Stevenson, Sarah ��t`� r�-�_ (�r�1�. REC���J��
AUG 1 ? 2014
NOTICE OF CLAIM FORM to the City of Saint Paul, Mi t�}�spt����K
Minnesota State Statute 466.05 states that"...every person...who claims damages from any municipality...shall cause to be presented to the
governing body of the municipaliry within 180 days after the alleged loss or injury is discovered a notice stating the time,place,and
circumstances thereof,and the amount of compensation or other relief demanded."
Please complete this form in its entirety by clearly typing or printing your'answer to each question. If more space is
needed,attach additional sheets. Please note that you will not be contacted by telephone to clarify answers,so provide as
much information as necessary to explain your claim,and the amount of compensation being requested. You will receive a
written acknowledgement once your form is received. The process can take up to ten weeks or longer depending on the
nature of your claim. This form must be signed,and both pages completed. If something does not apply,write`N/A'.
SEND COMPLETED FORM AND OTHER DOCUMENTS TO: CITY CLERK, •
15 WEST KELLOGG BLVD, 310 CITY HALL, SAINT PAUL, MN 55102
First Name �TL A'k'� Middle Initial�Last Name �T�v E IJ S 0 I�
Company or Business Name
Are You an Insurance Company? Yes No If Yes,Claim Number?
Street Address �o'�'� ��t'. �'v r�� �B l J 1�
City ��ca..U��. State 'M� Zip Code �I l �O
Daytime Phone(�0��� �2G I Cell Phone�)� ll� Evening Telephone(�C��)� �° Z�i '
Date of Accident/Injury or Date Discovered �k v.� �9 .���Time C3 � �'7�s /pm
Please state,in detail,what occurred(happened),and why you are submitting a claim.Please indicate why or how you
feel the City of Saint Paul or its employees are involv d and/or responsible for your damages.-J h er e t�,S Q�
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P ease check the box(es)that most closely represent the reason for completing this form:
❑My vehicle was damaged in an accident ❑My vehicle was damaged during a tow
❑ My vehicle was damaged by a pothole or condition of the street ❑ My vehicle was damaged by a plow
❑ My vehicle was wrongfully towed andlor ticketed ❑ I was injured on City roperty 1 •
�Other type of property damage-please specify ��..�e.�r vaa�u- c�-v�na�.c�E� �-o �0.-52 w�av��'-�h�S h��S
❑ Other type of injury-please specify
In order to process your claim vou need to include copies of all applicable documents.
For the claims types listed below,please be sure to include the documents indicated or it will delay the handling of
your claim. Documents WILL NOT be returned and become the property of the City. You are encouraged to keep a
copy for yourself before submitting your claim form.
Q Property damage claims to a vehicle:two estimates for the repairs to your vehicle if the damage exceeds
$500.00; or the actual bills and/or receipts for the repairs
O Towing claims: legible copies of any ticket issued and a copy of the impound lot receipt
�Other property damage claims: two repair estimates if the damage exceeds$500.00;or the actual bills
and/or receipts for the repairs;detailed list of damaged items
O Injury claims: medical bills,receipts
�Photographs are always welcome to document and support your claim but will not be returned.
Page 1 of 2-Please complete and return both pages of Claim Form
Failure to complete and return both pages will result in delay in the handling of your claim.
All Claims—please comulete this section
Were there witnesses to the incident? Yes No Unknown (circle)
Provide their names,addresses and telephone numbers: Iow,�„�.�l}�,,,�,�,�s�,� i 45R �ol.,�a-,�-�u.�.�,
��awl.. 5 51�L• 65 l-b40-12$4s J�1 Ja.�c���,_ �.lon.�.��. 4�6so Cew�.A� u�c.E�'t�-�d.t��►f.�'L
Were the police or law enforcement called? es No Unknown (circle) 6 y c i�- u,�►C,�v g R
If yes,what department or agency? S�a�e. �►�ws o Case#or report# /�/2&/3 ,a't'Iac-I�e�L� '
�wMew a{C,v,tw.;»..1, �M+'�-��s�ov�
Where did the accident or injury take place? Provide street address,cross street,intersection,name of park or facility,
closest landmark,etc. Please be as detailed as possible. If necessary,attach a diagram.
