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Facade Committee Packet 2005 10-19-05 'C�� ic,l. ""' United800GCityFarm®f�'Road®rkville ame EST. ` r _, 1836 Yorkville, Illinois 60560 ,� � Telephone: 630-553-4350 ®� in.:','co„a tea. C.:`') Fax: 630-553-7575 CLE V`.�' FACADE COMMITTEE AGENDA Wednesday, October 19, 2005 7:00 PM Lower Level Conference Room 1. Approval/Correction of Minutes: February 17, 2005 2. 213 S. Bridge Street - Bob Dearborn 3. Additional Business Page 1 of 3 UNITED CITY OF YORKVILLE FACADE COMMITTEE MEETING Thursday, February 17, 2005 5:00 PM Downstairs Conference Room Committee Members and City Staff present: Chairman Richard Scheffrahn Lynn Burks Johanna Byram John Cordogan (arrived at 5:10pm) Tom Smith (arrived at 5:20pm) Alderwoman Val Burd Building Inspector Bill Dettmer Guests present: Mr. Pete Schag Mr. Bob Dearborn (arrived at 5:14pm) The meeting was called to order at 5:01 pm by Chairman Richard Scheffrahn. The Committee took role by having all present announce their names. Johanna Byram, Lynn Burks, Richard Scheffrahn. Also present are Bill Dettmer and Val Burd standing in with the Committee for the present meeting. 1. Approval/Correction of minutes: April 21, 2004: With no questions or comments on the minutes at hand, Johanna Byram moved to approve, with Richard Scheffrahn 2nd the motion and with all in favor it passed to be approved. 2. 204 Heustis Street— Peter and Cheri Schag: Chairman Scheffrahn moved on to discuss the property at 204 Heustis Street. He stated that they did have his application in front of them and asked Mr. Schag to please go over what he has done to the property. Mr. Schag stated they had the roof straightened out, drive-it put on the facade, new store front door and window, canopy put in, lighting, and asphalt parking in the front. Mr. Dettmer stated the work done has been inspected. Chairman Scheffrahn stated that when they reviewed this, they looked at the application and the amount was $14,767.00 of which they would be reimbursing half of that amount. He then stated it was a fantastic improvement, he felt it was a little challenging to imagine how it looked before. He then asked what made the cost go up from the original amount stated. Mr. Schag stated it was due to lighting and the cost of the board that went behind the drive-it that he was never told about before. Mr. Dettmer stated that the boarding was needed to put in drive-it up to code. The rest of the Committee had no questions; they only stated that the work looked great. Johanna Byram moved to approve that the City pay the amount of$7,388.50 (1/2 of the total amount of work.) Lynn Burks 2nd the motion and with all in favor the motion was passed. This minute taker did a role vote for approval: Johanna Byram- approve, Lynn Burks-approve, and Richard Scheffrahn-approve. This will move on to Finance Committee for consideration to be paid. Mr. Schag lastly stated that it was a pleasure to work with Yorkville's City inspectors. 1 Page 2 of 3 3. 213 South Bridge Street —Bob Dearborn: Chairman Scheffrahn stated that Mr. Dearborn has requested to enclose the trash bin area behind his business. Bill Dettmer stated that he is asking acceptance from the board to do this work. The enclosure will be 15x15x12x10. The enclosure will be masonry with chain link gates on the front. Mr. Dearborn has a price from Willman Construction of$9,891.00. At this time Mr. Dearborn arrived to discuss the request he has made of the Committee. Mr. Dearborn described his request, stating it will be at the back of the property line. It