HomeMy WebLinkAbout032-2066-90-000
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Parcel 032-2066-90-000 08/14/2006 03:15 PM
PAGE 1 OF 1
Alt. Parcel M 12.30.20.761 C2 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 - MACDONALD, ROBERT D III,&MARY SAFAR
ROBERT D III,&MARY SAFAR MACDONALD
8468 MARCH CREEK RD
WOODBURY MN 55125-3044
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description
SC 5432 SOMERSET l
SP 1700 WITC d-- Aw
Legal Description: Acres: 3.980 Plat: N/A-NOT AVAILABLE
SEC 12 T30N R20W PT L 3 LOT 2 CSM VOL > Block/Condo Bldg:
2/531 & DESC IN VOL 57 ALSO A
TRIANGULAR PARCEL IN GL SC Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
AS COM S1/4 COR SEC 12; TH N 3270.92' 12-30N-20W
ALG 1/4 SEC LN; TH W 625.1670 A POINT
ON HIGH WATER MARK OF ST CROIX RIVER TH
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 953/271
07/23/1997 798/93
07/23/1997 ~ 578/15
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.980 78,700 192,200 270,900 NO
Totals for 2006:
General Property 3.980 78,700 192,200 270,900
Woodland 0.000 0 0
Totals for 2005:
General Property 3.980 78,700 192,200 270,900
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
Parcel 032-2066-70-000 08/14/2006 03:17 PM
PAGE 1 OF 1
Alt. Parcel 12.30.20.761 B 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
BRADLEY J & CRAIG H BURSCH O - BURSCH, BRADLEY J & CRAIG H
272 165TH AVE
SOMERSETW-5 025
Distrjcts~ SC =-School SP = Special Property Address(es): ' =Primary
/hype Dist # Description
% SC 5432 SOMERSET
SP 1700 WITC /
Legal Description: Acres: 3.860 Plat: N/A-NOT AVAILABLE
SEC 12 T30N R20W IN GL 3 COM SW COR GL Block/Condo Bldg:
3, TH N 87 DEG E 260.66'TH N 31 DEGE
209.85', N 17 DEG E 327.55 FT N 71 DEG E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
358.3' TH N 36 DEG E 222.6' TH N 64 DEG 12-30N-20W
E 182.9'TH N 82 DEG E 144.75'TH N 67
DEG E TO E LN GL 3 TH S TO SE COR GL 3,
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
02/01/2005 786263 2740/351 C
29/338
07/23/1997 810/154
07/23/1997 803/462
more...
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/24/2003
Description Class Acres Land mprove Total State Reason
PRODUCTIVE FORST LANDS G6 3.860 15,400 0 15,400 NO
Totals for 2006:
General Property 3.860 15,400 0 15,400
Woodland 0.000 0 0
Totals for 2005:
General Property 3.860 15,400 0 15,400
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 032-2066-80-000 08/14/2006 03:14 PM
PAGE 1 OF 1
Alt. Parcel M 12.30.20.761C1 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 - MACDONALD, ROBERT D III,&MARY SAFAR
ROBERT D III,&MARY SAFAR MACDONALD
8468 MARCH CREEK RD
WOODBURY MN 55125-3044
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.100 Plat: N/A-NOT AVAILABLE
SEC 12 T30N R20W PT GLS 2 & 3 LOT 1 CSM Block/Condo Bldg:
VOL 2/531 & DESC IN VOL 578/14 OWNED
BY:ROBERT D MACDONALD III & MARY JANE Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
SAFER 12-30N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 874/131
07/23/1997 798/92
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.100 72,700 20,100 92,800 NO
Totals for 2006:
General Property 3.100 72,700 20,100 92,800
Woodland 0.000 0 0
Totals for 2005:
General Property 3.100 72,700 20,100 92,800
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 032-2066-80-000 08/14/2006 03:15 PM
PAGE 1 OF 1
Alt. Parcel 12.30.20.761 C1 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 - MACDONALD, ROBERT D III,&MARY SAFAR
ROBERT D III,&MARY SAFAR MACDONALD
8468 MARCH CREEK RD
WOODBURY MN 55125-3044
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.100 Plat: N/A-NOT AVAILABLE
SEC 12 T30N R20W PT GLS 2 & 3 LOT 1 CSM Block/Condo Bldg:
VOL 2/531 & DESC IN VOL 578/14 OWNED
BY: ROBERT D MACDONALD I I I & MARY JANE Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
