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HomeMy WebLinkAboutBuilding Permit #567-13 - 178 OLD CART WAY 2/2/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �a 7 Date Received Date Issued: IMP RTANT:Applicant must complete all items on this page LOCATION OLID CA2Z WAY Nnkyjq AUooyE,R, nlf� Print PROPERTY OWNER ALM M-Aas A LtL Print MAP NO: M PARCEL: ZONING DISTRICT: Historic District yesno Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE �I Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ell �Floodplain Wetlands M �Ua ershed +is . ct 0 -J, 811 DESCRIPTION OF WORK TO BEP RFORMED: - p CR v` �- Cil S l�-e �e 'c� C- K c, 1 4�Yt cl -e-r-6 VVI L%3z�A-� Com.wv CL Identification Please Yype or Print Clearly) OWNER: Name: -A t e.X LA 4 rs kc k I Phond:c? 14 -Sc34a Address: CONTRACTOR Name: cr i PC-C!) Phone: 4I?8 Address: v1 C-e KAA C�, L S+x Supervisor's Construction License: G S - 46-? . Date: a'l a b [ Home Improvement License: 1 S'g a-� l Exp. Date: ARCHITECT/ENGINEER Phone: 0 Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. ..�- Total Project Cost: $ 03•"a-1 FEE: $ C7. D b Check No.: �5 // / Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty nd eof -.,.fit tra'c`t"or9 _aturSi ; - :�� _ _ I i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 4 I TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tanks etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments ' Conservation Decision: Comments -h Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 i } Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior 9 g, Rehabilitation Permits � I ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit I Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg� g Permit j In all cases if a variance or special permit was required the Town clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008mi I Location i U at t� Qn wcA No. — Date 2 • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ s Check# � 26165 LBuilding Inspector NORT#i r 1c . . ve" .. No. h ver, Mass, i /3 COCHIC.,WICK �ds RATED U BOARD OF HEALTH Food/Kitchen PERMIT. T D Septic System THIS CERTIFIES THAT ....141e_,,w ��.�.f.�s.`'. // BUILDING INSPECTOR .......:.............................................................................. rJ O Chas permission to erect Foundation......... buildings on �� `�'�` Rough to be occupied as ......................................................�G G 'sy+�f. ............ ......f�...�.........'``O p .... .... .. ................ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the.. he application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST T$ Rough Service � �`................... ..... .� . - .... ......... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE -19c2ftmb— --- Authorization to Perform Services and Direction of Payment �v f 6 i Customer Name: 1 G fJ , Date of Loss: 1 S Loss Address: City: 14�— %-^zte State: —�L zip: Insurance/Client: . Claim Number(if available): The undersigned client, being the building owner, owner's representative, or resident, authorizes the Provider identified below to perform any and all necessary cleaning and/or restoration services on Client's property located at the property address below, and with respect to items that need to be cleaned at a remote location to remove and clean such items as necessary. Client authorizes -- 4 _ nsurance Company, herein referred to as "Insurance Company," to pay Provider