RC-0719-2022 Office Use Only
,k ADDITION ALTERATION PERMIT
0 Permit#:
'16im ofQce v} APPLICATION Permit Fee:
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensburV.net Invoice#:
Flood Zone? Y Reviewed By
�
Project Location: 71 Sarah Jen. Dr Queensbury, NV 12804
.-Tax Map ID #: ®�FJ . ��t� `' Subdivision Name:
PROJECT INFORMATION:
TYPE: ® Residential ❑ Commercial, Proposed Use:
C Single-Family ❑ Two-Family ❑ Multi-Family(#of units_) ❑ Townhouse
❑ Business Office ❑ Retail ❑Ind ustrial/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 helical piers to Sift foundation
TOWN OFQUEENSBURY
BUILDING&CODES
Addition/Alteration Application Revised June 2022
Y 1
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 13981 .00
2. Source of Heat (circle one): ElGas El oil ElPropane ElSolar El Other. UnkOwn
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 ® NO
• Will the grade be changed as a result of the construction? ❑ YES A 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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of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 react and agree to the above:
PRINT NAME: Kelly Kovacs
SIGNATURE: DATE: 11/Z9/ZZ
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 12065
Cell,Phone:._)5182262982 Land Line: )5183719621
Email:
Primary 0 ner(s):
Name(s): Nancy Rowell
Mailing Address, C/S/Z:
Cell..Phone: J)5187981238 Land Line: � )
Email:nancerowe5@aol.com
❑ 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):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: J _) Land Line:
Email:
"Workers' Comp.documentation must be submitted with this application"
• Arch itect(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: .J )5182262982 Land Line: )5183719621
Email:kelly.kovacs@adirondackbasement.com
Addition/Alteration Application Revised June 2022
=LEF�Y
I Err
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333 Kingsley.Road� Burnt hills, NY 12027 ® Office (518) 280-3190 Fax (518) 280-5379
e Ricli*@nolan-engineering.com ® Wagaulaw=K0 cosy,
November 28, 2022
295.10-1-40 RC-0719-2022
Nancy Bulris-Bowl Rowell Family Irrevocable Trust
71 Sara-Jen Drive 71 Sara-Jen Dr
Queensbury, NY 12804
518-798-1238 Piers to lift foundation
Via Email: nancerowl5@aol.com TOWN OF QUEENSBURY
BUILDING DEPARTMENT
SUBJECT: ' Sunroom Inspection Report Based on our limited examination,compliance
p p with our comments shall not be construed as
SITE LOCATION: 71 Sara-Jen Drive, Queensbury, NY 128 cating the plans and specifications are in -
compliance with the Building Codes of
New York State.
Dear Miss Bulris-Rowl,
This letter transmits the results of a sunroom inspection that was performed at the address
cited above. The inspection was p"Oftl v ftbl,,,?,.R2.
INSPECTION BUILDING & CODS PTo
Reviewed B
L \: -�
The structure was a single-family, tere-of-s tven#i®nalanrood construction. There
was a single-story, 16' x 16' sunroom located at the rear of the home. The sunroom had
scissor trusses which loaded the left and right-side walls. Interior inspection of the sunroom -
showed it to be settling into the ground resulting in the sunroom rotating away from the rear
of-the home. The rotation has caused tears in the drywall ceiling tape to the point where
daylight was visible at the corner wall seams. The settling was approximately 2".
The underside of the sunroom was supported by two dropped wood floor beams. One beam
was set back 12"from the gable end and one located near the center of the sunroom. The
beam was lapped on either side and bolted to three.6"x6" pressure treated posts. The base
of the posts were not visible for inspection so the footings could not be determined. The floor
joists.were orientated perpendicular to the rear of Ahe home. One end of the floor joists were
supported off of the home while the center and other end of th s were su orted
off of the center and end floor beam. The floor joists size could tEc erEirFdin
underside of the joists were covered. —
DEC 0 5 2022
TOVvN OF QUEENSBURY
BUILDING&CODES
4 4
CONCLUSION
In my opinion, the room has settled due to inadequate sized footings underneath the posts.
Adirondack Basement Solutions proposes installing a new beam alongside the existing
beams. The new beams will each be supported by 3 steel helical piers. Unfortunately, due to
height limitations, the top side of-the floor will need to be accessed in order to install the
piers. The beams will each be a 4"x 4"x 1/8"square tube.
The piers shall be installed so that the beam ends cantilever 12". The center beam end piers
loads shall be 13,600#minimum. The center beam center pier-load shall be 5400#
minimum. The gable end beam end piers shall be 6200#minimum. The gable end beam
center pier shall be 3700#minimum.