l�l�.C��r�����L ati„�l 5�4.��r- .�• -a-�-. a.�L._ � ,,.�,,.,,� o►�- �� �.;lll,e..�('' s ��,�-t--`'
S cv.�tv� wa�.e.�r 1rJac.k �y� �•��o b�f�J /r�-. C�v tJ� �I�d.��• }�au.l. SSl1 �o
Please indicate the amount vou are sePki„¢�n��mpensation or what you would like the City�to do to resolve this claim
to your satisfaction.� 3� r3 2•�� L-�.eo..K,�.e�eilv� c�.e�(�e.i �S a.�'t-'a.c.�n.�d...,
Citn.r.u�.� SerdiCeS A�S"313• �i ��yH.er�►bv� � Ile'j�S•30 �eoln.czv�ne�.� s�'i�k.w.s � ,/�(03�• 3(0
Vehicle Claims—ulease complete this section ❑check box if this section does not apply
Your Vehicle: Year Make Model
License Plate Number State ColQr
Registered Owner
Driver of Vehicle
Area Damaged
City Vehicle: Year Make 'Model
License Plate Number State . Color
Driver of Vehicle.(City Employee's Name)
Area Damaged
Iniurv Claims—please�comulete this section Q check box if this section does not apply
How were you in�ured? � � � �
What part(s)of your body were injured? �
Have you soug.ht medical treatment? Yes No Plaruiing to Seek Treatment(circle)
�JVhen'did you receive treatment? ' � � (provide date(s))
Name of Medical Provider(s): � '
Address Telephone
Did you miss work as a result of your injury? Yes No
When did you miss work? (provide date(s))
Name of your Employer:
Address � Telephone
l�heck here if you are attaching more pages to this claim form. Number of additional pages�. .�. t��P�pS
By signing this form,you are stating that all information you have provided is true and correct to the best
of your knowledge. Unsigned forms will not be processed.
Submitting a false claim can result in prosecution. Date form was completed �u,A wS�" � , 2i7 1�
Print the Name of the Person who Completed this Form:�0.rc�Jh • �'�-2J�1/�SO I/>
Signature of Person Making the Claim: �1�ial�.¢�,1�v �l .���.a�y�—•
Revised February 2011
To: The city of St. Paui
From: Sarah A.Stevenson,649 Mt. Curve Blvd,St. Paul MN 55116 �
Re: Blocked Sewer and Damage, lune 19,2014
Date: August 8,2014 �
On Thursday,June 19,2014 I returned to my home about 11:45am and found that my basement was �
�tled with about a foot of water. I had seen men working on the man hole in the street in front of my I
house,and thinking that this might be the reason for the water, I went to speak to them.
I was informed that a neighbor had called about the same problem,that there was a blockage in the
sewer,that they were near getting it cleared,and as soon as it was cleared,the water should recede. I �
was also told that my house number would be given to the manager,that the ciry would take I
responsibility for the problem,and that I would receive claim forms to use. Within about half an hour, ,
the blockage must have cleared,and the water drained down the floor drains in the basement. j
However,the entire basement was wet up to about a foot.
i
I spent Thursday and Friday,with the assistance of friends,carrying out everything that was wet and
possible for us to move,wet vacuuming the floors,borrowing fans and dehumidifiers to try to dry out as
much as I could. I contacted my insurance agent,and on their recommendation contacted Advance
Companies. On Monday morning Advance Companies arrived to begin to address the basement
professionally. I have been advised that because this was sewer backup,everything that absorbed the �
water should be disposed of, including the furniture,and if something was attached and could not be '
removed,Advance staff would disinfect it.
The claim form was delivered to my home Thursday afternoon,lune 19. I was told to provide all my '
expenses, including my time. I have attached the form and as much documentation as I can to support ,
the claim I am making. I have two bids for rebuilding the basement as the city claim form requests. I
have added photos,and have spent significant time researching replacement costs at Target, Menards,
and on-line.
One estimate is from Advance Companies at$16785.30(includes replacing washer and dryer at
$1573.33) The second is a combination of Lentz Construction,Service Master, Andy's Disposal Service
at a total of$15753.36 plus$1573 for the equivalent washer and dryer or$17326.60
As the estimates are comparable I choose to work with Advance Companies both because they were I
recommended by my insurance provider,and because 1 would prefer to work with one company which
specializes in this type of damage,and can handle all aspects of the restoration.
