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HomeMy WebLinkAbout032-1015-20-000 n ti O 3-D n C ,dom. O " ° z CD .d C a) CD 3 1\ Cl) Z S f Z O A O O e~ C) y O N 0 O ~ (D O 9) N (D O Q O O U 11 N 3 w Imo! . CD CL cn :3 CD CO :3 CD CD tU \ Cb N E~ (n O ry N C'7 O CA p O O 3 °O e••r 7 n N O N N O N !V D _ (D r - z D a (n CD (o O N CL N 07 D (D c 3 C C) CD N Q w 0_ N ' O O O CA C~I CL (A Z cD CO m O r Cl) o V V ! (n O C 0 0 m. 3 a M -0 -V O O O CL 1., N N N O m M O O x N (n ID O N (n (D m 71 a O O N C _ Q Q (D N N r' A O O Z 0 Z N D ° ° cn ~OID 20 O v 7rn7 ID c(D 2 N Q O N - x -0 N SU i N Cn F q, O O CD 7 O O Q D (p N ° 3 E v Q 6 .a CD (6 -1 (A Z O - = O N C ~ = N CD Q. A CD c') .,o' m o O m _ w Z W 0 Q C U (D CD aC() a Z < _ O O 3 ° 0 3 Q j O N Z N CD (O N ° CC" SU U) O Q N, z CD I- T I Q "O (o w C O 3 O G A Z w ° < ° S CD m cri O (n v, g o'C=D, Q cn Q aw° CD (D(0 o- a rn m ° p A (D a w N 03 I ~ o~ No N 3 O a 0 O O CD O ti (D Da v 69 O cc O (D ti Parcel 032-1017-80-000 04/25/2007 05:21 PM PAGE 1 OF 1 Alt. Parcel 6.31.19.87B 032 - TOWN OF SOMERSET 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 - UNITED STATES OF AMERICA UNITED STATES OF AMERICA X X 00000 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description SC 4165 OSCEOLA SP 1700 WITC Legal Description: Acres: 18.000 Plat: N/A-NOT AVAILABLE SEC 6.T31 N R19W W1/2 SE SE EXC AS IN VOL Block/Condo Bldg: 460/110 ~..L Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 06-31 N-1 9W Notes: Parcel History: (015--20 ~ Date Doc # Vol/Page Type 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/05/1992 Description Class Acres Land Improve Total State Reason FEDERAL X1 18.000 0 0 0 NO Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2006: 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 I I Parcel 032-1015-20-000 08/24/2011 10:18 AM PAGE 1 OF 1 Alt. Parcel 06.31.19.81 B 032 - TOWN OF SOMERSET Current X111 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner 0 - MENSING HILDEBRANDT, LOIS A TR LOIS A TR MENSING HILDEBRANDT 3003 HAZLWOOD ST 218 MAPLEWOOD MN 55109 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4165 SCH DIST OF OSCEOLA SP 1700 WITC Legal Description: Acres: 3.300 Plat: N/A-NOT AVAILABLE SEC 6 T31N R19W 3.3A IN GL 1 DESC AS Block/Condo Bldg: COMM SE COR 6; TH N 89'W 1744.12 FT ; TH N 924.27 FT M/L TO CNTR RD BEING Pub; Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) TH SIT W 19.21 FT; TH N 89'W 1050 FT; 06-31 N-19W TH NLY 155 FT; TH S 89' E 890 FT TO CNTR RD; TH SLY 219.8 FT TO POB (516-24) Notes: Parcel History: Date Doc # Vol/Page Type 07/02/2009 899297 QC 08/29/1997 564574 1260/515 EZ-U 09/14/1977 343139 561/24 WD 07/21/1966 285371 425/482 2011 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2010 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.300 71,200 36,500 107,700 NO Totals for 2011: General Property 3.300 71,200 36,500 107,700 Woodland 0.000 0 0 Totals for 2010: General Property 3.300 71,200 36,500 107,700 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 a ~ o~ o o C Or, O y r C ~ 1 06 C L © N LL C (n m, :D Y ~ C ~ N -O N ~ 7 C O O C_ -o C r N ~ C C N N L N N O Q O ~ Z L L 7 iU ~ O LL co N N w > ~ >O O N 3 d d co W (L m co H U) C O O Z V .U ~ r 70 ~ to Z ~ c c N yl J N LL N O O O Q Z C/l Z N N ~ "O f0 L m i ~ NU d L E 06 N d N~ 0) U) • NO O O a a a w O p O O O J U ~ O O z ~i O O CD 0 O O _ i m U) ~ p 3 a~+ O T O N C ~ Q m Q) m Q) C N LO JI o • i, o o v o 2 Z ® :C EL a T CL d d C rIq o L O C O e11 O 2 O , N U U a 2 0 lb, e67 10/69 C 2-6l M'Lvirw- Wisconsin Department of Health and Sooi"xl Services i• o! C _2D` ~ Division or Health Ji PEF?IIT APPLICATION for PRIV;.TE DaKESTIC SE1 AGE SYSTEMS lilenslt7ej 64V, 107- (1cc-11c, a. OWNER of PROPc:~ Y y - Y TYPE OR T-JISE BLACK INK Name Address (Street, City, Zip Code) County B. LOCATION OF PROPERTY WH Rs SYST_:1.1 WILL BF CONSTrUCTEP, ALTERED OR EXTF:'iD 0 Check Orie: CITY VILLAGE LEGAL DESCRIPTION: G TOWNSHIP - Ai/ C. IS LOCAL PETIT REQUIRED FOR THIS hnRFC? YES NO r•_'~ PERMIT Ni,:'.:-'EP. I D.