RC-0704-2022 Office Use Only
ADDITION/ALTERATION PERMIT Permit#:
APPLICATION Permit Fee: $ 220
742Say Road,Queensbury;NY 12804 / —
P:518-761-8256 www.gueensbury.net Invoice#:
Flood Zone? Y V Reviewed By:l �
Project Location: 1.31 Grant Ave Ext Queensbury, NY 12804
Tax Map ID #: ��D Subdivision Name:
PROJECT INFORMATION:
TYPE: W Residential ❑ Commercial, Proposed Use:
CIR Single-Family ❑ Two-Family ❑ Multi-Family(#of units_) ❑ Townhouse
❑ Business Office ❑ Retail ❑Industrial/Warehouse ❑ Garage (#of cars )
❑ Other(describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor:
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement(habitable space): Basement (habitable space):
Total sq ft- �� Total sq ft:
Scop e of work to be done: Install egress window
022
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TOwN�
Addition/Alteration Application Revised June 2022 ,
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): Adirondack Basement Systems
Mailing Address, C/S/Z: 4 Jones Rd. Halfmoon, NY
Cell-Phone: . ( )5183719621 Land Line: )5183719621
Email:
Primary Owner(s):
Name(s} ffom Gp�cam, lea
Mailing Address, C/S/Z: 131 Grant Ave.Ext. Queens ry, NY 12804
G
CeII..Phone:.,�_��� 1w626 Land Line: ( )-5,1836 "
EmaiF:
❑Check if all work will be performed by property owner only
• Contractor(s): (List all additional contractors on the back of this form)
Contact Name(s): Adirondack Basement Systems
Contractor Trade: Waterproofing and foundation specialists
Mailing Address, C/S/Z: 4 Jones Rd. Halfmoon, NY 12065
Cell Phone: ( . )5183719621 Land Line: )5183719621
Email:kelly.kovacs@adirondackbasement.com
**Workers' Comp documentation must be submitted with this application**
• Architect(s)/Engineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
.Cell Phone: Land Line: � )
Email:
Contact Person for Compliance in regards to this project: Kelly Kovacs
Cell..Phone: - )5182262982 Land Line: )5183719621
Email:Kelly.kovacs@adirondackbasement.com
Addition/Alteration Application Revised June 2022
i
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 78 15.00
2. Source of.Heat (circle one): ❑ Gas. ❑ Oil ❑ Propane ❑ Solar ❑ Other:
Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application
3. Are there any.structures not shown on the plot plan? ❑ YES ® NO Explain:
4. Are there any easements on the property? ❑ YES NO
SITE INFORMATION:
Is this a corner lot? ❑ YES l NO
• Will the grade be changed as a result of the construction? ❑ YES ® NO
• What is the water source? ❑ PUBLIC ❑ PRIVATE WELL
• What type of wastewater system is on the parcel? ❑ SEWER ❑ PRIVATE SEPTIC
DECLARATION:
1. I acknowledge that no construction shall be commenced-prior to the issuance of a valid permit and will be
completed within a 12 month period.Any changes to the approved plans prior to/during construction will require
the:submittal:of amended plans, additional reviews and re-approval.
2: If,for any reason;the building permit application is withdrawn, 30%of the fee is retained by the Town of
Queensbury. After 1 year from the initial application date, 100%of the fee is retained.
3-. Ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
4.. 1 certify that the application, plans and supporting materials are a true and a complete statement and/or description
of the work proposed,that all work will be performed in accordance with the NYS Building Codes, local building laws
and ordinances, and in conformance with local zoning regulations.
5. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
6: 1 also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree-to the above:
PRINT NAME: Kelly Kovacs
SIGNATURE: DATE: 10/12/22
Addition/Alteration Application Revised June 2022
`7GA
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (1 of 2)
Two (2)full sets of plans
Over 1,500 sq.ft. requires engineering stamp
L� Design loads on plans: 115 Wind Floor Loads 40 psf
(North of Rte. 149 60) 50 Ground Snow Load Sleeping Areas &Attics 30 psf
Calculations Decks 40 psf
Wind design for lake front properties
Window schedule with glass size & main doors/Air leakage<.5 cfm for doors, < .3 cfm for
G windows/Tempered glass in bathrooms k ZX;55
Door schedule/Main entrance 36" door
Emergency Escape or Bedrooms& Habitable Space
Above-grade: 5.7 sq.ft.
Grade: 5.0 sq.ft.
