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HomeMy WebLinkAboutBuilding Permit # 6/9/2015 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received A ED Date Issued: ��SSACHusE��� IMPORTANT: Applicant must complete all items on thisa e g I LOCATION r f PRt�Pf=RTY C;IWNER C '�`� /G%/�/%i��i/ � �„ „��� ° j�lr//i Prlflt„ ' / / art a►°” Kiri ii r' TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building -40ne family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: .KDemolition ❑ Other o Septet ❑1!�/ell ❑ Floodplain ❑Wetlands „%; ❑ W ershed3/Dis ct C Wat��/Sewer A)OA) -.hU U61 OA ILL- AWt.P,9e-S ()y6 7-(J Wq ) .moo Identification Please Type or Print Clearly) OWNER: Name: _FIXCHNLO A)CgltE Phone: Address: Soma, .1l CONTRACTOR Name 1C ' Phone Address 11 GUO /'' Supervisor's Construction License Exp ;Date /( i///i iii;✓ `� / L r Home Imprauement License Exp Da , :;� i to ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$1200 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $� • �4 FEE: $ Check No.: Receipt No.: NOTE: Pero ontracting with unregistered contractors do not have a cess to tie g ar ty nd Signature of Agent/Owner Signature of contractor d t,ORTH Town ofAndover ,_ � E - lig ® f,. 10% • Z h o LAK. h ver, ass, 111C211K COC HIC.t WICK �•9 AD'SATED t ,�5 S U BOARD OF HEALTH PERMIT T L Food/Kitchen / Septic System THIS CERTIFIES THAT &C,6x-d.......IlM° '.q!G.V`!�/ 4` .. BUILDING INSPECTOR � Foundation has permission to erect.......................... buildings on ..39---a.......3')Mak+..•..•S•1•••••••••••••••••••••• •••.•• Rough to be occupied as ...........r��:...�.�)fll4 !.!:✓. ......... .......... ..:......................................... Chimney provided that the person accepting this permit shall In every respect conform to the terms of the 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 -70 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CO STR 0VS 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. _999 • . Authorization to Perform Services and Direction of Payment Muckle, Richard 02/26/2015 Customer Name: Date of Loss: 370 Summer St. Loss Address: City: North Andover State: MA Zip: 01845 Insurance Company: Claim Number(if available): The undersigned Customer, 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 Customer's property located at the property address above, and with respect to items that need to be cleaned at a remote location to remove and clean such items as necessary. Customer authorizes Insurance Company, herein referred to as"Insurance Company,"to pay Provider solely and directly for that portion of the work covered by Customer's insurance policy. If,for any reason, Customer receives a check from Insurance Company made payable to Customer, Customer agrees to pay Provider immediately upon receipt of the check. In order to expedite payment to Provider, Customer hereby appoints Provider as attorney-in-fact, authorizing Provider to endorse Customer's name on Insurance Company checks or drafts, and to deposit Insurance Company checks or drafts for Provider services. Customer agrees to pay Customer'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, Customer agrees to pay those amounts to Provider within fifteen(15) days of Customer's receipt of invoice. it is fully understood that Customer 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. Customer agrees that Provider is working for the Customer and not Customer's insurance company or any agent/adjuster. Muckle, Richard Property Owned By: Remarks: I HAVE READ THIS AUTHORIZATION TO PERFORM SERVICES AND DIRECTION OF PAYMENT, INCLUDING THE TERMS AND CONDITIONS OF SERVICE ON THE NEXT PAGE HEREOF, AND AGREE TO SAME. Customer Reviewed Customer Information Form: @ Y O N Provider's Signature: _�— IEEJO CORP Customer's Signature: Franchise Legal Name: The Andovers Printed Name: Muckle, Richard d/b/a SERVPRO°of: 04/17/2015 04/17/2015 Date: Date: E-mail Address: Richmuckle@archpres.com Contractor License#: @SERVPRe INTELLECTUAL PROPERTY,Inc. ALL RIGHTS RESERVED FE-051707 1.0 28000 08/14 Each SERVPRO�Franchise is Independently Owned and Operated. Authorization to Perform Services and Direction of Payment --- Terms and Conditions of Service READ CAREFULLY Note: This Contract includes a limitation of liability and limitation of remedies. 