will be the same brick used as that at the South-side McDonald's in town, a decorative type of block. It will have 2 gates, 1 for employees and I for the garbage truck. It is also on an angle due to the way the garbage truck has to get into that area. He also stated that this will take care of 3 building's garbage and he is also looking to work with the new Kendall Pub in having more garbage pickup if they would go in on it. He is hoping to clean up the alley looks back there. He said Classic Fence did return a bid on the gates only and the gates will have the vinyl slats on them for restricting view of garbage more. He also stated he did speak to a representative from Waste mgmt who suggested not doing this in wood due to it being ruined faster. He is looking to start this project as soon as the asphalt plants open up. At this time Chairman Scheffrahn stated that he was asked if this would fit in the category of facade. He stated that one way in viewing this is that an awning to a building doesn't exist until you put it on there and it compliments the building itself. He went on to state that these adjacent buildings would qualify and therefore this feature that will be improving the adjacent buildings attractiveness should in fact be brought under consideration and therefore this could be included in the program. He then asked if there were any questions or comments on this. Mr. John Cordogan asked if there were funds available and Mr. Scheffrahn stated the funds were available for this. Mr. Cordogan then asked if it would improve the aspects of downtown. Mr. Dettmer responded to this second statement. He stated that they have a lot of problems with cans showing with bringing people in from the back of the buildings with the limited parking in the front. Johanna Byram added that this will help with any illegal dumping that may be happening with the enclosure being able to be locked up. The Committee also discussed how this enclosure will affect patron's line of site with this at the end of the alley there. Mr. Dearborn stated he could possibly put caution signs or yellow caution paint on the roadway to warn people to use caution here. Alderwoman Burd stated that the Facade Committee should not worry about this issue with the enclosure in question and she would bring it up to the appropriate Committee at a later time. With no further questions or comments, Chairman asked if anyone moved to reimburse Mr. Dearborn with up to '/A the cost of the work needing to be done at the amount of$9,891.00. John Cordogan moved to accept this project and Lynn Burks 2nd the motion. This minute taker did a role vote to approve: Johanna Byram - aye, 2 Page 3 of 3 Lynn Burks—aye, Richard Scheffrahn —aye, John Cordogan —aye, and Tom Smith— abstained. Mr. Dettmer stated lastly that he would speak with the Police Department regarding the safety issue at hand. 4. Additional Business: • Mr. Dettmer stated that he did approach the owner of the new Kendall Grill and has asked him to come in on several occasions to discuss the funding available for the improvements that have been done. The new owner has not yet applied for any funds. They discussed what he is doing to the building in more detail. • Mr. Dettmer stated that he met with a lady that is interested in buying an older home in town and looking to put some work into it. He stated that this will now be open for financial assistance under the new program they have available. • Alderwoman Burd stated that she was worried about what could happen if the City were to help funding for a store