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Home My WebLink About022-1079-90-000 t e cn0 I _ rm -0 0 p C7 'r1 a cfl fD m0 ~ H' v a xt 5 v w 1 2 Z W D N ~1 n y O v m O ? d 5' 00 N `C X 1_ 3 o c as 2 N N C Z Q. O7 , 0 ! (D lI i Q O OW N N O R O -D > 6 N O n ? O O 0 W C {p n S ~I O 3 3 y F n o O A y y ~ p v Us z D CD (L7 O fn a - W CD i m a V p 3 a _ ~ - CD CO < 0 r- ,4 q J z O O O o C/) < o0 r3. . . . v 'v v o O v N N N M Gl D n 3 07 O N S ~ I ~ y ~ N o ZD co o Q m O a 7 o' m m m • m m m y O N C (D CD W (D ~ a 3 Z CD i 1 to O O o A Z CD i N d 0 Z 1 N co _0 m N CO w CD (D i z o 4 Z 00 3 ::E 00 tq z CD _ W A d ~ 3 CL G ` C O O CC O O. O T v. CL Q I ~ I IO ~ A <N v~ A CD ~M Z p w a a O I A N (D b r~ O e p : O C) (D Parcel 022-1079-90-000 03/03/2006 05:56 PM PAGE 1 OF 1 Alt. Parcel 28.28.18.P437C 022 - TOWN OF KINNICKINNIC 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 - ANDREA, KEITH N & DEBORA A KEITH N & DEBORA A ANDREA 194 PINE TREE RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 194 PINE TREE=RD-,, SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH L Legal Description: Acres: 6.000 Plat: N/A-NOT AVAILABLE SEC 28 T28N R18W 6A IN NE NW LOT B OF Block/Condo Bldg: CSM IN VOL 2/481 v Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill Fair Market Value: Assessed with: 143827 282,900 Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 80,000 201,000 281,000 NO PRODUCTIVE FORST LANDS G6 1.000 5,000 0 5,000 NO Totals for 2005: General Property 6.000 85,000 201,000 286,000 Woodland 0.000 0 0 Totals for 2004: General Property 6.000 42,500 152,200 194,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 218 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 022-1079-30-000 03/03/2006 05:53 PM PAGE 1 OF 1 Alt. Parcel 28.28.18.P434 022 - TOWN OF KINNICKINN CC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/15/2004 00 4 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner RETIRED ANDREA O -ANDREA, RETIRED Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 193 PINE TREE RD SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 28 T28N R18W NW NE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/25/2005 Description Class Acres Land Improve Total State Reason 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 022-1079-90-000 03/29 2006 10:19 AM PAGE 1 OF 1 Alt. Parcel 28.28.18.P437C 022 - TOWN OF <INNICKINNIC Current X ST. CROIX COUNT`', WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner KEITH N & DEBORA A ANDREA O - ANDREA, KEITH N & DEBORA A 194 PINE TREE RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 194 PINE TREE RD SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 6.000 Plat: N/A-NOT AVAILABLE SEC 28 T28N R18W 6A IN NE NW LOT B OF Block/Condo Bldg: CSM IN VOL 2/481 Tract(s): (Sec-Twn-Rng 401/4 160114) 28-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill Fair Market Value: Assessed with: 143827 282,900 Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 80,000 201,000 281,000 ND PRODUCTIVE FORST LANDS G6 1.000 5,000 0 5,000 ND Totals for 2005: General Property 6.000 85,000 201,000 286,000 Woodland 0.000 0 0 Totals for 2004: General Property 6.000 42,500 152,200 194,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 211 Specials: Category Amount User Special Code Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 022-1079-80-000 01/04/2007 09:25 AM PAGE 1 OF 1 Alt. Parcel 28.28.18.P437B 022 - TOWN OF KINNICKINNIC 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 - ANDREA, KEITH N & DEBORA A KEITH N & DEBORA A ANDREA 194 PINE TREE RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primar/ Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 12.000 Plat: N/A-NOT AVAILABLE SEC 28 T28N R18W 12A IN NE NW LOT A OF Block/Condo Bldg: CSM IN VOL 2/481 Tract(s): (Sec-Twn-Rng 401/4 160,A) 28-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 779/84 2006 SUMMARY Bill Fair Market Value: Assessed with: 179391 Use Value Assessment Valuations: Last Changed: 06/11/2003 Description Class Acres Land Improve Total St ite Reason AGRICULTURAL G4 12.000 1,200 0 1,200 NO Totals for 2006: General Property 12.000 1,200 0 1,200 Woodland 0.000 0 0 Totals for 2005: General Property 12.000 1,200 0 1,200 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 REPORT OF ITTSPECTION--ENDIVIDUAL MJAGE DISPOSAL SYSTEM Sttnita_ry Permit State gntj-c -y .A. IE jt,/ , t~,~ ` TOTINSHIP St. Croix, County SRPTIC TA'TK Size gallons. "umber of Compartment Distance From: Well ft. 12% or greater slope ft. Building ft. Wetlands f= Izighwater ft. DISPOSAL SYSTE:1 Tile Field or Seepage Pit(s) Distance From: Tjell ft. 12%.or greater slope ft Building ft. Wetlands f FIELD s;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. Depth of rock below tile in. Dp-pth of rock over tile in. Cover over rock, Depth of tile below grade in. Slope of trench in per 100 ft. Depth to Bedrock ft. Depth to Lround water ft. PITS. Number of pits Outside diameter ft. Depth below inlet ~ft. Gravel around pit: ____yes no. : Total absorption area sq. - ft. Square feet of seepage trench bottom area required `:quays feet of seepage nit area required - Inspected by. Title: Approved Date 197 Rejected Date 197 k - I A115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOI L BORINGS AND PERCOLATION TESTS LOCATION: ,x'/4, Section T , T_', N, R f E (or) GV, Township or Municipality i s~ u 1i, k'.