1. SERVPRe is one of the largest nationwide Cleaning and Restoration Franchise Systems in the United States.The SERVPRO®Franchise owner identified on the front of this Contract(the"Provider")is an independent contractor who agrees to perform the services identified on the front of this Contract(the"Services").Client agrees to purchase,receive,and pay for the Services pursuant to the terms and conditions of this Contract. Servpro Industries,Inc.,the Franchisor,is not a party to any agreement with Client,is not a guarantor of the Provider's Services,and is not subject to liability arising out of such Services. 2. Providers performance of the Services is limited by,among other things,the pre-existing conditions and characteristics of the premises,material, fabrics,furniture,and/or other items.PROVIDER EXPRESSLY DISCLAIMS ANY RESPONSIBILITY OR LIABILITY FOR ANY PRE-EXISTING CONDITIONS.Client shall retain responsibility and shall be liable for all effects of and costs necessary to correct such conditions,including,by way of example and not limitation,the conditions identified below: (a) Provider may,in its sole discretion,pre-test materials for removability of spots or stains;dye or color fastness;shrinkage;fading;adhesive breakdown;or other problems.It is not always possible to determine these conditions in advance.PROVIDER DOES NOT GUARANTEE SPOT OR STAIN REMOVAL AND COLOR FASTNESS OR PREVENTION OF SHRINKAGE,FADING,OR ADHESIVE BREAKDOWN. (b) Provider DOES NOT GUARANTEE that wall and ceiling cleaning will restore the original color to painted surfaces. (c) Not all fabrics are conducive to cleaning.Provider shall use reasonable efforts to advise Client of any adverse effects which may be reasonably foreseen due to the nature of the fabric or material involved.PROVIDER DOES NOT GUARANTEE THAT SUCH MATERIALS CAN BE CLEANED OR THAT THERE WILL BE NO ADVERSE EFFECTS FROM ANY ATTEMPT TO CLEAN SUCH FABRICS. (d) A variety of materials are used in the manufacturing,upholstery and/or installation process.These materials include backing,lining,tacks,or other unknown substances that may cause discoloration or other adverse effects to the face material.Client acknowledges that it is impossible to determine when such adverse effects may occur and PROVIDER DOES NOT GUARANTEE AGAINST SUCH ADVERSE EFFECTS. (e) Client acknowledges and agrees that mold is commonly found throughout the environment and that it is impossible to eradicate mold. PROVIDER DOES NOT GUARANTEE THE REMOVAL OR ERADICATION OF MOLD. 1 PROVIDER SPECIFICALLY DISCLAIMS ANY AND ALL OTHER WARRANTIES AND ALL IMPLIED WARRANTIES(EITHER IN FACT OR BY OPERATION OF LAW)INCLUDING,BUT NOT LIMITED TO,ANY IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR ANY IMPLIED WARRANTY ARISING OUT OF A COURSE OF DEALING,CUSTOM OR USAGE OF TRADE. THIS CONTRACT PROVIDES FOR THE PROVISION OF SERVICES AND DOES NOT PROVIDE FOR A SALE OF GOODS. 