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HomeMy WebLinkAbout2018-00112 - addn/remodel/repair CITY OF ORONO * 2018 - 00112 * 2750 KELLEY PARKWAY DATE ISSUED. 02/08/2018 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3740 NORTHERN AVE PIN : 17-117-23-34-0088 LEGAL DESC : REG.LAND SURVEY NO.0763 LOT 2 BLOCK 1 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR VALUATION : $ 50,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) RESTORATION WORK APPLICANT PERMIT FEE SCHEDULE 715.92 PLAN REVIEW 465.35 TRUE BLUE CONSTRUCTION SERVICES STATE SURCHARGE(VALUATION) 25.00 299 COON RAPIDS BLVD COON RAPIDS,MN 55433- TOTAL 1,206.27 (612)719-1158 Payment(s) Minnesota State License#:BUIL-BC722654 CREDIT CARD 9972 1,206.27 OWNER HOMERS,TODD 3740 NORTHERN AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. pplicant Permitee Date Issue#rBy Signature Date City of Orono Building Permit Application for Maintenance ! Replacement 1 Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) Mailing Address: 0 PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: " h Street Address: Received by: s �, 2750 Kelley Parkway Plan review fee: Orono,MN 55356 �K�SftOQ� Total Fee: 7 + 1 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn,us This application form must be completed in full and all required information must be submitted, Incomplete applications will be returned. (Please print) GENERAL INFORMATION: .fob Site Address: 7 Will this be a parade of Homes, Remodelers Showcase Home or other Display Home? LJ Yes NNo tl yes,a special event permit is required with Police Department and Q1y Couricil approval 60 days prior to the event. Shuttle bus setWe will be raquin3d unlass applicant demonstrates sufficient on-siie parking is available. Non-permifted events will not be affowed CONTRACTOR I APPLICANT INFORMATION: Name: - '&— ' State License# .(ter 4 �2,Y Expiration Date: Lead Certification Number. Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: 0y City: ZIP: r ' Contact Person: Applicant . Con rac r Homeowner (circie one) Email and/or Fax: / PROPERTY OWNER INFORMATI N: Name: �y,s � l Phone(day): {address: � �y 9 " City: ZJP: Email and/or Fax: T INFORMATION: Overall reject description: PROJECT project Type of Project: y earth vement may also require MCWD review&permits: [:1Door(s) El Remodel C1 Fire Damage Minnehaha Creek Watershed District(MCWD) C]Re-roof,asphalt F1 Repair ❑Storm Damage 15320 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration Water Damage Minnetonka,MN 55345 ( � fy) Phone: 962-471-0690 ❑Re-roof,other(specify) ❑Siding ❑Other: (specify) Fax: 952-471-0662 Window(s) www,minnehahacreek.org Estimated Construction Valuation of Project(excluding land) $_ S2 Cyxf APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the Information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data Is Information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other govemmental agencies required by law. if you refuse to supply the information,theapliqation ma not be issued. Applicant's Signature� � Date: 3f Owner's Signature: Date: Last Updated:January 2016 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: � O e,,-n 74y e, Permit No.:Z©� Z— Description of work: e 2-12 O zi war Date Rec'd: Septic review by: Date Approved: Zoning review by. Date Approved: Building review by: Date Approved: xh Grading review by: Date Approved: Zoning District: Zoning File M Resolution? Yes Reso M Reso Date: Signed: Yes No Resolution I NA Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % Survey Submitted: ❑ Yes ❑ No Date of Survey: Revised date(?): Landscape plan submitted? ❑ Yes Landscaper: ❑ No/ None proposed Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Buildina Hei ht Analysis: Distance Between First Floor and defined Top of Roof* (See"building height" (a) definition First Floor Elevation from building plans): (b) Highest Existing ground level (per survey) or 10' above lowest ground level, (c) whichever is lower: Difference between b and (c)*: (d) DEFINED HEIGHT 'If highest existing adjacent grade is above FFE-Height is(a) -(d): (e) 'If highest existing adjacent grade is below FFE-Height is a + d Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? ❑ Yes ❑ No Permit Number: ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No ❑ N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf ❑ Yes ❑ No ❑ Yes ❑ No 1 2 3 4 5 Type(s): Type(s): Updated: June 2017 z:\forms\plan review checklist 06-2017.docx Fees to be Charged YES NO Permit Plan Review State Surcharge (� Investigation Fee (/ SAC—Number of SAC Units Other(specify) (/ Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits ❑ Footing ❑ Site Plumbing ❑ Grading/Filling ❑ Poured Wall ❑ Silt Fence/Erosion Control Mechanical ❑ Fire ❑ Foundation Survey ❑ Hardcover Removal ❑ Fireplace ❑ Water Connection ❑ Framing ❑ Other(specify) ❑ Masonry ❑ Sewer Connection ❑ Waterproofing/Drain tile ❑ Mfg. ❑ Lawn Irrigation ❑ Foundation Waterproofing ❑ Other(specify) ❑ Landscaping ;EFraming ❑ Septic Insulation ❑ As-Built Survey Final ❑ Lathe Required State Permits ❑ Other(specify) ❑ Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: ❑ See Builder Acknowledgement Form ❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: June 2017 z:\forms\plan review checklist 06-2017.docx Reviewed for Code Compliance C'7 i of Orono r Truck Insurance Exchange FARMERS Dam INSURANCE Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 Reviewer Oklahoma —..o myclaim@fannersinsurance.com Insured: TRAVIS HILLS Business: (952)999-2198 Property: 3740 Northern Ave Orono,MN 55391-9213 Home: 3740 Northern Ave Orono,MN 55391-9213 Claim Rep.: Kyle Dowzak Business: (952)484-8237 Business: PO Box 268994 E-mail: kyle.dowzak@farmersinsurance. Oklahoma City,OK 73126 com Claimant: TRAVIS HILLS Estimator: Kyle Dowzak Business: (952)484-8237 Business: PO Box 268994 E-mail: kyle. Oklahoma City,OK 73126 dowzak@farmersinsurance. com Claim Number: 5005344160-1-1 Policy Number: 0309452681 Type of Loss: Water Date Contacted: 1/26/2018 12:00 AM Date of Loss: 1/23/2018 2:00 AM Date Received: 1/23/2018 1:28 PM Date Inspected: 1/26/2018 12:00 AM Date Entered: 1/23/2018 12:43 PM Price List: MNMN8X_JAN18 Restoration/Service/Remodel Estimate: TRAVIS HILLS Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com We appreciate the opportunity to serve your insurance needs and we want to make sure you have a clear understanding of how your claim will be processed. Attached is the estimate for the repairs of the damages to your property,also called the Replacement Cost Value of your loss. If depreciation was applied to the estimated repair costs,then the Replacement Cost Value less the depreciation is the Actual Cash Value of your loss. Depreciation is based on the average quality,age,condition and useful life of the damaged property,unless otherwise noted.The applicable policy deductible(s)will be deducted from these amounts. If it appears reasonably likely that a general contractor will be needed to coordinate and supervise the repairs,the estimate also includes an amount for general contractor overhead and profit,unless your policy provides that general contractor overhead and profit will only be paid if incurred. In addition,if your policy provides that any amounts for the matching of undamaged materials will only be paid if incurred,then those estimated amounts will be shown under a section of the estimate labeled Matching of Undamaged Property. Please note this estimate reflects the extent of known covered damages to the property referenced above. No supplemental or additional payments will be issued for repairs that have not been included in this estimate,without prior approval.This approval must be obtained prior to replacement or repair. We must have the opportunity to view and inspect any proposed changes or additional work. Should you receive an estimate of repairs that exceeds this estimate,or if you wish to send us any other information related to your claim,please include"Attention Claim#5005344160-1-1"and forward this information to us by: 1. E-mailing to myclaim@farmersinsurance.com or 2. Faxing to 877-217-1389,or 3. Mailing to National Document Center,P.O.Box 268994,Oklahoma City,OK 73126-8994. Once you have completed the repairs to your property,you may make a Replacement Cost claim for up to the amount of the recoverable depreciation withheld.Any depreciation shown as"non-recoverable"does not qualify for reimbursement. Please refer to the Conditions section of your policy for specific time limits within which you must claim the recoverable depreciation. Once you complete the repairs,please send your supporting documentation to us as outlined above.In any case,your total claim will not exceed the amount you actually spent making the repairs,minus your policy deductible. Estimated costs not actually incurred,like general contractor overhead and profit,will offset recoverable depreciation. If your policy provides for Building Ordinance or Law coverage,any known covered costs resulting from ordinance or law upgrades are itemized in this estimate or contained in a separate estimate we will provide to you. However,these costs are not included as part of the Actual Cash Value of this estimate. Ordinance or law costs will be paid under your policy when incurred by you,subject