STATE OF MINNESOTA �����P����s�-Bureau of Criminal Apprehenslon
1430 Maryland Ave.East St Paut,MN 55106 �
MINNESOTA DUTY OFFICER
Burrau of Crlminal Approhension Op�rationa Center
Report#: 142815 Report Date: 6i19/2014 Report Tlme: 17:20 DO#:8
CALLER/NFORMATION
Contact: Rob Stott Company: City of St.Paul-Public Works/Sewer
Address: 419 Burgess Street
Clty: St. Pau! State: MN 2ip: 55117-
Phone: (651)266-9839 Ext: Alt phone: Ext:
Have local police and/or fire besn notffisd?
NARRAT/VE I
Back upa due regulato�ldrill hole plugged up In sanitary Ilne; contained in two houses so far(635/649 Mt I
Curve 81vdj. Unplugged and flowing again. !
I
INCIDENT REPORT: WASTEWATER FACILITY BYPASS �'�,
Facility Permit#: County: RAMSEY I
Date bypass began:6/19/2014 Time Bypass began: 13:30 Ongofng? No
Expected duration of bypass: Amount or rate of flow:
OverNow or pumped bypass? Degree of treatment provided?
Receiving watsrs: !,
Downstream users within 25 mlles: �I�
My flsh kills reported? Any basement backups repoirted? Yes
Is any assistance requested from MPCA or any other atate agencies?
is any state agency responding or being requsated for assistance?
M: Out: Unk: Date: Time: Agency: County: Method of Contact: �',
� � � 6/19/2014 17:39 MPCA Metro Emaii �
Narrative:
In: Out: Link: Date: Tfine: Agency: County: Method of Contact:
� � � 6l19/2014 17:40 Met Council Emaii
Narrative: il
In: Out: Link: Date: Time: Agency. County: Method of Contact:
� � � 6N9/2014 17:40 RAMSEY Email
Narratfve:
ANY QUEST/ONS- PLEASE CONTACT THE MN DUTY OFFICER AT 651-649-545t or 800-422-0798
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MAILlNG ADDRESS ACCOUNT NUMBER r� �
/ � SARAH A STEVENSON 51-6079432-3
� ; XcelEnerg►y 649MOUIYfCURVEBLVD :it'(2C'si��314
✓ SAINf PAUL MN 551 i6-1155 STATEMENT NUMBER STATEMENT DATE • � ' �
- - —--------------
■Ei�ONt1�LE �� MATORE•
417911296 06/27/2014 s���5�
YOUR MONTNLY ELECTRICITY USAGE SUMMARY OF CURRENT CHAR6ES Idetailed charges begin on paye 2)
Electricity Service 05/28/14-06/26/1 d 691 k1Nh $99.50
Natural Gas Service 05/28/14-O6/26/14 17 therms $28.55
,���'�11�,� Non-Recurring Charges/Credits -50.63 CR
J J A S 0 N D J F M A M J ��TBIi�Cli8fg6f ��•�
DAq.Y AVEMBES la�t►ur AVERAGED MONTHLY ACCOUNT BALANCE-MONTH 7
Temperature 69°F � ACTUAL AMP
Ei�cr�m�n 5.s Previous Balance As of 05/28 5336.94 $108.00
Ei�tr���y cos� S�.» Payment Received Check Free O6/24 -$108.00 CR -$108.00 CR
Balance Forward �228.94 �0.00
YOUR MONTHLY NATURAL 6AS USAGE Current Charges $127.42 $107.37
Amount Dus S�� �107.37
i��.' ,. INFORMATION ABOUT YOUR BILL _
J J A S 0 N � J f M A M � Thank you for your payment
DARIIAVEM6ES t.�re.�
Temperature 89°F _ Your current AMP amount is$108.00.
6as Therms 0 7
6as Cost $1.05
nUESTiONS ABOUT YOUR BIU?
