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HomeMy WebLinkAbout036-1097-20-000 L ~y rr nO -0 n d `+1 O 'o 3 7 A m n' A •p A7 m 3 O N 01 w OW E n O D) O S C N OR j FBI 0 0 .O-~ Q O CD t017 A CD .7 a cD a o m c 0 m co co m ' o 1 D 0) a) -4 N CL O 3 N O CO N r.! -0 Q (D :E O ~ (D (-D n 2) 1 :3 3 a 7 N - - O w m OR r~ o cn z D F a- L m cfl o (n a O 3 CL W CCD :3 L 1 lot ` w m m cQ z co co n r cn O V V Z (n 0 C O O CD Q -0 M z O O O s l!`ll O O O G N N (n SWN C N CL CD - (D M f/1 < - CD a DJ N < O (D - 7 O V 'I z N z z Cl) O m z O D 0 0 CD =1 • o' CD "wA c7 :2 N (D C N (D a Z (D ~p -I cn p = A Z W 0 a a z 3 0 Z z W W _0 CL z 1 T O K Z /v 3 CVC W z CD < A W i i d U7 O CL O Q O C W p T O_ - v a 0 -o m Z n S O O W + n N O CD ~ I S CD O 121- 0 It (D Ln b O CD O o o V ti D O d -i 3 o tlj °a A =7 A O on 0 p * ti V O ~ O O O Cl ti Parcel 036-1097-20-000 09/11/2006 09:30 AM PAGE 1 OF 1 Alt. Parcel 31.31.17.590 036 - TOWN OF STANTON 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 - EMEOTT, RICHARD W & BARBARA J RICHARD W & BARBARA J EMEOTT 1886 142ND ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 1886 142ND ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acre.' 0.209 Plat: 03/038-WESTVIEW (1956) SEC 31 T31 N R17W PT NW NW LOT 14 Block/Condo Bldg: LOT 14 WESTVIEW ASSM'T INC 036-1097-30(591A) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 31-31N-17W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 12/08/1999 615148 1476/587 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: La t Changed: 05/06/2003 Description Class Acres Land; Improve Total State Reason RESIDENTIAL G1 0.314 20,0 187,900 207,900 NO Totals for 2006: General Property 0.314 20,000 187,900 207,900 Woodland 0.000 0 0 Totals for 2005: General Property 0.314 20,000 187,900 207,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 122 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 036-1097-10-000 09/11/2006 09:30 AM PAGE 1 OF 1 Alt. Parcel 31.31.17.589 036 - TOWN OF STANTON 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 - EMEOTT, RICHARD W & BARBARA J RICHARD W & BARBARA J EMEOTT 1886 142ND ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.225 Plat: 03/038-WESTVIEW (1956) SEC 31 T31 N R1 7W PT NW NW LOT 13 Block/Condo Bldg: LOT 13 WESTVIEW Tract(s): (Sec-Twn-Rng 401/4 1601/4) 31-31N-17W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 12/08/1999 615148 1476/587 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/27/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.225 8,000 0 8,000 NO Totals for 2006: General Property 0.225 8,000 0 8,000 Woodland 0.000 0 0 Totals for 2005: General Property 0.225 8,000 0 8,000 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 Wisconsin Department of Health and Ss ? Servics3 • b. #67 3/70 Division of Health SEPTIC TANK PERMIT APPLICATION TYPE or wE HLAvn I:?:: 7 _ A. OWNER OF PROPERTY Name _ Address (Street, CiV, Zip Code) o. LOCATION OF PROPERTY W"ERS SYST-3 WILL BE CONSTRUCTED ALTERET OR EXTFNDED COUNTY Chack One: CITY VILLAGE LEG SCRIPTION _ TOWNS HIP ` v- - 7 1 C. IS LOCAL PER1MIT REQUIRED FOR THI RKY N NO PERMIT NUMBER D. SEPTIC TANK CAPACITY Gallons NEW INSTALLATION) REPLACEIIIENT ADDITION MATERIALS: Prefab Concrete poured in Place Stenl Other NUMBER OF TANKS TO BE 'NSTALLEDs / E. TYPE OF OCCUPANCY Cheek One: Cne or Two Family Residence Commercial Industrial Other (Specify) Number of persons to be AccoTmodated _ Number of Bedrooms F. APPLIANCES, ETC: Food haste Grinder YES NO Automatic Clothes Washer VLS NO Dishwasher YES NO Automatic Potato Perlor YES NO Other (Sneeify) G. MASTER PLLTBER ILIKING INSTALLATION Name: f! ; / Address License t'umber: 1 MP I Signature of Applicants MP RSW 1 Address: i•- - ~ ~ - ( - H. (Te a Coop eted by Issuing Age::.; Date of Application 1/ d / 7r Fee Paid = o-0 Permit Issued (date © G' Permit Number 7 Agent (Name) 0 For, 4e Town, Village, City, County, etc. (Specify) Notre: The appiioation cannot be considered for filing until all of the above questions are answered and the fee paid. Agents will for+ard zrpiication, the fee of 41.00 for each septic tanx and the third copy of the permit (oarary; to t:e Divisicn cf Health. Checks and money orders should be made payable to the Division of Health. Do not write in space below - FOR DEPARTMENT USE ONLY n 1. DATE RECEIVED u ACCEPTED BY RETURNED (Initials) (Date) See Corres.) FEE RECEIVED VALID. No. i PERMIT NO. ^(yes or No REVIEWED BY APPROVED DATE (Initials) Yes or No COMPLETE OTHER SIDE SEPTIC TANK PERMIT N0. R Y P 0 R T O N S O I L P S R C 0 L A T 1 0 N ? 