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Castelan � NOTICE OF CLAIM FORM to the City of Saint Paul, Minnesota tlfinnesota State Statute 466.05 states thnt "...everv person...who claims damages from arry municipaliry...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 farm 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 c.T F irst Name_�y��m p Middle Initial C Last Name Cp�5}e�c�yr L,�,��>��y C�-�1 c�n, Company or Business Name 1�`1� "B„t t'�Ic�}e� i�o l�n+�ec. Fo,►�►�•InS. � Are You an Insurance Company? Yes/No If Yes, Claim Number?� Li c�,r.�„ �. g��n-;�a � o I Street Address��J �W,^�r,�-S �� y e `u N L l.i3 N � City �j��'. ��v� State MN Zip Code 5/% � � � Daytime Phone((p$�)(�Y v- �/59�) Cell Phone (c��l /Z-��Evening Telephone lu( S/ )(� 0 -� � ¢ � ? Date of Accidend Injury or Date Discovered va�5�� Tv�f,i) �2 Time l0:O p �/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 involved andlor responsible for your damages. � b c d -u , . , s .w►� c r �'�- � 1 � b I� ►�►�a c � �1 � �� • C- � ar � w l eW b o c• 5.E.1 � r -t c ci� c � �, ^ � � c�m � � �i � � �. i y� c�c�t c - Please 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 � Q My vehicle was wrongfully towed and/or ticketed ❑ I was injured on City properiy �Other type of property damage—please specify 5}��}�f,�� Qh� .�c. -��y rkl vn uv e -� puSe m�ri}' ❑ Other type of injury—please specify In order to process your claim you need to include conies of a�l anplicable 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 WII,L NOT be returned and become the property of the City. You are encouraged to keep a copy for yourself before submitting your claim form. O 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 )BE 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 O 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 ltandling of your claim. All Claims—nlease complete this section Were there wimesses to the incident? Yes No Unknown (circle) Provide their names, addresses and telephone numbers: _ /�Io�Yc_o Cas�e�o�►n �scc In�s re�Pat-�_� A►nd_ W►av�y b�ln�r Scrvice o a01c ��v►��►d��na 5 � N •4 Ci-�.� Sewaac c,�F'icldls Were the police or law enforcement called? Yes No Unknown (circle) If yes,what deparhnent or agency? Case#or report# 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. �IQ� � 5 a.�r,c,�e r s /��e n v e.; �-� �c.�`1� M rJ �1 lQ Please indicate the amount you are seeking in compensation or what you would like the City to do to resolve this claim to your satisfaction. f �.'� q� ,p O Vehicle Claims— lease com lete this seetion � check if this section does not a 1 I� Your Vehicle: Year Make Model I License Plate Number te Color Registered Owner Driver of Vehicle � Area Damaged City Vehicle: Year Make odel License Plate Number State Color Driver of Vehicle(City Employee' ame) Area Damaged In'u Claims— lease com lete this� tion ❑ check box if this section does not a 1 How were you injured? What part(s)of your body were injured? Have you sought medical treatment? Yes No Planning to Seek Treatment(circle) ' When 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 o When did you miss work? (provide date(s)) ' Name of your Employer: Address Teleph e �Check here ifyou are attaching more pages to this claim form. Number of additional pages��°�1' By signing this form,you are stating that all information you have provided is true and correct to the best of your knowledge. Ilnsigned forms will not be processed i Submitting a false claim can result in prosecution. Date form was completed �Uc►vS � o��/�„ Print the Name of the Person who Completed this Form: �.., 0.W a S e�q , Signature of Person Making the Claim: '' an d ►n S e1 vr,o Co�S�e�av�) Revised February 201 I 1681 Saunders Avenue St. Paul, MN 55116 August 25, 2012 City Clerk 15 West Kellogg Blvd. 310 City Hall St. Paul, MN 55102 To Whom It May Concern: We hereby request reimbursement of $9,797 to cover repairs to our home I� and replacement of our personal belongings that were damaged beyond the $10,000 limit of our insurance policy with American Family Insurance. Attached are lists of itemized damages and estimated repair costs due to the city sewer back-up into our basement (1681 Saunders Avenue, St. Paul) on August 7, 2012. Evidence indicates that the back-up was a result of the smoke work done on the street by the contractor, S.E.H. A video of our sewer line made by American Leak Detection (760-263- 7773) , as requested by our insurance company, indicated absolutely no blockage from our house to the street at the time. The back-up flooding occurred the same day and time of day when the contractor, S.E.H. , was working on our street. We have tried to estimate reasonable dollar amounts for replacement items; we do not have original receipts. When possible, we have called various services and suppliers to get accurate estimates for what is needed. We are not including reimbursement for our time spent - hours and hours cleaning and sanitizing, sorting, and disposing of contaminated items (those not dealt with by ServiceMaster) along with I the phone time and paperwork spent dealing with this problem. � �i Attached with the list are photos of most of the items, as well as photos of the overall basement. According to our understanding, our insurance agency, American Family Insurance, is submitting a claim for their $10,000 responsibility on the structural damages to our home. � We would really appreciate as quick a response