 10 sq. ft./person) Off'" Service station Number of cars served (daily) School Number of classrooms Meals served Yes Showers provided Yes No Factory or office building Number of persons (total all shifts; Apartments Number of bedrooms Specify -)]owing f cilities are connected. ,ood waste grinder Yes No Dishwasher Yes T No _ Automatic clothes washer Yes NoAutomatic potato peeler Yes Other . . . (Specify) No 11 in the appropriate information for the following as indicated: ~M1r ,i IT! I" 7,_'r_r r,rjn 17111 RORIPE;S RFnORT SIIFFT ,r ' ..near fee depth ~e~•..ru~ v width ;near feet d depth ~~.,,...,.>,_l _ outside diameter a.,: -)elow inlet 4. See app-, S k7nature of person Approve:: n t Address: Date: 7 ~1 P. ,-el i 7 THIS APPROVAL IS BASED ON STATE PLUMB i NG CODE REQUIREMENTS AND DOES NOT EXEMPT iN INSTALLATION FROM CITY, VILLAGE, TOWNSHIP )R COUNTY PERMIT REQUIREMENTS AND SHALL G ;01D IF REVISED WITHOUT THE WRITTEN APPROVAL "T TH RIVIS10N OF HEALTH. i T „tech urn Pr~t~~.tic;,rg - -k+1 d'2a4tt~, and F, .mb ng . r of 1SCt fcrt'e , G- G1t. };A"1`JllY S,tcae Health Cyfiicer srification I 4 APR 2 7 w it~ ' q rF. rJO:Tt. ' icd Ur7n by the Section of and , "Iur .;n.q CYnd Fri a Protection Siystcros, Bureau G =iEV;:•:lrir,^,~?.^.!frI HeUIt`l, La1VisiJri Or Hc:Clt:ii, i:?cncrtn~(sr,t of Flea,th an Scrial Services. I r , Chief ' w i 1"r•1F5 A. :ARGEi1T Secticnt of PI).imbing & Fire P ,tr--tion {t~ • 3f ° ;A;~fROVED by t;'ip Division of Hecy:th, J;ert. of 0., ~eysu.~ ~G C s li-'!CaSY`) cand Soctcsl ~•:'rVtCf'3, 5UbF°rt to Cotttjrf;Crr?5 ~'j y I-;et forth in the lett->r of ap'.; r,cval. G:'ORGE H. BANDY, M.J. t Stutz Health Of'icer Verification A :7 5()C ~ u Ca-C lra c~ L I ~~rlr:c ~ i~ c>c5 T ~GlilnaA 10C)0 j, \ij ~tiQ~ r • 1; -ty \ V F ; State of Wisconsin \ DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH MAIL ADDRESS: P. O. BOX 309 MADISON, WISCONSIN 53701 1876 IN REPLY PLEASE REFER TO: May %~t, SECTION OF PLUMBING AND FIRE PROTECTION SYSTEMS Powers C*ment Products 4Yan Identification No. 7601197 ?out* 3 ♦A New Fiichuad WX 54017 Dear Sir: Re : Riclyd Zlectric Mail Store ,125' l ug See. 36, T31N R13W Township of Star Prairie (St. Croix County) Sewage Disposal This is to acknowledge receipt of your plans and specifications for the above- indicated project. When referring to this plan in the future, it will be absolutely necessary to utilize the plan identification number assigned to the project. The spaces below indicate if proper fees have been submitted or if more information is required. Providing plan review is not completed within thirty (30) days, a permit to start construction may be issued if requested. See Section H 62.25, Wisconsin Administrative Code, for limitations in reference to permits to start construction. Preliminary plan review for determination of fees does not hold the department liable in the event additional fees may be required upon complete plan review. Preliminary review indicates the plan review Fee required is $ f~~ I Fee received is $ /1~01 M Plan accepted for review. Fee is being returned because of II Overpayment M underpayment. Providing one of the two catagories above is checked, please remit correct total fee in one payment. Indicate plan identification number on remittance. rz No fee has been remitted. Plans submitted with no fees will be held in abeyance until remittance is received. Indicate plan identification number on remittance. 7` Additional information required. See attached Plb. 100. The permit to start construction will not be issued until 30 days after requested information is received and accepted. Q Plans being returned. See attached Plb. 100. Sincerely, Z ames A. Sarg Chief JAS:fjs I . P1bt'1OO Rev. 11/7.5 Department of Health E Social Services Division of Health Section of Plumbing and Fire Protection Systems In rePiY+ Please refer to Plan Identification Number 7G 6,11 9,z_ Re: The plans indicated above have been given a preliminary review and the following data is eitF.r missing or needs clarification. Please submit the additional information as indicated ar, checked below. Upon receipt of this additional data, plan review will be continued. 