See our wehsite: xcelenergy.com
Email us at: Customerservice�ccelenergy.com
Call 24 hours a day,7 days a week
Please Cali: 1-800-895-4999
Hearing Impaired: 1-800-695-4949
Espanol: 1-800-6B7-8778
Or write us at: XCEL ENERGY
PO BOX B
EAU CLAIRE W�54702-OOOB
REf�RN 80TT0�,1 fORT10"J WITH YOUR PAYDAENT•PIFAEE 00 MOT 1RE SfARES,TAPE OR PAPER CllPS
`.Fa�e s�ee�i ��7W�r�r �
°� ���� ACCOUNT NUMBER OUE DATE � � � �
•
�� 51-6079432-3 07/25/2014
Please see the back of this bifl for more information
regarding the late payment charge.Pay on or bafore the �
date due to avoid assessmentof a late payment charge. 1 2 3 4 5
Make your check payable to XCEL ENER6Y 6 7 8 9 10 it 12
13 14 15 i� 17 15 19
AV 01 018930 537858 78 A"'SDGT � n � � u �
�i�ll�ll����lil��ll��l�l'I��i����l��i�l��l�'I�I1��1��'�I�1�1���.1 27 2a 29 30 31
SARAH A STEVENSON
649 MOUNT CURVE BLVD
SAINT PAUL MN 55116-1155 ���II���i�llll�l�������l�l'�I'��1'lli�l'��'1�1��111���.��1��1��11
XCEL ENERGY
P.O. BOX 9477
MPLS MN 55484-9477
31 51072514 60794323 00000�1073700000010737
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ADVANCE COMPANIES INC. °
y�
6400 CENTRAL AVE.NE. '"
_
FRIDLEY,MN 55432
Contractors License# 4423
Client: Stevenson,Sarah(repairs)
Property: 649 Mount Curve Blvd
St.Faul,MN
Operator Info:
Operator: BRANDON
Fstimator. VanTassel,Brandon Business: (763)572-2000
Business: 6400 Central Ave.N.E. E-mail: brandonv@advancecompanies
Fridley,MN 55432 .com
Type of Estimate:
Date Entered: 7/17/2014 Date Assigned:
Price List: MNMN7X NL14
Labor Efficiency: Restoration/Service/Remodel
Estimate: 20 i 4-07-17-0822
ADVANCE COMPANIES INC.
6400 CENTRAL AVE.NE.
FRIDLEY,MN 55432
Contractors License# 4423
DEF_201407
Family Room LxWsH 24'a 14'4"x 8'
613.33 SF Walls 344.00 SF Ceiling
95733 SF Walis&Ceiling 344.00 SF Floor
38.22 SY Flooring 76.67 LF Floor Perimeter
192.00 SF Long Wall 114.67 SF Short Wall
76.67 LF Ceil.Perimeter
CAT SEL ACT DESCRIPTTON
CALC QNTY REMOVE REPLACE TOTAL
1.CON LAB +Content Manipulation charge-per hour
2*2 4.00 HR [D] 0.00+ 39.45= 157.80
2.FCW LAM +Laminate-simulated wood flooring
F+(F*.I S) 395.60 SF 0.00+ 6.58= 2,603.05
3.DRY LF +Drywall per LF-up to 2'tall
PF 76.6'7 LF 0.00+ 5.70= 437.02
4.FNC B3+ +Baseboard-3 1/4"stain grade
PF 76.67 LF 0.00+ 336= 257.61
5.PNT BS +Stain&finish baseboazd
PF 76.67 LF 0.00+ 1.08= 82.80
6.FNC SHOE+ +Base shoe-stain grade
PF 76.67 LF 0.00+ 1.31 = 100.44
7.PNT SHOES +Stain&finish base shoe or quarter round
PF 76.67 LF 0.00+ 0.88= b7.47
' 8.PNT SWALL +Seal stud watl for odor control
78 78.00 SF 0.00+ 0.62= 48.36
; 9.INS BT4 &R&R Batt insulation-4"-RI 1-unfaced batt
I 76 76.00 SF 0.21+ 0.50= 53.96
i 10.INS VIS &R&R Polyethylene vapor barrier
78 78.00 SF 0.08+ 0.24= 24.96
i l.PNT P2 +Paint the walls-two coats
� W 613.33 SF 0.00+ 0.67= 410.93
12.FCV ASBRMV -Remove Tear out asbestos vinyl floor covering(no haul of�
, F 344.00 SF 3.08+ 0.00= 1,059.52
; 13.ELE BBH> &R&R Baseboard electric heater-8'
2 2.00 EA 13.40+ 174.07= 374.94
Totals: Family Room 5,678.86
2014-07-17-0822 7/21/2014 Page:2
ADVANCE COMPANIE5 INC.