as possible so we can get our household back in order. As a teacher of St. Paul Public Schools, I have run out of time to work on this. Thank you. Sincerely, `��'"J . �Go,�.x. � . � Liz Hathaway Castelan and Anselmo astelan Attachments: • Report from Marco Castelan (son staying at the house while we were out of town) • Summary of requested amount and list of items to be replaced or cleaned • Diagrams provided by city official who witnessed the damage - 2 pages • Invoice from ServiceMaster • Estimate from Ungerman Construction Company • Estimate from Superior Construction Services, Inc. • Photos Reqort from our son, Marco Castelan, who was at the house at the time of the sewer back-up. (We were out of the country at the time.) reported August 10, 2012 Late night August 6`'' I had a few friends (3) over at the house. They ended up leaving at around 1 a.m. and at that time, there were no concerning sights or smells. Granted, we didn't go to the basement, but due to the odor that was present later I would imagine we would have smelled any sewage seeping into the carpet. August 7`�' In the morning, we discovered the basement carpet was soaked all the way through and it was widespread. My friend was making his way down to the laundry room before leaving for work mid-morning when he noticed the smell and squishy carpet. I was at work and was unable to see for myself until around 2 or 3 p.m. at which point the smell was disgusting all throughout the house. I had to open the windows and even that didn't do much. I tested all the drains in the basement to see if the problem was a clogged toilet/shower/sink drain but everything drained easily and normally. I contacted my parents in Mexico, who said to go ahead and call the insurance company and get it cleaned up. After filing a claim with American Family, I called Kurt Kelly (651-755-8734) from Service Master to send out a team. When they arrived (around 6 or 7 pm), they informed me of how much work they had to do and also told me that after hours they charged significantly more. So I decided to set up an appointment with them the next morning to have them take care of the damage. August 8`h ', Around 10 a.m. I called the company doing the testing (S.E.H.) and got a hold of the Project Leader - Spencer (651-238-0572). He was very understanding and suggested I speak with the City of St. Paul because he had never seen anything like that, and that when they did our testing everything seemed normal (smoke came out of the vent at the top of our house). They were doing testing a few blocks away and actually took the time to come over and meet me face to face and talk about what happened. Again, they were blown away by something like this happening and said if they had their camera crew with them, they would happily inspect the pipes (I said I would contact them if that was necessary). I spoke with the city sewage head - Alex (651-266-9850) and he was shocked by what happened. He thought it might have been the tests being done, but offered to send out a city inspector as soon as possible (the range was that afternoon or the next morning). The inspector did end up coming that afternoon, around 3 or 4, and spent about 15-20 minutes poking around the manhole before approaching me at the house and telling me everything was fine on their end. He gave me a diagram of where the pipes were, but didn't really explain anything. 1 asked for his name so I c�uld verify with the insurance company if need be, which he reluctantly gave me(Mike). Later on that day, Joe Cieminski (612-360-8955)from American Family stopped by to look at ' the damage. He too seemed floored as to the amount of water, saying that it would be pretty hard for a clog to have flooded that much, and that it was definitely sewage water, not just grey water. ServiceMaster began work cleaning and removing all of the damaged property, carpet and h�ttom 12 inches of the walls. They left fans and a dehumidifier for a few days to remove all of the moisture. My parents were home by then and took over handling the project after that. SU2R+iARY OF REQUESTED AMOUNT - $9,797 $1,791 - Personal items (see below) $3,163 - Disposal of contaminated carpeting and walls, and sanitizing and cleaning of floor and salvagable items (ServiceMaster - see attached) $14,843 - Repair and remodeling - walls, carpeting, trim, vanity, etc. (lesser of $16,281-Superior Construction Services, Inc. and $19,797 $14,843-Ungerman Construction Company, Inc. see attached) -10,000 from American Family Insurance policy $ 9.797 Request for reimbursement for personal items to cover damages from city sewer line back-up into the basement of 1681 Saunders Ave. - August 7, 2012. Itemization of replacement estimates: $150 - Pads for dining room table - (est. from Sentry Table Pad Co. ) $269 - Bed frame - white platform with drawers (Target) $230 - Mattress (HOM Furniture) $134 - Headboard (Target) $50 - Bedding - sheets ($30) , pillows ($20) (JCPenney) $35 - Comforter - dry cleaning (Red Robin Dry Cleaner) $18 - Bath mat (JCPenney) $50 - Swiss Army backpack (Target) $75 - Shoes - black leather dress shoes $60 - Kobe IV basketball shoes (Footlocker) $50 - Two leather basketballs (2 @ $25 - Footlocker) $15 - String backpack $300 - Green bedroom set - cleaning and repainting Two dressers Matching bookshelf Bedside table with drawer $25 - Disposal of contaminated suitcases, pillows, etc. (load #1) $25 - Disposal of contaminated bed and headboard (load #2) $180 - Cleaning and sanitizing upholstered sofa ($105) , loveseat ($75) $1666 + 125 estimated sales/service tax on above $1791 . . . � . . . . . . , ,. ._..