to your deductible. We wish to inform you there are time limits set forth in the Conditions section of your policy which may affect the time within which you may pursue your claim. We suggest that you review the Conditions section of your policy,as may be endorsed, particularly noting the'Suit Against Us'or'Legal Action Against Us'provision. Although as a service we may refer contractors or repairmen to you,it is your decision to hire the contractor of your choice. We neither direct or manage the activities nor guarantee the work of any contractor,whether referred or not.It is up to you to make sure the work is completed to your satisfaction. We encourage you to visit www.hpcs.com to learn more about our self-service options available to you;including the ability to view your claim status,upload documents and photos and find local service providers. Thank you for the opportunity to serve your insurance needs. If you have any questions regarding this claim,please feel free to TRAVIS HILLS 1/31/2018 Page:2 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com contact us. Kyle Dowzak kyle.dowzak@farmersinsurance.com (952)484-8237 TRAVIS HMLS 1/31/2018 Page:3 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersins„rance.com TRAVIS-HILLS Main Level Main Level QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV 1. Final cleaning-construction-Residential 2,220.43 SF 0.18 30.08 429.76 4/NA Avg. 0% (0.00) 429.76 2. Clean ductwork-Interior(PER REGISTER) 22.00 EA 29.07 48.13 687.67 4/NA Avg. 0% (0.00) 687.67 3. Dumpster load-Approx.12 yards,1-3 tons of debris 1.00 EA 338.00 0.00 338.00 4/NA Avg. 0% (0.00) 338.00 Additional dumpster used in addition to the dumpster for the mitigation. Use of additional dumpster for misc waste and construction debris during repairs. 4. Electrical Repairs per Bid from 1.00 EA 9,494.00 0.00 9,494.00 4/NA Avg. 4% [%] (379.76) 9,114.24 S. Plumbing and HVAC repairs from Good News Heating&Air 1.00 EA 3,123.00 0.00 3,123.00 4/NA Avg. 16% [%] (499.68) 2,623.32 Total: Main Level 78.21 14,072.43 879.44 13,192.99 H-16 6" (I) Kitchen x _ Height:9' 1�1 375.00 SF Walls 511.54 SF Ceiling xmn� N c 886.54 SF Walls&Ceiling 501.10 SF Floor P > U 5 OKI 55.68 SY Flooring 43.82 LF Floor Perimeter T' 76.32 LF Ceil.Perimeter 1 " 1 Missing Wall-Goes to Floor 21811 X 6'8" Opens into BACK ENTRY Window Y X 7' Opens into Exterior Window-Goes to Floor 11'X 7' Opens into Exterior Window Y X 7' Opens into Exterior Window 3'9"X 4' Opens into Exterior Missing Wall 101211 X 9' Opens into LIVING-ROOM Missing Wall 7' 11/16"X 9' Opens into LIVING ROOM Missing Wall 5'111/1611 X 9' Opens into ENTRY Missing Wall 6'715/16"X 9' Opens into ENTRY TRAVIS-HILLS 1/31/2018 Page:4 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com Subroom: Pantry(1) Height:8' r 111.33 SF Walls 16.19 SF Ceiling !' 127.52 SF Walls&Ceiling 16.19 SF Floor �I� * r 1.80 SY Flooring 13.50 LF Floor Perimeter r.-a's• 16.00 LF Ceil.Perimeter Door .21611 X 61811 Opens into KITCHEN QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV 6. Contents-move out then reset-Large room 1.00 EA 80.72 0.00 80.72 4/NA Avg. 0% (0.00) 80.72 FLOOR 7. Wood Floor Covering Installer-per hour 3.00 HR 69.41 0.00 208.23 4/NA Avg. 2.7% [%] (5.62) 202.61 Labor to remove any additional fasteners and smooth out subfloor prior to laying new flooring. 8. Wood floor-per specs from independent wood analysis 517.29 SF 10.37 280.66 5,644.96 4/150 yrs Avg. 2.67% (150.53) 5,494.43 9. Heat/AC register-wood-flush mount 3.00 EA 50.36 5.01 156.09 4/25 yrs Avg. 16% (24.97) 131.12 10. End molding-for wood flooring 3.00 LF 5.33 1.05 17.04 4/25 yrs Avg. 16% (2.73) 14.31 11. Baseboard-6"hardwood 41.00 LF 6.74 13.61 289.95 4/150 yrs Avg. 2.67% (7.73) 282.22 12. Base shoe-hardwood 115.32 LF 1.64 7.29 196.41 4/150 yrs Avg. 2.67% (5.23) 191.18 on base and around cabinets/island 13. Seal&paint baseboard w/shoe,oversized-2 coats* 57.32 LF 1.58 1.08 91.65 4/15 yrs Avg. 26.67% (24.44) 67.21 14. Seal&paint base shoe or quarter round 58.00 LF 0.66 0.39 38.67 4/15 yrs Avg. 26.67% (10.31) 28.36 15. Interior door-Detach&reset-slab only 1.00 EA 18.93 0.00 18.93 4/NA Avg. 0% (0.00) 18.93 Pantry Door WALLS 16. 1/2"-drywall per LF-up to 2'tall 21.00 LF 7.08 1.74 150.42 4/150 yrs Avg. 2.67% (4.01) 146.41 17. Fill holes created by wall cavity drying 13.00 EA 1.53 0.02 19.91 4/NA Avg. 2.7% [%] (0.54) 19.37 18. Seal/prime then paint the surface area(2 coats) 31.50 SF 0.80 0.36 25.56 4/15 yrs Avg. 26.67% (6.82) 18.74 19. Paint part of the walls-one coat 454.83 SF 0.56 3.76 258.46 4/15 yrs Avg. 26.67% (68.92) 189.54 TRAVIS-HILLS 1/31/2018 Page:5 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com CONTINUED-Kitchen QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV 20. Mask and prep for paint-plastic,paper,tape(per LF) 92.32 LF 1.14 1.60 106.84 4/15 yrs Avg. 26.67% (28.49) 78.35 21. Painter-per hour 3.00 HR 60.45 0.00 181.35 4/15 yrs Avg. 26.67% (48.36) 132.99 Additional labor to account for the additional masking around the cabinets and other items in the kitchen and pantry. 