solely and directly for that portion of the work covered by Client's insurance policy. If, for any reason, Client receives a check from Insurance Company made payable to Client, Client agrees to pay Provider immediately upon receipt of the check. In order to expedite payment to Provider, Client hereby appoints Provider as attorney-in-fact, authorizing Provider to endorse Client's name on Insurance Company checks or drafts, and to deposit Insurance Company checks or drafts for Provider services. Client agrees to pay Client's deductible in the amount of $ that applies to this claim. If any amounts owing to Provider for Provider services are not covered by insurance, Client agrees to pay those amounts to Provider within fifteen (15) days of Client's receipt of invoice. It is fully understood that Client and its agents, successors, assigns and heirs are personally responsible for any and all deductibles and any costs not covered by insurance. Interest and finance charges will be charged at the maximum allowable by law, or at 1.5% per month, whichever is less, on accounts over thirty(30) days past due.Time is of the essence. Client agrees that Provider is working for the Client and not Client's insurance company or any agent/adjuster. Property Owned By: _— Remarks: I HAVE READ THIS AUTHORIZATION TO PERFOR ERVICES AND DIRECTION OF PAYMENT, INCLUDING THE TERMS AND CONDITIONS OF 5 E THE REVERSE SIDE HEREOF,AND AGREE TO SAME. Client's S i g n a t u r — ZZ/ Provider's Signature: ' Printed Name: - Franchise Legal Name: _ Client Reviewed Customer lnformatio Form: �kY O N d/b/a SERVPRO° of: Date: 2 Date: White: SERVPRO® Yellow: Claims Professional Pink: Customer ©SERVPRO'INTELLECTUAL PROPERTY,Inc. ALL RIGHTS RESERVED FE-051707 1.0 28000 11/10 Each SERVPRO`"Franchise is IiicieDe77de77tli,Owned and Onero6md ifs WHITKE1 OP ID: PI ACORO" F DATE(MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 02114/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Phone:608-788-6160 NAME: Stanley McDonald Agency IL Inc Fax:608-788-7012 PHONE 2018 State Road P.O.Box 1446 A1C No Ext): AIC No): La Crosse,WI 54602-1446 E-MAIL James R.Mc Donald ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC INSURER A:Tudor Insurance Company 37982 INSURED KeJo Corporation INSURERB:Travelers Property Casualty 25674 dba Servpro,of Lawrence See Note For Named Insured INSURER C: PO BOX 328 INSURER D: Lawrence,MA 01 842 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY XP LIMITS LTR POLICY NUMBER MMIDDIYYYY MMIDDNYW GENERALLIABILITY EACH 0 CCU R R EN CE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY PGP0759010 03/01/2012 03/01/2013 PREM SES Ea occurrence $ 300,00 CLAIMS-MADE FXI OCCUR MED EXP(Anyone person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 R POLICY PO- LOC $ JE T AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION - WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNEWEXECUTIVEE.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? F—] N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Property Section 7107P412 03/0112012 03/01/2013 675,00 B Employee Dishonesty 7107/3412 03/0112012 03/01/2013 25,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION MARSALI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Alex Marshall ACCORDANCE WITH THE POLICY PROVISIONS. 