4. Limitation of Liability: IN NO EVENT SHALL PROVIDER,ITS OWNERS,ANY OFFICERS,DIRECTORS,EMPLOYEES,OR AGENTS, FRANCHISOR,OR AFFILIATES BE RESPONSIBLE FOR INDIRECT,SPECIAL,NOMINAL,INCIDENTAL,PUNITIVE OR CONSEQUENTIAL LOSSES OR DAMAGES,OR FOR ANY PENALTIES,REGARDLESS OF THE LEGAL OR EQUITABLE THEORY ASSERTED,INCLUDING CONTRACT,NEGLIGENCE,WARRANTY,STRICT LIABILITY,STATUTE OR OTHERWISE,EVEN IF IT HAD BEEN AWARE OF THE POSSIBILITY OF SUCH DAMAGES OR THEY ARE FORESEEABLE;OR FOR CLAIMS BY A THIRD PARTY.THE MAXIMUM AGGREGATE LIABILITY SHALL NOT EXCEED THREE TIMES THE AMOUNT PAID BY CUSTOMER FOR THE SERVICES OR ACTUAL PROVEN DAMAGES,WHICHEVER IS LESS.IT IS EXPRESSLY AGREED THAT CUSTOMER'S REMEDY EXPRESSED HEREIN IS CUSTOMER'S EXCLUSIVE REMEDY.THE LIMITATIONS SET FORTH HEREIN SHALL APPLY EVEN IF ANY OTHER REMEDIES FAIL OF THEIR ESSENTIAL PURPOSE.Some states/countries do not allow the exclusion or limitation of incidental or consequential damages,so the above may not apply to you. 5. Should Provider bring legal action to collect monies due under the Contract or should the matter be turned over for collection,Provider shall be entitled,to the fullest extent permitted under law,to reasonable legal fees and costs of any such collection attempt,in addition to any other amounts owed by Client.This attorney fee provision shall not be effective or enforceable in jurisdictions where attorney fee provisions are made reciprocal or invalid by operation of law.Consent is hereby given for filing of mechanic's liens by Provider for the work described in this contract on the property on which the work is performed if Provider is not paid. 6. Any labor,materials or other work beyond that identified in this Contract shall require a written amendment to this Contract and will result in additional charges. 7. Any claim by Client for faulty performance,for nonperformance or breach under this Contract for damages shall be made in writing to Provider within sixty(60)days after completion of services.Failure to make such a written claim for any matter which could have been corrected by Provider shall be deemed a waiver by Client.NO ACTION,REGARDLESS OF FORM,RELATING TO THE SUBJECT MATTER OF THIS CONTRACT MAY BE BROUGHT MORE THAN ONE(1)YEAR AFTER THE CLAIMING PARTY KNEW OR SHOULD HAVE KNOWN OF THE CAUSE OF ACTION. 8. A failure of either party to exercise any right provided for herein shall not be deemed to be a waiver of any right hereunder. 9. CLIENT AND PROVIDER EACH WAIVE THEIR RESPECTIVE RIGHTS TO A TRIAL BY JURY WITH RESPECT TO ANY AND ALL CLAIMS OR CAUSES OF ACTION(INCLUDING COUNTERCLAIMS)RELATED TO OR ARISING OUT OF OR IN ANY WAY CONNECTED TO THIS CONTRACT AND AGREE THAT ANY CLAIM OR CAUSE OF ACTION WILL BE TRIED BY A COURT TRIAL WITHOUT A JURY. 10. If any provision of this Contract is found to be ineffective,unenforceable or illegal for any reason under present or future laws,such provision shall be fully severable,and this Contract shall be construed and enforced as if such provision never comprised a part of this Contract.The remaining provisions of this Contract shall remain in full force and effect and shall not be affected by the ineffective,unenforceable or illegal provision or by its severance from this Contract. 11. No modification,termination,or attempted waiver of this Contract shall be valid unless in writing and signed by the party against whom the same is sought to be enforced. SERVPRO°Franchisees are always looking for motivated employees. SERVPRO's individually owned and operated franchises offer a variety of positions including crew chief, production technician,marketing representative,administrative assistant,and many more. 28000 08/14 Each SERVPRO�Franchise is Independently Owned and Operated. Servpro SERVPRO of Lawrence 2064 SERVPRQ of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@servprooflawrence.com-PO Box 328 Lawrence,MA 01842 Client: Muckle,Richard demo) Property: 370 Summer St North Andover,MA 01845 Operator: PNOTAR6 Estimator: Paul Notartomaso,Jr. Business: (603)475-2447 Company: SERVPRO Of Lawrence-SERVPRO Of The E-mail: PNotar@ServproOfLawrence. Andovers-SERVPRO Of Salem/Plaistow com