22. Trim board-1"x 12"-installed(hardwood-oak or=) 17.00 LF 10.78 11.09 194.35 4/150 yrs Avg. 2.67% (5.19) 189.16 replacement of large jamb between the kitchen and back entry. 23. Casing-4"-hardwood 34.00 LF 3.59 6.86 128.92 4/150 yrs Avg. 2.67% (3.43) 125.49 24. Paint door trim&jamb-Large-2 coats(per side)* 2.00 EA 29.95 0.68 60.58 4/15 yrs Avg. 26.67% (16.15) 44.43 25. Casing-4"-hardwood 15.83 LF 3.59 3.19 60.02 4/150 yrs Avg. 2.67% (1.61) 58.41 Casing on the pantry door. 26. Paint door trim&jamb-2 coats(per side)* 1.00 EA 25.45 0.29 25.74 4/15 yrs Avg. 26.67% (6.87) 18.87 CABINETS 27. Toe kick-pre-finished wood-1/2" 58.00 LF 8.72 18.55 524.31 4/50 yrs Avg. 8% (41.94) 482.37 28. Custom cabinet panels-back-Premium grade* 27.00 SF 30.17 46.85 861.44 4/50 yrs Avg. 8% (68.92) 792.52 Behind the island. 29. Detach&Reset Custom cabinets-base units-Premium grade 31.50 LF 58.17 0.00 1,832.36 0/50 yrs Avg. 0% (0.00) 1,832.36 30. Detach&Reset Custom cabinets-full height units-Premium grade 9.00 LF 57.91 0.00 521.19 0/50 yrs Avg. 0% (0.00) 521.19 31. Carpenter-Finish,Trim/Cabinet-per hour 8.00 HR 70.97 0.00 567.76 4/NA Avg. 0% (0.00) 567.76 Additional labor involved with detaching and resetting the custom cabinets in the kitchen. Allowance is equal to 1 additional day for task. 32. Detach&Reset Countertop-solid surface-Premium grade 12.00 SF 21.82 0.00 261.84 0/25 yrs Avg. 0% (0.00) 261.84 33. (Install)Countertop-solid surface-Premium grade 69.00 SF 16.36 0.00 1,128.84 0/25 yrs Avg. 0% (0.00) 1,128.84 34. (Install)Sink-single 2.00 EA 0/50 yrs Avg. 0% GOOD NEWS BID 35. (Install)Sink faucet-Kitchen 2.00 EA 0/15 yrs Avg. 0% GOOD NEWS BID TRAVIS HILLS 1/31/2018 Page:6 AMIN Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com w Living g Room Height:9' 1 s 270.25 SF Walls 279.64 SF Ceiling N [;vingRoo�F' 549.89 SF Walls&Ceiling 269.09 SF Floor 1 29.90 SY Flooring 27.58 LF Floor Perimeter Term 49.17 LF Ceil.Perimeter Window 1'9"X 2'10" Opens into Exterior Window 11911 X 2'10" Opens into Exterior Missing Wall-Goes to Floor 4'3"X 6'8" Opens into OFFICE Missing Wall 7111/1611 X 9' Opens into KITCHEN Missing Wall 101211 X 9' Opens into KITCHEN Window-Goes to Floor l l'X 7' Opens into Exterior QUANTITY UNIT TAX RCV AGE/LEM COND. DEP% DEPREC. ACV FLOOR 46. Carpet-Detach&relay 269.09 SF 0.82 0.40 221.05 4/NA Avg. 0% (0.00) 221.05 47. Carpet pad 269.09 SF 0.59 9.92 168.68 4/10 yrs Avg. 40% (67.47) 101.21 48. Clean and deodorize carpet 269.09 SF 0.38 7.69 109.94 4/NA Avg. 0% (0.00) 109.94 49. T-molding-for wood flooring 17.50 LF 6.78 8.01 126.66 4/25 yrs Avg. 16% (20.26) 106.40 Wood molding between the living room carpet and the kitchen wood floor. 50. Contents-move out then reset 1.00 EA 53.81 0.00 53.81 4/NA Avg. 0% (0.00) 53.81 Totals: Living Room 26.02 680.14 87.73 592.41 TRAVIS HILLS 1/31/2018 Page:8 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com F-.5'3".-I 1*11" 2'2• Entry Height:9' 380.01 SF Walls 137.89 SF Ceiling • ..s "-+ 517.90 SF Walls&Ceiling 134.25 SF Floor `v O " " r a• � 14.92 SY Flooring 38.72 LF Floor Perimeter cn 57.55 LF Ceil.Perimeter Window 1'X 6'7 3/4" Opens into Exterior Door 3'X 618" Opens into Exterior Window-Goes to Floor 1'X 6'7 3/4" Opens into Exterior Door 4'X 61819 Opens into OFFICE Missing Wall 5'111/16"X 9' Opens into KITCHEN Missing Wall 6'715/16"X 9' Opens into KITCHEN Door 21611 X 61811 Opens into BATHROOM E°'' Subroom: Coat Closet(1) Height:8' 89.35 SF Walls 10.51 SF Ceiling " 99.86 SF Walls&Ceiling 10.51 SF Floor 1.17 SY Flooring 10.50 LF Floor Perimeter ! N 14.50 LF Ceil.Perimeter Door 4'X 6'81' Opens into ENTRY QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV FLOOR 51. Wood Floor Covering Installer-per hour 1.50 HR 69.41 0.00 104.12 4/NA Avg. 2.7% (%] (2.81) 101.31 Labor to remove any additional fasteners and smooth out subfloor prior to laying new flooring. 