owner to do improvements and they then sell the property. Then when the new store owner comes in and they chose to tear down the work that the City just helped pay for. She asked if Mr. Dettmer could look into putting together an ordinance to prevent this from happening. Mr. Dettmer stated that there could be a time frame that the work would have to be maintained and kept the same if the City has helped financially with the previous owners. Alderwoman Burd will put together and bring back to the board the ordinance to convey to new owners this is work the City wanted done. • Mr. Dettmer stated that the height of buildings have to go for a requirement if they are going to change it by approval of City Council. That will keep the downtown area in concept wanted. • Chairman Scheffrahn stated that the City is writing an exterior appearance code and the City has asked if this Committee would arbitrate and questions that come up in the future. This code will try to dictate certain requirements for the exterior of a building and the appearance of the building. This committee would be the most appropriate to handle any situations that may arise. The final draft should be ready in the next month or two. • Johanna Byram brought up the fact that there is a huge pothole in the parkway by her home. She and many others have received injuries from this hole and is looking how to lix this. Alderwoman Burd suggested that she contact Public Works to fix that hole and she will as well. Chairman Scheffrahn asked if there was a motion to adjourn. Tom Smith motioned to adjourn and I,ynn Burks 2nd the motion. With all in favor, the meeting was adjourned at 5:37pm. Minutes by: Sheila Teausaw 3 , �� ° ceT� United City of Yorkville a`� O County Seat of Kendall County gavis t 800 Game Farm Road EST �_.__.__:�sas` Yorkville, Illinois, 60560 ,� I Telephone: 630-553-4350 p fi : ® Fax: 630-553-7575 9�Ll�L x, yy��' Website: www.yorkville.il.us DEPARTMENT OF BUILDING SAFETY & ZONING MEMORANDUM DATE: September 30, 2005 TO: Liz D'Anna Administrative Assistant FROM: William A. Dettmer, ode Official SUBJECT: Facade Program Please have Mr. Robert Dearborn's project at 211 S. Bridge Street placed on the Agenda for the Facade Committee Meeting on October 19, 2005. I have attached the invoices totaling $10,261.00 provided Mr. Dearborn for work and material. Please contact me if you have any questions. --') '-%) .- - ( 1 ' ) c-)- c`:=11- vy --,\v-CS M. ( 0 . \cYC 0 \ t \ -, - ...1_-Q-\q,_ ---)— c-i_l__ - 7- - \ n \ -' ,r-- \ -3 OSS-) c) -t- C"N \f\r , ,___ . O -2 r - WILLMAN & GROESCH GENERAL CONTRACTORS 28 LAUREL COURT YORKVILLE, ILLINOIS, 60560 630-553-6535 CLIENT: Bob Dearborn - Bridge Street Café Date: 02/04/05 Address: 213 S. Bridge St., Yorkville, Ill. Phone #: 553-9230 Job Location: 213 S. Bridge Street, Yorkville, Illinois We hereby propose the following material and labor to build garbage enclosure: CUT BLACKTOP 15' X 15' AND DISPOSE, FORM AND POUR 15' X 15' FIBER REINFORCED THICKENED SLAB, BUILD SPLIT FACE BLOCK ENCLOSURE APPROX. 