178 Old Cart Way North Andover, MA 01845 AUTHORIZED REPRESENTATIVE f JA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD WHITKE1 PAGE 2 NOTEPAD INSURED'S NAME KeJo Corporation OP ID: PI DATE 02/14113 Named Insured: eJo Corporation dba Servpro of Lawrence dba Servpro of Lawrence-Three dba Servpro of Lawrence-Two dba Servpro of Salem/Plaistow dba Servpro of The dovers. / , ® DATE(MMIDD/YYYY) A�oCERTIFICATE OF LIABILITY INSURANCE 2/20/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Linda Bogdanowicz INSURANCE SOLUTIONS CORPORATION PHONE X, (603)382-4600FAXC No (603)382-2034 AI 60 Westville Rd E-MAIL .lindab@iscinsures.com ADDRESS INSURERS AFFORDING COVERAGE NAIC# Plaistow NH 03865 INSURERA:Safetv Insurance INSURED INSURER B:Chartis KeJo Corporation dba Servpro of Lawrence INSURER C: 8 Blakelin Street INSURER D: INSURER E: Lawrence MA 01841 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1292507044 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE E AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE IN L R POLICY NUMBER POLICY EFF POLICY M UD/YYYY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ DAMA RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ CLAIMS-MADE FIOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC $ AUTOMOBILE LIABILITY COaa.deD(SINGLE LIMIT 1,000,000 XANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED 6214923 0/1/2012 10/1/2013 BODILY INJURY(per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS (Per ocident Uninsured motorist BI split limit $ 500,000 UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ LIMIT $ B WORKERS COMPENSATION W11 Cil STATU- OTHS ER - AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE FN/A E.L.EACH ACCIDENT $ 1.000.000 OFFICER/MEMBER EXCLUDED? 0001609671 /1/2012 /1/2013 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Pollution X PL15829477 /1/2012 /1/2013 $1,000,000 Each Occurence $2,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Alex Marshall ACCORDANCE WITH THE POLICY PROVISIONS. 178 Old Cart Way N Andover, MA 01845 AUTHORIZED REPRESENTATIVE Keith Maglia/CLS ACORD 25 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025rnrmnnpit m Tho Ar:npin nomo nnri Innn 2ro ronieforoff mnrlre of Ar:npin Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen isor License: CS-067690 %= GREGG M WHITS 4 CHATBURN RID - WMHAM NH 03087' Expiration 02/20/2014 Commissioner �T � a�,o�,/�aaac�ivaelt Office of o sum�me A� airs ac nVsi Regulation ; HOME IMPROVEMENT CONTRACTOR Registration: y158271 Type' Expiration: .`.x2(31/,2013 Private Corporatioi CORPO RATONN t �-- � ."1 SE PRO OF TALS.„ GREGG WHITE f 8 BLAKELIN STREET,- g ra LAWRENCE,MA 01841uE ' Undersecretary = - -- SERVPRO of Lawrence PO Box 328 Lawrence,MA 01842 800 535-6322 Tax Id#02-0353691 Client: Marshall,Alex Home: (978)314-5200 Property: 178 Old Cart Way North Andover,MA 01845 Operator Info: Operator: KMCCARTH Estimator: Kevin McCarthy Business: (603)490-4434 E-mail: kmccarthy@servprooflawrenc e.com Business: 8 Blakelin St Lawrence,MA 01842 Type of Estimate: Date Entered: 2/6/2013 Date Assigned: Price List: MAEM7X_JAN13 Labor Efficiency: Restoration/Service/Remodel Estimate: 2013-02-06-2252 SERVPRO@ Fire&Water-Cleanup&RestorationTM Like it never even happened.