52. R&R Wood floor-per specs from independent wood analysis 144.76 SF 12.47 78.54 1,883.70 4/150 yrs Avg. 2.67% (50.23) 1,833.47 53. Base shoe-hardwood 49.22 LF 1.64 3.11 83.83 4/150 yrs Avg. 2.67% (2.23) 81.60 54. Seal&paint baseboard w/shoe,oversized-2 coats* 49.22 LF 1.58 0.93 78.70 4/15 yrs Avg. 26.67% (20.99) 57.71 55. Interior door-Detach&reset-slab only 2.00 EA 18.93 0.00 37.86 4/NA Avg. 0% (0.00) 37.86 Closet door. 56. R&R End molding-for wood flooring 10.50 LF 5.68 3.66 63.31 4/25 yrs Avg. 16% (10.14) 53.17 Totals: Entry 86.24 2,251.52 86.40 2,165.12 TRAVIS HILLS 1/31/2018 Page:9 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsumnce.com .z 8"� WN Mv Back Entry Height:9' T o uPW 230.06 SF Walls 63.97 SF Ceiling i ` 6 294.02 SF Walls&Ceiling 63.97 SF Floor 9 7.11 SY Flooring 22.67 LF Floor Perimeter 5. ' °16 - 33.83 LF Ceil.Perimeter F3'9°y 3 �I Door 3'X 61811 Opens into Exterior Door 2'6"X 61811 Opens into Exterior Missing Wall-Goes to Floor 21811 X 6'8" Opens into KITCHEN Door Y X 61811 Opens into Exterior QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV 57. Clean the floor 63.97 SF 0.25 1.20 17.19 4/NA Avg. 0% (0.00) 17.19 58. 1/2"-drywall per LF-up to T tall 6.00 LF 7.08 0.50 42.98 4/150 yrs Avg. 2.67% (1.14) 41.84 59. Seal/prime then paint the surface area(2 coats) 6.00 SF 0.80 0.07 4.87 4/15 yrs Avg. 26.67% (1.30) 3.57 60. Paint part of the walls-one coat 224.06 9F 0.56 1.85 127.32 4/15 yrs Avg. 26.67% (33.95) 93.37 61. Baseboard-6"hardwood 6.50 LF 6.74 2.16 45.97 4/150 yrs Avg. 2.67% (1.23) 44.74 62. Base shoe-hardwood 6.50 LF 1.64 0.41 11.07 4/150 yrs Avg. 2.67% (0.29) 10.78 63. Paint baseboard w/shoe,oversized-2 coats* 6.50 LF 1.54 0.13 10.14 4/15 yrs Avg. 26.67% (2.70) 7.44 64. Paint baseboard w/cap&/or shoe,oversized-one coat 16.17 LF 1.00 0.21 16.38 4/15 yrs Avg. 26.67% (4.37) 12.01 Totals: Back Entry 6.53 275.92 44.98 230.94 Total: Main Level 601.08 31,537.94 1,631.36 29,90658 Bsaement TRAVIS HILLS 1/31/2018 Page: 10 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com s 11° s 3^. Family Room Height:9' ~�6'r- t. 7- Family 671.42 SF Walls 470.18 SF Ceiling R° 1141.60 SF Walls&Ceiling 414.21 SF Floor l_V 46.02 SY Flooring 80.58 LF Floor Perimeter 1"deFleor(AI) ;� 'S'I"" 88.58 LF Ceil.Perimeter Iba-8'11°-if' 2 Te Window 8'11"X 5' Opens into Exterior Door 3'X 61811 Opens into Exterior Window 6'X 5' Opens into Exterior Door 21691 X 618" Opens into BEDROOM Door 216"X 61811 Opens into WORKOUT-ROOM 12)T Subroom: Lower Landing(1) Height:8'8";, 219.28 SF Walls 75.96 SF Ceiling T 295.24 SF Walls&Ceiling 75.96 SF Floor '4° --I-c r 8.44 SY Flooring 23.67 LF Floor Perimeter 30.75 LF Ceil.Perimeter Door 2'61'X 6'811 Opens Into BATHROOM Missing Wall 613"X 81811 Opens into FAMILY ROOM Missing Wall 3'8"X 81811 Opens into Exterior Missing Wall-Goes to Floor 4'7"X 618" Opens into BACK HALLWAY QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV FLOOR 65. Carpet pad 490.17 SF 0.59 18.07 307.27 4/10 yrs Avg. 40% (122.91) 184.36 66. Carpet-Detach&relay 490.17 SF 0.82 0.74 402.68 4/NA Avg. 0% (0.00) 402.68 67. Clean and deodorize carpet 490.17 SF 0.38 14.02 200.28 4/NA Avg. 0% (0.00) 200.28 68. Baseboard-6"hardwood 104.25 LF 6.74 34.60 737.25 4/150 yrs Avg. 2.67% (19.66) 717.59 69. Stain&finish baseboard-oversized 104.25 LF 1.45 1.73 152.89 4/15 yrs Avg. 26.67% (40.77) 112.12 70. Clean floor-tile 56.00 SF 0.49 2.06 29.50 4/NA Avg. 0% (0.00) 29.50 WALLS 71. Batt insulation-6"-R21-unfaced batt 99.00 SF 1.00 4.77 103.77 4/150 yrs Avg. 2.67% (2.77) 101.00 TRAVIS HILLS 1/31/2018 Page: 11 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com CONTINUED-Family Room QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV 72. Polyethylene vapor barrier,seam taping&joint caulking 99.00 SF 0.39 0.89 39.50 4/150 yrs Avg. 2.67% (1.05) 38.45 73. Fill holes created by wall cavity drying 64.00 EA 1.53 0.10 98.02 4/NA Avg. 2.7% [%] (2.64) 95.38 74. 1/2"drywall-hung,taped,floated,ready for paint 105.00 SF 1.80 3.79 192.79 4/150 yrs Avg. 2.67% (5.14) 187.65 75. 1/2"-drywall per LF-up to T tall 15.00 LF 7.08 1.24 107.44 4/150 yrs Avg. 2.67% (2.86) 104.58 76. Casing-4"-hardwood 113.32 LF 3.59 22.85 429.67 4/150 yrs Avg. 2.67% (11.46) 418.21 77. Stain&finish casing 113.32 LF 1.27 1.45 145.37 4/15 yrs Avg. 26.67% (38.77) 106.60 78. R&R Crown molding-5 3/8"to 6"hardwood 8.00 LF 10.68 4.22 89.66 4/150 yrs Avg. 2.67% (2.39) 87.27 79. Stain&finish crown molding 8.00 LF 1.37 0.10 11.06 4/15 yrs Avg. 26.67% (2.95) 8.11 80. Window blind-horizontal or vertical-Detach&reset 2.00 EA 34.25 0.00 68.50 4/NA Avg. 0% (0.00) 68.50 81. Clean window blind-horizontal or vertical 75.00 SF 0.91 5.14 73.39 4/NA Avg. 0% (0.00) 73.39 82. Interior door-Detach&reset-slab only 3.00 EA 18.93 0.00 56.79 4/NA Avg. 0% (0.00) 56.79 83. Seal/prime then paint the surface area(2 coats) 120.00 SF 0.80 1.35 97.35 4/15 yrs Avg. 26.67% (25.96) 71.39 84. Paint part of the walls-one coat 770.69 SF 0.56 6.38 437.97 4/15 yrs Avg. 26.67% (116.79) 321.18 CEILIIVG 85. 