6400 CENTRAL AVE.NE.
FRIDLEY,MN 55432
Contractors License# 4423
Bathroom LxWxA 9's S'6"a 8'
232.00 SF Walls 49.50 SF Ceiling
281.50 SF Walls&Ceiling 49.50 SF Floor
5.50 SY Flooring 29.00 LF Floor Perimeter
72.00 SF Long WaII 44.00 SF Short Wall
29.00 LF Ceil.Perimeter
CAT SEL ACT DESCRIPTION
CALC QNTY REMOVE REPLACE TOTAL
14.PLM TLT R Detach&Reaet Toilet
1 1.00 EA 0.00+ 0.00= 205.78
I5.CAB VAN &R&R Vanity
2 2.00 LF 6.71+ 128.73= 270.88
16.MBL VTSNKRS +Vanity top-Detach and reset
2 2.00 LF 0.00+ 44.27= 88.54
17.DRY LF +Drywall per LF-up to 2'tall
8,6 8.50 LF 0.00+ 5.70= 48.45
18.INS BT4 +Batt insulation-4"-R11-unfaced batt
16 16.00 SF 0.00+ 0.50= 8.00
19.INS VIS +Polyethylene vapor barrier
16 16.00 SF O.OU+ 0.24= 3.84
20.PNT SWALL +Seal stud wall for odor control
16 16.00 SF 0.00+ 0.62= 9.92
21.FNC B3+ +Baseboard-3 1/4"stain grade
PF 29.00 LF 0.00+ 3.36= 97.44
22.PNT BS +Stain�t finish baseboard
PF 29.00 LF 0.00+ 1.08= 3132
23_PNT P2 +Paint the walls-two coats
W 232.00 SF 0.00+ 0.67= 155.44
24.DOR OAK+ &R&R Interior door-oak veneer-oak veneer jamb&casing
1 1.00 EA 16.76+ 273.92= 290.68
25.PNT DORS +Stain&finish door siab only(per side)
2 2.00 EA 0.00+ 40.44= 80.88
26.PAIT DORTS +Stain&finish door/window trim Bt jamb(per side)
2 2.00 EA 0.00+ 28.33= 56.66
27.FNH DORH R Detach&Reset Door Irnob-interior
1 1.00 EA 0.00+ 0.00= 2023
28.CLN F- +Clean floor
F 49.50 SF 0.00+ 0.31 = 15.35
Totals: Bathroom 1,383.41
2014-07-17-0822 7/21/2014 Page: 3
ADVANCE COMPANIES INC.
6400 CENTRAL AVE.NE.
FRIDLEY,MN 55432
Contractors License# 4423
Storage Area/Itoom LxWaH 11'a 6'6"g 8'
280.00 SF Walls 71.50 SF Ceiling
35l.50 SF Walls&Ceiling 71.50 SF Floor
7.94 SY Flooring 35.00 LF Fioor Perimeter
88.00 SF Long Wall 52.00 SF Short Wall
35.00 LF Ceil.Perimeter
CAT SEL ACT DESCWPTION
CALC QN'TY REMOVE REPLACE TOTAL
29.CAB LOW &R&R Cabinetry-lower(base)units
6,6 6.SOLF 6.71+ 157.73= 1,068.87
30.PLM SNK R Detach&Reset Sink-single
� 1.Q0 EA 0.00+ 0.00= 126.12
31.CON LA$ +Content Manipulation charge-per hour
2 2.00 HR [D] 0.00+ 39.45= 78.90
32.PNT SWALL +Seal stud waIl for odor controi
pg*2 70.00 5F 0.00+ 0.62= 43.40
55.DOR FLD &R&R Foiding door
1 1.00EA 15.77+ 94.61 = 110,38
62.FNC C+ +Casing-2 1/4"stain grade
34 34.00 LF 0.0(1+ 2.58= 87.72
63.PNT CS +Stain 8c finish casing
34 34.00 LF 0.00+ 1.08= 36.72
64.DRY 1/2 &R&R 1/2"drywall-hung,taped,floated,ready for paint
W 280.00 SF 0.37+ 1.46= 512.40
65.PNT P2 +Paint the walls-two coats
W 280.00 SF 0.00+ 0.67= 187.60
66.FNC B3+ &R&R Baseboard-3 1/4"stain grade
PF 35.00 LF 0.41+ 3.36= 131.95
67.PNT BS +Stain&finish baseboazd
PF 35.00 LF 0.00+ 1.08= 37.80
73,CLN F-+ +Clean floor-Heavy
F 7l.50 SF 0.00+ 0.44= 31.46
iTotals: Storage Area/Room 2,453.3Z
201407-17-0822 7/21/2014 Page:4
ADVANCE COMPANIES INC.