These findings and results are based on information available at the time of the inspection
and we reserve the right to change our opinion if new information becomes available. This
report is not meant to be or imply.a warrantee against, past, present or future conditions.
Please contact our office if condition worsen or you have any other concerns or questions.
Sincerel-
-e.R'
IfA
Richard E. Nolan, PE Lic. #083929
Nolan Engineering, PLLC
`V;� -_ _:3;�/CAt.�!�� :;�zgr•";.v;z".' ::�`X: ii-�Y'1.,• t'.:y'°<'� - -
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TF MXI-752-297 Job kpc.zit kin,
0 SI&371.9621 Mm Or
V 510 371-58913 flute rl tsurf,NY 12111A-11804
Prepared on-
11-9-22
Product List
121'-�(21JI YlirD�qh rkwiv.287 ..... ....... G Vf!rmft rco.p--ftnit ....... . ...... Pcmuve wA Ccrwn;c Tile. 24
17 Lift pi f", vtv Q 6 J�I-U AssiI DNakt-.!, 22
5ZIP�'5,�MtTIIAI i4�rl 2R11
Project Summary
�wntooin Picrint. .......... ....... .......
. ......................... .............. S 13,98.10
Total Contract Price ... .......... ........ $13,981,00
..... ................
D%po-'it Paid ........... ........... ....... .... ...........
Amount Due Upon Installation $10,481.00
Customer Consent
Afv/a3lteratiorl f txxf I ht!'LlOve irvd corm,,m)nding pri-.e 3djusirnew(If will k,math,only at I lv!Custome.r's rt-,qut-5t or approval,
couiritc-ting lim vilt;6,in this Prory-i4.11;It III(!1111w rrhedu1W L contingient upon acciticritn.or dtI.1y-;L-xyorid out control.This Proposal is bds&d priywrily all
AulborkcdSlg"tur., Date il/'
Atc,pLnIceof C(.'I1w;rt—I a.w.iw-aro aw,*jrc of xwJ agrliv ta the wwont"of this Proposal,ffi-c ltlic4c-d Jot)Deuil she(!t(,),-arid tlwattaOcd Uniftc2d
Wat r.-invy,(toginwer.6-,c*C(.-,riIreYI').ywarc:Iurj-,Gr izr-d to do the work as q;Lcilled In Lho Contract.11"Ve Mill rnAc I)IL payment.I'vilt.!wt for ill in this contrztU
at the t1rcm 11w;y0jet 115 comtlif:f EA INrf.!,eAfiniv yc-.ir service 0arge of I-WX tear month(16'X var annum)if rnyiour account is 30&y,,or more post due,
PIU5 YofIr.;I1,wrpzY's I,ccs and cc,51h,IOCOPCI DIO cf1fuecil this cotltracL
AnY rull0rct vrx-,)w.)I In this propcizil may incur. -cp.ir. Ovirge. ElLmnricalviorkimili
or'Ims SpA:t.IFJC;AIY delve r in"11415 wo;xl5al-
Cwtorocr signalivi.re DzTC q,
pofth3 Initial
rtill pe?irpctcr sy itiz.n Ivs bcf:n i ccupin%Lodld. initial p
tE C E EJ;
DEC 0 5 2022
8
TOWN OF QUEENSBUny 9
BUILDING& CODES
AdIrrindach 0aiermn]:5ptcMA,fnc Job Lo"tion pap V5
.1,l,-,IifgI Rd 1 isllraxian tfY 1206!� 71 Sir-ah Jen Dr Qucervbur y NY 12604-191394 1 (1)
Job Details
it f€
{ 11 toll M.V1111.1111. �fsssuj
top
1
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i
Ertlstin;Wall Finish ...,.......................... ................... ........ ..... ....... ......,........................ ... ... .-----.,...,,.. Si ^i.rak
ExistingFloor Finish ....:............................................................. .......... ...... . ........................ .._ ........:.,.. .. Tile
Adirondack Basement Systems,Inc Job Locattan Page 2JS
4.Jr nc-.Rd Halfmocn 14Y 12065 7?Sarah Jrn I}r Quc<;ns!?,uy Nt 1.28t}''-380-1 i I-`7-7°.t:I
r
Job Details (Continued)
Spr:clficatlons
1)Cut Iloor andt install a HP287 Ho:lical Pier. 2)Permit, 3)Renauve and Dispose CerarniCTile as needed, A)287 extensions. 5)Attempt to
lift foundalion.Ability to lif I foundation is subject to field conditions and restoring to original position is noQuaranlecd. b)lnstail a joist
?ossist br.ackeh. 7)inhtaii a supplemental beam as indicatuf un job drawing.