5/8"drywall-hung,taped,with smooth wall finish 470.18 SF 2.50 18.40 1,193.85 4/150 yrs Avg. 2.67% (31.84) 1,162.01 86. Seal/prime then paint part of the ceiling(2 coats) 470.18 SF 0.80 5.31 381.45 4/15 yrs Avg. 26.67% (101.72) 279.73 87. Mask and prep for paint-plastic,paper,tape(per LF) 119.33 LF 1.14 2.07 138.11 4/15 yrs Avg. 26.67% (36.83) 101.28 MISCELLANEOUS 88. R&R Recessed light fixture 10.00 EA 4/20 yrs Avg. 20% PER ELE BID 89. R&R Light fixture-wall sconce 2.00 EA 4/20 yrs Avg. 20% PER ELE BID TRAVIS HILLS 1/31/2018 Page: 12 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com CONTINUED-Family Room QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV 90. Chandelier-Crystal-High grade 1.00 EA 4/20 yrs Avg. 20% PER ELE BID 91. Ductwork-flexible-insulated-12"round 20.00 LF 4/30 yrs Avg. 13.33% GOOD NEWS BID 92. Heat/AC register-Mechanically attached 6.00 EA 4/25 yrs Avg. 16% GOOD NEWS BID 93. R&R 110 volt copper wiring run,box and outlet 8.00 EA 4/100 yrs Avg. 4% PER ELE BID 94. Contents-move out then reset-Extra large room 1.00 EA 161.44 0.00 161.44 0/NA Avg. 0% (0.00) 161.44 Totals: Family Room 149.28 5,656.00 566.51 5,089.49 �W Workout Room Height:9' 51 10" i 386.67 SF Walls 150.00 SF Ceiling � �a 536.67 SF Walls&Ceiling 150.00 SF Floor 1 16.67 SY Flooring 45.00 LF Floor Perimeter 50.00 LF Ceil.Perimeter 2'"" rib Window 6'X 5' Opens into Exterior Door 2'6"X 6'81' Opens into FAMILY-ROOM Subroom: Closet(1) Height:9' &--4'6" 82.33 SF Walls 6.00 SF Ceiling -- 88.33 SF Walls&Ceiling 6.00 SF Floor 7" 0.67 SY Flooring 8.50 LF Floor Perimeter 11.00 LF Ceil.Perimeter Door 2'611 X 6'8" Opens into WORKOUT-ROOM QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV FLOOR 95. Carpet pad 156.00 SF 0.59 5.75 97.79 4/10 yrs Avg. 40% (39.12) 58.67 TRAVIS HILLS 1/31/2018 Page: 13 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 mycWm@farmersinsurance.com CONTINUED-Workout Room QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV 96. Carpet-Detach&relay 156.00 SF 0.82 0.23 128.15 4/NA Avg. 0% (0.00) 128.15 97. Clean and deodorize carpet 156.00 SF 0.38 4.46 63.74 4/NA Avg. 0% (0.00) 63.74 98. Baseboard-6"hardwood 53.50 LF 6.74 17.75 378.34 4/150 yrs Avg. 2.67% (10.09) 368.25 99. Stain&finish baseboard-oversized 53.50 LF 1.45 0.89 78.47 4/15 yrs Avg. 26.67% (20.93) 57.54 WALLS 100. Batt insulation-6"-R21-unfaced batt 61.50 SF 1.00 2.96 64.46 4/150 yrs Avg. 2.67% (1.72) 62.74 101. Polyethylene vapor barrier,seam taping&joint caulking 61.50 SF 0.39 0.56 24.55 4/150 yrs Avg. 2.67% (0.65) 23.90 102. Fill holes created by wall cavity drying 71.00 EA 1.53 0.11 108.74 4/NA Avg. 2.7% [%] (2.93) 105.81 103. 1/2"drywall-hung,taped,floated,ready for paint 61.50 SF 1.80 2.22 112.92 4/150 yrs Avg. 2.67% (3.01) 109.91 104. 1/2"-drywall per LF-up to 2'tall 7.00 LF 7.08 0.58 50.14 4/150 yrs Avg. 2.67% (1.34) 48.80 105. Casing-4"-hardwood 53.66 LF 3.59 10.82 203.46 4/150 yrs Avg. 2.67% (5.43) 198.03 106. Stain&finish casing 53.66 LF 1.27 0.69 68.84 4/15 yrs Avg. 26.67% (18.35) 50.49 107. Interior door-Detach&reset-slab only 1.00 EA 18.93 0.00 18.93 4/NA Avg. 0% (0.00) 18.93 108. Seal/prime then paint the surface area(2 coats) 68.50 SF 0.80 0.77 55.57 4/15 yrs Avg. 26.67% (14.82) 40.75 109. Paint part of the walls-one coat 400.50 SF 0.56 3.32 227.60 4/15 yrs Avg. 26.67% (60.70) 166.90 CEILING 110. 5/8"drywall-hung,taped,with smooth wall finish 80.04 SF 2.50 3.13 203.23 4/150 yrs Avg. 2.67% (5.42) 197.81 111. Seal/prime then paint part of the ceiling(2 coats) 80.04 SF 0.80 0.90 64.93 4/15 yrs Avg. 26.67% (17.31) 47.62 112. Mask and prep for paint-plastic,paper,tape(per LF) 61.00 LF 1.14 1.06 70.60 4/15 yrs Avg. 26.67% (18.82) 51.78 113. Contents-move out then reset 1.00 EA 53.81 0.00 53.81 0/NA Avg. 0% (0.00) 53.81 TRAVIS HILLS 1/31/2018 Page: 14 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com CONTINUED-Workout Room QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV Totals: Workout Room 56.20 2,074.27 220.64 1,853.63 WM ma's^y Bedroom Height:8' If341.33 SF Walls 152.80 SF Ceiling 494.13 SF Walls&Ceiling 152.80 SF Floor BC&OM �' 16.98 SY Flooring 45.17 LF Floor Perimeter 52.67 LF Ceil.Perimeter '°~'���'' 111 2'9"1 63'2°4 Door 21611 X 6'8" Opens into FAMILY ROOM Window 6'X 5' Opens into Exterior Subroom: Closet(1) Height:8' a cI "cid 113.33 SF Walls 14.33 SF Ceiling i ''� -'' i 127.67 SF Walls&Ceiling 14.33 SF Floor n's•� 1.59 SY Flooring 13.33 LF Floor Perimeter 18.33 LF Ceil.Perimeter Door 5'X 61811 Opens into BEDROOM QUANTITY UNIT TAX RCV AGE/LEM COND. DEP% DEPREC. ACV FLOOR 114. Carpet pad 41.78 SF 0.59 1.54 26.19 4/10 yrs Avg. 40% (10.48) 15.71 115. Carpet-Detach&relay 167.13 SF 0.82 0.25 137.30 4/NA Avg. 0% (0.00) 137.30 116. Clean and deodorize carpet 167.13 SF 0.38 4.78 68.29 