@ . -- SERVPRO of Lawrence PO Box 328 Lawrence,MA 01842 800 535-6322 Tax Id#02-0353691 2013-02-06-2252 Main Level `- '= Room Above Garage Height:Peaked 524.89 SF Walls 532.71 SF Ceiling r 1�=e 1,057.60 SF Walls&Ceiling 504.44 SF Floor 56.05 SY Flooring 89.33 LF Floor Perimeter j 91.78 LF Ceil.Perimeter Missing Wall 3'81'X 5' Opens into STAIRS DESCRIPTION QNTY REMOVE REPLACE TOTAL 22. Water extraction from floor 252.22 SF 0.00 0.44 110.98 1. Tear out wet non-salvageable carpet,cut 504.44 SF 0.40 0.00 201.78 &bag for disp. 2. Tear out wet carpet pad and bag for 504.44 SF 0.36 0.00 181.60 disposal 3. Dehumidifier(per 24 hour period)- 5.00 EA 0.00 101.25 506.25 XLarge-No monitoring 4. Air mover axial fan(per 24 hour period)- 5.00 EA 0.00 28.50 142.50 ni No monitoring g 5. Tear out toe kick and bag for disposal 9.00 LF 2.03 0.00 18.27 6. Drill holes for wall cavity drying 15.00 EA 0.00 0.37 5.55 Totals: Room Above Garage 1,166.93 Stairs Height:ht: 17'g 251.48 SF Walls 33.61 SF Ceiling N 285.09 SF Walls&Ceiling 60.35 SF Floor 6.71 SY Flooring 22.19 LF Floor Perimeter 18.50 LF Ceil. Perimeter Missing Wall 3'8"X 17' Opens into ROOM_ABOVE_G Missing Wall 3' 8" X 17' Opens into Exterior DESCRIPTION QNTY REMOVE REPLACE TOTAL 24. Tear out wet drywall,cleanup,bag for 100.00 SF 0.68 0.00 68.00 disposal 2013-02-06-2252 2/15/2013 Page:2 -` SERVPRO of Lawrence PO Box 328 Lawrence,MA 01842 800 535-6322 Tax Id#02-0353691 CONTINUED-Stairs DESCRIPTION QNTY REMOVE REPLACE TOTAL Totals: Stairs 68.00 Total: Main Level 1,234.93 Garage Garage Height: 13'6" 1,681.88 SF Walls 821.29 SF Ceiling 2,503.17 SF Walls&Ceiling 821.29 SF Floor 91.25 SY Flooring 124.58 LF Floor Perimeter 1 r, N 128.33 LF Ceil.Perimeter Subroom 1: STAIRS1 Height: 17' 191.57 SF Walls 23.75 SF Ceiling N 215.32 SF Walls&Ceiling 40.44 SF Floor a up 4.49 SY Flooring 14.57 LF Floor Perimeter S�'rs 12.83 LF Ceil.Perimeter Missing Wall 3'9" X 17' Opens into Exterior Missing Wall 3' 9" X 17' Opens into GARAGE DESCRIPTION QNTY REMOVE REPLACE TOTAL 7. Remove Blown-in insulation- 8" depth- 338.02 SF 0.63 0.00 212.95 R19 8. Tear out wet drywall,cleanup,bag for 422.52 SF 0.68 0.00 287.31 disposal 9. Dehumidifier(per 24 hour period)- 7.00 EA 0.00 72.75 509.25 Large-No monitoring DH to exhaust Desiccant. 10. Water extraction from hard surface floor 215.43 SF 0.00 0.21 45.24 11. Dehumidifier(per 24 hour period)- 5.00 EA 0.00 320.77 1,603.85 Desiccant-No monit. Desiccant due to sub 50 degree temperature in garage. 2013-02-06-2252 2/15/2013 Page: 3 - --- SERVPRO of Lawrence PO Box 328 Lawrence,MA 01842 800 535-6322 Tax Id#02-0353691 CONTINUED-Garage DESCRIPTION QNTY REMOVE REPLACE TOTAL Totals: Garage 2,658.60 Stairs Height: 17' T 3. ° 158.81 SF Walls 20.13 SF Ceiling do P 178.94 SF Walls&Ceiling 35.30 SF Floor -- LLL 3.92 SY Flooring 12.22 LF Floor Perimeter 10.50 LF Ceil.Perimeter i Missing Wall 3' 10" X 17' Opens into Exterior Missing Wall 3' 10"X 17' Opens into Exterior DESCRIPTION QNTY REMOVE REPLACE TOTAL 23. Water extraction from hard surface floor 35.30 SF 0.00 0.21 7.41 Totals: Stairs 7.41 Total: Garage 2,666.01 Entry Entry Height:8' 398.50 SF Walls 11.3.53 SF Ceiling n t 512.02 SF Walls&Ceiling 113.53 SF Floor , l 12.61 SY Flooring 49.81 LF Floor Perimeter �s s 53.15 LF Ceil. Perimeter 2013-02-06-2252 2/15/2013 Page: 4 SERVPRO of Lawrence PO Box 328 Lawrence,MA 01842 800 535-6322 Tax Id#02-0353691 CONTINUED-Entry _ T Subroom 1: STAIRS Height: 17' 316.35 SF Walls 41.39 SF Ceiling 357.74 SF Walls&Ceiling 72.36 SF Floor 8.04 SY Flooring 29.68 LF Floor Perimeter 25.00 LF Ceil.Perimeter Missing Wall 3'4" X 17' Opens into ENTRY Missing Wall 3'4" X 17' Opens into Exterior DESCRIPTION QNTY REMOVE REPLACE TOTAL 12. Tear out wet drywall,cleanup,bag for 285.94 SF 0.68 0.00 194.44 disposal 13. Containment Barrier/Airlock/Decon. 