` SEPTIC TAN! CAPACITY ~L\ Gallons NEl I145TALLATI01; REPLACE,KtiT ADDITION MATERIALS: Prefab Concrete / Poured in Place Steel Other NiZi1:3ER OF TANKS TO BE INSTALLED: (_`.l- E. TYPE OF OCCUPANCY Check One: One or Two Family Residence Cornmeroial Industrial Other _ Specify Number of Persons to be Accommodated Number of Bedrooms F. APPLIANCES, ETC: Food Waste Grinder YES NO Autocratic Clothes Washer YES NO Dishwasher YES NO Automa.tio Potato Peeler YES NO Other (Specify) G. EFFLUENT DISPOSAL SYSTEM NEW EXTENSION ADDITION REPLACE sNT Tile Size No.Lin.Feet Trench Width .i Depth _ Number of Lines Seepage Bed: Length Width Depth Tile Size No. Lines Seepage Pit: Inside diameter Liquid Depth 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 `antes Number Inches Thickness in Inches Since Hole in Hole Interval Second to Next to Last To Fail Example 1st Wetted Overni.ht in Minutes Last Period Last Peric Period ne lnoh P- 0 36" To Soil 10" Clay 2611 26 es or no 30 1 2 1/2 112 60 PFCORD DATA FROM MINIMUM OF 3 TES'. r.)Li:S ompute size of absorption art % in accord with H 62.20 Wis. Adninistr'.tive Code. 1 S 0-1 L B 0 R I N G S- Minimum 36" Below Prooosed Absor-otion System _ oring Total Depth Depth to Ground Water Depth to Bedrock umber Inches Observed Estimated O'osarved 'Estimated Character of Soil with Thickness in :nch•+s xample - 0 72" 7211 Black To Soil 12"• Clay 18"• Sand 12" Gr-R; el 2411 J x Y I RECORD DATA FROM ML'+I,UM 07 3 nO COMPLETE OTHER SIDE i ` I, the und9rsi;ned, hereby certify that the percolation tests reported on this form were made by me or under by supervision in accord with the procedures and method specified in Chapter H 62.20 (3), Wisocnsin Administrative Code, and that the date recorded and location of test hules are correct to the best of my knowledge and belief. NArl TITLE (Type or Print REGISTRATION NO. or MASTER PL~.71,13ER LICENSE No, ADDRESS DATE SIGNATURE i MASTER PLP3 R MAKING APPLICATION MP _ Signature: License Numt er; MP RSW (To be Coripleted by Issuing Agent) Date of Application Fee Paid Pewit Issued ,(dat Permit Number 1 i (nms) ~.For., Nom, Agent a Town, Village, City,rCounty,-etc. (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 $10.00 and Copy (b) of the Permit (yellow copy) to the Division of Health. Checks and money orders should be made payable to the Division of Health. Do not write in space belax - FOR DEPA"rIMENT USE ONLY I DATE RECEIVED J i ACCEPTED BYl RETURNED J (Initials) vv.~~ J (Date) see Corrres.) FEE RECEIVED VALID. NO. J ~r 3 PERMIT NO. (Yes or No) REVIEWED BY APPROVED DAME (Initials) (Yes or No) COMA'1ENTS : • M Parcel 032-1017-90-000 04/25/2007 05:13 PM PAGE 1 OF 1 Alt. Parcel 6.31.19.87C 032 - TOWN OF SOMERSET 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 - HERSEY, ADELE SARGENT TR ADELE SARGENT TR HERSEY 4412 GRIMES AVE S MINNEAPOLIS MN 55424 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description SC 4165 OSCEOLA SP 1700 WITC Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE SEC 6 T31 N R1 9W PT OF SE SE AS DESC IN Block/Condo Bldg: VOL 460/110 S 305.9FT LYING WLY OF TN RD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-31 N-1 9W Notes: Parcel History: Date Doc # Vol/Page Type 09/22/1997 565686 1265/262 OC 07/23/1997 754/54"',,'' 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/22/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 32,000 25,900 57,900 NO Totals for 2007: General Property 2.000 32,000 25,900 57,900 Woodland 0.000 0 0 Totals for 2006: General Property 2.000 32,000 25,900 57,900 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