4/NA Avg. 0% (0.00) 68.29 117. Baseboard-6"hardwood 24.00 LF 6.74 7.96 169.72 4/150 yrs Avg. 2.67% (4.52) 165.20 118. Stain&finish baseboard-oversized 24.00 LF 1.45 0.40 35.20 4/15 yrs Avg. 26.67% (9.39) 25.81 119. Finish baseboard-1 coat urethane 34.50 LF 0.85 0.36 29.69 4/15 yrs Avg. 26.67% (7.92) 21.77 WALLS TRAVIS HILLS 1/31/2018 Page: 15 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com CONTINUED-Bedroom QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV 120. Fill holes created by wall cavity drying 18.00 EA 1.53 0.03 27.57 4/NA Avg. 2.7% [%] (0.74) 26.83 121. Interior door-Detach&reset-slab only 2.00 EA 18.93 0.00 37.86 4/NA Avg. 0% (0.00) 37.86 122. Paint the walls-one coat 454.67 SF 0.56 3.76 258.38 4/15 yrs Avg. 26.67% (68.90) 189.48 123. Mask and prep for paint-plastic,paper,tape(per LF) 71.00 LF 1.14 1.23 82.17 4/15 yrs Avg. 26.67% (21.91) 60.26 124. Contents-move out then reset 1.00 EA 53.81 0.00 53.81 0/NA Avg. 0% (0.00) 53.81 Totals: Bedroom 2031 926.18 123.86 80232 Rr Bathroom Height:8'8" 305.26 SF Walls 74.86 SF Ceiling 380.12 SF Walls&Ceiling 63.37 SF Floor 7.04 SY Flooring 26.76 LF Floor Perimeter 45.07 LF Ceil.Perimeter �er. Door 216"X 6'8" Opens into LOWER LANDIN QUANTITY UNIT TAX RCV AGE/LIFE GOND. DEP% DEPREC. ACV FLOOR 125. Clean floor-tile 63.37 SF 0.49 2.34 33.39 4/NA Avg. 0% (0.00) 33.39 126. Baseboard-6"hardwood 26.76 LF 6.74 8.88 189.24 4/150 yrs Avg. 2.67% (5.05) 184.19 127. Base shoe-hardwood 26.76 LF 1.64 1.69 45.58 4/150 yrs Avg. 2.67% (1.22) 44.36 128. Stain&finish baseboard-oversized 26.76 LF 1.45 0.44 39.24 4/15 yrs Avg. 26.67% (10.47) 28.77 WALLS 129. Fill holes created by wall cavity drying 50.00 EA 1.53 0.08 76.58 4/NA Avg. 2.7% [%] (2.07) 74.51 TRAVIS HILLS 1/31/2018 Page: 16 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com CONTINUED-Bathroom QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV 130. Paint the walls-one coat 305.26 SF 0.56 2.53 173.48 4/15 yrs Avg. 26.67% (46.26) 127.22 131. Mask and prep for paint-plastic,paper,tape(per LF) 45.07 LF 1.14 0.78 52.16 4/15 yrs Avg. 26.67% (13.91) 38.25 CEILING 132. 5/8"drywall-hung,taped,with smooth wall finish 37.43 SF 2.50 1.46 95.04 4/150 yrs Avg. 2.67% (2.54) 92.50 133. Seal/prime then paint the ceiling(2 coats) 74.86 SF 0.80 0.85 60.74 4/15 yrs Avg. 26.67% (16.20) 44.54 MISCELLANEOUS 134. Detach&Reset Toilet 1.00 EA 0/150 yrs Avg. 0% GOOD NEWS BID 135. Detach&Reset Vanity 4.00 LF 49.75 0.00 199.00 0/50 yrs Avg. 0% (0.00) 199.00 136. Toe kick-pre-finished wood-1/2" 4.00 LF 8.72 1.28 36.16 4/50 yrs Avg. 8% (2.89) 33.27 137. (Install)Vanity top-one sink-cultured marble 4.00 LF 42.59 0.00 170.36 0/20 yrs Avg. 0% (0.00) 170.36 138. Plumbing fixture supply line 3.00 EA 4/20 yrs Avg. 20% GOOD NEWS BID 139. Angle stop valve 3.00 EA 4/100 yrs Avg. 4% GOOD NEWS BID 140. Backsplash-solid surface-Unattached-Reset 6.00 LF 1.94 0.03 11.67 4/NA Avg. 0% (0.00) 11.67 141. Detach&Reset Bath accessory 4.00 EA 16.85 0.00 67.40 0/50 yrs Avg. 0% (0.00) 67.40 142. Detach&Reset Mirror-1/4",plate glass 12.00 SF 6.16 0.00 73.92 0/40 yrs Avg. 0% (0.00) 73.92 143. Contents-move out then reset 1.00 EA 53.81 0.00 53.81 0/NA Avg. 0% (0.00) 53.81 Totals: Bathroom 2036 1,377.77 100.61 1,277.16 TRAVIS HILLS 1/31/2018 Page: 17 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com Back Hallway Height:81811 9-2'3'4-2'6"--1-2'3-4 149.89 SF Walls 38.00 SF Ceiling } q.Beck Hallway 187.89 SF Walls&Ceiling 38.00 SF Floor N f 4.22 SY Flooring 15.08 LF Floor Perimeter 7 24.67 LF Ceil.Perimeter n 1'3- V - ) Door 21611 X 6'81' Opens into Exterior Missing Wall-Goes to Floor 41719 X 618" Opens into LOWER LANDIN Door 2'6"X 61891 Opens into Exterior QUANTITY UNIT TAX RCV AGE/LIFE COND. DEP% DEPREC. ACV 144. Clean floor-tile 38.00 SF 0.49 1.40 20.02 4/NA Avg. 0% (0.00) 20.02 145. Fill holes created by wall cavity drying 13.00 EA 1.53 0.02 19.91 4/NA Avg. 2.7% [%] (0.54) 19.37 146. Baseboard-6"hardwood 6.00 LF 6.74 1.99 42.43 4/150 yrs Avg. 2.67% (1.13) 41.30 147. Stain&finish baseboard-oversized 6.00 LF 1.45 0.10 8.80 4/15 yrs Avg. 26.67% (2.35) 6.45 148. Painting-Faux(special effects)-3 part 149.89 SF 2.59 4.74 392.96 4/15 yrs Avg. 26.67% (104.79) 288.17 Totals: Back Hallway 8.25 484.12 108.81 37531 Total: Bsaement 254.40 10,51834 1,120.43 9,397.91 Labor Minimums Applied QUANTITY UNIT TAX RCV AGE/LIFE GOND. DEP% DEPREC. ACV 149. Insulation labor minimum* 1.00 EA 55.31 0.00 55.31 0/NA Avg. 0% (0.00) 55.31 Totals: Labor Minimums Applied 0.00 5531 0.00 5531 Line Item Totals: TRAVIS-HILLS 855.48 42,11159 2,751.79 39,359.80 [%]-Indicates that depreciate by percent was used for this item [M]-Indicates that the depreciation percentage