-- K Lot No. , Block No. County 57, ec Subdivision Name Owner's Name: C-4 / Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS I j PERCOLATION TESTS vZ CIL' : ~ SOIL MAP SHEET SOI L TYPE PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN, TEST TIME DROP IN WATER LEVEL, INCHES RATE "JUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL 3ER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN L L.r~ SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES ~JUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) 5s, L 1 13 Ek r. !Ipw, L, 15 L T- A i- Pew S i... PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil area/) indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area is-eded for building type and occupancy. Indicate scale cr distances. Give horizontal and vertical reference pints. Indicate slope. 04- . I w. . ~ ! f tN 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 kno ledge and beli , Name (print) Certification No.~ JY ~G Address Name of installer if known ? % - - CST Signature , Lk COPY A -LOCAL AUTHORITY ' L State and County State Permit # ` P B 6 7 Permit Application County Per it # for Private Domestic Sewage Systems County r *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 f ame, nearest road, lake or landmark Blk# Village Township/oy-4/___~~r~, c C TYPE OF LCU~PANCY: *Comme ial !'Industrial 'Other (specify) *Variance _ Single fam' Duplex No. of Bedrooms 3 No. of Persons-_ D TYPE OF APPL.IANC S: Dishwasher YES _ NO Food Waste Grinder YES ENO # of Bathrooms-- Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY -Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation 1311-1 Addition- Replacement Prefab Concrete - Poured in Place Steel Other (specify) - - E-FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) Q 2) 3) 3 Total Absorb Area sq. tr. tllew Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _ _ Seepage Bed: Length J"J Width Depth - --Tile Depth No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land Distance from critical slope the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, 'Nisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Cert ied SOP Tester, NAME C.S.T. # and other information obtained rom (owner/builder). ":ember's Signature MP/MPRSW#_~ ` Phone #:~2.7_ /GC Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). i I I ~ oil Je .3 4 ve pf _ Do Not Write in Space elow F DEPARTMENT U §E ON//LY a- id: tate ~(.~C Y (VO Date Date of Application l *Feea gent Na - Permit Issued/ jae~e f-- ate) wing A Valid# Date Recd Inspection Yes., No 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) ST. GRu i GUU1NTX FOR: ( ) Bldg. Permit r ( ) SubDivision of Land Approval Date ( ) Non-Conforming Permit Appl. No. ( ) Variance Permit Permit No. ( ) Reclassification of Zoning Dist.. Date r Other Comments APPLICANT'S NAME -Nome Address Phone Business Address Phone Agent's Name Agent's Address Phone TYPE.OF BUILDING PERMIT REQUESTED: Home Farm Outbuilding Commercial Building O Accessory Building Industrial Building ( ) Trailer Home - ( ) Seasonal Dwelling O Basement Home ( ) Remodeling O None OC T N OF ND Section Township Range Block Quarter Lot Road Abutting Street Comments DISTP.ICT CLASSIF CATION UNDEK PRESENT ZONING ORDINANCE AS AMI:-Nri:,D: ( ) Residential ( ) Industrial Agricultural ( Lake-Streara ( ) Commercial ( ) Comments A ove is a true presentation o the acts. Initials Oivner -'Agent Zoning Administrator Exception Note: ( ) None LOT AND BUILDING LOCATION 1 DRAW DIAGRAM of Lot, Building, Accessory Building, Roads and, Parking Area. Show Highway vet-Back and identify Highway. DIMENSION OF LOT Front Ft..Rear Ft. Left Side Ft. Right Side Ft. (Facing Lot From Front) Approved ( ) Non-Conforming ( ) Approximate Area Sq. Ft. Comments LOCATION OF BUILDI~,?G ON LOT Yard around home or main building Front Ft. Rear Ft. Left Side Ft. Right Side Ft. Approved ( Non-Conforming Comments Yard Distance of Accessory Building From Main Building Ft. From Side Lot Line Ft. 'From Rear Lot Line Ft. Approved ( ) Non-Conforming Comments Above is a true presentation of the facts: Initials Owner Agent Zoning Administrator -Exceptions Noted: O None