SAFER 12-30N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 874/131
07/23/1997 798/92
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.100 72,700 20,100 92,800 NO
Totals for 2006:
General Property 3.100 72,700 20,100 92,800
Woodland 0.000 0 0
Totals for 2005:
General Property 3.100 72,700 20,100 92,800
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
• AS BUILT SANITARY SYSTEM REPORT
T N, R W
PEER , T0JNSHIP SECAANF:
0. ADDI SS , ST. CROIX COUNTY, WISCBDIVISION LOT LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
- i -
fill
Indicate North; Arrow {
S CALF : t ! I
tPTIC TANK(S) MFGR. CONCRETE STEEL
NO. of rings on cover Depth DRY WELL
tUCHES NO. of width length area
a no. of lines width length area
depth to top of pipe
AGREGATE
RATE AREA REQUIRED AREA AS BUILT
iisciaimer: The inspection of this system by St. Croix County does not imply complete
.a,pliance with State Administrative Codes. There are other areas that it is not possible
,p inspect at this point of construction. St. Croix County assumes no liability for
IStem operation. However, if failure is noted the County will make every effort to
,itermine cause of failure.
*EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
`INSPECTOR
DATED PLU:tBER ON JOB
LICENSE NUMBER
RRPCIIT OF II1SPrCTIO l--I Z~IJIlltJAL SL,!•)ArE DISPOSi%J, SYS 'HIi
/ r j
Sanitary Pent
j
;r State Septic
TOWNSHIP t. Croix County
S, DTIC TA'!K~
Size gallons. 'lumber of Compartments
Distance From: '-Jell ft.
12% or greater slope ft.
Building` ft. Wetlands ft
Iiighwater ft.
DISPOSAL•SYSTL:i Tile Field or Seepage Pit(s)
Distance From: Well, ft. 12% or greater slope ft
Building- ft. Wetlands fI
FIELD High hwater ft.
Total length of lines ft. Dumber of lines Length of
each line ft. Distance between lines ft. Width of the
trench Total absorption area sq. ft. Dept:-
of rock below tile _in. Dp-pth of-rock over the in. Cover
over.rock, Depth of tile below grade in. Slope of
trench in per 100 ft. Depth to Bedrock ft. Depth to
around water ft.
PITS
'lumber of pits Outside diameter £t. Depth below inlet
ft. Gravel around pit: yes no. Total: absorption area
sq. ft.
Square feet of seepage trench bottom area required
`square feet of seepage nit area required
Inspected hy: Title*:
Approved Date 197
.
Rejected Date 197w.
TRANSFER FORM
SANITARY PERMIT
PLB 67-T State Permit #
Sanitary Permit #
County
Sanitary Permit Transfer Date Original Permit Issuance Date
A. Property Location: Section , T N, R E (or) W Lot # -City
Subdivision Name, Nearest Road, Lake or Landmark BILK # Village
Township
B. TYPE of Occupancy: Commercial Industrial Other (Specify)
Single Family Duplex No. of Bedrooms Variance
C. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab C retp Poured-in-place Steel Fiberglass Other(Specify)
New Installation Replacement
LIF HON CHAMBER Total gallons Prefab Concrete Poured-in-place -Other (Specify)
D. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No.Lineal Ft. Width Depth Tile Depth(top) No. Trenches
Seepage Bed: Length Width Depth Tile Depth(top) .No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. Seepage Pits
Percent slope of land Distance from critical slope
E. WATER SUPPLY: ❑ Private ❑ Joint ❑ Community ❑ Municipal
Present Sanitary Permit Holder Phone No. Sanitary Permit Transferred To: Phone No.
Name Name
Address Address
Zip Zip
I, the undersigned, do hereby certify that I have reported all revisions to the sanitary permit and that all revisions are in accord with
section H 62.20,, Wisconsin Administrative Code and that I have sized the effluent disposal system according to the EH-115 prepared
by the Certified Soil Tester and/or any additional soil tests that may have been required.
