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HomeMy WebLinkAbout191-1018-80-000 n cn O g v C) rw o m f c o C `"r1 0 3 ]~/1 N N U N co N N N a OL CD (OD ° o 0J oo o o cn C m v N (D (D O N N ~ p G O O O p 7 N O O O y (D A Nr7 O r a O f d N O ~ N O Z o o N O c O J J J J O g ^ OC OC OC 0 0 0• G G G c r: c ~ ~ o m cn cn ~ N N ~ ~ ~ J O N -0 Qo (CD u y O D1 a 0 (D Z z 2 D D a 10 N Z.~ m ~ c rn p Z (D A z O O s ~ ~ ca ca _ N) cn C m ~ Z 3 a ~ o N Z7 (D A O p~ O (D G N -O > 3 O (D 'O N ^ C (D 3 Z' O _ (D (D X, m v 3 Ti O N Co 7o O N (D -6 Q O z D. n O.~ O O N O ((DD a (On a (n o 7 O N N 7 (D 33 t' d 7 n N C O 1 N Z Q N O ~ CD OQ 3 p z O 2- 0 p y 7 CD (n 7 (Q N CD _ .w C (D N D 7 ti O_ O Z~l C C. ~ 10 D ap Es3 O 00 O a 0 m Ability Business Corp. C r A B C6mple'e Sewer Services KNAPP, WISCONSIN 54749 Phone: 665-2112 1.,j- IV7 it IE- 71-7 J/f! r~lCt %F!C - ~,+~1/'S+. ~it T rtt` ,l/ //V/~ i I ! 1 ~ ~ H _ r: N/ 11 a yl r,ct~ r ,r L. t! ~,r/; I a /r i /•Y! It /J✓ //~•/7.'/,, r1 ~r ~/NL: ~ fir' / / ! r , r y .t:. t l Cj , 00- W low vXAMU iN1 D and l/J/ _ l Cc~ .'1urruing and Fire Protcction. Systems, Bureau ir E+ a,r~:;r: ental Hea!tb, Division of Health, h'GNU. / '1 !'Kdrv1 Deparfirle t-_o`€ Fit;ctth and Social Services. J,44TS A. SAPOENT, Chief ~0 Section of Fl Moll g' Fire' Protection APPROVED by the DMv ion of Health, Dept. of ~ Health and Social Services, subiect to conditions l lrr. !l A// t set forth in the letter of approval. / ► r • r/ t r _ RAtPtt-t-ANDREANO, P D. Admim rat _ Verification R/~~l?ifv4w( 00. W A? V Parcel 191-1018-50-000 10/18/2006 03:32 PM PAGE 1 OF 1 Alt. Parcel 35.29.15.115A 191 -VILLAGE OF WILSON 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 - VILLAGE OF WILSON, BALL PARK ACCESS LOT BALL PARK ACCESS LOT VILLAGE OF WILSON 440 MAIN ST WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " OLD HWY SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH I Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 35 T29N R15W PRT SW NW BEG AT SW COR Block/Condo Bldg: LOT 10 BLK 3 ORIG PLAT TH NELY = WITH S LN MAIN ST 165 FT, TH S AT RT ANG 200 FT Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) TO POB, TH S 100 FT TH S AT RT ANG 86.9 35-29N-15W FT NE 71.1 FT -POB (FORMERLY STONE OIL BULK PLANT) Notes: Parcel History: Date Doc # Vol/Page Type 11/04/1998 590829 1373/616 QC 11/04/1998 590828 1373/613 WD 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/26/1998 Description Class Acres Land Improve Total State Reason OTHER X4 0.000 0 0 0 NO Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 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 Parcel 191-1018-80-000 10/18/2006 03:08 PM PAGE 1 OF 1 Alt. Parcel 35.29.15.115D 191 - VILLAGE OF WILSON 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 VACATED ST VILLAGE OF WILSON O - VILLAGE OF WILSON, VACATED ST 440 MAIN ST WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 35 T29N R1 5W PT SW NW & NW SW PARCEL Block/Condo Bldg: AS DESC IN 526/ 441 & PT OF SW NW AS DESC IN 561/590 PT SW NW AS DESC BY Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) CORRECTION DEEDS IN 579/100,101, 102, 35-29N-15W 103, 104, 105, 106 AND 107 & CORRECTED IN 610/ 551 ALSO ALL OF CENTRE ST (AKA more... Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/10/2006 Description Class Acres Land Improve Total State Reason OTHER X4 0.000 0 0 0 NO Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 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 Parcel 191-1018-90-000 10/18/2006 03:11 PM PAGE 1 OF 1 Alt. Parcel 35.29.15.115E.116A 191 - VILLAGE OF WILSON 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 - VILLAGE OF WILSON, PARK PARK VILLAGE OF WILSON 440 MAIN ST WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.000 Plat N/A-NOT AVAILABLE SEC 35 T29N R15W PT SW NW & NW SW COM NE Block/Condo Bldg: COR LOT 3 BLK 4 N 63DEG E ALG S LN MAIN ST TO LAND DEEDED IN 34/468, S 27DEG E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) ON W LN SD LN TO S LN SW NW W 36 RIDS MOL 35-29N-15W TO RWY FOLLOWING LN OF SD LID TO SE COR LOT 3, BLK 4, N ALG E LN TO POB EXC more... Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/22/1989 Description Class Acres Land Improve Total State Reason OTHER X4 0.001 0 0 0 NO Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 f (n a 'I Jt I T ~ I r_- _ 1 jF1 Tl CID i~ \ r t~ 7 ~j c :~A F O tzl r In s l ,a z ~ q Ci m IV l'+ - i~ CP- rr Z y Z nj + a ' ft IF f A° s 10 t• 'i h ai~ 41 Yc' tp p L - (Al "P vi ry to N u,~ " , ~ % y tt ~ To i Ac~6Nr~FNr FR~~"~ e.A, G~v~~ j ~ w.. x z p U 1 L - D N © ~ CERTIFIED SUf VEY p VOL_ 2 ~UE} n~ r m c 9 \ ~N r1 • c, l2 _ ~ , r ~ r t~ lr7 i. 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C+ cr ct J t,U D m - h m <r _ cr K H P. v o r•p, r% F r ,J to b _ - It o o r. i lJ vi -r fv c± i n i ch - `s M '..l J i O' G' V h 10 G r (7 'a-1 c o y `3 .3 'G r m C' P+ c+ O - c N m + t O m - cr ~ d ,c+' s i F93 N H y r N ~ z ~ o w5 c o n _ C. o D N o cr t c+ J r• i c+ ry G o y ~ 'L U l' d o ~n c+ cr cr i a D y y mraaxnxeaaa o o o cr Y J ° - - i n I'D L K o ,i q d ,y r 5 o c j `r o TM• n „r F w u. n v,, '~P w o i cG+ ru o a a ,.j a a~a~eMxa~a+Dpay,~ ~ t~ , r~ t~ i j REPORT OF ITISPECTIO N--INDIVIDUAL SE?,1AGE DISPOSAIT, SYS TEN Sanitary Permit r State Septic!' < °.'Al T&WNSHIP St. ol" Count e SEPTIC T1?'?T: r Size gallons. 'lumber of Compartments iDistance From: 'dell ft. 12% or greater slope ---tt. r Building' ft. Wetlands f: ghwater ft. DISPOSAL SYSTL.:7 - Tile Field of°------____SeePage Pit(s) Distance From: TTell ft. 12% or greater slope ft Building; ft. Wetlands f.. FIELD :,ighwater ft. Total length of lines ft. Number of lines _ Length of each line ft. Distance between lines ft. Width of the trench ~.____ft. Total absorption area sq. ft. Dept:: of rock below tile in. Depth of rock over the in. Cover over.rock, Depth of tile below grade _in. Slane of trench in ner 100 ft. Depth to Bedrock ft. Dept'- to around water ft. PITS }lumber of pits Outsid diameter ft. Depth below inlet ft. Gr el toun~i. es no. Total absorption area sq. t. Square fee of Tsege trench tt m are quired square feet of g.e ni ar equir .d Inspected biy • Title:. - Approved Date 1171 197. Rejected Prate 197. . i State and County State Permit # PLB67. Permit Application County Per Pt for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED 1 Date Approval Received from State if Required State Plan I.D. # °J A. OWNER OF PROPERTY Mailing Address: ~ I 6,4 B. LOCATIY4, Section, T N, R f; -E (or) W Lot# City Subdivision Name,--- nearest road, lake or landmark Blk# _ Village Township C. TYPE OF OCCUPANCY: *Comme-cial *Industrial *Other (specify) *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 (specify) E SEPTIC TANK CAPACITY Total gallons No. of tanks 'Holding tank capacity e 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) Total Absorb Area sq. ft. New - Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width Depth Tile Depth No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size _ Percent slope of land 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 Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Cer i ed Soil Teste _ NAME _k Li° C.S.T. #7-" and other information obtaine from (owner/builder). Plumber's Signature _ MP/MPRSW# Phone 40 Plumber's Address 1 11-17 PLAN VIEW: Provi e ketch below of system (include direction of slope and all distances in accord with H62.20, including well). - Do Not Write in Space Below FOR DEPARTMENT USE ONLY _ Date of Application Fees Paid: State ~ " ~°2Y' count Date _Issuing Agent Nam Permit Issued/Roeeled ( te) ///Issuing _ Inspection Yes-I)(-- No 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 6/1 /76 tb~a Will.' 0i xt_t~ ~~'ak,;+/b'.,A ".TA'-t+• vi i. o.nTilicatio:.-k ha'n :,A ~s6'rii Mad a for P'. R .4 k : a #.r•:',` °w p4 tIe tai;. ,q, 6n I~'wt.`,~~ of th~ Or"In' not 010 r..5 1,5-0-n of a pa it r tb@ above prep i ~ v 'o hereby agree Pnd bind themselves as f01-to I'M that t .:x. xo to c i tab? rule- t"I"A anytiI'i:' %«.ty3 3 WsB r3 it n C sa Y4` : l -t ac+.roY"v U r ) out ' I:°a e~ ~it~a r*s" r o..' V ~ ll a ~aill have sF~~ work uA~1+~ and to ®~--nor and p1sce same on their tax bll:. i a ~ hAa th ry,e r1, +c ' to ~a t~9 t", :;t~stra*r~.:Fht .~o v~,aseass bond, if to is o'v' f~r„ a'''il n%.+•6is si,bl p the that .,X ad'"„~ i3'..+d a 3s•J~ LRh , alv the day and q of • i la'v 'Yg sarib~ '3 I 444 ~ 0 ~H 115 • WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: _-'/4, '/4, Section , TN, R E (or) W, Township or Municipality Lot No. , Block No. County Subdivision Name 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 RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES. CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) ,B- i 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 r_seded for building type and occupancy. Indicate scale g or distances. Give horizontal and vertical reference points. Indicate slope. L I 3 , T N 1 ! I 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) Certification No. Address Name of installer if known CST Signature COPY C -PROPERTY OWNER PIb. 60 3/70 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 P PLUMBER Address 1. Check appropriate building usage(s) and fill in the information reA ~si d-opposite each usage listed: Existing building X 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 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 TI-6--s-q. 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 shifts ( ) Apartments , Number of bedrooms Other :Jr:'z9?. k Specify 2. Indicate whether or not the following facilities are connected: Food waste grinder Yes -Y- es Dishwasher Yes No i Automatic clothes washer Yes N_o_ Automatic potato peeler Yes Other . . . (Specify) No g 3. Fill in the appropriate information for the following as indicated: Nr ea ,e J/ 1-1 Se nk capacity planned Percolation test results - ATTACH PERCOLATION TEST AND SOIL BORINGS REPORT SHEET COMPLETE OTHER SIDE Seepage trench bottom area planned width linear feet depth Seepage bed area planned 2width linear feet depth ~.~r2s z Seepage pit planned -7~ outside diameter yxyL depth below inlet depth 4. See approved plan for specifications and details. Signature of person completing form: STATE DIVISION OF HEALTH, PLUMBING SECTION P. 0. Box 309, Madison, Wisconsin $3701 Approved: Address. r i~t!