�� . . .. . . . . .. ,y.,..�..T . CITY OF 8T. PAUL DEPARTMENT OF PUBLIC WORg3 BUREAU OF CONSTRUGTION AND R�PAIIt3 � � Permit No. A �� Dat.� �: n �" /� 19 �. F ` - � � ' ock.�.._. _.._ . t � � - � . . --- ... J� — ..�.� ddition _ .. O�vner Contractor G Kind of Builcling � __ No. of �tori� �'� No. of Apartments on Ground Floor � ._,,.� � � Fee Paid City 7�eas __ . _ Date of Inspectio � Da,te Conn. Was Finish � �' �� . Paving Conn. No---- �� _ . R,efer to Permit No. �� . Rind of Pavement� Paved �treets - � If Ca+ - 8q. Yds-- ��._. �R.ema,rks• � __ �� , � � ' �,�: � - � � � ._ � , .�� u. . '�'� • �. 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"+ � �� a �� `' � . �� a °' � '� °'� �°, � ; ti � � �t. " 4� V�. y�, h � N � �M Ih� � � �� `no. 4� � , 1�i �� n M Ih �n � i� �; h � b �h '� hV � � ';� `;� h � j �`' �h i ':�t�. � h Kh tit� h � ' h h� ai r°, � h h �° � h � lh ~ `�,n Ihs �,a'iv � Q @ �� , @ Q � i Q � �Q i Q �Q �Q � � i � QQ � c �� !Q e i Q � � � � � i Q Q �R w 4 .��i .�y'i .�v'i �� o�O y y . :g I� W Y v I.A � j� N � � � � "pv b � -O � Iv v w e�. ti i u v �n V 4 I w O :Y. '6 4 w 'w O y I V �f �4 � 1�� I� � � I Q A w '�~w � (� V �o w b !V ih !v � �? 1 i i � 1 i tD �! i r1e� ; --'�3"�-Tfi9.`-- ---- .r j � — , �23' ' ti – – –329'-15"R.C. 308-IS"R.C. — ' � � � q +_ -- Q' 39'-IS"R.C. � � � � M Y � � � I � � � 4 H M M � � � , � V � � A y � � � b � � \ 4 � w `e �i KS � e � 0 M Y `O p �w •0 •� y M 4 O. M i •� �O O '4 V y` o O ti �. �. Q . � a � N '� �y, h � l �o �� N$ � Fh � i� '� �?� ; ',�`� � � Q �< Q k h M :e � �� Q� W E� 1. A R K E a M. S 4 L � � Q 4 3 2 I e 16 15 l4 !3 l2 ll 10 9 8 7 6 5 4 3 2 I � !4 � ��. `��o �ryo� � ,-- � � i � � 1iri � � iiir � iiri � � , � i � ti � i � � � ► i � � iiil `Ib3" . ° '°° . 2°° a°° �o° � 4 �� ServiceMaster Cleaning& Restoration- St Paul Branch 3205 Mike Collins Dr Eagan,MN 55121 FED ID 90-0138803 Insured: Anselmo Castelan Home: (612)812-3456 Property: 1681 Saunders Ave Cellular. (651)261-1096 St Paul,MN 55116 Claim Rep.: Cieminski,Joe Estimator: Kurt Kelly Cellular: (651)755-8734 Business: 3205 Mike Collins Drive E-maiL• kkelly@smstp.com Eagan,MN 55121 Claim Number: Policy Number: Type of Loss: Date Contacted: 8/7/2012 5:00 PM Date of Loss: 8/7/2012 5:00 PM Date Received: 8/7/2012 5:00 PM Date Inspected: 8/7/2012 6:30 PM Date Entered: 8/14/2012 3:30 PM Price List: MNMN7X AUG12 Restoration/Service/Remodel Estimate: CASTELAN I ServiceMaster Cleaning& Restoration- St Paul Branch 3205 Mike Collins Dr Eagan,MN 55121 FED ID 90-0138803 CASTELAN Main Level Main Level DESCRIPTION QNTY REMOVE REPLACE TOTAL 40. Emergency service call- after business 1.00 EA 0.00 190.48 190.48 hours we sent our crew out on the initial night and the h/o decided to wait until the next day for services to be done 39. Haul debris-per pickup truck load- 1.00 EA 123.22 0.00 123.22 including dump fees 41. Equipment setup,take down,and 6.00 HR 0.00 45.26 271.56 monitaring(hourly charge) TotaL Main Level 585.26 � i` .: Laundry Room Height:8' 1 � :-,--_• 425.74 SF Walls 205.44 SF Ceiling I � 631.18 SF Walis&Ceiling 205.44 SF Floor � 22.83 SY Flooring 53.22 LF Floor Perimeter _---. 53.22 LF Ceil.Perimeter Missing Wall 9'X 8' Opens into UTILITY_ROOM �3� � Subroom: steps(1) Height: 8' F 3 147.80 SF Walls 33.07 SF Ceiling �^� � � 180.87 SF Walls&Ceiling 33.07 SF Floor ' T� 3.67 SY Flooring 18.47 LF Floor Perimeter �; = 18.47 LF Ceil. Perimeter Missing Wall 2'911/16" X 8' Opens into FAMILY_ROOM Missing Wall 7'6" X 8' Opens into LAUNDRY_ROOM DESCRIPTION QNTY REMOVE REPLACE TOTAL ' 49. Content Manipulation charge-per how 1.00 HR 0.00 39.22 39.22 38. Clean floor 70.00 SF 0.00 0.29 20.30 17. Apply anti-microbial agent 70.00 SF 0.00 0.19 13.30 29. Air mover(per 24 hour period)-No 3.00 EA 0.00 25.00 75.00 monitoring 6774-0223 -Air mover#223 CASTELAN 8/14/2012 Page: 2 ServiceMaster Cleaning& Restoration- St Paul Branch 3205 Mike Collins Dr Eagan,MN 55121 FED ID 90-0138803 CONTINUED-Laundry Room DESCRIPTION QNTY REMOVE REPLACE TOTAL Totals: Laundry Room 147.82 �� Utility Room Height: 8' � 50133 SF Walls 240J5 SF Ceiling ' = ..�, �=� 742.08 SF Walls&Ceiling 240.75 SF Floor � � 26.75 SY Flooring 62.67 LF Floor Perimeter 62.67 LF Ceil.Perimeter �:- - Missing Wall 9'X 8' Opens into LAUNDRY_ROOM DESCRIPTIOIV QNTY REMOVE REPLACE TOTAL 42. Clean floor 240.75 SF 0.00 0.29 69.82 18. Apply anti-microbial agent 72.00 SF 0.00 0.19 13.68 30. Air mover(per 24 hour period)-No 3.00 EA 0.00 25.00 75.00 monitaring 6774-0041 -Air mover#41 Totals: Utility Room 158.50 ' �T bed 2 Height:8' „a, �~ 1 547.08 SF Walls 199.42 SF Ceiling � 746.49 SF Walls&Ceiling 199.42 SF Floor - - _ _ 22.16 SY Flooring 68.38 LF Floor Perimeter ` 6838 LF Ceil.Perimeter : : � DESCRIPTION QNTY REMOVE REPLACE TOTAL 14. Tear out wet non-salv.gluedn. cpt, 199.42 SF 0.95 0.00 189.45 cut/bag-Cat 3 water 15. Apply anti-microbial agent 199.42 SF 0.00 0.19 37.89 54. Clean floor 199.42 SF 0.00 0.29 57.83 16. Tear out trim and bag for disposal 54.00 LF 0.64 0.00 34.56 28. Air mover(per 24 hour period)-No 3.00 EA 0.00 25.00 75.00 monitoring CASTELAN 8/14/2012 Page: 3 ServiceMaster Cleaning & Restoration- St Paul Branch 3205 Mike Coilins Dr Eagan,MN 55121 FED ID 90-0138803 CONTINUED-bed 2 DESCRIPTION QNTY REMOVE REPLACE TOTAL 6774-0057-Air mover#57 50. Content