Business: 8 Blakelin St Lawrence,MA 01841 Type of Estimate: Water Damage Date Entered: 5/19/2015 Date Assigned: Price List: MAEM8X_APR15 Labor Efficiency: Restoration/Service/Remodel Estimate: 2015-05-19-1253DEMO Servpro SERVPRO of Lawrence 2064 SERVPRO of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@servprooflawrence.com-PO Box 328 Lawrence,MA 01842 2015-05-19-1253DEMO Main Level $ 1 , ,6„ Piano Room Height:8' 1 a 9 148.17 SF Ceiling 343.33 SF Walls g Piano Room 491.50 SF Walls&Ceiling 148.17 SF Floor 16.46 SY Flooring 41.67 LF Floor Perimeter 6"1�r-e7" 's' 49.17 LF Ceil.Perimeter 10 6'5"--i 1'I" ano clos t Door T 6"X 61811 Opens into PIANO-CLOSET Door 2'6" X 6' 8" Opens into Exterior Door 2' 611 X 6' 8" Opens into KITCHEN DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 1. Tear off plaster on wood lath 476.61 SF 1.39 0.00 662.49 (0.00) 662.49 7'4*10'7+T4*14+10'7*14 walls+entire ceiling 2. Tear off plaster on wood lath(SELF PAY)* 192.00 SF 1.39 0.00 266.88 (0.00) 266.88 Totals: Piano Room 0.00 929.37 0.00 929.37 TI 14'4" Office Height: 8' 14' T _I T 360.67 SF Walls 176.17 SF Ceiling Office 536.83 SF Walls&Ceiling 176.17 SF Floor 19.57 SY Flooring 50.67 LF Floor Perimeter 6" " T 53.17 LF Ceil.Perimeter 1 8 2,7 Window Y X 4' Opens into Exterior Window Y X 4' Opens into Exterior Door 2' 611 X 6' 811 Opens into ENTRY Window Y X 4' Opens into Exterior Window Y X 4' Opens into Exterior DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 3. Tear off plaster on wood lath 288.17 SF 1.39 0.00 400.56 (0.00) 400.56 Ceiling and exterior wall 4. Tear off plaster on wood lath SELF PAY* 270.50 SF 1.39 0.00 376.00 (0.00) 376.00 Totals: Office 0.00 776.56 0.00 776.56 2015-05-19-1253DEMO 5/19/2015 Page:2 Servpro SERVPRO of Lawrence 2064 SERVPRO of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@servprooflawrence.com-PO Box 328 Lawrence,MA 01842 1•2r-3•-2'4" 1st Floor Bathroom Height: 8' °1. 175.33 SF Walls 40.50 SF Ceiling 40.50 SF Floor 7 r` st Floor Bathr� -' 215.83 SF Walls &Ceiling 4.50 SY Flooring 23.00 LF Floor Perimeter 4,v-2'6^+z•z 16° z 6„ 25.50 LF Ceil.Perimeter Door 2' 6"X 6' 8" Opens into KITCHEN Window 3'X 4' Opens into Exterior DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 5. Tear off plaster on wood lath SELF PAY* 142.08 SF 1.39 0.00 197.49 (0.00) 197.49 Totals: 1st Floor Bathroom 0.00 197.49 0.00 197.49 13,4"1 Stairs3 Height: 16' 9" T 330.18 SF Walls 37.50 SF Ceiling 367.68 SF Walls&Ceiling 64.79 SF Floor �� 7.20 SY Flooring 30.86 LF Floor Perimeter j 26.47 LF Ceil.Perimeter o•' Missing Wall 2' 10"X 16' 91/16" Opens into ENTRY DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 6. Tear off plaster on wood lath SELF PAY* 120.00 SF 1.39 0.00 166.80 (0.00) 166.80 Totals: Stairs3 0.00 166.80 0.00 166.80 2015-05-19-1253DEMO 5/19/2015 Page: 3 Servpro SERVPRO of Lawrence 2064 SERVPRO of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@servprooflawrence.com-PO Box 328 Lawrence,MA 01842 "4'``",- Entry Height: 8' 101 299.87 SF Walls 72.88 SF Ceiling �, 372.75 SF Walls&Ceiling 72.88 SF Floor 8.10 SY Flooring 36.23 LF Floor Perimeter a" l 43.73 LF Ceil.Perimeter 6 � 19" 2'i„ Door 216"X 6'8" Opens into OFFICE Missing Wall 2' 10" X 8' Opens into STAIRS3 Door 21611 X 6' 8" Opens into LIBRARY Door 216"X 618" Opens into Exterior DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 7. Tear off plaster on wood lath 72.88 SF 1.39 0.00 101.30 (0.00) 101.30 8. Tear off plaster on wood lath SELF PAY* 132.00 SF 1.39 0.00 183.48 (0.00) 183.48 Totals: Entry 0.00 284.78 0.00 284.78 Piano Closet Height: 8' 16" 1', 103.33 SF Walls 14.00 SF Ceiling117.33 SF Walls&Ceiling 14.00 SF Floor o 1.56 SY Flooring 12.50 LF Floor Perimeter 1 15.00 LF Ceil.Perimeter Door 2' 6"X 6' 8" Opens into PIANO_ROOM DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 9. Tear off plaster on wood lath 35.00 SF 1.39 0.00 48.65 (0.00) 48.65 exterior wall and ceiling Totals: Piano Closet 0.00 48.65 0.00 48.65 2015-05-19-1253DEMO 5/19/2015 Page:4 Servpro SERVPRO of Lawrence 2064 SERVPRO of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@servprooflawrence.com-PO Box 328 Lawrence,MA 01842 13'-78"' Height: 8' 7'4" T 1 Kitchen 1st Fl or{ t� `-'�� 14� 4� 526.42 SF Ceiling to° 6,1 .