6400 CENTRAL AVE.NE.
FRIDLEY,MN 55432
Contractors License# 4423
CAT SEL ACT DESCRIPTION
CALC QNTY REMOVE REPLACE TOTAL
42.APP WAST 8c R&R Washer/Washing Machine-Top-loading
1 1.00 EA 23.94+ 699.33= 723.27
43.APP DRYE &R&R Dryer-Electric
1 1.00 EA 17.99+ 834.07= 852.06
56.DOR FLD &R&R Folding door
1 1.00 EA 15.77+ 94.61 = 110.38
60.FNC C+ +�asing-2 1/4"stain grade
34 34.00 LF 0.00+ 2.58= 87.72
61.PNT CS +Stain&finish casing
34 34.00 LF 0.00+ 1.08= 36.72
68.DRY LF +Drywall per LF-up to 2'tall
PF 46.33 LF 0.00+ 5.70= 264.08
69.INS BT4+ +Batt insulation-4"-R13-unfaced batt
92 92.00 SF 0.00+ 0.55= 50.60
70.CLN F-+ +Clean floor-Heavy
F 130.50 SF O.OQ+ 0.44= 57.42
75.PNf P2 +Paint the wails-two coats
W 370.67 SF 0.00+ 0.67= 248.35
Totals: Laundry Room 2,430.60
Furnace room LxWzH 11'x 11'x 8'
352.00 SF Walls 121.00 SF Ceiling
473.00 SF Walls&Ceiiing 121.00 SF Floor
13.44 SY Flooring 44.00 LF Fioor Perimeter
88.00 SF Long Wa(l 88.00 SF Short Wall
44.00 LF Ceil.Perimeter
CAT SEL ACT DESCRIPTION
CALC QNTY REMOVE REPLACE TOTAL
44.INS BT4 +Batt insulation-4"-Rl l-unfaced bati j
a�t aa.00 SF o.00+ o.so= 22.0o E
45.INS VIS +Polyethylene vapor barrier
44 44.00 SF 0.00+ 0.24= 10.56
46.PIVT SWALL +Seal stud wall for odor control
44 44.00 SF 0.04+ 0.62= 27.28
51.DOR FLD &R&R Foiding door
1 1.00 EA I 5.77+ 94.61 = I 1038
58.FIVC C+ +Casing-2 1/4"stain grade �'
34 34.00 LF 0.00+ 2.58= 87.72
2014-07-17-0822 7/21/20t4 Page:6
ADVANCE COMP.�NIES INC.
6400 CENTRAL AVE.NE.
FRIDLEY,MN 55432
Contractors License# 4423
Under Stairs LzW:H 10'6"x 3'6"a 8'
224.00 SF Walls 36.75 SF Ceiling
260.75 SF Walls&Ceiling 36.75 SF Floor
4.08 SY Flooring 28.00 LF Floor Perimeter
84.00 SF i.ong Wall 28.00 SF Short Wall
28.00 LF Ceil.Perimeter
CAT SEL ACT DESCRIPTION
CALC QNTY REMOVE REPLACE TOTAL
33.DOR OAK+ &R&R Interior door-oak veneer-oak veneer jamb&casing
1 1.00 EA 16.76+ 273.92= 290.68
34.PNT DORS +Stain&finish door slab only(per side)
2 2.00 EA 0.00+ 40.44= 80.88
35.PNT DORTS +Stain&finish door/window trim&jamb(per side)
2 2.00 EA 0.00+ 28.33= 56.66
36.FNH DORH R Detach&Reset Door knob-interior
1 1.00 EA 0.00+ 0.00= 20.23
37.DRY LF +Drywali per LF-up to 2'tall
12,6 12.50 LF 0.00+ 5.70= 71.25
38.INS BT4 +Batt insulation-4"-R11-unfaced batt
24 24.00 SF 0.00+ 0.50= 12.00
39.INS VIS +Polyethylene vapor barrier
26 26.00 SF 0.00+ 0.24= 6Z4
40.p�'�' p2 +paint the walls-two coats
W 224.00 SF 0.00+ 0.67= 150.08
41.PNT SWALL +Sea(stud wail for odor control
26 26.00 SF 0.00+ 0.62= 16.t 2
74.CLN F-+ +Clean floor-Heavy
F 36.75 SF 0.00+ 0.44= 16.17
Totais: Under Stairs 720.31
i
i
Laundry Room LxWxH 13`6"z 9'8"a 8'
370.67 SF Walls 130.50 SF Ceiling
501.17 SF Wails dt Ceiling 130.50 SF Floor
14.50 SY Flooring 46.33 LF Floor Perimeter
I08.00 SF Long Wall 77.33 SF Short Wall
46.33 LF Cei1.Perimeter
2014-07-17-0822 7/21/2014 Page:5
ADVANCE COMPANIES INC.