Manipulation charge-per hour 0.50 HR 0.00 39.22 19.61 Totals: bed 2 41434 �'s"�� Bedroom Height: 8' 13< 392.00 SF Walls 148.89 SF Ceiling Y '� �� - - 540.89 SF Walis&Ceiling 148.89 SF Floor 16.54 SY Fiooring 49.00 LF Floor Perimeter , 1 '6'�-3 6 1 49.00 LF Ceil.Perimeter 1 5 I I' DESCRIPTION QNTY REMOVE REPLACE TOTAL � I'' 1. Tear out wet non-salvageable carpet, 80.00 SF 0.56 0.00 44.80 cut/bag-Cat 3 water 2. Apply anti-microbial agent 83.00 SF 0.00 0.19 15.77 55. Clean floor 80.00 SF 0.00 0.29 23.20 3. Tear out wet drywall,cleanup,bag for 3.00 SF 0.67 0.00 2.01 disposal 5. Tear out trim and bag for disposal 22.00 LF 0.64 0.00 14.08 � 6. Remove Casing-2 1/4" 14.00 LF 0.45 0.00 6.30 door trim 24. Air mover(per 24 hour period)-No 3.00 EA 0.00 25.00 75.00 monitoring 6774-0116-Air mover#116 36. Tear out wet paneling,bag for disposal- 48.00 SF 0.57 0.00 2736 after hours 43. Apply anti-microbial agent 48.00 SF 0.00 0.19 9.12 the above line item is for the paneling 5 L Content Manipulation charge-per hour 0.50 HR 0.00 39.22 19.61 Totals: Bedroom 237.25 CASTELAN 8/14/2012 Page:4 ServiceMaster Cleaning& Restoration- St Paul Branch 3205 Mike Collins Dr Eagan,MN 55121 FED ID 90-0138803 ��-- - �--�� Family Room Height: 8' �.: T r ` i 600.20 SF Walls 310.97 SF Ceiling k I 911.17 SF Walis&Ceiling 310.97 SF Floor = - 34.55 SY Flooring 75.03 LF Floor Perimeter `�' ` 75.03 LF Ceil.Perimeter Missing Wall 2'9 11/16" X 8' Opens into STEPS DESCRIPTION QNTY REMOVE REPLACE TOTAL 52. Content Manipulation charge-per hour 2.00 HR 0.00 39.22 78.44 7. Tear out wet non-salv.gluedn.cpt, 310.97 SF 0.95 0.00 295.42 cut/bag-Cat 3 water 8. Apply anti-microbial agent 321.97 SF 0.00 0.19 61.17 56. Clean floor 310.97 SF 0.00 0.29 90.18 9. Tear out wet drywall,cleanup,bag for 11.00 SF 0.67 0.00 737 disposal 11. Tear out trim and bag for disposal 69.00 LF 0.64 0.00 44.16 25. Air mover(per 24 hour period)-No 6.00 EA 0.00 25.00 150.00 monitoring 6774-0076-Air mover#76 26. Dehumidifier(per 24 hour period)- 3.00 EA 0.00 101.25 303.75 XLarge-No monitoring 6774-0371 -LGR2000#9 34. Tear out wet paneling,bag for disposal- 38.00 SF 0.57 0.00 21.66 after hours 35. Tear out wet drywall,cleanup,bag for 9.00 SF 0.67 0.00 6.03 disposal 44. Apply anti-microbial agent 38.00 SF 0.00 0.19 7.22 Totals: Family Room 1,065.40 ��z Bathroom Height:8' I 3 �r T � I 225.65 SF Walls 39.49 SF Ceiling � � s 265.14 SF Walls&Ceiling 39.49 SF Floor 0 � j 439 SY Flooring 28.21 LF Floor Perimeter 1 28.21 LF Ceil.Perimeter �;� � DESCRIPTION QNTY REMOVE REPLACE TOTAL CASTELAN 8/14/2012 Page: S ServiceMaster Cleaning & Restoration- St Paul Branch 3205 Mike Coilins Dr Eagan,MN 55121 FED ID 90-0138803 CONT[NUED-Bathroom DESCRIPTION QNTY REMOVE REPLACE TOTAL 45. Clean floor 39.49 SF 0.00 0.29 11.45 46. Apply anti-microbial agent 39.49 SF 0.00 0.19 7.50 32. Air mover(per 24 hour period)-No 3.00 EA 0.00 25.00 75.00 monitoring 6774-0108-Air mover#108 Totals: Bathroom 93.95 ��S =�� Storage Area/Room Height:S' ?3- �: - 37435 SF Wails 117.79 SF Ceiling r��^��°°^ �s �� i 49214 SF Walls&Ceiling 117.79 SF Floor T = "�' 13.09 SY Flooring 46J9 LF Floor Perimeter �s 1 46.79 LF Ceil.Perimeter r-+o<-� DESCRIPTION QNTY REMOVE REPLACE TOTAL 53. Content Manipulation charge-per hour 0.50 HR 0.00 39.22 19.61 19. Apply anti-microbial agent 75.00 SF 0.00 0.19 14.25 �� 47. Clean floor 75.00 SF 0.00 0.29 21.75 37. Tear out wet paneling,bag for disposal- 20.00 SF 0.57 0.00 11.40 �I after hours 48. Apply anti-microbial agent 20.00 SF 0.00 0.19 3.80 31. Air mover(per 24 hour period)-No 3.00 EA 0.00 25.00 75.00 monitoring 6774-0038-Air mover#38 Totals: Storage ArealRoom 145.81 Total: Main Level 2,84833 ' Line Item Subtotals: CASTELAN 2,848.33 Adjustments for Base Service Charges Adjustment Cleaning Remediarion Technician 90.52 Total Adjustments for Base Service Charges: 90.52 CASTELAN 8/14/2012 Page: 6 ServiceMaster Cleaning& Restoration- St Paul Branch 3205 Mike Collins Dr Eagan,MN 55121 FED ID 90-0138803 Adjustments for Base Service Charges Adjustment Line Item Totals: CASTELAN 2,938.85 Grand Total Areas: 3,214.15 SF Walls 1,295.82 SF Ceiling 4,509.97 SF Walls and Ceiling 1,295.82 SF Floor 143.98 SY Flooring 401.77 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 401.77 LF Ceil.Perimeter 1,295.82 Floor Area 1,389.78 Total Area 3,214.15 Interior Wall Area 1,434.00 Exterior Wall Area 159.33 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 CASTELAN 8/14/2012 Page: 7 ServiceMaster Cleaning& Restoration- St Paul Branch 3205 Mike Collins Dr Eagan,MN 55121 FED ID 90-0138803 Summary for Dwelling Line Item Total 2,848.33 Total Adjustments for Base Service Charges 90.52 Subtotal 2,938.85 Cleaning Sales Tax @ 7.625% 224.12 Replacement Cost Value $3,162.97 Net Claim $3,162.97 Kurt Kelly CASTELAN 8/14/2012 Page: 8 � n � � �. v� r �' C m �, r � z ��,- �,�s- � , �„-- 9'10' i6'S" � 4'� g T — i _�' � 13'< � ��0' � � 1 �'rc � ; �---��• <�%----� i � 3'4' �.5. 4'� I o N�' � � �ar� � I � M � \ �� 'M � \ � �•� N 'T7 -- a� _ oa � � � ,o — �. � � Ungerman Construction Company Inc. LLL �.�.��.�,.<<�..��«,��.