46' LONG AND 6' TALL, INSTALL 8" CHANNEL IRON CORNER GUARDS AT ENTRANCE GATE, GROUT SOLID ENTIRE STEEL REBAR REINFORCED WALL, FORM AND POUR STEEL REINFORCED CONCRE I L COPING AROUND ENTIRE TOP OF BLOCK WALLS. INSTALL 3 - 6" DIA. CONCRETE FILLED BALLARDS. TOTAL PRICE: $8,450.00 TERMS FOR PAYMENT SHALL BE AS FOLLOWS: $8,450.00 UPON COMPLETION. THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEP IED WITHIN 30 DAYS. ACCEPTED BY: 11/1'L/e /e/ ACCEPTED BY: FRANK WILLMAN - PARTNER DATED: WILLMAN & GROESCH GENERAL CONTRACTORS Willman& Groesch General Contractors Invoice 28 Laurel Court Yorkville, TI 60560 DA I E INVOICE# 6/27/2005 146 BILL TO BOB&DEBBIE DEARBORN 213 S.Bridge Street Yorkville,Illinois,60560 P.O. NO. TERMS PROJECT Due on receipt I QUANTITY DESCRIPTION RATE AMOUNT I Material&labor to install 3-concrete ballards to protect electrical 420.00 420.00 equipment- 0.00 0.00 I I I ' ' I I � i a 6(g 1 1/2%Interest will be charged on all acounts not paid within 30 days of invoice date. Total ( $420.00 . ., 0 • Arbors ` �•sstt:=i:i !ass C, rFe 'ice 'Inc. -." :ion Western Red Cedar '` r .E (630) 55 1,3 GO 4*••':::''t? Sf• • Chain Link 1822 Route 30 €isi t riii _ .}IL I cr Galv.- Vinyl Oswego, Illinois 60543 r 1`;Iz (630)551-34 12 ® • ::41,1:•.":7::-7:•!::•_ti; : PVC Vinyl FINANCING AVAILABLE L Showroom Available Aluminum • Stockade Visit Our itq: .as idf- e r ., }' - Treated Name � 'e .,- N4' C,Y�1 AL... . .�s — — so II Billing Address ` -X''>~.0 J S"\-- — Contact_ --- City ' C --vLL'J - Twp State.-._-Zip Code Job Site - Home Phone , _ Work Phone. S'S -9 2-ZO._ City Fax.+( � Cell Phone _ Directions County \ _. _.._._____ Sub-Division (. - ._ Cross Street 1y Total Llnnar Foot Gatos indudcd _ �`.C Q . � 1 Ali ( \(-1,:::\__ _,Z1----4.-1—, , t�: 0'tT t Stye V\\ \A X i0\ W\ tAC;-\-\ \ -)\c m 603rdT/pC Gaainlin ` ,� --(7)7 --f: Z l • \ e_, 3 • \ \QT14l WR CeCar J Gauge C� j(��'7�1 � _ r.r WR Clear I I --P"' ,Treated l Vin Gety b� �s( 1 , AsYC-A._\- 1'rrA v_ 8oard5zR r type am C".-GO- jv�— REMOVALr,NCLUDE.Dys p2_ )' f-" Pear Tarmnsl Prra I I I "� I I [ 1 • I i I I r ' - I I x-, , 1 1 - I I RailsFace Nail l 1 1 I_. • ■■■■■■■■ ■■. IILI Toe wars I�, I l l i 1..i 1 ' { l [_I I '■q■q■B Gates 91nglC nirsit,!r r I ,___ i , I. i j 11+t �i t i I j r l 1 1 1 1 1 y I I j mum mime olOr\ 3.� I�Nails lin ni -•- I :-.-i-1- lam+ Li I 1 r i: - j ' ' I i t ; 1 I I 11 I ■ II I I � � 1 11 0f Flanco: I I I t I I i = j l 1 f 1 i } Too � � � I � �? 1t1 � [-� "1 � t �11111 Ili y r erground utilities 1JULIC) 1 ( i Ii 1 i. Vista z 1" 1.1i 1 ■■■■■■ ■O „NCtassicFence !_i Customer I. I { 1' III Stockade Fenclne �J/ t 4 •1 I —L 1 1 I I , � I I I I ��I Spruce Cedarf l ''til. I 'r.�-.t 1 i I- 1 Iia-r I I i I.1- �-- —, 1 50f1 rail Round ail '_I _ I I ■■■■ �■� ►1 �� 2 rail I I I/�- i 1 - I y� I M rLS■�� t•�f���'wa:7rrt Il 3 rail IT /'� I j 1 I !-1 I ■■■■■■(•■.■� __ _ .■ Fencr,Follows the gruurxl I I I .1111=11:11111:11111.1."1111.111111111.19211 Yos 2< No LI / \ r '-r-1•r 1 11 f f-t �--i' '�- ■■■■ ; ■miG■■■■■■■■ ■■■ ■■uh■■■■MIS ■■■■■ �, I I I ' ! I . I t 1 1 [ 1 , ..■■■■■■■■■.■■■�■■■■■. Post sal in wet concrete li hitt I r i,-1----, I I -;/ MMi (-i 14 t. ' ' ..■■, �-1 ■���M• Yes i No I 1. Hit ! -I , III , I - II [ I . : : II I , ■■ ■■■■p ■■M k of centre! Asphalt reeks f- --• r I r 1 1 I - Al\ 1 `. "�� • �a ilii i■■ l j r a -4t II I1I N■ , ■■■■ Ma Tl Trim Bushes NO I I i l ' I f r I , I i Ill ) I I } '` j l' I I i , i n ■■■■■•■ ■■■ I 1 4 I i 17- ± 11 ' - 1 l ■■■■alma■■ N.■ HflhIII�IIl Existing one NIA I i I T Take Dow J Naut away ' 1 I r y Referred ay _� 11 I ( t r ' ( t i - t I t _._ i 1 I I 1 1 1 I , i-r-r •I 1 1 1 ' i ;.11 lli -r Spacial instructions -.. xa�w , t I i 1 11.i I 1.I I r I i I . a 11• 1 �_I I_I- t ' I t i t 1-� t I i Customer is responsible for PRICE 5 \ ,- ,:::1 , � DOWN PAYMENT BALANCE TERMS OF SALE locating any unded rgrounr O ` utilities not marked by JULIE i��� _�r p «' r a a*� \ Customer Requirements for Fence' I . I Please read and initial 1. Customer will obtain all Nodded Permits.Whon Classic linos get permits there is an extra charge. 