- 685.33 SF Walls o '4^ l 1211.75 SF Walls&Ceiling 526.42 SF Floor 91.50 LF Floor Perimeter o Kit ,N�eT c 58.49 SY Flooring m h 101.50 LF Ceil.Perimeter 2,g„ ' t 12'11"—� Door 2' 6"X 6'8" Opens into Exterior Missing Wall 3'X 8' Opens into STAIRS Door 2' 6"X 6'8" Opens into PIANO_ROOM Window 3'X 4' Opens into Exterior Door 2' 6"X 6'8" Opens into Exterior Window 3'X 4' Opens into Exterior Window 3'X 4' Opens into Exterior Window 3'X 4' Opens into Exterior Window 3'X 4' Opens into Exterior Door 2' 6"X 6' 8" Opens into DEF-1ST FLOO DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 10. Tear off plaster on wood lath 260.00 SF 1.39 0.00 361.40 (0.00) 361.40 11*12 portion of ceiling and 16*8 exterior wall 0.00 361.40 0.00 361.40 Totals: Kitchen 0.00 2,765.05 0.00 2,765.05 Total: Main Level 2nd Floor Height: 8' [-3'9"-T 6", 2nd Floor Hallway � 233.33 SF Walls 67.00 SF Ceiling T 300.33 SF Walls&Ceiling 67.00 SF Floor 2i r Ha lay 7.44 SY Flooring 27.50 LF Floor Perimeter 2nd F1 r e - 37.50 LF Ceil.Perimeter N 4 cl cl 1 1 Door 2' 6"X 6' 8" Opens into BEDROOM-3 Door 2' 6"X 6' 8" Opens into ROOM2 Missing Wall 4'X 8' Opens into Exterior Door 2' 6"X 6' 8" Opens into TV—ROOM Door 2' 6" X 6' 811 Opens into Exterior 5/19/2015 Page: 5 2015-05-19-1253DEMO Servpro SERVPRO of Lawrence 2064 SERVPRO of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@ servprooflawrence.com-PO Box 328 Lawrence,MA 01842 DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 11. Tear off plaster on wood lath 67.00 SF 1.39 0.00 93.13 (0.00) 93.13 ceiling 12. Tear off plaster on wood lath SELF PAY* 233.33 SF 1.39 0.00 324.33 (0.00) 324.3 0.00 417.46 0.00 417.46 Totals: 2nd Floor Hallway Height: 8' 13'3"+-3'-+---T9"--� Bedroom 3 a T7' f 358.00 SF Walls 154.13 SF Ceiling 512.13 SF Walls&Ceiling 154.13 SF Floor T } Bedroom 3 j a SY Fl 47.33 LF Floor Perimeter 2nd DTBa o zna 17.13 Flooring 49.83 LF Ceil.Perimeter 1 13'6" ----14' Window Y X 4' Opens into Exterior Door 2' 6"X 6' 8" Opens into ROOMI Window 3'X 4' Opens into Exterior DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 13. Tear off plaster on wood lath 249.46 SF 1.39 0.00 346.75 (0.00) 346.75 Ceiling plus exterior wall 7*13 14. Tear off plaster on wood lath SELF PAY* 268.50 SF 1.39 0.00 373.22 (0.00) 373.22 0.00 719.97 0.00 719.97 Totals: Bedroom 3 Height: 8' F 14'6" Bedroom 2 T 14'2" 372.67 SF Walls 175.90 SF Ceiling 1 + Bedroom 2 N 548.57 SF Walls&Ceiling 175.90 SF Floor ill T 1 19.54 SY Flooring 6„ 50.67 LF Floor Perimeter a � 53.17 LF Ceil.Perimeter 3'X 4' Opens into Exterior Window 3'X 4' Opens into Exterior Window 2'6" X 6' 8" Opens into DEF_2ND_FLOO Door 3'X 4' Opens into Exterior Window DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 15. Tear off plaster on wood lath 190.62 SF 1.39 0.00 264.96 (0.00) 264.96 Half of ceiling and exterior wall 7'4*14 5/19/2015 Page:6 2015-05-19-1253DEMO Servpro SERVPRO of Lawrence 2064 SERVPRO of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@servprooflawrence.com-PO Box 328 Lawrence,MA 01842 CONTINUED-Bedroom 2 DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV Totals: Bedroom 2 0.00 264.96 0.00 264.96 ,3'11"-3' 7'8" TV Room Height:8' �,9„� ,��,4•• T 366.00 SF Walls 159.61 SF Ceiling TV Room j 525.61 SF Walls&Ceiling 159.61 SF Floor loot Hal TY + 17.73 SY Flooring 48.33 LF Floor Perimeter r � 14'1" 1 50.83 LF Ceil.Perimeter Door 