��„". General Contractor 4450 Nicollet Avenue South Minneapolis,Minnesota 55419-5035 Minnesota License#1239 Insured: Anselmo Castelan Home: (651)690-9999 Property: 1681 Saunders Ave. St Paul,MN 55106 Estimator: Dan Martineau Business: (612)207-5366 Position: Estimator E-mail: dan@uccmn.com Company: Ungerman Construction Co.,Inc. I Business: 4450 Nicollet Ave. S � Minneapolis,MN 55419 Contractor: Business: (b 12)825-2800 Company: Ungerman Construction Co.,Inc. Business: 4450 Nicollet Avenue South Minneapolis,MN 55419 Claim Number: Policy Number: Type of Loss: Date of Loss: Date Received: Date Inspected: Date Entered: 8/23/2012 11:12 AM Price List: MNMN7X AUG12 Restoration/S ervice/Remodel Estimate: CASTELAN-ANSELMO � . � � Ungerman Construction Company Inc. ` LLL �w.��,.«„>�.,��,.��._�,.,,.<. General Contractor 4450 Nicollet Avenue South Minneapolis,Minnesota 55419-5035 Minnesota License#1239 CASTELAN-ANSELMO I Main Level �� -"� Bedroom Height: 8' '�i 73 s T li I 392.00 SF Walls 148.89 SF Ceiling - " � 540.89 SF Walls&Ceiling 148.89 SF Floor ! I 16.54 SY Fiooring 49.00 LF Floor Perimeter ! "& l 49.00 LF Ceil.Perimeter j � DESCRIPTION QNTY REMOVE REPLACE TOTAL 5. Contents-move out then reset 1.00 EA 0.00 49.42 49.42 4. Drywall patch/small repair,ready for 1.00 EA 0.00 48.09 48.09 paint 6. Seal the surface area w/latex based stain 207.00 SF 0.00 0.34 70.38 blocker-one coat 7. Paint the surface area-one coat 207.00 SF 0.00 0.39 80.73 8. R&R Paneling 185.00 SF 0.27 1.91 40330 63. R&R Panel cap-stain grade 24.50 LF 0.15 2.05 53.91 61. R&R Corner trim 72.00 LF 0.15 1.44 114.48 62. Stain&finish trim 96.50 LF 0.00 0.95 91.68 9. Baseboard-3 1/4" 49.00 LF 0.00 2.52 123.48 10. Stain&finish baseboard 49.00 LF 0.00 0.94 46.06 12. R&R Interior door-Colonist-stain 1.00 EA 16.52 200.56 217.08 grade jamb&casing 15. Door lockset-Detach&reset 1.00 EA 0.00 20.28 20.28 13. Stain&finish door slab only(per side) 2.00 EA 0.00 35.23 70.46 14. Stain&finish door/window trim& 2.00 EA 0.00 24.68 4936 jamb(per side) 16. Remove Carpet pad 74.44 SF 0.11 0.00 8.19 17. Remove Carpet 74.44 SF 0.25 0.00 18.61 18. Carpet pad 148.89 SF 0.00 0.60 89.33 I 19. Carpet 171.22 SF 0.00 2.96 506.81 ' I S%waste added for Carpet. Totals: Bedroom 2,061.65 CASTELAN-ANSELMO 8/24/2012 Page: 2 � '� Ungerman Construction Company Inc. �,�.��,.<<�.��,�,��.<<� �,,,,. General Contractor 4450 Nicollet Avenue South Minneapolis,Minnesota 55419-5035 Minnesota License#1239 � � Living Room Height: 8' �' I ' '� = T 65333 SF Walls 322.65 SF Ceiling r 1 9 7 5.9 9 S F W a ll s&C e i l i n g 3 2 2.6 5 S F F l o o r _ .� i ` 35.85 SY Flooring 81.67 LF Floor Perimeter ,:: ' 81.67 LF Ceil.Perimeter � ,� Missing Wall 3'2" X 8' Opens into STAIRS Subroom 1: CLOSET Height:8' �z.2.. ,,; �, 85.33 SF Walls 6.67 SF Ceiling �%��' 0 92.00 SF Walls&Ceiling 6.67 SF Floor 1m � P 0.74 SY Flooring 10.67 LF Floor Perimeter -�12 $.� 10.67 LF Ceil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL 20. Drywall replacement per LF- up to 2' 13.67 LF 0.00 5.99 81.88 tal l 2]. Seal the surface area w/latex based stain 130.00 SF 0.00 0.34 44.20 blocker-one coat 22. Paint the surface area-one coat 130.00 SF 0.00 039 50.70 23. R&R Paneling 608.67 SF 0.27 1.91 1,326.90 64. R&R Corner trim 115.00 LF 0.15 1.44 182.85 66. R&R Panel cap-stain grade 4.83 LF 0.15 2.05 10.62 65. Stain&finish trim 120.00 LF 0.00 0.95 114.00 24. Baseboard-3 1/4" 92.33 LF 0.00 2.52 232.67 25. Stain&finish baseboard 9233 LF 0.00 0.94 86.79 52. R&R Interior door-Colonist-stain 1.00 EA 16.52 200.56 217.08 grade jamb&casing 53. Door lockset-Detach&reset 1.00 EA 0.00 20.28 20.28 54. Stain&finish door slab only(per side) 2.00 EA 0.00 35.23 70.46 55. Stain&finish door/window trim& 2.00 EA 0.00 24.68 49.36 jamb(per side) 26. Carpet pad 32932 SF 0.00 0.60 197.59 27. Carpet 378.72 SF 0.00 2.96 1,121.01 15 %waste added for Carpet. Totals: Living Room 3,80639 CASTELAN-ANSELMO 8/24/2012 Page: 3 �" '� Ungerman Construction Company Inc. ��,,„�,.��.>��<<��.<<�._,.,�.�. General Contractor 4450 Nicollet Avenue South Minneapolis,Minnesota 55419-5035 Minnesota License#1239 �;z Bathroom Height: 8' T � 22533 SF Walls 39.29 SF Ceiling 1 c � s� 264.63 SF Walls&Ceiling 39.29 SF Floor 0 T � j 437 SY Flooring 28.17 LF Floor Perimeter 1 28.17 LF Ceil.Perimeter H 4 4 -� DESCRIPTION QNTY REMOVE REPLACE TOTAL 31. Toilet-Detach&reset 1.00 EA 0.00 203.95 203.95 58. Detach&Reset Bath accessory 5.00 EA 0.00 0.00 74.75 30. Vanity top-Detach and reset 2.00 LF 0.00 16.63 33.26 29. R&R Vanity 2.00 LF 6.61 130.23 273.68 28. R&R Paneling 16533 SF 027 1.91 360.42 59. R&R Corner trim 45.00 LF 0.15 1.44 71.55 60. Stain&finish trim 45.00 LF 0.00 0.95 42.75 32. R&R Cove base molding-rubber or 28.17 LF 0.27 1.73 5634 I� vinyl,4"high li 33. R&R Interior door-Colonist-stain 1.00 EA 16.52 200.56 217.08 grade jamb&casing 34. Door lockset-Detach&reset 1.00 EA 0.00 20.28 20.28 35. Stain&finish door slab only(per side) 2.00 EA 0.00 35.23 70.46 36. Stain&finish door/window trim& 2.00 EA 0.00 24.68 49.36 I jamb(per side) � Totals: Bathroom 1,473.88 � �3 s � Stairs Height: 17' � ; � 318.46 SF Walls 34.83 SF Ceiling f - � 353.29 SF Walls&Ceiling 62.13 SF Floor 6.90 SY Flooring 29.79 LF Floor Perimeter �. 25.50 LF Ceil.Perimeter h32 � ! Missing Wall 3'2"X 17' Opens into LIVING_ROOM DESCRIPTION QNTY REMOVE REPLACE TOTAL 1. R&R Carpet pad 62.13 SF 0.11 0.60 44.ll 57. Remove Carpet 62.13 SF 0.25 0.00 15.53 CASTELAN-ANSELMO 8/24/2012 Page: 4 . � � Ungerman Construction Company Inc. LLL �.�.��,��..��<<��.<<�.�,.,�.�- General Contractor 4450 Nicollet Avenue South Minneapolis,Minnesota 55419-5035 Minnesota License#1239 CONTINUED-Stairs '� DESCRIPTION QNTY REMOVE REPLACE TOTAL 'I 2. Carpet 71.45 SF 0.00 2.96 211.49 15%waste added for Carpet. 