2. Classic Fence Inc.needs a copy of the Plat survey. Classic Fence Inc.ran only he responsible for tha location of property lines when supplied with a current and accurate plat of survey at the time this contract is executed. 3. Customer Agrees to pay for all changes to original contract or Additional work 4. A charge of 25%of cash contract price will be made In case of cancellation at this order'by property owner r',r agent of which he or she agrees to pay upon dernand atter refusing to allow work to protean as within agreed terms. 5. I hereby accept the terms and conditions on both sides tel!his contract and I agree to pay Me amount mentioned in said proposal.Payments will be made as outlined above.Customer agrees to pay collection cost end reasonable;rltrrrti ny fees clue 5ll,,par month on past duo balance. 6. Di emoval is an -�ra ch gP. L Nsspcctlully vJt-ru 1 li,, �� ear Z-LdS c d 0 000001,9 'ON/97., : L7, '1S!6Z: lC flu l£ n' id(,?111) 217E-H -OS9 'iVOd� FINAL WAIVER OF LIEN STA FE OF ILLINOIS Gty# COUNTY OF KENDALL Escrow# TO WHOM 1T MAY CONCERN: WHEREAS the undersigned has been employed by BOB&DEBBIE DEARBORN to furnish INSTALL 3 CONCRE fE BALLARDS TO PROTECT ELECTRICAL EQUIPMENT for the premises known as 211 S. BRIDGE ST., YORKVILLE, ILL. 60560 of which BOB&DEBBIE DEARBORN is the owner. THE undersigned,for and in consideration of FOUR HUNDRED TWENTY AND N0-100 ($420.00 )Dollars, and other good and valuable considerations, the receipt whereof is hereby acknowledged,do(es) hereby waive and release any and all lien or claim of, or right to, lien, under the statutes of the State of Illinois, relating to mechanics' liens, with respect to and on said above-described premises, and the improvements thereon, and on the material,fixtures, apparatus or machinery furnished, and on the moneys, funds or other considerations due or to become due from the owner, on account of all labor, services, material, fixtures, apparatus or machinery, heretofore furnished, or which may be furnished at any time hereafter,by the undersigned for the above-described premises. INCLUDING EXTRAS.* DATE 08/19105 COMPANY NAME: WILLMAN&GROESCH GENERAL CONTRACTORS ADDRESS: 28 LAUREL CT.,YORKVILLE,ILL.,60560 SIGNATURR"AND TIT / PARTNR *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDERS,BOTH ORAL AND WRITTEN,TO THE CONTRACT CONTRACTOR'S AFFIDAVIT STA 1 L OF ILLINOIS COUNTY OF KENDALL TO WHOM 1T MAY CONCERN: THE UNDERSIGNED, (NAME) FRANK R WILLMAN BEING DULY SWORN, DEPOSES AND SAYS THAT HE OR SHE IS(POSITION)PARTNER OF (COMPANY NAME) WILLMAN&GROESCH GENERAL CONTRACTORS WHO IS THE CONTRACTOR FURNISHING INSTALL 3 CONCRETE BALLARDS TO PROTECT ELECTRICAL EQUIPMENT WORK ON THE BUILDING LOCATED AT 211 S. BRIDGE ST.,YORKVILLE, ILL., 60560 OWNED BY That the total amount of the contract including extras* is$420.00 on which he or she has recuved payment of $ -0- prior to this payment. That all waivers are true, correct and genuine and delivered unconditionally and that there is no claim either legal or equitable to defeat the validity of said waivers. That the following are the names and addresses of all parties who have furnished material or labor, or both, for said work and all parties having contracts or sub contracts for specific portions of said work or for material entering into the construction thereof and the amount due or to become due to each,and that the items mentioned include all labor and material required to complete said work according to plans and specifications: NAMES AND ADDRESSES WHAT FOR COACT PRICE ` lvIOUNT THIS NCLOG EXTRAS= PAID PAYMENT ALL LABOR PAID IN