6400 CENTRAL AVE.NE.
FRIDLEY,MN 55432
Contractors License# 4423
CONT[NUED-Root cellar
CAT SEL ACT DESCRIPTION
CALC QNTY REMOVE REPLACE TOTAL
76.INS BT4 +Batt insularion-4"-Rl t-unfaced batt
32 32.00 SF 0.00+ 0.50= 16.U0
7'7.INS VIS +Polyethylene vapor barrier
32 32.00 SF 0.00+ 0.24= 7.68
Totals: Root cellar 23•68
Back Room LxWxH 12'x 9'2"s 8'
338.67 SF Walls 110.00 SF Ceiling
448.67 SF Walls&Ceiling 110.00 SF Floor
12.22 SY Flooring 42.33 LF Floor Perimeter
96.00 SF Long Wali 73.33 SF Short Wall
42.33 LF Ceil.Perimeter
CAT SEL ACT DESCRIPTION
CALC QNTY REMOVE REPLACE TOTAL
50.INS VIS +Polyethylene vapor barrier
42 42.00 SF 0.00+ 0.24= 10.08
51.INS BT4 +Batt insu►ation-4"-RI 1-unfaced hatt
44 44.00 SF 0.00+ 0.50= 22.00
52.PNT SWALL +Seal stud wall for odor control
44 44.00 SF 0.00+ 0.62= 27•28
72.CLN F-+ +Clean floor-Heavy
F 110.00 SF 0.00+ 0.44= 48•40
TotAls: Back Room 107.7b
Generals
201407-17-0822 7/21/20 t 4 Page:8
ADVANCE COMPAl�1IES INC.
6400 CENTRAL AVE.NE.
FRIDLEY,MN 55432
Contractors License# 4423
CONTINUED-Furnace room
CAT SEL ACT DESCRIPTION
CALC QNTY REMOVE REPLACE TOTAL
59.PNT CS +Stain&finish casing
34 34.00 LF 0.00+ 1.08= 36.72
71.CLN F-+ +Ciean floor-Heavy
F 121.00 SF 0.00+ 0.44= 53.24
Totais: Furnace room 347.90
Hall LxWaH 11'a 4'6"x S'
248.00 SF Walls 49.30 SF Ceiling
- 297.50 SF Walls&Ceiling 49.50 SF Floor
5.50 SY Fiooring 31.00 LF Floor Perimeter
88.00 SF Long Watl 36.00 SF Short Wall
31.00 LF Ceil.Perimeter
CAT SEL ACT DESCRIPTION
CALC QNTY REMOVE REPLACE TOTAL
47.INS VIS +Polyethylene vapor barrier
22 22.00 SF 0.00+ 024= 5.28
48.INS BT4 +Batt insularion-4"-R11-unfaced batt
22 22.00 SF 0.00+ 0.50= 11.00
49.PNT SWALL +5ea1 stud wall for odor control
22 22.00 SF 0.00+ 0.62= 13.64
Totals: Hatl 2g,92
Root cellar
CAT SEL ACT DESCRIPTION
CALC QNTY REMOVE REPLACE TOTAL
2014-07-17-0822 7/21/2014 Page: 7
ADVANCE COMPANIES INC.
6400 CENTRAL AVE.NE.
FRIDLEY,MN 55432
Contractors License# 4423
CAT SEL ACT DESCRIPTION
CALC QNTY REMOVE REPLACE TOTAL
53.FEE TIPF +Ta�ces,insurance,permits&fees(Bid item)
1 1.00 EA [D] OPEN I7'EM
If permit is required,price will be added at time of purchase.
78.DMO DUMP -Dumpster load-Approx.20 yards,4 tons of debris
I 1.00 EA [D] 342.54+ 0.00= 342.54
Totals: Genenis �2•�
Line Item Tots�ls:DEF 201407 13,518.30
Grand Total Areas:
2,658.67 SF Walls 912.75 SF Ceiling 3,571.42 SF Walis and Ceiling
912.75 SF Floor 101.42 SY Flooring 332.33 LF Floor Perimeter
816.00 SF Long Wall 513.33 SF Short Wali 332.33 LF Ceil.Perimeter
0.00 Floor Area 0.00 Total Area 0.00 Interior Wall Area
0.00 Exterior Wall Area 0.00 Extcrior Perimeter of
Walls
O.QO Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length
0.00 Total Ridge I.ength 0.00 Total Hip Lengih
2014-07-17-0822 7/2112014 Page:9
ADVANCE COMPANIES INC.