3. Step charge for"waterfall" carpet 12.00 EA 0.00 5.29 63.48 installation Totals: Stairs 334.61 '- � �_ Bedroom 2 Height: 8' � -- 434.67 SF Walls 176.00 SF Ceiling _ � „�„a, 610.67 SF Walls&Ceiling 176.00 SF Floor - � 19.56 SY Flooring 5433 LF Floor Perimeter 5433 LF Ceit.Perimeter . : � DESCRIPTION QNTY REMOVE REPLACE TOTAL 41. R&R Paneling 325.67 SF 0.27 1.91 709.96 67. R&R Panel cap-stain grade 172.67 LF 0.15 2.05 379.87 68. Stain&finish trim 172.67 LF 0.00 0.95 164.04 42. Baseboard-3 1/4" 54.33 LF 0.00 2.52 136.91 43. Stain&finish baseboard 54.33 LF 0.00 0.94 51.07 44. R&R Interior door-Colonist-stain 1.00 EA 16.52 200.56 217.08 � grade jamb&casing 45. Door lockset-Detach&reset 1.00 EA 0.00 20.28 20.28 46. Stain&finish door slab only(per side) 2.00 EA 0.00 35.23 70.46 47. Stain&finish door/window trim& 2.00 EA 0.00 24.68 4936 jamb(per side) I 50. Carpet pad 176.00 SF 0.00 0.60 105.60 51. Carpet 202.40 SF 0.00 2.96 599.10 15%waste added for Carpet. Totals: Bedroom 2 2,503.73 CASTELAN-ANSELMO 8/24/2012 Page: S � � Ungerman Construction Company Inc. ' LLL �.,.��,.<<",��„��,�,��,�.,�,.,�.,. General Contractor 4450 Nicollet Avenue South Minneapolis,Minnesota 55419-5035 Minnesota License#1239 ,�a = �� Storage Area/Room Height: 8' 'I 73' T � 377.45 SF Walls 120.21 SF Ceiling ! I j�•�•°°^ �3 ��, ; 497.66 SF Walls&Ceiling 120.21 SF Floor T "�1 1336 SY Flooring 47.18 LF Floor Perimeter 1 �� 1 4718 LF Ceil.Perimeter �,�.� DESCRIPTION QNTY REMOVE REPLACE TOTAL 56. R&R Paneling 377.45 SF 0.27 1.91 822.84 Totals: Storage Area/Room 822.84 Total:Main Level 11,003.10 Miscellaneous DESCRIPTION QNTY REMOVE REPLACE TOTAL 69. Taxes,insurance,permits&fees(Bid 1.00 EA OPEN ITEM item) 70. Dumpster load-Approx. 12 yards, 1-3 1.00 EA 258.00 0.00 258.00 tons of debris Totals: Miscellaneous 258.00 Line Item Subtotals:CASTELAN-ANSELMO 11,261.10 Adjustments for Base Service Charges Adjustment Drywall Installer/Finisher 264.20 Flooring Installer 131.96 Plumber 224.28 Painter 9432 Total Adjustments for Base Service Charges: 714.76 Line Item Totals: CASTELAN-ANSELMO 11,975.86 CASTELAN-ANSELMO 8/24/2012 Page: 6 .. � � Ungerman Construction Company Inc. LLL ��,��,.��.,,K«��.<<�..�,.,�.,. General Contractor 4450 Nicollet Avenue South Minneapolis,Minnesota 55419-5035 Minnesota License#1239 Grand Total Areas: 2,486.57 SF Walls 848.55 SF Ceiling 3,33512 SF Walls and Ceiling 875.84 SF Floor 97.32 SY Flooring 300.80 LF Floor Perimeter � 0.00 SF Long Wall 0.00 SF Short Wall 296.51 LF Ceil.Perimeter 875.84 Floor Area 921.96 Total Area 2,053.45 Interior Wall Area 1,167.00 Exterior Wall Area 129.67 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 CASTELAN-ANSELMO 8/24/2012 Page: 7 . � �;1(� Ungerman Construction Company Inc. " LLL ��.,„�,.��>�R<<��"�zi.,�,.��.�. General Contractor 4450 Nicollet Avenue South Minneapolis,Minnesota 55419-5035 Minnesota License#1239 Summary for Dwelling I Line Item Total ll,261.10 � Total Adjustments for Base Service Charges 714.76 Matl Sales Tax Reimb @ 7.625% x 5,16032 393.47 12,369.33 Overhead @ 10.0% x 12,369.33 1,236.93 Profit @ 10.0% x 12,369.33 1,236.93 Replacement Cost Value $14,843.19 Net Claim $14,84319 Dan Martineau Estimator I CASTELAN-ANSELMO 8/24/2012 Page: 8 ' . d � �� ' J N c bA � p. I N O N � N � .L�iZ .:.0 .oi,v .e.oi � 1 � .,.o� y � 1. . ,<< � 1 � .9.� .�£ T 1 1 �—.t.z .s,e—� T y T I .9.91 1 ,b� . ,e � .o� .s,�„ O � a w � z ¢ z ¢ � � � � ¢ �� v � . . I Superior Construction Services Inc. SUPERIOR L'DNSTRtJCTION 9702 85th Ave North S'ERVICES ...,: >, - ,. ... Maple Grove,MN 55369 Phone (763)424-9434 Fax (763)424-5428 Federal ID#41-1766131 MN ID#7231 Insured: Ansel�Castelan Home: (612)812-3456 Property: 1681 Saunders Ave St.Paul,MN Estimatar: Ryan Zyvoloski Business: (612)210-3178 Business: 8702 85th Ave N Maple Grove,MN 55369 Contractor: Business: (763)424-9434 Company: Superior Construction Services Inc. Business: 9702 85th Avenue North Maple Grove,MN 55369 Claim Number: Policy Number. Type of Loss: I Date of Loss: Date Received: Date Inspected: Date Entered: 8/15/2012 10:25 AM Price List: MNMN7X AUG 12 Restoration/S ervice/Remodel Estimate: CASTELAN ANSELMOREPA Superior Construction Services Inc. SUPERIDR L'ONSTRUCTION 9702 85th Ave North S'ERVICES ,..., .„ .�... Maple Grove,MN 55369 Phone (763)424-9434 Fax (763)424-5428 Federal ID#41-1766131 MN ID#7231 CASTELAN ANSELMOREPA I' Main Level I Main Level ' DESCRIPTION QNTY REMOVE REPLACE TOTAL 1. Taxes,insurance,permits&fees(Bid 1.00 EA 0.00 0.00 0.00 item) 2. Dumpster load-Approx. 12 yards, 1-3 1.00 EA 258.00 0.00 258.00 tons of debris 3. Cleaning-Remediation Technician-per 8.00 HR 0.00 45.26 362.08 hour Above line item reflects final cleaning once work is complete. Total: Main Level 620.08 ~'°'°� Bedroom 1 Height:8' ,o. 8 42933 SF Walls 170.50 SF Ceiling ,,.� e 599.83 SF Walls&Ceiling 170.50 SF Floor - - 18.94 SY Flooring 53.67 LF Floor Perimeter 53.67 LF Ceil.Perimeter ,06� DESCRIPTION QNTY REMOVE REPLACE TOTAL 4. R&R Paneling 448.00 SF 0.27 1.91 976.64 5. R&R Corner trim-hardwood 107.33 LF 0.15 2.42 275.84 6. Stain&finish trim 10733 LF 0.00 0.95 101.96 7. Finish Carpenter-per hour 4.00 HR 0.00 64.42 257.68 Above 3 line items reflect replacement of paneling,corner trims,and additional labor to rebuild the built-in shelving unit and access panel.Please Note: This estimate does not reflect any acoustic ceiling tile repair. lf the tiles come loose during the removal of the paneling due to construction method,additional costs will be applied to cover the tile work. 8. R&R Interior door-oak veneer-pre- 1.00 EA 16.52 192.22 208.74 hung unit 9. Stain&finish door slab only(per side) 2.00 EA 0.00 35.23 70.46 10. Stain&finish door/window trim& 2.00 EA 0.00 24.68 49.36 � jamb(per side) � 11. Detach&Reset Door knob-interior 1.00 EA 0.00 0.00 20.28 Above 41ine items reflect replacement of the doar to the bedroom due to water damage. 