HomeMy WebLinkAboutHUMAN BEAN - Filed OA-OTHER AGREEMENTS - 2005-08-04Apr 05 05 01:38p
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STATE
DEPARTMENTOF
STATE
CERTIFICATE
I, DONETTA DAVIDSON, SECRETARY OF STATE OF THE STATE OF
COLOP.ADO HEP.EBY CERTIFY" THAT
ACCORDING TO THE RECORDS OF THIS OFFICE
S S BLUE SKY, LLC.
(COLORADO _',IFIITED 1JA13I1,.TTY COMPAITY)
FILE X 2004IG69217 WAS FILED IN Ti-ITS OFFICE ON February 25, 2004
AND HAS COFSPLI;FD WITH THE APPLICASZ.£ P.ROVIS.IONS OF THE
LAWS OF TY.E STATE OF COLORADO AND ON THIS DATE IS IN GOOD
STANDING AND AUTHORIZED AND COMPETENT TO TRANSACT BUSINESS
OR TO CONDUCT ITS AFFAIRS WITHIN THIS STATE.
Da Ced_ February 25, 2004
SECRETARY OF STATE
■
■ 1. Nonni ■
05/05/2005 15:13 9704167435 M TORGERSON ARCH
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�`-,y �+oi0rnu P! i;.�}'� entl 2m PtoyCeS 9FrHY1. {S$ hel(j he+iilfe'S4 &��il hr
1'lia a.xus is located on Svo iiigha^ay 2'd? +
llit:;1:T�XkN BEAN"
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Pter te3rm':?'and cbnditlor
b :, ' t sgclictl"Pages 2 aasd'3 and Dditi
'Uw Notke io Proceed will, bt issuedupon r
c;P:'1'rit[C$re(51-1Yf itt6ptM1nEe.
ddrtionO Term and Itontlitiom will 2Kr ,
n7UNICIAALf'TY OR COUNTY' APPROVAL -.
E.quirerl,C�ny wh66 the appmpriatt oi,3' 3wthorvr
V•'Dalt
ra) 14
ar thq <iln+rg of this permit the permittee a01 ->
niri, At[ ,"ur,BfrWCtiibn shall be cori)pleted in an J
farm 1.-`1;lc-perntdkiami access shall bewmp k¢ ,-'
nP' LISd
. tta plry: :'tiFe (: shall n66fy Linda MtWitlidrll5
147 a, 1"W48� hdurs prior to t:ommencing C•;
n �Br-tnt s ji`,Pp as !he P'rrmI$ee MUD( bo fne tiWner or
R: the �n t5 IQ"t and dcfl films
u, nVitlam
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rr,+;ii 5 riot valid +unfil�Mood by a d''uiy 8ufta
>L(JrvZb DEPARTMENT OF TRANSIOGRTA I
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COLORADO DEPARTMENT OF TRANSPORTATION
lasuiug authority ap cfl anon
STATE HIGHWAYACCESS PERMIT APPLICATION
a„eplarcedale:
Imvumons. - Corrcaa the Cobraau oapartment ofTnn6pMalion(COOT)cc your for,%government to determine your Issuing authority.
- Cons the Issuing aulhorAy to eetermins What plans and other docllntenta are required W be 9uamia.d with your applicadm.
- Cornwell; this Form Isom. quostbna may not al to you) shot reach ail necessary docum6nts end suomlt A to the Baring vumorily.
Please print Submit an aPpacabar tar each'mess 1111 d.
Or type - If you ram any questions contact the issuing aumonty.