24" (h)x 20" (w) minimum
44" maximum height above door
ARdow-,cointrok#evi less 2"d story or 72" above grade
Egress window from basement 5.0 sq.ft.
Floor system sizing per table 502.3.1
Residential check ERI or Prescriptive method
Driveway length: 300' or more-12'width required/500' or more,turnaround required
Foundation drainage on plans, if required
" drop in 10' exterior grade
Framing cross section for each roof line,vertical fire stopping every 10'where
required/joist spans pg. 127
Ice &snow shield—24"from exterior wall
- Platforms at exterior doors
PA Stairway headroom 6'8"; all stairs 36" width
Stair run and rise
Winder run and rise
Spiral stairs meet requirements
VjS Smoke detectors—battery backup & proper location, interconnected 5�jLsL
Alq-Bathroom fixtures—proper clearance
Hall width-36"width
Handrails more than four risers on open sides
" Railing&guards >30"/basement stairs included/closed risers more than 4" in height
Safety glazing notes for required areas
Garage fire separation:%" gable end/5/8" under living space &Yz" on walls/20 min. door
1g
/v f and closer
Garage floor sloped
Attic access: gasket seal & R-value equal to roof insulation
Roof over 30"—22"x 30"/Crawl spaces 18" x 24" access
Continued on back 4 4
Residential Plan Review Revised October 2021
_ 9•
EGRESS WORKSHEET
• IDENTIFY WHERE ALL UTILITIES TER THE HOME AND WHERE
THEY RUN UNDERGROUND
• MEASURE AND MARK E DISTANCE FROM THE EGRESS TO THE
PROPERTY LINE
• DOES THE GRADE FALL AWAY FROM THE HOUSE WHERE THE
EGRESS IS GOING? ���
• IS THERE PROPER CLEARANCE FOR THE EQUIPMENT NEEDED?yam
• WHAT IS THE TYPE OF SOIL? Jc-mcx-u
• ARE THERE FOOTER DRAINS? l k7rlle-
• IS THE CUSTOMER KEEPING THE REMAINING SOIL? A 0
• IS THE BASEMENT CURRENTLY FINISHED? V\0
• IS THERE WATER AND ELECTRICITY AVAILABLE? y�-S
• IS THERE LANDSCAPING OR EQUIPMENT IN THE WAY? AD
-BUILD T W .. E
I N G & co SDEPTo I j
� IR vie e
Date:
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Front of house 302.18-2-38 RC-0704-2022
Del Signore, Eleanor
csr name address 131 Grant Ave Ext
Egress Window
EGRESS MEASUREMENT SHEET
WINDOW SIZE:
-I'�LLA SLIDE�,'1311
48"x48"
—INSWING ST Fr S-
28"x4 1", 35.5"x36"
WINDOW SIZE
E
_...._..,.�:t:....au:roxwssr:.•�l:»�•�rr...:sxm•::ni.rssnv;3,;tr Fr,:.„::.ren±".rsrr�•r.x::e:r.Rr:-..,,.
.Standard 7"
Header j B: 7 "
B -D:
5`7 ' = y 3 "
Standard 57" -1- 2 "
A
v
SEE CHART FOR EGRESS SIZING
E IS HEIGHT WINDOW TOP
NEEDS TO BE LOWERED FOR
CEILING OR HEADER ETC
C S� EL: 42" 4�wl'de
4048-X - window width-
2 7 -XX- 54" 36" &48
<44"l! ELITE ROCKWELL: 66"wide
Small siz -48" max window width-60"
Medium size _
r9a sib 72"
�^ CUSTOM WINDOWS NEED SEPARATE PRICING
O p
Tie Into Tie Into
Interior Exterior
Drainage Drainage
csr name address date
DocuSign Envelope ID:69CC3416-F94A-4F30-B62C-2OAO7OD18067
:.',,, r}`'•a�/; '� Prepared by: Prepared for:
f ° Zachary Olekoski Cifone Construction Co.