75.00 SF 0.00 0.57 42.75 Chamber 14. Air mover axial fan(per 24 hour period) 4.00 EA 0.00 28.50 114.00 -No monitoring Totals: Entry 351.19 Total:Entry 351.19 Basement Basement Height: S' 1" 955.47 SF Walls 505.96 SF Ceiling 1,461.43 SF Walls&Ceiling 505.96 SF Floor k k 56.22 SY Flooring 118.20 LF Floor Perimeter 118.20 LF Ceil.Perimeter frr y DESCRIPTION QNTY REMOVE REPLACE TOTAL 15. Water extraction from hard surface floor 202.38 SF 0.00 0.21 42.50 16. Air mover(per 24 hour period)-No 6.00 EA 0.00 25.00 150.00 monitoring 17. Dehumidifier(per 24 hour period)- 3.00 EA 0.00 101.25 303.75 XLarge-No monitoring 18. Content Manipulation charge-per hour 0.50 HR 0.00 34.42 17.21 2013-02-06-2252 2/15/2013 Page: 5 SERVPRO of Lawrence PO Box 328 Lawrence,MA 01842 800 535-6322 Tax Id#02-0353691. CONTINUED-Basement DESCRIPTION QNTY REMOVE REPLACE TOTAL Totals: Basement 513.46 Total: Basement 513.46 Job DESCRIPTION QNTY REMOVE REPLACE TOTAL 19. Emergency service call-after business 1.00 EA 0.00 183.62 183.62 hours 20. Equipment setup,take down,and 6.00 HR 0.00 43.72 262.32 monitoring(hourly charge) 21. Haul debris-per pickup truck load- 1.50 EA 159.24 0.00 238.86 including dump fees Totals: Job 684.80 Line Item Totals: 2013-02-06-2252 5,450.39 Grand Total Areas: 4,598.23 SF Walls 2,104.32 SF Ceiling 6,702.54 SF Walls and Ceiling 2,165.62 SF Floor 240.62 SY Flooring 475.50 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 473.21 LF Ceil.Perimeter 2,165.62 Floor Area 2,221.38 Total Area 3,475.17 Interior Wall Area 3,714.68 Exterior Wall Area 363.95 Exterior Perimeter of Walls I 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length 2013-02-06-2252 2/15/2013 Page: 6 -i"'- -� SERVPRO of Lawrence PO Box 328 Lawrence,MA 01842 800 535-6322 Tax Id#02-0353691 Summary Line Item Total 5,450.39 Material Sales Tax @ 6.250% x 231.37 14.46 Replacement Cost Value $5,464.85 Net Claim $5,464.85 Kevin McCarthy I I 2013-02-06-2252 2/15/2013 Page:7 -0912� SERVPRO of Lawrence PO Box 328 Lawrence,MA 01842 800 535-6322 Tax Id#02-0353691 Recap by Room Estimate:2013-02-06-2252 Area: Main Level Room Above Garage 1,166.93 21.41% Stairs 68.00 1.25% Area Subtotal: Main Level 1,234.93 22.66% Area: Garage Garage 2,658.60 48.78% Stairs 7.41 0.14% Area Subtotal: Garage 2,666.01 48.91% Area: Entry Entry 351.19 6.44% Area Subtotal: Entry 351.19 6.44% i Area: Basement Basement 513.46 9.42% Area Subtotal: Basement 513.46 9.42% Job 684.80 12.56% Subtotal of Areas 5,450.39 100.00% Total 5,450.39 100.00% 2013-02-06-2252 2/15/2013 Page: 8 = -- SERVPRO of Lawrence PO Box 328 Lawrence,MA 01842 800 535-6322 Tax Id#02-0353691 Recap by Category Items Total % CONTENT MANIPULATION 17.21 0.31% GENERAL DEMOLITION 1,403.21 25.68% WATER EXTRACTION&REMEDIATION 4,029.97 73.74% Subtotal 5,450.39 99.74% Material Sales Tax @ 6.250% 14.46 0.26% Total 5,464.85 100.00% 2013-02-06-2252 2/15/2013 Page: 9 Garage Zs-s• z1`10' mSeilIII9i � � 3':9' h—a'6"—--I 3'16" ' N I Up do 1s•a- rra' 15'T Garage 2013-02-06-2252 2/15/2013 Page: 10 Basement 2T 1' 26'5" T m "v �4' f 4' Baumc�Y. fV Rl T 9' —{; i T9 53' Q 0 in b 3'10'—1 F—3'10'' j 1 4�� T3" l a Basement 2013-02-06-2252 2/15/2013 Page: 11 Entry 3'4' a4 lV P 4'2" taus � 1 ---S 1' N. Roser v 3'10' �W u Entry 2013-02-06-2252 2/15/2013 Page: 12 Main Level zz' 21'4" 3' m b� cy N N N 25'4` 2E sW LI Main levet 2013-02-06-2252 2/15/2013 Page: 13