FULL. MATERIAL TAKEN FROM FULLT PAID STOCK. TOTAL LABOR AND MATERIAL INCLUDING EXTRAS*TO COMPLETE. That there are no other contracts for said work outstanding,and that there is nothing due or to become due to any person for material, labor or other work of any kind done or to be done upon or in connection with said work other than above stated. DATE 08/19/05 SIGNATURE: SUBSCRIBED AND SWORN TO BEFORE ME THIS 19TH DAY OF AUGUST _2005 *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANG' ORDERS.BOTH ORAL,AND WRITTEN TO THE CONT NOTARY PURL 4/YZ " 1 • W F.3870 R5/96 Provided by Chicago Title Insurance Company Law& T TW irnan Notary Pubi c r ,r Illinois MY ]1 +J-2005 FINAL WAIVER OF LIEN STATE OF ILLINOIS Gty# COUNTY OF KENDALL Escrow# TO WHOM IT MAY CONCERN: WHEREAS the undersigned has been employed by BOB&DEBBIE DEARBORN to furnish GARBAGE ENCLOSURE MATERIAL&LABOR for the premises known as 211 S. BRIDGE ST.,YORKVILLE, ILL. 60560 of which BOB&DEBBIE DEARBORN is the owner. THE undersigned, for and in consideration of EIGHTY FIVE HUNDRED SEVENTY SIX& 75 CENTS-- ($8,576.75 )Dollars, and other good and valuable considerations, the receipt whereof is hereby acknowledged, do(es) hereby waive and release any and all lien or claim of, or right to, lien, under the statutes of the State of Illinois, relating to mechanics' liens, with respect to and on said above-described premises, and the improvements thereon, and on the material, fixtures, apparatus or machinery furnished, and on the moneys,funds or other considerations due or to become due from the owner, on account of all labor, services, material,fixtures,apparatus or machinery, heretofore furnished, or which may be furnished at any time hereafter, by the undersigned for the above-described premises, INCLUDING EXTRAS.* DATE 08/19/05 COMPANY NAME: WILLMAN& GROESCH GENERAL CONTRACTORS ADDRESS: 28 LAUREL CT.,YORKVILLE, ILL., 60560 SIGNATURE • i TLE r `.. /" PARTNR *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDERS,BOTH ORAL AND WRITTEN,TO THE CONTRACT CONTRACTOR'S AFFIDAVIT STATE OF ILLINOIS COUNTY OF KENDALL TO WHOM IT MAY CONCERN: THE UNDERSIGNED, (NAME) FRANKR_ WILLMAN BEING DULY SWORN, DEPOSES AND SAYS THAT HE OR SHE IS (POSITION)PARTNER OF (COMPANY NAME) WILLMAN&GROESCH GENERAL CONTRACTORS WHO IS TIE CONTRACTOR FURNISHING GARBAGE ENCLOSURE MATERIAL&LABOR WORK ON THE BUILDING LOCATED AT 211 S. BRIDGE ST., YORKVILLE, ILL., 60560 OWNED BY BOB& DEBBIE DEARBORN That the total amount of the contract including extras* is$8576.75 on which he or she has received payment of $ -0- prior to this payment. That all waivers are true,correct and genuine and delivered unconditionally and that there is no claim either legal or equitable to defeat the validity of said waivers. That the following are the names and addresses of all parties who have furnished material or labor, or both, for said work and all parties having contracts or sub contracts for specific portions of said work or for material entering into the construction thereof and the amount due or to become due to each,and that the items mentioned include all labor and material required to complete said work according to plans and specifications: NAMES AND ADDRESSES WHAT FOR coNAcr Emacs AMOUNT -rills INCt.a;EXTRAS* PAID PAYMENT ALL LABOR PAID IN FULL. MATERIAL TAKEN FROM FULLT PAID STOCK. TOTAL LABOR AND MATERIAL INCLUDING EXTRAS*TO COMPLETE. That there are no other contracts for said work outstanding,and that there is nothing due or to become due to any person for material, labor or other work of any kind done or to be done