21611 X 618" Opens into ROOMI Window Y X 4' Opens into Exterior Window Y X 4' Opens into Exterior DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 16. Tear off plaster on wood lath 262.28 SF 1.39 0.00 364.57 (0.00) 364.57 Ceiling plus exterior wall 14*7'4 17. Tear off plaster on wood lath SELF PAY* 183.00 SF 1.39 0.00 254.37 (0.00) 254.37 Totals: TV Room 0.00 618.94 0.00 618.94 2nd Floor Bath Height: 8' 1, T 6" T 240.67 SF Walls 42.70 SF Ceiling T " 5 4 - 283.37 SF Walls&Ceiling 42.70 SF Floor 1'54" T 4.74 SY Flooring 29.67 LF Floor Perimeter 2nd Floor Bath 9'2" 1 32.17 LF Ceil.Perimeter 9'10" Door 2'6"X 6'8" Opens into STAIRS_TO_2N DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 18. Tear off plaster on wood lath 69.84 SF 1.39 0.00 97.08 (0.00) 97.08 Affected wall 9'5*75 2015-05-19-1253DEMO 5/19/2015 Page:7 Servpro SERVPRO of Lawrence 2064 SERVPRO of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@servprooflawrence.com-PO Box 328 Lawrence,MA 01842 CONTINUED-2nd Floor Bath DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV Totals: 2nd Floor Bath 0.00 97.08 0.00 97.08 3` 2nd Floor Landing Height: 8' 271.47 SF Walls 62.45 SF Ceiling r g 333.92 SF Walls&Ceiling 62.45 SF Floor '3' ' � � 6.94 SY Flooring 34.60 LF Floor Perimeter 00-3'9 39.60 LF Ceil.Perimeter 3' �3'- V 5" Door 2' 6" X 61811 Opens into BEDROOM-1 Missing Wall 3' 3 3/16"X 8' Opens into Exterior Door 2' 6" X 6' 8" Opens into BEDROOM-2 Window Y X 4' Opens into Exterior DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 19. Tear off plaster on wood lath 82.56 SF 1.39 0.00 114.76 (0.00) 114.76 Half of ceiling and exterior wall 7*7'4 20. Tear off plaster on wood lath SELF PAY* 157.33 SF 1.39 0.00 218.69 (0.00) 218.69 Totals: 2nd Floor Landing 0.00 333.45 0.00 333.45 14'6" Bedroom 1 Height: 8' T 14'2" II 372.67 SF Walls 175.90 SF Ceiling oor 1'aa g Bedroom 1 1 t 548.57 SF Walls&Ceiling 175.90 SF Floor T r 19.54 SY Flooring 50.67 LF Floor Perimeter 8, 83m'vsx !Indr 53.17 LF Ceil.Perimeter 2'6"1 3'6"-A F--8'2"-�- 9'2"_a Window Y X 4' Opens into Exterior Window Y X 4' Opens into Exterior Window Y X 4' Opens into Exterior Door 2' 6"X 6' 8" Opens into DEF_2ND_FLOO 2015-05-19-1253DEMO 5/19/2015 Page: 8 Servpro SERVPRO of Lawrence 2064 SERVPRO of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@servprooflawrence.com-PO Box 328 Lawrence,MA 01842 DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 21. Tear off plaster on wood lath 151.67 SF 1.39 0.00 210.82 (0.00) 210.82 14*7'4 wall and 7*7 ceiling Totals: Bedroom 1 0.00 210.82 0.00 210.82 T i2's', 7,2.,- Stairs to 2nd Floor/2nd Floor Landing B Height: 8' 235.33 SF Walls 60.71 SF Ceiling 2ndLaming B 296.04 SF Walls&Ceiling 60.71 SF Floor 6.75 SY Flooring 27.33 LF Floor Perimeter O l 39.83 LF Ceil.Perimeter i � Door 2' 6"X 618t' Opens into Exterior Door 2' 6"X 6'8" Opens into ROOM3 Door 21611 X 618t' Opens into Exterior Door 21611 X 6'8" Opens into Exterior Door 21611 X 618t' Opens into Exterior DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 22. Tear off plaster on wood lath 104.17 SF 1.39 0.00 144.80 (0.00) 144.80 6*5 ceiling and 10*7 exterior wall in stairwell Totals: Stairs to 2nd Floor/2nd Floor Landing B 0.00 144.80 0.00 144.80 2nd Floor Bathroom Height: 8' 139.33 SF Walls 18.89 SF Ceiling c' Moor HallW 158.22 SF Walls&Ceiling 18.89 SF Floor 2nHr' 66r]3+ o m� 2.10 SY Flooring 17.00 LF Floor Perimeter " 19.50 LF Ceil.Perimeter Door 2'6"X 6' 8" Opens into ROOMI DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 23. Tear off plaster on wood lath SELF PAY* 158.22 SF 1.39 0.00 219.93 (0.00) 219.93 Totals: 2nd Floor Bathroom0.00 219.93 0.00 219.93 Total: 2nd Floor 0.00 3,027.41 0.00 3,027.41 2015-05-19-1253DEMO 5/19/2015 Page:9 Servpro SERVPRO of Lawrence 2064 SERVPRO