-CCl~', Date. ZIP THIS APPROVAL IS BASED ON STATE PLUMBING CODE REQUIREMENTS AND DOES NOT EXEMPT THE Date: 1610-172-- INSTALLATION FROM CITY, VILLAGE, TOWNSHIP OR COUNTY PERMIT REQUIREMENTS AND SHALL BE VOID IF REVISED WITHOUT THE WRITTEN APPROVAL OF THE DIVISION OF HEALTH. DEPARTMENTAL USE ONLY c ~C~` I1 D and M•eported ;,von by the Section of I'Nurnb;nq and Fire Protection Systerns, Bureau I of Environmental Hcaith, Ciivisi n of Health, Department of Health and Social Services. JAN ES A. SARGENT, Chief Section of Plumbing & Fire Protection APPROVED by the Division of Health, Dept. of Health and Social Services, 51.jbject to conditions ' set forth in the letter of approval. RALPH L. ANDREANV, fh.D. Admi ' tra r Verification 'A I I~ J ~ GJ~Gj~ Raini_l / e _ ~l1 3 /i C C c eo 'l7o:r,: JZ 6- C, t.yp, o covox ~ui'~ c,ir_.It d I ► by y-cm. n~ 1 s - . ` o X Is di,%,rictc~r of round c^. or ten "11 of rcc-#'1aw,-313 :r tail:. •~I~ 'T ti:.lC1'UT1 O.r Y - T-1 _ ♦1. I/ xL/ 0-7 October 28, 1977 911 r V-1 0A1Q~~~G~C Ability Business Corporation Route 1 Knapp, WI 54749 Plan Identification No. 77-05233 Gentlemen: Re: Holding tank - 2,000 gallons VIIIage of Wilson Town Hall (Community Center Building) SW 1/4, NW 1/4, Section 35, T29N, R15W Village of Wilson, St. Croix County, Wisconsin Examination of plumbing plans and specifications for the above-mentioned project has been completed. In accord with Chapter 145, Wisconsin Statutes, and Chapter 11 62, Wisconsin Administrative Code, the plumbing plans and specifications are approved contingent upon compliance with the following stipulations. 1. Our review of the holding tank plan has not been evaluated for structural stability, only for compliance to design requirements of Chapter H 62 of the Wisconsin Administrative Code. 2. The holding tank shall be maintained and the contents disposed of as required under Section H 62.20 (7), Wisconsin Administrative Code. 3. The architect, professional engineer, registered designer, owner or plumbing contractor shall keep at the construction site one set of plans bearing the stamp of approval of the department. 4. In the event installation of the plumbing improvements or system has not commenced within two years from this date, this approval shall become void and new application shall be made for approval of these plans before work may commence. In granting this approval, the Division of Health does not hold Itself liable for any defects In plans or specifications, plan omissions, examination oversight, construction or any damage that may result in or after installation and reserves the right to order changes or additions should conditions arise making this necessary. Ability business Corporation Page 2 October 28, 1977 This approval is based on Chapter H ~,2, Wisconsin Administrative Code, requirements. It shall be necessary to obtain and fulfill the permit requirements of the city, village, township or county in which this installation is to be constructed. Failure to obtain local permits will automatically void this acceptance. By order of Ralph L. Andreano, Ph.D., Administrator, Civision of health. Sincerely, Jars Chik: JAS:KS:ban Enclosures cc: Mr. Erbert Berthold, DPS - District 6 - Eau Claire Mr. Harold C. Barber, Zoning Administrator, St. Croix County Village of Wilson State of Wisconsin \ DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH October '~r L~7 MAIL ADDRESS: P. O. BOX 309 L J MADISON. WISCONSIN 53701 IN REPLY PLEASE REFER TO: SECTION OF PLUMBING AND FIRE PROTECTION SYSTEMS Ability Buaisos* Cargoration Aouto I Plan Identification No. 1705233 Knapp. WX 5474 Dear Sir: Re: Village of Wilson Town Hat. t (t pity Center Building) Holding Task SW4 k S35 Y`2% A15W 'fillsV of Wilson - St. Croix County 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 $ Fee received is Plan accepted for review. Fee is being returned because of II Overpayment 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, apes A. Sarg Chief JAS:fjs