6400 CENTRAL AVE.NE.
FRIDLEY,MN 55432
Contractors License# 4423
Summary
Line Item Total t 3,518.30
Matl Sales Ta�c Reimb @ 7.775% 469.36
Subtotal 13,987.66
Overhead @ 10.0% 1,398.82
Profit @ 10.0% 1,398.82
Replacement Cost Value $16,78530
Net Claim $16,785.30
VanTassel,Brandon
2014-07-17-0822 7/21/2014 Page: 10
.
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ROLL OFF SERVICE f
ACCOUNT NO.
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781 ENGLEWOOD AVE. • ST.PAUL,MN 55104
651/488-6977 Fax:651-488-9728 �
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Base Price
State Tax(9.75%)
County Environment Charge(28%)
Demo/Remodeling($0.60 cubic yard)
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781 ENGLEWOOD AVE.•ST.PAUL,MN 55104 Loads taken to Veolia or Veit
651/488-6977 Fax: 651-488-9728
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basement estimate �°q � °���`
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��ia�opNer Len� <cmientzl2@msn.com>
To: sarah ste�enson <ste�ensonsas �rw, Hug 7, 2014 at 9:17 AM
�gmail.com>
CM Lentz Constructbn,LLC
718 N 3rd St
Stillwater,MW 55pg2
651.263.8365
��►�d and Insur�ed
MN$�638155
Sarah,
Thanks for your patience; i hope I haren't stretched it too thin.
Please find here my estimate fior your basement. I're tried to break it dow� so th
included in the bid. Let me know if you ha�e an �
y questions. � y°U'r�able to see �7ine-�tems"
Scope of work: Homeowner has had extensitie wate�damage to her basement due to sewer
Emergency measures wer�taken immediately: nemova� of�ovvest 2 f+eet of drywaH, remo�ai of 2 fi�t
back-up.
remoral of damaged ar�d loosened flooriny, removal of fi�e doors, trim and baseboard throu hout a °f'nsulati
Basement has been thoroughly dried and stud wails hare been treat���moid. Restorati n vvork�I��d
f�llowing:
—replace 175 lineal ft R-13 fiberglass batt insulation
—reintegrate 4 mil poly wpor barrier and tape seams
—replace 175 sq ft 1/2 sheetrock (approx 87 if at 2'), inciuding comer bead at 4 comers
--tape, mud (3 coats), and sand same
—repiace and install 30x80" pr�e-hung, left-swing, oak flush-mount door with gotden oak or similar finis
—replace and install 30x80" pr�-hung, right-swing, oak flush-mount door with golden oak or similar f
—replace and install 48x80" bi-f�td doors with golden oak or similar finish
—�Place and instal)two(2)32x80" bi-fnld doors with golden oak or similar finish
_r���g tyyp(2)passageway handset assemblies
-install 2 1/4"C010�'1�a1 d0or casing for fi�e(5)openings (approx 160 Ifl, inciuding 36" errtry door
-install 100 If 3 1/4"Colonia) baseboard in office area
-replace and install ten (10) 15A receptac�es and co�ers
-replace and install two (2) 20A hard-wired baseboard heaters not connected to thermost�
-replace and install 1200 sf flooring such as Wilsonart floating laminate or Tranquility floa+
;material @ approx $3 sfl; includes removat of loosened tiles and prep with�eather�dge
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Floor cleaninb �49 Mount Curve Bivd St Paui, MN
Schmitt, Glenn <gschmitt(c�smstp.com> Thu, Jul 31, 2014 at 8:40 AM
To: "ste�ensonsas@�gmail.com" <stevensonsas�gmail.com>
Sarah,
Thank you for asking Service Master to bid on your water loss at your property.
The scope of work for the clean-up would include the foilowing work:
Cleaning of the concrete floors and application of anti-microbial.
Removal of remaining nails and sfieetrock pieces from demolition.
Application of anti-microbial to studs and walls once cleaned of nails and sheetrock.
Moving of contents with-in the space fnr our work.
Cleaning of the curled Asbestos tiles will be excluded irom our woiic since these are regulated materials requiring
special liscences.
Access through back stairs directly to lower level.
This work can be complebed for the sum of: 2073.60
Let me know if you would like to schedule the work or if you have any further questions.
Thanks again for asking us to bid this worlc.
Glenn Schmitt
Estimator/Project Manager
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