1. Plan Submission u Two sets of plans and one set of specifications required. Three sets of plans required of SEWAGE DISPOSAL SYSTEMS ONLY. Plans shall be sealed or stamped. See Section H 62.25 (2) (a), Wisconsin L_j Administrative Code. Additional information requested shall be sealed, stamped or signed, as noted above. l A11 information requested below shall be submitted in-~apFiae triplicate unless specifically noted below. Plans not clear, legible or permanent. Ii. Private Sewage Disposal Systems ❑ Soils description not adequate. Q Reconduct soil test. X Plans indicating lateral dist____ antes from building, well, lot line, lake, stream. watercourse or water distribution piping to the septic tank and to the drainfield. ❑ Lot size and ground slope. Construction detail of septic or holding tank if site constructed, including dimensions and liquid capacity or the manufacturer of the septic tank to be used. ❑ Construction detail of the soil absorption system, including a cross-section of the disposal field. ❑ Profile of holding tank. ❑ Legal description of property in which systems are installed and prominent landmarks. [:]Agreement document signed by owner and local unit of government (holding tank). Reason for installation of holding tank. ❑ Soil boring and percolation test form EH 115 completed by a certified soil tester. ❑ Complete data relative to anticipated use of building Plb. 60 0 copies). ❑ Manufacturer of lift pump(s) or automatic siphon and manufacturer of lift pump tank if not site constructed. ❑ Calculations for total lift pump discharge head, and gallons pumped (volume) and pumping time per cycle. ❑ Detailed section of sump showing lift pump(s) or siphon, piping, valves, electrical equipment, elevations, etc. ❑ Size of lift pump tank, draw down, and construction detail if site constructed. ❑ Calculations for siphon discharge, average flow rate (GPM). ❑ Size, length and depth of forced main. III. Reduced Pressure Zone-Type Backflow Preventer ❑ Elevation and location of valve in building. ❑ Detailed piping diagrams. ❑ Flow rate. ❑ Valve size, model number and manufacturer. ❑ Signed inspection and service agreement between owner and testing representative. SEE OTHER SIDE IV. Private Interceptor Main Sewer (sanitary and storm) []Calculations (all pipe sections) (flow rate). []Input (population). (Elevations of all piping and manholes. F Profiles of system or complete finished contours. Number and type of plumbing fixtures for each building. (Include all floor drains and equipment). ;Calculations for all drainage fixture units in each building. Type of buildings (usage). CCopy of maintenance agreement by owner. CCopy of easement for sewers on public or other private property. CLetter of acceptance from proper authority indicating approval of the sanitary system and connections to the public sewerage system. V. Building Sewers - Building Drains - Drain Waste & Vent []Floor plan showing building drain. []Statistics for sizing. []Sizing requirements of all piping, including risers and isometric diagrams. ;Grade, slope or pitch. CElevation relative to connections along with terrain elevations. CManhole locations. CCleanouts and locations. Venting. F-jTraps. C Materials and specifications. []Ejector size and specifications. []Capacity of grease interceptor and size of sinks contributing thereto. [-IPlot plan showing building sewer and water service. VI. Water Supply, Distribution and Service [Floor plan showing water distribution system. ['-Size of pipe and complete calculations. (See instruction for plan review). []Material specifications to include fittings, pipe, fixtures, etc. H Complete valving specifications. [,Pressure at public supply or supply tank. []Capacity of pump. []Capacity of storage tank. []Method of draining system when not in use. []Provide risers, details, and isometric diagrams. ❑ Indicate method of backflow protection. VII. Plastic Acid Waste []Three copies of piping diagram. ❑ Request for use by owner or architect. []Specifications of piping and fittings. Acid neutralizing or dilution basin detail. ❑ Piping plan layout and isometric drawings.