Contractor Will
L)Remove existing,tinished flooring.as neCeSSaay to install,y;tem.hlomeowner to re5tom.
customer Wlli
1.)MOv0 items rX least 10 1ctet away frulla the work area.
Additional totes
Customer has read and understands warranty Customer initial
Cu;Ioi r to obtain structural engineering prior to Installation.
6it(tivauta.k fiaiitcratSY>terrts,Inc .lob l.cu_atlon
4jonr'aIldIi.(mbs ''mNY1?06-5 71-Ik'rah Jell DrQ!:et:mmryNYa £II~1=I?ri?S 11 22i1I
Limited Warranty
Staiidxrd Excitruons Permitted By Statn Lvw
Thlsrovaoalion Ismadain lieu ofawleaclLw1n ill ofherwarranties+csprm-serfnwilled,aril all other oblir',alinns art the pertclA-:Mrc'n0:; k
l?asum nt Systems('Cantractor7 to llm customer('Customer`),I hercarc rw other rural or wait ten warranties and nowarrantlrw,that utcitd"and the do tSrption on tic
face fiereot,iurluda)e NO WARRANTiES OF ID(PRE5S OR IMPLIED MERCHANTAOILI TY OR FITNES5 FOR A PARTICULAR PURPOSE
Gsneral Tei nv%
For the applicable time periods Indicaled belcmr,this Wart anlyis transferable at no charge to future vhners of the sttuclure on vAiich the vrork sp,'clllcd in this Contract is
codipleted this Warranty is in ell rCt If the job specifled In t1ils Contract is completed and paid In full and,allematicely,IS huii and void If full p:yne rd Is not ie ce6-W.Contractor
dotes not wo rant products nctmcnilo+k_ttbelov.but soine(Asuch products may twcovert,-lby a manufacturers warrant y%llrrtrterlalu;cdisw,rrrantedtot>r :scecil led in
this Contrart.All work w'il)beconip.1mcd in a workmanlike niannt r according to the standaid practices of fit,loduttry,
Ftutndalion Piers
ContrActor wart ants that the tournfatic+n piers will slabilirc the afieclruul art a(s)against further settlement for 25 years from the date at Inswilation,or else ConlractarvAll
tr•r?+xia ttra tabu;ats;i matef lase,of no oc"%to Cwi1wvzr,to car eat t th«tri obtem with the,four idat"CAI tv ere..Cofdr:u_tos d:x:.s rat yr;+rt errs th t+it,to crew cracKs,to r ev6tf dour s anal
w,`.nclow-s overaticimil,or to movevralis back to tix:lr original position,but will do its best to adileve positive results In this regard.Customt:r Jiould be aware that damage can
ozrur to the structure during a lift operatlon;md that Contractor is not tespoitsible for such damages.Foundation piers pi oyi(}s vertical support only and cannot be expect-ed to
provide latu-al sum front,If faierA movement occurs,additional work may be needed at an additional cost.
SmarU;cksX
Contractor warrants that the Sm-irU:cks.)will stati:il;ctl affccicdarea(s).galnstlurtherscttlenr•-rst for 5years from the ciateofinstaltattoo,orcbeContractorWRIprovide
ihelabur and matertals,al no cost to Customer,to ma}.c any necessaryad)ushnenLs to Ilx Sinai UacFSS1 Additlotiatlr,the manuraeturer of Sm,rUackIi0 warrants that
SmartJads-F will,wid_r normal use and scn•ice,be It cs it an defects in ma ter lal and workmanship for 25 years from(hc date of instailaflop(sec manuf acturer',warranty for
rrore€ietalh).I changes occur due-to excess-tic;sture in the a r ea(s)where Smar Uacks'N ar c In;t ailed;an cncarrulation sys tent,drainage,aild df.'hurri Idif icallcri may t-c nrcess;ary
)n3uch arca(s}at an additional cost to Cuslumct„
Exch'Wons
7)IIS WARRANT)'DOES NOT COVER,CONTRACTOR 5PEClr•I C,%jLY DISCLAIMS UABi.I TY FOR,AND CUSTOMER FIOLDS CONTRACTOR HaRML.F.SS FROIM:1)c-ter=or
w:.terproolins;2)pluimbing damage:3)Custorrwr-cau- damage;4)dust from installation;5)damage to real or personal property s.ch as.,miss,ctuinlertoo,or floor C.0vtrings,
framing.sheetre rk,cxterfor mticriais,Cab;nets,appl iariccs,and s'o on,including any d,ima f e alle&cd to have team done try the CanUactor'S Lre of heavy euuipment necessary to