12. Baseboard-3 1/4"hardwood 53.67 LF 0.00 3.55 190.53 13. Stain&finish baseboard 53.67 LF 0.00 0.94 50.45 CASTELAN_ANSELMOREPA 8/15/2012 Page: 2 Superior Construction Services Inc. SUPERIDR L'ONST�RUCTION 9702 85th Ave North S'ERVICES .. .. .. ... .... Maple Grove,MN 55369 Phone (763)424-9434 Fax (763)424-5428 Federal ID#41-1766131 MN ID#7231 CONTINUED-Bedroom 1 DESCRIPTION QNTY REMOVE REPLACE TOTAL 14. Glue down carpet 196.08 SF 0.00 2.61 511.77 15 %waste added for Glue down carpet. 15. Contents-move out then reset-Large 1.00 EA 0.00 74.15 74.15 room Totals: Bedroom 1 2,7g7.g6 8- a "' Family Room Height:8' �1_�r�=1 �36 . T 0 1 562.67 SF Walls 303.08 SF Ceiling " � �� 865.75 SF Walls&Ceiling 303.08 SF Floor _ - 33.68 SY Fiooring 7033 LF Floor Perimeter � �_� ` ��s 1 70.33 LF Ceil.Perimeter � � Missing Wall 3'2" X 8' Opens into STA[RS ' � ��» Subroom: Offset(1) Height: 8' I I-3'4"� i 76.00 SF Walls 9.50 SF Ceiling _ �� _ _ �, 2 � � 85.50 SF Walls&Ceiling 9.50 SF Floor 1 = 1.06 SY Flooring 9.50 LF Floor Perimeter 3�� 9.50 LF Ceil.Perimeter � Missing Wall 3'X 8' Opens into FAMILY_ROOM S��•S ' Subroom: Closet(2) Height: 8' �z'z° 2� 80.00 SF Walls 6.00 SF Ceiling �� P 86.00 SF Walls&Ceiling 6.00 SF Floor 0.67 SY Flooring 10.00 LF Floor Perimeter 1 -�-- -- � �2�8�� 10.00 LF Ceil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL 16. Batt insulation-4"-R13 8.00 SF 0.00 0.50 4.00 17. Polyethylene vapor barrier 8.00 SF 0.00 0.25 2.00 CASTELAN_ANSELMOREPA 8/15/2012 Page: 3 Superior Construction Services Inc. SUPERIOR L'ONSTRUCTION 9702 85th Ave North S'ERViCES ..,,-., :... Maple Grove,MN 55369 Phone (763)424-9434 Fax (763)424-5428 Federal ID#41-1766131 MN ID#7231 CONTINUED-Family Room DESCRIPTION QNTY REMOVE REPLACE TOTAL 18. Drywall replacement per LF-up to 2' 11.00 LF 0.00 5.99 65.89 tall 19. Paint the surface area-one coat 88.00 SF 0.00 039 3432 � 20. R&R Paneling 896.00 SF 0.27 1.91 1,953.28 21. R&R Corner trim-hardwood 179.67 LF 0.15 2.42 461.75 22. Finish Carpenter-per hour 6.00 HR 0.00 64.42 386.52 Above 3 line items reflect replacement of paneling,corner trims,and additional labor to rebuild the built-in shelving unit and access panel.This includes all the paneling on the soffits for matching purposes.Please Note: This estimate does not reflect any acoustic ceiling tile repair. If the tiles come loose during the removal of the paneling due to construction method,additional costs will be appiied to cover the tile work. 23. Chair rail-2 1/2" 6.00 LF 0.00 2.67 16.02 24. Stain&finish chair rail 5.00 LF 0.00 0.94 4.70 Above 2 line items reflect the chairail replacement.The SF for the paneling is in the paneling line item. 25. R&R Door opening(jamb&casing)- l.00 EA 5.54 151.72 157.26 up to 32"wide-hardwood 26. Stain&finish door/window trim& 2.00 EA 0.00 24.68 4936 jamb(per side) Above 2 line items reflect replacement of water damaged jambed opening. 27. Detach&Reset Shelving- 12"-in place 36.00 LF 0.00 0.00 208.44 Above line item reflect D&R Built-in shelving in order to R&R paneling inside for matching purposes. 28. R&R Interior door-oak veneer-pre- 1.00 EA 16.52 192.22 208.74 hung unit 29. Stain&finish door slab only(per side) 2.00 EA 0.00 35.23 70.46 30. Stain&finish door/window trim& 2.00 EA 0.00 24.68 4936 jamb(per side) 31. Detach&Reset Door knob-interior 1.00 EA 0.00 0.00 20.28 Above 4 line items reflect replacement of the door to the bedroom due to water damage. 32. Baseboard-3 1/4"hardwood 89.83 LF 0.00 3.55 318.90 � 33. Stain&finish baseboard 89.83 LF 0.00 0.94 84.44 34. Glue down carpet 366.37 SF 0.00 2.61 956.23 15%waste added for Glue down carpet. 35. Carpet-metal transition strip 3.00 LF 0.00 3.13 939 36. Contents-move out then reset-Large 1.00 EA 0.00 74.15 74.15 room Totals: Family Room 5,135.49 CASTELAN_ANSELMOREPA 8/15/2012 Page:4 Superior Construction Services Inc. SUPER�OR CoNSTR�crioN 9702 85th Ave North SERVIGES .. . -.,: Maple Grove,MN 55369 Phone (763)424-9434 Fax (763)424-5428 Federal ID#41-1766131 MN ID#7231 d,� Bathroom Height: 8' � � 13333 SF Walls 23.83 SF Ceiling � � 157.17 SF Walls&Ceiling 23.83 SF Floor � s,�►..� �o 2.65 SY Flooring 16.67 LF Floor Perimeter s�a• 16.67 LF Ceil.Perimeter � SMwe. Missing Wall 3'8" X 8' Opens into SHOWER DESCRIPTION QNTY REMOVE REPLACE TOTAL 37. R&R Paneling 160.00 SF 0.27 1.91 348.80 38. R&R Corner trim-hardwood 3333 LF 0.15 2.42 85.66 Above 3 line items reflect replacement of paneling and corner trim. Please Note: This estimate does not reflect any acoustic ceiling tile repair.If the tiles come loose during the removal of the paneling due to construction method,additional costs will be applied to cover the tile wark. 39. Detach&Reset Bath accessory 4.00 EA 0.00 0.00 59.80 40. Detach&Reset Toilet 1.00 EA 0.00 0.00 203.95 41. R&R Interior door-oak veneer-pre- 1.00 EA 16.52 192.22 208.74 hung unit 42. Stain&finish door slab only(per side) 2.00 EA 0.00 35.23 70.46 43. Stain&finish door/window trim& 2.00 EA 0.00 24.68 4936 ' jamb(per side) I 44. Detach&Reset Door knob-interior 1.00 EA 0.00 0.00 20.28 ', Above 41ine items reflect replacement of the door to the bedroom due to water damage. i 