Adirondack Ouse enit., C (518)221-6457
jcifone@cifone.com
e.w.wlbkuba.Pr..r t_i:;: Fuca § zachary.olekoski@adirondackbasement.com C (518)361-0625
Basement at Foundation Speeialists° P (518)361-0625
Adirondack Basement Systems,Inc
www.AdirondackBasement.com Job location:
TF 800-752-5807 P O Box 684
0 518-371-9621 Glens Falls,NY 12801
F 518-371-5888
Prepared on:
10-6-22
Product List
Egress Window Well,Premier ...... 1 Egress Cutting,Poured ..................... 1 Egress Excavation,Equipment ... 1
Medium Excavation
Egress Drainage,Well Duct ................. 1 Egress Window,Large ...................... 1
Project Summary
Add Means of Egress ............................................ $7,815.00
Total Investment ................................................ $7,815.00
Total Contract Price ................................... $7,815.00
0
Deposit Required-25% ......................................... $1,953.75
Deposit Paid ..................................................... $1,953.75
Amount Due Upon Installation .................... $5,861.25
Customer Consent
Any alteration from the above specifications and corresponding price adjustment(if necessary)will be made only at the Customer's request or approval.
Completing the work in this Proposal at the time scheduled is contingent upon accidents or delays beyond our control.This Proposal is based primarily on
the Customer's description of t9e upble bThis Proposal may be withdrawn if not accepted by the Customer within 30 days.
oc gned y:
Authorized Signature 064da Date
10/10/2022
16906726cBWA9...
Acceptance of Contract—I am/we are aware of and agree to the contents of this Proposal,the attached Job Detail sheet(s),and the attached Limited
Warranty,(together,the"Contract").You are authorized to do the work as specified in the Contract.I/we will make the payment set forth in this Contract
at the time the project is completed.I/we will pay your service charge of 1-1/3%per month(16%per annum)if my/our account is 30 days or more past due,
plus your attorney's fees and costs to collect and enforce this Contract.
Any requirements imposed by a local municipality not specifically defined in this proposal may incur a separate charge. Electrical work is not included
unless specifically defined in obis.%%.,O4%I-
Customer Signature Date 10/6/2022
DIMAOD6688486...
Customer has received a copy of the"Repair Science"book. Initial s
A TripleSafe and Full Perimeter system has been recommended. Initial
Adirondack Basement Systems,Inc Job Location Page 1/5
4 Jones Rd Halfmoon NY 12065 P 0 Box 684 Glens Falls NY 12801 10-6-22(4)
DocuSign Envelope ID:69CC3416-F94A-4F30-B62C-20A070018067
I I
Job Details
13 A
Typeof Wall ................................................................................................................................ Poured Concrete
ExistingWall Finish ....................................................................................................................................... Plain
ExistingFloor Finish ................................................................................................................................. Concrete
Adirondack Basement Systems,Inc Job Location Page 2/5
4 Jones Rd Halfrnoon NY 12065 P 0 Box 684 Glens Falls NY 12801 10-6-22(4)
DocuSign Envelope ID:69CC3416-F94A-4F30-B62C-20A070D18067
Job Details (Continued)
Specifications
66"Wide x 44"proj.x 60"Deep Elite Series RockWell with Elite Cover and 48"x 48"Slider Window
Contractor Will
1.)Remove and haul away any landscaping in the work area.Not responsible for replacement.
Customer Will
1.)Move items at least 10 feet away from the work area.
DS
Additional Notes h�
Customer has read and understands warranty Customer initial: J
Customer agrees to pay sales tax on all itemgd-equired by state law. Customer agrees to submit a complete ST-124 for any items
considered a capital improvement as din�tbylaw. If this form is not submitted,customer agrees to pay any taxes levied by the
state. Customer initial
Customer agree to al o1w Adirondack vehicles and equipment on property.Adirondack is not responsible for damage to any lawn or
landscaping duet thetuse of vehicles or equipment
Customer Initial: (,
Adirondack Basement Systems,Inc Job Location Page 3/5
4 Jones Rd Halfmoon NY 12065 P 0 Box 684 Glens Falls NY 12801 10-6-22(4)
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Top View
_ Isometric View
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Front View t Side View }
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}UNLESSOTHERWISESPECIFIED: v"W. jDEBUR AND
aMMENSIONS ARE IN MILUMETERS BREAK SHARF DO NOT SCAIE DRAWING ? REVISION
,SURFACE FINISH: i iEDGES }........»..,...,_._....,...„...._...._...__....,.__-..._-�..._..,.u..._._,..__.-,._._._,{
yTOfERANCES:
DNEAR: RockWell, LLC
ANGULAR.
d NAME SIGNATURE_ DATE 1 i 1111.E Y
P DRAWN•..............._... y... �.�_—"_—._... 1.__...y'...._...._......_.'_....._._,......( Premier Window Well 1
66 x 39 x 60
-......-._ ._ iMATERIAL: DWG No.
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WPT-663960 _._.,
F }WEIGHT: .- .f SCA[Ei:4p .. SHEET I OF S �. i