complete the job;6)artylojury or damage caused by irtold to property or periic i;7)failutaor delay In performance or damage caused by acts or God(flood,fire,storm,methane
t ps,etc),acts o(eivd or tnititatY authority,car ant'asu:r etrtside Contractor's control;El damage(ram a(If sing operation.9)basement water SCCP7'Z•_;and iQ)damage from Mavc,
lateral nwv rrentxffores ofhi';?sideac--- lindq1ding,or s;utriping of fill soft.,,.While Contractor assummas re,sponsibillty for utility damage that occuri as a result of ConlF.,40OF's
instai':atiort such protections limited to repiac itg"rtva'r the zrca Contractor damaged arxf does not Include any upgrades to utilities for code compliance or other rexorm
L tens Far LS+'niCh Ctn tamer H ktespors(hle
Custa^t•sershal[:1)makefullpaymenttotheae+n°le-deruponconpictionofwork;2)preparetheworkareaforInsta:la1,an:3)beresportsibleforanylin'schcirp-- try,paintin3,
panoirv,far,sc:p rtp;cur that-ray tag nscrsary zit r Contractor's work is finished;4)mark piivite lines Itatell(le,propane_.sprinklt-r,eta)51 maintain positive drainagc r,•nay
from the retsaited.+ali(s);®)keep butters dean and In£trod•Sorkiogondcr;7)direct downstry its a sufficient distance away from the repaired wall(s);8)niainta�n proper
expanslonjoinu in caricmlasiabs that are aci,rer t to the rep:rlred wal;fs);and 9)any items mentioned in this Contract untl<r'Custcrrn r Wifl'or'Atditiwial ttiotes.'
WxT;tnty Activztion
Warranty is In effect wt>enjob is completed and t ald to(uiL
FxtttrsForts
TEj4SWA-RRANry DOES&&'OTC OVER,AND THE CONTRACTOR SPECIFICALLY DISCLAIMSLIAE1ILITYFORWATERDAMAGETOFLOORCOVERtVfiS,FURNITURf-
STORED I TEMS,FINISHED SMALLS AN D OT14ER OBJECTS IN51PE THE FOUNDAT ION.Contractor will not ba respons:ble for any dz,mages caused by mold,to Inciude but not
trsi;muted to pro+t y C a l get oerson3l in ury,iDss of income entotiona;disVeu,dcatK loss of use,less al va!+m,and adverse ir--alth clhr_Ls,or anyot)r.:r effects.Homeonrwr
:gr"i;to ktep area drf and ref'ort al;other obligatiom on contractor's part Ther care no other warranties verbal or-,ri tten.
Adirond,wk Qassmnt Systems,Inc Job Location Page 415
4 Jcmes Rd H:)II'moon NY 12065 71 Sarall Jen Dr Queensbury NY 12804-8804 11-4-22(2)
c
Notice of Right to Cancel
You are enterin;into a contract,if that contract is a result of,or in connection with a salesman s direct contact with,or call to you at your
residence without your soliciting the contract or call,then yuu have:J Er l al flglet tG YC11tl,:1tFL contract ar 5ale by notif yiny,erg within 94
business days from Whichever of the following events occurs last;
1.The dale of the ir3tzsadion,�vltich is: 11 .9 2�7 or
2?.The date you received this notice of cznrellation.
flow to Cancel
if you decide to cancel this transaction,you may do so by notifying us inwriting at;
Adirondack GasernentSysterns
of Jones Rd
Hallmovi.NY 12065
Adirondack Basemont Systems,Inc
`i F 800.752-58D7
0 518.371-9621
F 518-371-5888
www-Adirortda ckBasement.co m
4 Jones Rd
1-falfmoon,NY 12065
You may use any written statement that is signed and dated by you and states your intentions to cancel,or you may use(his notice by
dating and signing below.Keep one copy of the notice because it contains important information about your rights.
l wish to cancel.
Ownsr'9 signmurn Date
Ovawes Sign.uu Date
The undersigned zcknowle dges recelpt of the two copies of the Notice:of Right to Cancel.
omrsstar+� Date
ctw �&i,�rura �. Dato
Adirondack 8aserftnt Systems,Inc Job location Qsae 515
4°ones Rd Halttnc�--nFlY 12065 71 Sarah Jen Dr Queensbury NY 12804.8804 11-9.22 lip