1 S T A N D S O I L B O R I N G S TO DIVISION OF HEALTH - PLUIBING S=TI(* P,O.Box 309, radison, Wis, 53701 Pursuant to H 62.20, Wis. Administrativ,) Code P E P. C 0 L A T I 0 N T E S T Test uepa Cnaraotar of Soil Hours Water Drop Sn kTater L.^ra1 Inches ~ finuut Number I Inches I T'niekness in Inah3s Since Eiola ' i;: Interval Second to Next to I Last To Fail 1st Wetted Overni t is Minutes Last Period Last Period Period Oa- Inc,, Example P - 0 b6" Too Soil 10" Clan 26i1 25 Yes or No 30 ~1/2 1/2 1/2 60 RECORD DATA FROM MLNR~UM 07 3 T' ST HOL S Compute size of absorption area in accord with H 62.20 Wis. Administrative Code. S 0 1 L B 0 R I N G S 3611 Belo r Proaosed 4b^^_ 1'ion S• stsn Boring Total Depth Depth to Ground matsr De th ;o Bedrock Number Inches Cbe-read Estir_;~ted~ Caservad Esti!natad Character of Soil with Thiokreess in Ir_ahas temple B - 0 7~1' _ 72t1- _ Black Top Soil 12"; Clay 18"; Sand 2811; Gravel 14" 7 t. _y "Zu 1 L i '7 RECOR:J DATA FROM MINIMUM OF 3 SGP YFE OF OCCUPANCY: R:SID-7NCEs Number of BadroCt"3 > OTHER: (Speoify) Number of Persons FOOD WASTE GRINDER: Yes N( Dishxashars Yes No x"tomatic Clothes Washer: Yes ~r No \/f EFFLUENT DISPOSAL SYSTEM: NEW i` EXTENSION ADDITION Rr^?LA~IENT Tile Size No. Lin. Feet Trench Width Depth e> Number of Lines Seepage Bed: Length Width Depth Tile Size No. Linea / Seepage Pits Inside Diaaater % Liquid Depth c 1, the undaraised, hereby certify that the percolation tests reported rn this form were made by me or under qy super- vision in accord with the proceaures and method specified in Chapter H 62.20 (13), Wisoonsin Administrative Code, and that the data recorded and locatio> of test holes are correct to the best of my 5mowiedge and belief. NAME Y_-S TITLE Type or Print REGISTRATION NO. /or MASTER ?LUMBER LICEiSB NO. ADDRESS DACE SIGNATURE w. v 291 c(l `7 a/3~ ~5 ys~~s~3 L6 7- S 3 /y Parcel 036-1076-70-100 09/11/2006 08:54 AM PAGE 1 OF 1 Alt. Parcel 31.31.17.480A 036 - TOWN OF STANTON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 11/04/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - FRANCOIS, GENEVIEVE GENEVIEVE FRANCOIS 1127 W 8TH ST APT 206 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC I Legal Description: Acres: 39.640 Plat: N/A-NOT AVAILABLE SEC 31 T31 N R1 7W 40A NE NW & EXC PT TO Block/Condo Bldg: H WY WD 2689/202 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 31-31N-17W Notes: Parcel History: Date Doc # Vol/Page Type I0j, 11/04/2004 778932 2689/202 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/03/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 39.640 7,200 0 7,200 NO Totals for 2006: General Property 39.640 7,200 0 7,200 Woodland 0.000 0 0 Totals for 2005: General Property 39.640 7,200 0 7,200 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 036-1076-70-000 09/11/2006 08:54 AM PAGE 1 OF 1 Alt. Parcel 31.31.17.480 036 - TOWN OF STANTON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 11/04/2004 00 4 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - FRANCOIS, RETIRED RETIRED FRANCOIS Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 31 T31 N R1 7W 40A NE NW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 31-31N-17W Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/02/2005 Description Class Acres Land Improve Total State Reason 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 6lll :uoL;Isod gpxo :jo;ejado 6elie6atii :JOJJ3 13NN3)1 :walsAsgng joija 1X 13d