of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@servprooflawrence.com-PO Box 328 Lawrence,MA 01842 Line Item Totals: 2015-05-19-1253DEMO 0.00 5,792.46 0.00 5,792.46 Grand Total Areas: 2,220.05 SF Ceiling 8,066.86 SF Walls and Ceiling 5,846.81 SF Walls 2,305.05 SF Floor 256.12 SY Flooring 734.18 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 800.55 LF Ceil.Perimeter 2,305.05 Floor Area 2,448.73 Total Area 4,540.19 Interior Wall Area 4,086.77 Exterior Wall Area 510.55 Exterior Perimeter of Walls 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length 5/19/2015 Page: 10 2015-05-19-1253DEMO Servpro SERVPRO of Lawrence 2064 SERVPRO of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@servprooflawrence.com-PO Box 328 Lawrence,MA 01842 Summary for Dwelling Line Item Total 5,792.46 Replacement Cost Value $5,792.46 Net Claim $5,792.46 Paul Notartomaso,Jr. 2015-05-19-1253DEMO 5/19/2015 Page: ll Servpro SERVPRO of Lawrence 2064 SERVPRO of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@servprooflawrence.com-PO Box 328 Lawrence,MA 01842 Recap of Taxes Material Sales Tax(6.25%) Clothing Sales Tax(6.25%) Storage Tax(6.25%) Line Items 0.00 0.00 0.00 Total 0.00 0.00 0.00 2015-05-19-1253DEMO 5/19/2015 Page: 12 Servpro SERVPRO of Lawrence 2064 SERVPRO of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@servprooflawrence.com-PO Box 328 Lawrence,MA 01842 Recap by Room Estimate:2015-05-19-1253DEMO Area:Main Level Piano Room 929.37 16.04% Office 776.56 13.41 1st Floor Bathroom 197.49 3.41% Stairs3 166.80 2.88% Entry 284.78 4.92% Piano Closet 48.65 0.84% Kitchen 361.40 6.24% Area Subtotal: Main Level 2,765.05 47.74% Area:2nd Floor 2nd Floor Hallway 417.46 7.21% Bedroom 3 719.97 12.43% Bedroom 2 264.96 4.57% TV Room 618.94 10.69% 2nd Floor Bath 97.08 1.68% 2nd Floor Landing 333.45 5.76% Bedroom 1 210.82 3.64% Stairs to 2nd Floor/2nd Floor Landing B 144.80 2.50% 2nd Floor Bathroom 219.93 3.80% Area Subtotal: 2nd Floor 3,027.41 52.26% Subtotal of Areas 5,792.46 100.00% Total 5,792.46 100.00% 2015-05-19-1253DEMO 5/19/2015 Page: 13 Servpro SERVPRO of Lawrence 2064 SERVPRO of Salem/Plaistow 5389 SERVPRO of The Andovers 5390 978.688.2242 office@servprooflawrence.com-PO Box 328 Lawrence,MA 01842 Recap by Category Items Total % GENERAL DEMOLITION 5,792.46 100.00% Subtotal 5,792.46 100.00% 2015-05-19-1253DEMO 5/19/2015 Page: 14 Main Level 19' 6 — 12' 1 st Floor Bathrocip 10' � n —7'8" 2 LO-" 3'10" T �5'4..fi44' 14'4" 4'8�, 14'6..14'2., } 14' i air M Kitchen � - - Entr% M Library N Office M h a P a a � p . �1 t 3.8., 7' s M 71. 1' 14' 12'11" Piano Room a o 4' l0' mo Cly i-j G: —4'g"—i u Main Levcl'� 2015-05-19-1253DEMO 5/19/2015 Page: 15 2nd Floor �4' 1"--1 14 6 � 313"- 1 3❑ x 14'61' 14'2" 14,2t1 s i Stairs= � d - f 10'2" 1 Bedroom 2 oor L i g Bedroom 1 N Fn T 9' 6" 53'9"—� cn d N —58Z- 11 p i 4 518"—� Stairs to 2r d oor/2nd r Landing B 36' 8" 35' 11" 13'6" 14' 1" 10" � L7 1 2' g11 � Bedroom 3 c� �O 5' TV Room 4" =T loor Ha& 2nd Floor Bath cn °O M m 2nd oor B o m 91 2" 11 9' 10" 16' 10" 14'511 LI 2nd Floor 2015-05-19-1253DEMO 5/19/2015 Page: 16 WHITKE7 OP ID: PI e DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 05/22/2015 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)i 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). CONT Acr PRODUCER NAME: James R.Mc Donald Stanley McDonald Agency IL Inc PHONE 608-788-6160 AX N,I: 608-788-7012 2018 State Road P.O.Box 1446 c IL Ext E MAIL La Crosse,WI 54602-1446 ADDRESS: .lames R.MC Donald INSURERS AFFORDING COVERAGE NAIC# INSURERA:Tudor Insurance Company 37982 INSURED Kelo Corporation INSURER B:Travelers Pro a Casualty26674 dba Servpro of Lawrence INSURER CACE Property&Casual ty See Note For Named Insured INSURER D: PO Box 328 Lawrence,MA 01842 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. ADDL UB POLICY EFF POLICY EXP LIMITS )LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDrfM 1,000,00C A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ s 03101/2015 03/0112016 DAMAGE TO RENTED 300,000 CLAIMS-MADE a OCCUR PGP0794208 PREMISES Ea occurrence $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY. $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN%AGGREGATE LIMIT APPLIES PER: 2,000 000 . PRO- POLICY 0 JECT a LOC PRODUCTS.