-For addtlonal lnformauon we CDOT'a Access hlacageminlwethu"W h11p'I/WwW41ot-1ate ca.uclAs= Per1111iLnMax_INM
1)Pro aftyawnar(Pemnntt) r
<Jyy GAG gf/paSjli'I
�
)Agentforperminee(d - entfminpmparbowrmr)
Interaet Consulting Group - David Hollo.ay
w
01,5019
Setlel address
Meiling oddmss
p.0_ Box 270114
1218 W. Ash, suite C
Ca, stare a alp Pronaa re0vired)
Windsor, CO 80550 970-674-310(1
Get, seats a 21P
Fort Collar , CO 80:527
Prmnal
970-204-a808
6ana1 address
Email address if aveaebts
dholloway2friterweatgrp.com
3) Adorer of Property to be served try permit(mquired) _
Yet to be determined- Proposed addrese will fall bletyroon 801-823 North Collogo Avenue.
a) Legal dot alplion d prapanY: 1/ witbinjuri sdlglloltal limits of Municipally, cry andlor County. which ae7
w„y wMmaon aver im wash, ie..,ny rrrr.
Leriaex The Hums Haan I parcral 1 SE 1/a o£ 2 7N 69w
5) What SIM Highway are you Mq-MAdnp aoms6lmm?
G)WnatsMeof Meh hway?
�s E LEW
9N 287 INorth Collins, Avenue)
�N
?)know many 4eelts lM txolxrsedames+6wnthenearagmila Pat? How rmny feet is me proposed access from the nearest cross+beat?
n/a feet QN BC]E pram', n/a Alpine bet l_+N �sOE(]_I/V�from: Alpae street
a) What's Ihe approxmals deft you n1Mdto 11 fAr1sWGlion'
51AMMB4 200S
9 Chedr here II you are eaquaW N a:
Qtempdely apo; "(duration anticpatea: ) ®mprwemaa tsexaang acQ+s
I'Marrwse
mange In apneas use removal of access derorstion of an eximeng a,eess(provltle detail)
10) Provide counting preperry, use
Uissup1 storage site - presently used to store O-haul trailer trucks.
t t) Do you hove knowledge of any Seats N)ghway access pumla sorving'nis property, or a sj Uc m, pmpertes in which you have a property merest?
Elno ❑yen n yes.. what are me perms rumboq$) end pmvids mpMV aM/a, p9rmlldgte.
11)Doe+thepmpart "not, orr have any eaeraSt60 any ad)ecem property?
no ne yes. d Yea - pba6a dew":
The otvswr also owns the parcel directly co the north.
13) Are Nero doer t,mang or Dedicated pubs, separate, roads, nighOol w soaaa constituents borderingm orwithin Ups ppeny7
0 m O yes, if yet. let %ham en your plans anol mirroats the Pm Posed end erdfeng aPaC6a points.
'11) If you it, mgeealing sahcul lheld 2=21-how many acres will the acress serve'
n/a
_
te)11 yqu ere requafting caMmn:ial ar indl6fiel ecoess plea6e irgirele mtl lyPa6 and number of business" card provide the find area square footage dead%.
square leafage
busmesalli use squarefoolage business
The Hunan Bean Drive -Up Coffee shop I 384 sf
16) If you am regveabng staidwLal dev66Pement 8me66, What, the type (6ingle family, apartment townhouse) and number of units? nenl6eral Was
numbxofunits typo
n/a �
17) Provide the hlawbg vahkle munt asumaeas toe vani60s mat will use me scars. Leaving the property men
relum" is two Counts.
Indicator I Your counts are
Vero
..' pae.wq.r vuw a u.u. nav .w.nr,
122 ifs Aw,�pM
it mw .swi wl .u+ l>ti hw it ovc .
D shin-..,, F`4"K kou-,s
ax hbar volumes W Qaverpe daily v0lYmec.
-------
eIXwp,pwv warm Owawa Wh
col Kim vonucs y�w6 aP1p�'.I
TPGICOUI 2/11f all-Irm6
122 / 19 An+IfM
0 '%' Q+•el Pte� In.'s
0
.._ to used
ha)CixKxwitn the iiauirp aWharRy to determinewhich of the I011aving doCumemf emregvirod to complete the review of year APO/ baa
aJ PropMy map indirArina other acm9s, bwde/frig roads and SUw , ^ sdodsadn. Zuni aeygh�eleDment plan.
bf H'glMay and drivewry plan prose. Parcel and ownwshpmaps indudlrg eay!mena.
c) bra1na9apisn ahinvinei W3Ct1othUnphwaynl;hl-0IW8Y. 91
d) C rnd laMdHdtna Yilhd bedNeni before and Chef h) -rraRcsiudies.