Plumber's Signature MP/MPRSW # Phone # -
Plumber's Address
Information obtained from
(owner or agent)
PLAN VIEW: Provide sketch below of any revisions to original sanitary permit. Include direction of slope and all distances in accord
with H 62.20. Well location shall be included on the sketch. Indicate or dimension location of all wells, on the property or neigh-
bor's~ropert If well has not been dnI_Ipd gJease,[r,~licat
E l I ~ i d
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Signature of Issuing Agent
1. County (Yellow copy) 3. Owner (Pink copy) DIVISION OF HEALTH
2. State (White copy) 4. Plumber (Green copy) P.O. BOX 309, MADISON WI 53701
ASION OF HEALTH, BUREAU OF ENVIRONMENTAL HEAL
• r P.O. BOX 309
MADISON, WISCONSIN 53701
r'.--PORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: NLV T.34N, R200 (or)(f'ownship or Municipality M e
ry
Lot No. ,,Block No. - ame County
I 's n came
_ - - -
Owner's Name:
MeilingAddress1-0-1- - -
e2 Other
TYPE OF OCCUPANCY: Residence No. of Bedrooms - - -
EFFLUENT DISPOSAL SYSTEM: NEW -ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 7-/y` L T -.PERC LATION TESTS
SOIL MAP SHEET SOIL TYPE
PERCOLATION TESTS
TEST DEPTH HOURS WATER IN TEST TIME OR WAT ING lei.
CHARACTER OF SOIL SINCE HOLE HOLE AFTE INTERVAL
NUM- IN~IB5 THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PE D I PERI
BER
w 0 / 1 1
~cgs~ta p
{
SOIL BORING TESTS
TESL 1'0s"AL DEPTH DEPTH T - GTiOL,tiL)WA2' -R, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
14UMBFR INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
t, ie
i
-Al
A
34 3N -533
PLAN VIEW (Locate peroolationteets,soil bore holes end suitable soil areas.) s
Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area 1
needed for building type and oceupenoy. Indicate scale
or distances. Give horizontal and vert" reference points. Indicate slope. a J~-
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i, the undersigned, hereby certify that the soil tests reported on this form were made by m,• 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 bell f. - y '
Ali ' o c.~~
Name (printl "s Certif;ration No.
~
Address - !4
- -
Names of
x
CST Signature
4
OPY A LOCAL ALJTHC?RITY
State and County State Permit "P- LB67 Permit Application County Per i#
" for Private Domestic Sewage Systems Count
*DENOTES STATE APPROVAL REQUIRED /zZ7
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF ,P / PERTY Mailing Addre J
s
1-k --Ire
B. LOCATION: '/4 '/4, Section T% N, R~ E (or) 1111 Lot# City
` . q
Su division Name, nearest road, lake or landmark Blk# Village
Townshi c11~.
Cj TYPE OF C 7ANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishw her YES NO Food Waste Grinder YES NO # of Bathrooms-7
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY Total gallons No. of tanks
*Holding tank capacity_ Total gallons No. of tanks 6
:ew Installation Addition _ Replacement _ Prefab Concrete
'Poured in Place Steel Other (specify)
_FFLUENT DISPOSAL SYSTEM: Pek e 1) '2) 3) Total Absorb Area sq. ft.
Jew Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Depth Tile Depth No. of Trenches
Seepage Bed: Length Width Tile Depth No. of Lines
Seepage Pit: Inside diameter 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 ' ied Soil Tes V
NAME Z.
g-/ C.S.T. # and other information
obtained from (owner/builder). - J._ r
r ~ l
Plumber's Signature ,0,1 MP/MPRSW# Phone
Plumber's Address`
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
l
~L
Do Not Write in Space fow ; ssO~~ I; DEPARTMENT USE ONLY
/ Count 7` ~C Dat
Date of Application Fees Paid: State~1___
Permit Issued/ ate) %Issuing Agent Name
Inspection Yes No Valid# Date Recd
1. county ( it copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pi k co y) 4. plumber (canary copy)
Revised Date 6/1 /76.