45. R&R Vanity 2.00 LF 6.61 130.23 273.68 46. Detach&Reset Vanity top-one sink- 2.00 LF 0.00 0.00 33.26 cultured marble 47. Detach&Reset Sink faucet-Bathroom 1.00 EA 0.00 0.00 101.00 48. Detach&Reset Light fixture 1.00 EA 0.00 0.00 49.64 49. Detach&Reset Medicine cabinet 1.00 EA 0.00 0.00 35.68 50. Cove base molding-rubber or vinyl,4" 18.00 LF 0.00 1.73 31.14 high Totals: Bathroom 1,571.45 CASTELAN_ANSELMOREPA 8/15/2012 Page: S Superior Construction Services Inc. SUPERIDR L'ONSTRUCTION 9702 85th Ave North S'ERVICES ,-„ ... Maple Grove,MN 55369 Phone (763)424-9434 Fax (763)424-5428 Federal ID#41-1766131 MN ID#7231 ,o�o• r,o°i Storage Area/Room Height:8' T �s�z^ m I o " 368.00 SF Walls 114.81 SF Ceiling ° �oraaeA�witawn F-�s� ° 482.81 SF Walls&Ceiling 114.81 SF Floor o _ j m T _ 1 12.76 SY Flooring 46.00 LF Floor Perimeter 1 y'6" � 1 46.00 LF Ceil.Perimeter ��ar� DESCRIPTION QNTY REMOVE REPLACE TOTAL 51. R&R Paneling 288.00 SF 0.27 1.91 627.84 Above line item reflects 9 sheets of paneling to replace due to water damage. 52. Detach&Reset Shelving- 12"-in place 18.00 LF 0.00 0.00 104.22 Above line item reflects labor to detach and reset shelving in order to properly R&R the paneling. 53. Contents-move out then reset 1.00 EA 0.00 49.42 49.42 Totals: Storage Area/Room 781.48 I �-'�'s"-� Bedroom 2 Height: 8' , ,�r T I I 370.67 SF Walls 131.67 SF Ceiling S„- Bee,�„2 0 0 50233 SF Walls&Ceiling 131.67 SF Floor ' ' � 14.63 SY Flooring 46.33 LF Floor Perimeter , 4633 LF Ceil.Perimeter � ,�s° � DESCRIPTION QNTY REMOVE REPLACE TOTAL 54. Drywall replacement per LF-up to 2' 4.00 LF 0.00 5.99 23.96 tall 55. Seal the surface area w/latex based stain 4.00 SF 0.00 034 1.36 blocker-one coat 56. Paint part of the walls-one coat 185.33 SF 0.00 039 72.28 57. R&R Paneling 192.00 SF 0.27 191 418.56 58. R&R Corner trim-hardwood 92.67 LF 0.15 2.42 238.16 59. R&R Chair rail-2 1/2" 24.00 LF 0.36 2.67 72.72 60. Stain&finish chair rail 24.00 LF 0.00 0.94 22.56 61. R&R Comer trim-hardwood 24.00 LF 0.15 2.42 61.68 Above 3 line items reflect replacement of paneling,corner trims,and top rails for wainscotting.Please Note: This estimate does not reflect any acoustic ceiling tile repair.If the tiles come loose during the removal of the paneling due to construction method, additional costs will be applied to cover the tile work. CASTELAN_ANSELMOREPA 8/15/2012 Page: 6 Superior Construction Services Inc. SUPERIOR CONSTRUCTION 9702 85th Ave North S'ERVICES ;. Maple Grove,MN 55369 Phone (763)424-9434 Fax (763)424-5428 Federal ID#41-1766131 MN ID#7231 CONTINUED-Bedroom 2 DESCRIPTION QNTY REMOVE REPLACE TOTAL 62. R&R Interior door-oak veneer-pre- 1.00 EA 16.52 192.22 208.74 hung unit 63. Stain&finish door slab only(per side) 2.00 EA 0.00 35.23 70.46 64. Stain&finish door/window trim& 2.00 EA 0.00 24.68 49.36 jamb(per side) '�, 65. Detach&Reset Door knob-interior 1.00 EA 0.00 0.00 20.28 Above 4 line items reflect replacement of the door to the bedroom due to water damage. � 66. Baseboard-3 1/4"hardwood 4633 LF 0.00 3.55 164.47 67. Stain&finish baseboard 46.33 LF 0.00 0.94 43.55 68. Remove Glue down carpet 65.83 SF 0.56 0.00 36.86 69. Glue down carpet 151.42 SF 0.00 2.61 395.21 15%waste added for Glue down carpet. 70. Contents-move out then reset-Large 1.00 EA 0.00 74.15 74.15 room Totals: Bedroom 2 1,974.36 ��'�`� Stairs Height: 17' I 276.75 SF Walls 32.14 SF Ceiling ^ S„- ' � e�,,,„2 308.89 SF Walls&Ceiling 5838 SF Fioor 6.49 SY Flooring 24.27 LF Floor Perimeter '� 20.63 LF Ceil. Perimeter r��°1 Missing Wall 3'2"X 17' Opens into FAMILY_ROOM DESCWPTION QNTY REMOVE REPLACE TOTAL 71. Carpet pad 86.00 SF 0.00 0.60 51.60 72. Carpet 86.00 SF 0.00 2.96 254.56 Totals: Stairs 306.16 Total: Main Level 13,176.88 Line Item Totals: CASTELAN_ANSELMOREPA 13,176.88 CASTELAN_ANSELMOREPA 8/15/2012 Page: 7 Superior Construction Services Inc. SUPERIDR L'ONSTRUCT�ON 9702 85th Ave North S'ERVICES �,....r,�.E-_ , Maple Grove,MN 55369 Phone (763)424-9434 Fax (763)424-5428 Federal ID#41-1766131 MN ID#7231 Grand Total Areas: 2,368.75 SF Walls 801.31 SF Ceiling 3,170.06 SF Walls and Ceiling 827.55 SF Floor 91.95 SY Flooring 285.77 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 282.13 LF Ceil.Perimeter 827.55 Floor Area 87435 Total Area 1,988.00 Interior Wall Area , 1,251.00 Exteriar Wall Area 139.00 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 CASTELAN_ANSELMOREPA 8/15/2012 Page: 8 . � Superior Construction Services Inc. SUPER��R CONSTRUCTION 9702 85th Ave North S'ERVICES ...;..,� -F,,. Maple Grove,MN 55369 Phone (763)424-9434 Fax (763)424-5428 Federal ID#41-1766131 MN ID#7231 Summary for Dwelling Line Item Total 13,176.88 Matl Sales Tax Reimb @ 7.125% 364.42 Subtotal 13,541.30 �� Overhead @ 10.0% 1,354.27 Profit @ 10.0% 1,354.27 Cleaning Sales Tax @ 7.125% 30.96 Replacement Cost Value $16,280.80 Net Claim $16,280.80 � Ryan Zyvoloski CASTELAN_ANSELMOREPA 8/15/2012 Page: 9 - o �� z � a. N O N � .-�-� � � Al.SI —� � .O1,6—� Al A1.4 I .Z.6 I _ � � 1 �° 1 � � .11 .OL.Z� ' � .Y. t � � a 9 1 T � � _� � 1 !—.B.Z .9.E—� .�� T _ � a .o�.s .9 9l - 1 ° �--,� _ � .Ot.6 .9,LZ Q Pr W � O � a w � z Q � z ¢ � a � W � � � � ¢ �� 4—trµ P�►�V� �M�wl��L. (`�z� c.,r..�.0 ri��_ ,� � ��'& �� ,�p �� a = � �� : �`>_ _,� s�:. '' s Y� , � � �. r N `� � � � . � s .� t _ ....�:��Q�� .. I. ��c� n-� -� � i3�o� cs�Q,u►ti� _..,� � ,� � ;�� _ ��-� � ��,�, . � � s �� ;� n .� . , � � � � ,� � �: Y .a . 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