AST-0084-2022 Office Use Only
41,
-�-�' ADDITION/ALTERATION PERMIT Permit#: PCSV O 2 Z2
APPLICATION Permit Fee: $ 2$1''
Town of Queensbury ((G�1
,,
742 Bay Road,Queensbury,NY 12804 Invoice#: �
P:518-761-8256 www.queensbury.net
Flood Zone? Y /N ) Reviewed B�
Project Location: q5 R(9e Rote Quee�1$Lcj
Tax Map ID #: ,290, JO I—33 Subdivision Name:
PROJECT INFORMATION:
TYPE: Residential Commercial, Proposed Use:
Single-Family Two-Family Multi-Family(#of units ) _Townhouse
Business Office Retail Industrial/Warehouse Garage (#of cars )
Other (describe ) RcCessGr
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor: '8'ao
2nd floor: - 2nd floor:
3rd floor: 3rd floor:
Basement (habitable space): Basement (habitable space):
Total sq ft: Total sq ft: MO
Scope of work to be done:
lECEDVE0
Re."(Aft. C`J rep c� t-od ,
MAR 0 8 2022
TOWN OF QUEENSBURY
BUILDING & CODES
Addition/Alteration Application Revised January 2021
P i
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ .SCe
2. Source of Heat (circle one): Gas Oil Propane Solar /Other; none.
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 con truction? YES /NO
• What is the water source? PUBLIC j 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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of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. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
4. I 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. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
6. I 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: cis k FLA I at%
SIGNATURE: DATE: 0,2 - 5—
Addition/Alteration Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant: _
Name(s):
Mailing Address, C/S/Z: 1 ,D,@ ��, O ' ,t ��,ryy r � 1,1 tf
Cell Phone: ( 573 ) `�(JC/ e ��y Land Lick: ( )
Email: al-rr4 14,4 @ t���.-�, Cov✓1
• Primary Owner(s):
Name(s): , cu„rw 5 allow?
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: (
Email:
LI 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: ( ) Land Line: (
Email:
**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: Le,cart—
Cell Phone: ( ) Land Line: ( • )
Email:
Addition/Alteration Application Revised January 2021
rhfi,
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AST-0084-2022 '.7._r _11--_-__
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IJob • Truss Truss Type LI-1y =-my -r
220135 T01 SCISSORS 9 ' 1 Vaulted Gambrel
Job Reference(optional) '
Premium Building Components,Ballston Spa,NY 12020 8.510 s Jul 28 2021 MTek Industries,Inc.Tue Mar 113:52:172022 Page 1
ID:Rv0g5FRgWkr LHnd7kpORKzgaWl-kaO?B4t?N5N6jezCUgJa?j718BYiNk3R3fYNGyzIHaS
, I 10-5-0 i 20-10-0 I
10-5-0 10-5-0
5x6 II Scale=1:56.4
5.00 12
C
OR ST
g U
6x6 6x6
0 eI
0
29.00 12 ,ry
A �7x8
� F
=
(71
01
3x8� / 1 7�4j\1.. �r,tr��i \\3x8��{J1(C� `rvcl`rl��
vv-_iC- E
R 10-5-0 I 20-10-0 i
10-5-0 10-5-0
Plate Offsets(X,Y)— [A:0-0-12,0-1-8],[B:0-3-0,0-3-8],[C:0-4-4,0-2-8],[D:0-3-0,0-3-8],[E:0-0-12,0-1-8]
LOADING(psf) SPACING- 2-0-0 CSI. DEFL. in (loc I/defl Lid PLATES GRIP
TCLL 19.0•• Plate Grip DOL 1.15 TC 0.84 Vert(LL) -0.26 F-L >980 240 MT20 197/144
(Ground Snow=0.U Lumber DOL 1.15 BC 0.69 Vert(CT) -0.49 F-H >505 180
TCDL BCLL 0.0 • Rep Stress Incr YES WB 0.18 Horz(CT) 0.06 E n/a n/a
BCDL 10.0 Code IBC20181TPI2014 Matrix-MS Weight 107 lb FT=20%
LUMBER-
TOP CHORD 2x6 SPF No.2 NOTES-
BOT CHORD 2x4 SPF No.2 1)Wind:ASCE 7-16;Vuit=115mph(3-second gust) )