upon or in connection with said work other than above stated. DATE 08/19/05 SIGNATURE: ���� SUBSCRIBED AND SWORN TO BEFORE ME THIS 19Th DAY OF AUGUST , 2005 1 *EXTR=AS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDERS,BO'T'H ORAL AND WRITTEN,TO THE CONT' CT NOTARY PUBLIS y .1 " . / . / 1 F.3870 R5/96 Provided by Chicago Tide Insurance Company ;' "OFFI( SEAL" � Notary Pubi ��Illinois Commis$, 1]=�=2495 • FINAL WAIVER OF LIEN STATE OF ILLINOIS Gty# SS COUNTY OF Escrow# TO WHOM IT MAY CONCERN: WHEREAS the undersigned has been employed by gr t C to furnish rVlC1 for the premises known as (� Z I S5. ,r,d e SA-. L C 04-06( of which j�; � -r-e is the owner. 0 O— THE undersigned,for and in consideration of w12_ Txn�l):�5- --k-VreP u\A-sec\ 1'1 tl'r\--Ly Cile_ ($ � 1 a co ) Dollars, and other good and valuable considerations, the receipt whereof is hereby acknowledged,do(es) hereby waive and release any and all lien or claim of, or right to,lien, under the statutes of the State of Illinois,relating to mechanics' liens, with respect to and on said above-described premises, and the improvements thereon, and on the material, fixtures, apparatus or machinery furnished, and on the moneys,funds or other considerations due or to become due from the owner,on account of all labor,services, material, fixtures, apparatus or machinery, heretofore furnished, or which may be furnished at any time hereafter, by the undersigned for the above- described premises, INCLUDING EXTRAS.* DATE 9- 2 - COMPANY NAME C �� �P ADDRESS 1,% er)f1l-� �'� accu _oot® 627.5 .3 SIGNATURE AND TITLE / - *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDS'S,BOTH ORAL AND WRITTEN,TO THE CONTRACT. STATE OF ILLINOIS CONTRACTOR'S AFFIDAVIT SS COUNTY OF TO WHOM IT MAY CONCERN: THE UNDERSIGNED, (NAME) 7Y �C 21 - BEING DULY SWORN, DEPOSES AND SAYS THAT HE OR SHE IS (POSITION) 0CC,'c- vO_l c'Jy OF (COMPANY NAME) syvre WHO IS THE CONTRACTOR FURNISHING �� .� VSD WORKN THE BUILDING LOCATED AT Q13 ��CD_ Sd"Ic c'. •v N) � ��F� �2__ OWNED BY B Y i That the totaltoamount of the contract including extras* is S I, �L s© on which he or she has received payment of $ ! S C prior to this payment.That all waivers are true,correct and genuine and delivered unconditionally and that there is no claim either legal or equitable to defeat the validity of said waivers.That the following are the names and addresses of all parties who have furnished material or labor, or both,for said work and all parties having contracts or sub contracts for specific portions of said work or for material entering into the construction thereof and the amount due or to become due to each, and that the items mentioned include all labor and material required to complete said work according to plans and specifications: NAMES AND ADDRESSES CONTRACT PRICE AMOUNT THIS BALANCE WHAT FOR INCLDG EXTRAS" PAID PAYMENT DUE C Ct99II c_ e/VI(-' � Hyl ori. CYcc' ?'7S si) i `2 c±-)u4--e_ vv �Zs�✓�� �1 6/2s6/ TOTAL LABOR AND MATERIAL INCLUDING EXTRAS*TO COMPLETE / 357/,/a-) 4 6?5,5(') O SO Q(9," (90 That there are no other contracts for said work outstanding, and that there is nothing due or to become due to any person for material, labor or other work of any kind done or to be done upon or in connection with said work other than above stated DATE 9 SIGNATURE: SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF P ,DS *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE IGNACiO RUIZ ORDERS,BOTH ORAL AND WRITTEN,TO THE CONTRACT. . NOTARY PUBLIC • F.3870 R5/96 Provided by Chicago Title Insurance Com Qm+u11L.,,, .,Ao!i:inv