was limited by the maximum allowable depreciation for this item TRAVIS HILLS 1/31/2018 Page: 18 I Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1477-217-1389 myclaim@farmersinsurance.com Grand Total Areas: 4,834.17 SF Walls 2,278.49 SF Ceiling 7,112.66 SF Walls and Ceiling 2,220.43 SF Floor 246.71 SY Flooring 523.70 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 683.78 LF Ceil.Perimeter 2,220.43 Floor Area 1,093.60 Total Area 4,433.33 Interior Wall Area 2,908.32 Exterior Wall Area 349.83 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 TRAVIS_HILLS 1/31/2018 Page: 19 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com Summary for Dwelling Line Item Total 41,256.11 Matt Sales Tax Reimb 734.18 Subtotal 41,990.29 Cleaning Sales Tax 121.30 Replacement Cost Value $42,111.59 Less Depreciation (2,751.79) Actual Cash Value $39,359.80 Less Deductible (1,500.00) Net Claim $37,859.80 Total Recoverable Depreciation 2,751.79 Net Claim if Depreciation is Recovered $40,611.59 Kyle Dowzak TRAVIS HILLS 1/31/2018 Page:20 Truck Insurance Exchange FARMERS INSURANCE PO Box 268994 Oklahoma City,OK 73126-8994 Toll Free Fax 1-877-217-1389 myclaim@farmersinsurance.com Recap by Category with Depreciation Items RCV Deprec. ACV APPLIANCES 463.45 463.45 CABINETRY 6,019.80 108.42 5,911.38 CLEANING 1,611.87 1,611.87 CONTENT MANIPULATION 457.40 457.40 GENERAL DEMOLITION 653.44 8.91 644.53 DOORS 170.37 170.37 DRYWALL 2,466.12 65.88 2,400.24 ELECTRICAL 9,494.00 379.76 9,114.24 FLOOR COVERING-CARPET 1,452.21 225.86 1,22635 FLOOR COVERING-WOOD 7,368.42 222.01 7,146.41 FINISH CARPENTRY/TRIMWORK 3,129.63 83.46 3,046.17 FINISH HARDWARE 67.40 67.40 HEAT, VENT&AIR CONDITIONING 151.08 24.17 126.91 INSULATION 278.41 5.95 272.46 MARBLE-CULTURED OR NATURAL 17036 170.36 MIRRORS&SHOWER DOORS 73.92 73.92 PLUMBING 3,123.00 499.68 2,62332 PAINTING 4,036.73 1,076.45 2,960.28 WINDOW TREATMENT 68.50 68.50 Subtotal 41,256.11 2,700.55 38,555.56 Matt Sales Tax Reimb 734.18 51.24 682.94 Cleaning Sales Tax 121.30 12130 Total 42,111.59 2,751.79 39,359.80 TRAVIS HILLS 1/31/2018 Page:21 Bsaement W " I 21— t---10'5 Back Hallway, t--10'5------------- ail -- 5, - `�' bathroom - T 6" irs � V � oo M _ lit'i n 5-ower Landing (1� I I O° oo F+i M �----6 CD 12'11" - 5'11" 6' 5'10"�— " 3'11""v fose�f `O <V _ N N 1 " r1 r+ Workout Room v, Family Room .. - �t - '� Bedroom N 10' -12'10" l It 5n ---------------- 241711 Tile Floor(Al) 'oo h V* 1 a 1317f' Bsaement TRAVIS HILLS 1/31/2018 Page:22 Main Level f-6'8" 19'9" 6'211----t6'9" 121211 Bathroom °O 00 N tn - C �n Entry 0O Office 1-2' 1-218"-1 v d v All t 1) N O T 161611 Fn M ) Ful a (133)Cabinet 6'8f'— ±- N 'n 1-61511 13'6" 1 _ 12'611 � Island I fV 0 o Back Entry 1 1'17' 9' 11 Fir ) Kitchen Living Room 6' 6" iv 1 _21� v c1) 1 4'4" - UpperEM, t(B8) i--4'811 i---4 811 814" 1 4' 13'7" 12'11" .31711 1 Main Level TRAVIS-HILLS 1/31/2018 Page:23 c.„ 9 DATE TIME )7 CITY OF ORONO CALLED IN INSPECTIONM,O77rE SCHEDULED OZ-9-/5 3'3 0 PERMIT NO..r. _ - °"'1COMPPLETED� ADDRESS :g7/O 0/�7' iit l�-e c OWNER .� TELEPHONE NO.aa ✓7'U6)7 CONTRACTOR /Ale--- t 1 LLQ De..-/lam DESCRIPTION -_e4 S W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL LL. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ElPLUMBING FINAL 12TREE REMOVAL ❑ LATHE 0 MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS ILATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT v FINAL 0 WATER HOOK-UP 0 FOLLOW-UP cC ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU: YES NO v0, COMMENTS: cc 4,1 a- tjtyle-- 402•1-, 4e...) cc O cct � '-s ffr.-- e, 14.. ft2;01.• 1. ..,1e5 COV /W CC z --> ` , o- W Z iLa W2 SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY u BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne. inspection 24 hou in advance. (952) 249-4600 OwnerlContra i)- site: Inspector-. hite Copy/Inspector's File Canary Copy/Site Notice C— c' DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED `t/Lf i! : d•l) PERMfT NO.O9( 2 b�G�,111— CO ED ADDRESS ?1t O NO 46 Nin OWNER /,TIE�LEPHONE NO. 1(03-132' 2-17C4� CONTRACTOR DESCRIPTION 1 I ! �'� mated Mi ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 12 0 ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL ..1 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: E/Pc-- , -14 ,3 3o CIC .S.O. 6.40 Jam- - D� Woe ak l'6by/e-L G fro totheL U. G: W • j Qtr ru-C 1`/ 4® W ❑WORK SATISFACTORY`.PROCEED pli[fBoJECT COMPLETE 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY C 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaI for the next inspection 24 hours In advance. (952) 249-4600 OwneriContractor on site: Inspector:�/ White C.pyMpScfoess FIN Canary CopyBlb Notice