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Home My WebLink About9710 CHEYENNE DRBA ENCROACHMENT PERMIT oF�wuoa,� S�, CITY OF BAKERSFIELD d PUBLIC WORKS DEPARTMENT w 1501 TRUXTUN AVE . ® BAKERSFIELD CA 93301 c9�IF0 (661)326-3724 TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and maintain an encroachment on public property or right of way as therein defined. Application Number 11-30000031 Date 2/29/12 Property Address 9710 CHEYENNE DR Application type description PW - ENCROACHMENT PERMIT Owner Contractor ------------------------ ------------------------ TYDRYSZEWSNI GARY & CHARLENE OWNER 9710 CHEYENNE DR BAKERSFIELD CA 93312 ( 66) 587-9247 ---------------------------------------------------------------------------- Permi[ . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1161660 Permit Fee . . . 208.00 Issue Date . . . 12/30/11 Valuation 0 Qty Unit Charge Per Extension EASE FEE 206.00 ---------------------------------------------------------------------------- Special Notes and Comments Place 32 inch white picket fence along Sidewalk in Eront yard and aide yard along Shoshone Way. ---------------------------------------------------------------------------- Fee ary Charged Paid Credited one -----y----------------------------------------- Permit Fee Total 208.00 208.00 .00 ---------- .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. (i 64ry /y CdrYSi"w-�ki Signatur f Applicant (Owner/Agent) Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) C TITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFO ( RAN (DENIED) Said permit shall expire on date stated above. Signature of Cit - Engineer Additional Terms on the Back DECLARATIONS Coverage afforded by this policy is We will provide the 1provided by: insurance described in this policy in return for the premium ISTATE FARM GENERAL INSURANCE COMPANY and compliance with all applicable 1900 OLD RIVER ROAD provisions of this policy. BAKERSFIELD CA 93311-9501 ---------------------------------------- 87 -BO -8219-8 Policy Number JA Stock Company with Home Offices in ------- ----------------Bloomington, Illinois. Named Insured and Mailing Address TYDRYSZEWSKI, GARY &------------------ TYDRYSZEKI, CHARLENE 9710 CHEYENNE DR BAKERSFIELD, CA 93312-5315 ------------------------------------------------------------------------------- The Policy Period begins and ends at Automatic Renewal - If the Policy 12:01 a.m. Standard Time at the residence Period is shown as 12 months, this premises. 09/15/2011 Effective Date 12months-Policy Period 09/15/2012 Expiration of Policy Period ------------------------------------------- Limit -------__ _-___Limit of Liability - Section 1 $ 215,000 Dwelling (Coverage A) Policy Type Homeowners Policy Dwell Repl Cost - Similar Construction Increase Dwlg Up to $43,000 - Option ID ------------------------------------------ Location of Premises 9710 CHEYENNE DR BAKERSFIELD, CA 93312-5315 policy will be renewed auto- matically subject to the premiums, rules and forms in effect each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. -------- ____-------- Deductibles - Section 1 $1000 ALL LOSSES In case of loss under this policy, the deductible will be applied per occurrence and will be deducted from the amount of the loss. Other deductibles may apply - refer to your policy. Policy Premium $859.00 ------------------------------------------------------------------------------ Forms, Options, S Endorsements 438-BFU.NS LNDR LOSS PAY LSP Al SMLR CONST -A OPT ID COV A -INCA DWLG FE -5320 POLICY END FE -5400 SEEPAGE EXCL Mortgagee BANK OF AMERICA NA ISAOA ATIMA PO BOX 961291 FORT WORTH, TX 76161-0291 Loan Number: 232548413 Prepared: March 01, 2012 559-916.5 FP-7955.CA HOMEOWNERS POL LSP S1 LMT RPLC COST -B OPT OL BLD ORD/LAW-10& FE -5363 LOSS SETTLMENT FE -5424 FUNGUS EXCL ---------------------------------------- Agent Name 6 Address DENISON, DARLENE M 4903 CALLOWAY DR STE 103 BAKERSFIELD, CA 93312-3959 (661)588-6070 3526 