%eap aUpCand alone dx riahbeFway. i) proofelownerobip_
1- opriate agencies and obtain all environmental clearances that apply
It is me applicanCs responaibllity to contact appr
to their aotiviges. Such clearances may include Corps of Engineers 404 Permits or Colorado Discharge Permit System
permits, or ecological, archeological, historical or cultural resource clearances. The COOT Environmental Clearances
Information summary presents contact Information tot agencies administering certain clearances, information about
prohibited discharges, and may be obtained from Regional COOT UtiGtylSpecial Ufe Pa219 o us envf ormit offims rrmenm lFor^tsed via tasR.
COOT Planning/Construction-Environmental-Guidance webpage edlo•/lwww.dots
2- AI workers within the State Highway right of way shall comply with their employers safety and health policies/
prooeduros, and all applicable U.S. occupational Safety end Health Administration (OSHA) regulations - including, but not
llmited to the applicable sections of 29 CFR Part 1910 - Occupational Safety and Health Standards and 29 CFR Part 1926
- Safety and Health Regulations for Construction.
Personal prolective equipment (e.g. head protection, tootwaer, high visibility apparel, Safety glasses, hearing protection,
respirators, gloves, etc.) shall be worn as approprlate for the work being performed, and as specified in regulation. At a
minimum, all workers in the Stele Migh.way right of way, except when in their vehicles, shall wear the following personal
protective equipment: High visibility apparel as specified in the Traffic Control provisions of me documentation
acCompanying the Notice to Proceed related to this permit (al a minimum, ANSI/ISEA 107-1999, class he
protection that complies with the ANSI Za9.1-1997 standard: and at all construction sites or whenever there Is danger o1
and 1926inlury to act. workers rSrall comply
footwith OS 's PPE
requirements
uire merits ofANSIprojection
ct1999er 29 CFR 1910.136, 1926.95.
suc
Where any of the aboveteferenced ANSI standards have been revised, the most recent version of the standard shell
apply.
3- The permhtee Is responsible for complying with the Revised Guidelines that have ownrequirements and propted by the escribe thess
under the American DlsabillDes Act (ADA)- These guidelines define traversable slope q
use r a Amen ant Dis91m of truncated domes as detectable warnings at street crossings. The new Standards Plans and
can be found on the Design and Construction Project Support web page at:
.I.a eb r Sl0%Klon -u992 ah, then Uick an Design t3Wletins.
<httD-
es in
use of
It an access permit is issued to You. it will state the terms and i�nd oil t for its utt maynbe coonsidered aeviolatio not the
permitted access not consistent with the terms and conditions listed on the p
permit.
The appticard declares under penalty of perjury in the second degree, and any other applicable elite or federal
laws, that all information provided on this form and submitted attachments are to the bast of their Knowledge
true and eomplste.
ot constitute permission 10 smH guess construction work
t understand receipt of an access permit does n
6. 0. os
f L" ik owner or
r---` we require this application also to be signed byy the property
If the applicant is nol the own the fPr0p&rty, table written evidence). This signature sf+all constitute agreement
their legally authorized repres�htative (or other accep
with this application by ed ownmittne interest unless stated in writing. If a permit Is issued, the property owner, in most
rases, will be bated as the Pe
ro awn n e
T • 1-72� -
previous etlroona arc ObaoletG and may ner be -sad
hat 2 of 2 COOT rarn,at3T 1210'
dt
6-CI 9LS6-999-OL6 no.ug 2uig1nsuoo gsam.ra4uI d0E:LO 40 ST oa❑