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State of Wisconsin \ DEPARTMENT OF HEALTH AND SOCIAL SERVICES
April 7, 1978 DIVISION OF HEALTH
MAIL ADDRESS: P. O. BOX 309
MADISON, WISCO
NSIN 53701
IN REPLY PLEASE REFER TO:
SECTION OF PLUMBING
AND FIRE PROTECTION SYSTEMS
Hobert D. "Ac 14: ~
1209 PIT* St.
rz-,
p Ideq[i£ r.sticxn No. .,«7
Sttllwatir, 31LN rSi3 P1~
Dear Sir:
1101dix:g tea
C'oo't LID" 6 3, Sect. 12, T3M, RVW, Townnjk• of Son*T ot, :fit. Croix Cc4unty
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 absolute'-
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 $ l
Fee received is 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.
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.
Q 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,
T
awes A. Sarg
Chief
JAS:fjs
FEE CALCULATION WORK SHEET
1. Building Sewers. Number of sewers
Size of each building sewer inches x $15 = $
Size of each building sewer inches x $15 = $
Size of each building sewer inches x $15 = $
2. Mobile Home Parks or Private Subdivisions.
Number of sites x = $
Rate: 1 - 25 = $25, 26 - 50 = $50, 51 - 125 = $75, over 125 = $100
3. Mobile and Manufactured Homes - Each Model.
Number of models x $35 = $
4. Controlled Roof Drainage Systems.
Included in general plumbing plan $15.
Submitted separately $20. - $
5. Acid Waste Piping System.
Included in general plumbing plan $15 = $
Submitted separately $20 = $
6. Reduced Pressure Backflow Preventer. No. x $20 = $
7. Private Sewage Disposal: Number of tanks
Total capacity _ Rate = $
500 - 1,500 = $15, 1,501 - 2,500 = $20, 2,501 - 4,000 i
_ $25, 4,001 - 6,000 = $35, 8,001 - 12,000 = $40,
over 12,000 = $50
8. Holding Tank. Number of Tanks
Total capacity Rate = $
500 - 5,000 = $10, 5,001 - 10,000 = $15, over 10,000=
$20
9. Private Interceptor Main Sewers.
Num'ner of Sewers
Largest diameter of each sewer inches x $5 = $
Largest diameter of each sewer inches x $5 = $
Largest diameter of each sewer inches x $5 = $
10. Reproduction Fee - Minimum $5.
11. TOTAL FEE REQUIRED . . . . . . . . . . . . . . . . . . . $
imi;inij t:ontratcror s:,all entip st the c_onstructlun . r,(= nne SW, Of
,~rincj the "itatip of api)roval of the dapartmtent.
In ti-te event Instailation of the i,lumbing lmprovariencEi or systtm
i. cot-rnnced Nitllit'. r+CJ ~-ar:x Orom 013 dat!!, Vii i;"?r!)v.J shall,
d anti nets :r,;:,. -4'a:t
r k flay
Gryrli 14!r~
,jrantIriq thI,, .ti .it)rs.!v. i, L;iVasICn'i of ;ieaitii jC>C':3 it;t 'eLj: tLx:.
4A t; for any detects in pIsns or specifications, plan missions,
airaination oversight, construction or any dataage that may miult i;.
sfter installation arid reserves the rigt':t tjrHr,t.
f,aiici conditlr.>ris .,rise rs:Al:ing this necessary.
Is approval is haisod un i .iapter H 62, Ascon in P.ti^i ;t ;~t at
-iijirumonts. it shall :,t: necessary to obtain and fulfill the pert:
tjuirar.mnts of time city, village, township or county in wbich this
,sCa l latlrxi is Co be -ovistructcd.
,:owitica',ly void ;:liit, accaptance..
9K:iroit! r stir i 71
P1110 Jtreet 11ar c 's.
-m r e. r
sµr~.'^tjon.ild, re,i~le~nc.
Ot Lots 2 6 Sac, ti(w T3C1"1=
n1,F►ip of
Crol x County
v- lriatlot of filsabing A;.
c+~PCt lies !)Oen com" nte'l,
accord wi to (-Nmpt'ir 14S,
ministratlve C-o4n, the !rluribinq plans and spaclflcat Ions are approved
ntimlent upon compl lance wi t.% the stipulations Indicated on t1m plans i . '
o following code sections. Please review yriur rode For the r•,•quI r~rnt
e ac,i rode section !wted.
`ur review the `inlGirng tarrk
SSa i Y<'.iJ L1if,$k;t"
H 62.44 t;,,) ( dulldir.i _ewer-;
r