Agent's Code MORTGAGEE COPY PREMIUM NOTICE STATE FARM INSURANCE COMPANIES AGENT ISSUED DECLARATIONS -------------------------------------------------------------- POLICY NUMBER BILLING PERIOD I AGENT CODE 87 -BO -B219-8 ______________________________________________________________ FROM 09/15/2011 I TO 09/15/2012 1 3528 LOCATION 9710 CHEYENNE DR BAKERSFIELD, CA 93312-5315 INSURED TYDRYSZEWSKI, GARY & TYDRYSZEKI, CHARLENE 9710 CHEYENNE DR BAKERSFIELD, CA 93312-5315 MORTGAGEE BANK OF AMERICA NA ISAOA ATIMA PO SOX 961291 FORT WORTH, TX 76161-0291 Loan Number: 232548413 PREMIUM $ 859.00 AMOUNT PAID $ 859.00 AMOUNT DUE $ .00 DATE DUE AGENT NAME & ADDRESS DENISON, DARLENE M 4903 CALLOWAY DR STE 103 BAKERSFIELD, CA 93312-3959 (661)588-6070 STATE FARM INSURANCE COMPANIES 900 OLD RIVER ROAD BAKERSFIELD CA 93311-9501 900 Old River Rd Bakersfield, CA 93311-6000 Named Insured AT2 K 12-3528-F154 H F woau TYDRYSZEWSKI, GARY 8 EKI, CHARLENE 9710 CH 9710 CHEYENNE DR BAKERSFIELD CA 93312-5315 Policy Number 87.80-B219.8 Policy Period Effective Date Expiration Date 12 Months SEP 152011 SEP 152012 The policy period begins and ends at 12:01 am standard time at the residence premises. Loan # 1102037 Mortgagee THE MORTGAGE HOUSE INC ITS SUCCESSORS AND/OR ASSIGNS 6351 OWENSMOUTH AVE STE 102 £ WOODLAND HIS CA 91367-2230 ox HOMEOWNERS POLICY Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. as SECTION I A Dwelling 215,000 Dwelling Extension up to 21 , 500 B Personal Property 161 250 Loss C Loss of Use Actual FE -5363 Sustained SECTION H 5,000 Funrr33us (Incl Moid) Lim, Vahicle Endorsement L Personal Liability $ 500,000 (Each Occurrence) Amendatory Debris Removal amage to Property Fungus (Including Mold) Excl of Others $ 500 M Medical Payments to Others(Each Person) $ 1,000 Loss Settlement Provision (See Policy) At Replacement Cost - Similar Construction Bt Limited Replacement Cost - Coverage B Forms, Options, & Endorsements Homeowners Policy FP-7955.CA Cov'A' Loss Settlament FE -5363 eepage or Leekage Lxclusion FE -5400 5,000 Funrr33us (Incl Moid) Lim, Vahicle Endorsement FE -5427 .to FE -5452 Amendatory Debris Removal FE -5480 Fungus (Including Mold) Excl FE -5424 Telecommuter Coverge FE -5831 Mandatory Reportng Endorsement FE -5801 Inflation Coverage Index: 232.0 Deductibles -Section I All Losses $ 1,000 In case of loss under this policy, the deductibles will be applied Per occurrence and will be deducted from the amount of the I ss. Other deductibles may apply - refer to policy. Policy Premium $ Discounts Applied: Home Alert Home/Auto Claim Free Other limits and exclusions may apply - refer to your policy Your ppolicy consists of this page, any endorsements and the policy form. Please keep these together. FP -70180 Continued on Reverse DARLENE DENISON 1136 151 1 661.588-6070 NIS Pre ared SEP 222011 2. P 55 Mo CA 155.70., .n r, 2.'.r,o 1a) 11 Cheyenne Space between pickets: 4" Posts: 4"wx 33"h Page I of 1 http://bakgis. ci.bakersfield.ca.uslfactory/printiviewer.aspx?hkey=5f4cab55183 a2da262870... 2/29/2012 R S F T F L, L> PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager `Y--/ FROM: Bob Wilson, Supervisor ll, Subdivisions DATE: March 1, 2012 SUBJECT: Encroachment Permit Application for: 9710 Cheyenne Dr Name of Applicant: Gary & Charlene Tydryszewski Description of Encroachment: 32" white picket fence along sidewalk in front yard and side yard along Shoshone Way. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANCE9710 Cheyenne DrAd • B A h. E R S F I F. T, D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor ll, Subdivisions DATE: March 1, 2012 SUBJECT: Encroachment Permit Application for: 9710 Cheyenne Dr. Name of Applicant: Gary & Charlene Tydryszewski Description of Encroachment. 32" white picket fence along sidewalk in front yard and side yard along Shoshone Way. Please review the attached encroachment permit and return to me at your earliest convenience. &: PERMIMENCROACHWRAFFIC\9710 Cheyenne Dr.doc