-COMP/OP AGG $$ OTHER: COMBINED SINGLE LIMIT $. AUTOMOBILE LIABILITY Ee accident BODILY INJURY(Per person) $ ANY AUTO ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON-OWNED Per accident HIRED AUTOS AUTOS $ EACH OCCURRENCE $ 1,000,000 UMBRELLA LIAB OCCUR C EXCESS LIAB CLAIMS-MADE M00682026002 01/14/2015 01/1412016 AGGREGATE $ 1,000,000 $ DED X RETENTION$ 10000 _ WORKERS COMPENSATION STAH TUTE R AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE ❑ N/A OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below 03/0112015 03/01/2016 675,000 B Property Section 7107P412 B EmployeeDishonesty 7107P412 03/0112015 03/01/2016 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) S CERTIFICATE HOLDER CANCELLATION MUCKRI1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Richard Muckle 370 Summer Street AUTHORIZED REPRESENTATIVE North Andover, MA 01845 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD d4 WHITKE1 PACE 2 NOTEPAD INSURED'S NAME KeJo Corporation OP ID: PI Date 05/22/2015 Named Insured: Kejo Corporation dba Servpro of.Lawrence .dba Servpro of Lawrence-Three dna Servpro of Lawrence-Two dba Servpro of Salem/Plaistow dba Servpro of The Andovers DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCEF05/21/2015 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 CONTACT NAME: Dabney Collier PHONE FAX c/o Collier Insurance ac No Ext: 901 529-2900 A/c No: 901 529-2916 E-MAIL 606 S.Mendenhall;Suite 200 ADDRESS: Memphis,TN 38117 INSURERS AFFORDING COVERAGE NAIC# INSURERA: American Zurich Insurance Company 40142 INSURED INSURERB: Adams Keegan,Inc. INSURER C: 6055 Primacy Pkwy Suite 300 Memphis,TN 38119 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:14TNO09858085 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 LTR TYPE OF INSURANCE NSD SWVD POLICY NUMBER UBR POLICY EFF MM/DDY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE D OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 1-1 PRO JECT ❑LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ '.. Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS '.. 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 X I PER STATUTE OERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? ❑ NIA WC 56-11-865-01 12/01/2014 12/01/2015 (Mandatory-in NH) E.L.DISEASE-EA EMPLOYEq $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 Location Coverage Period: 12/01/2014 12/01/2015 Client# 2410-MA DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Coverage is provided for KEJO Corporation dba:SERVPRO of Lawrence Bi only those co-employees Weekly of,but not subcontractors 8 BLAKELIN ST to: Lawrence,MA 01842 CERTIFICATE HOLDER CANCELLATION Richard Muckle SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 370 Summer St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN North Andover,MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE v ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD YJ v Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-067690 GREGG M WIHTO 4 Chatburn Rd Windham NH 03587 Expiration Commissioner 02/20/2016 - _ - �/e�pa��ra�zoazeueall�a a�C�/j�aaaac/uee� � Office of Consumer Affairs&Business Regulation j • ME IMPROVEMENT CONTRACTOR Type. Ugistration: 158271 private Corporatior piration: 12!31/2015 KEJO CORPORATION I' SERVPRO OF LAWRENCE ET ALS. GREGG WHITE 8 BLAKELIN STREET LAWRENCE,MA 01841 Undersecretary f