WEBS 2x4 SPF No.2 LOAD CASE(S)mph;TCDL=4.2psf;BCDL=S.Opsf;h=25ft
BRACING- Standard
gable
MWFRS Ca
t.II;Exp B;Enclosed; (envelope)
TOP CHORD 1)Dead+Snow(balanced):Lumber Increase=1.15,
Structural wood sheathing directly applied or 2-6-7 oc end zone and C-C Exterior(2E)0-2-12 to 3-2-12, Plate Increase=1.15
puffins. Exterior(2R)3-2-12 to 6-2-12,Interior(1)6-2-12 to Uniform Loads(pif)
10-5-0,Exterior(2R)10-5-0 to 13-5-0,Interior(1)
BOT CHORD Vert:B-1=58,D-M=58,A-F=20,E-F=-20,
13-5-0 to 17-7A,Exterior(2E)17-7A to 20-7A zone;
Rigid ceiling directly applied or 10-0-0 oc bracing. cantilever left and right exposed;end vertical left and B-C=-112,C-D=-112
MiTek recommends that Stabilizers and required right exposed;C-C for members and forces&MWFRS `
cross bracing be installed during truss erection,in for reactions shown;LumberDOL=1.60 plate grip
accordance with Stabilizer Installation guide. DOL=1.60
2)•*TCLL:ASCE 7-16;Pg=60.0 psf;Ps=varies(19.0
REACTIONS. (lb/size) psf)see load cases(Lum DOL=1.15 Plate DOL=1.15);
A = 1190/0-5-8 (min.0-1-11) Is=1.0;Rough Cat B;Partially Exp.;Ce=1.0;Cs=0.08
E = 1190/0-5-8 (min.0-1-13) ,1.00,1.00,0.08;Ct=1.10;IBC 1607.11.2 minimum roof
Max Horz live load applied where required.
A = 159(LC 11) 3)Roof design snow load has been reduced to
Max Uplift account for slope.
A = -41(LC 15) 4)Unbalanced snow loads have been considered for
E = -41(LC 14) this design.
Max Gray 5)This truss has been designed for a 10.0 psf bottom
A 1190(LC
1) chord live load nonconcurrent with any other live
E = 1
(LC ) loads.
FORCES. (lb) 6)*This truss has been designed for a live load of
20.0psf on the bottom chord in all areas where a
Max.Comp./Max.Ten.-All forces 250(lb)or less except rectangle 3-6-0 tall by 2-0-0 wide will fit between the
when shown. bottom chord and any other members.
TOP CHORD 7)Bearing at joint(s)A,E considers parallel to grain
A-B—1433/134,D-0=-1422/140, value using ANSI/TPI 1 angle to grain formula.
E-0=-1566/128,B-P=-1393/114, Building designer should verify capacity of bearing
P-Q=-1246/116,Q-R=-1228/116, surface.
C-R—1212/127,C-S=-1212/131, 8)Provide mechanical connection(by others)of truss
S-T=-1228/120,T-U—1246/119, to bearing plate capable of withstanding 41 lb uplift at
D-U=-1413/118 joint A and 41 lb uplift at joint E.
BOT CHORD 9)This truss is designed in accordance with the 2018
A-F=-149/672,E-F=-60/710 International Building Code section 2306.1 and
WEBS referenced standard ANSI/TPI 1.
C-F=0/336,B-F=01746,D-F=-551731 10)Attic room checked for Li360 deflection.
•
Job • fruss Truss Type Qty Ply
220196 TOl SCISSORS 9 1 Vaulted Gambrel
Job Reference(optional)
Premium Building Components,Ballston Spa,NY 12020 8.510 s Jul 28 2021 MiTek Industries,Inc.Tue Mar 1 13:52:17 2022 Page 1
ID:RvOg5FRgWkr LHnd7kpORKzgaWl-kaO?B4t?N5N6jezCUgJa7j?188YiNk3R3fYNGyzfHaS
10-5-0 20-10-0
I 10-5-0 I 10-5-0 I
5x6 I I Scale=1:56.4
5.00 Fii
C
B P
QR ST
u
6x6 6x6
0
010000..
29.00 12 FM
F
7x8=
.F
3x8 01
0 3x8
\ 1;
0 25.00 W = 0
E
10-5-0 20-10-0
10-5-0 I - 10-5-0 I
Plate Offsets(X,Y)— [A:0-0-12,0-1-8],[B:0-3-0,0-3-8],[C:0-4-4,0-2-8],[D:0-3-0,0-3-8],[E:0-0-12,0-1-8]
LOADING(psf) SPACING- 2-0-0 CSI. DEFL. in (loc) 1/defl Lid PLATES GRIP
TCLL 19.0** Plate Grip DOL 1.15 TC 0.84 Vert(LL) -0.26 F-L >980 240 MT20 197/144
(Ground Snow=60.0) Lumber DOL 1.15 BC 0.69 Vert(CT) -0.49 F-H >505 180
TCDL 10.0 Rep Stress Incr YES WB 0.18 Horz(CT) 0.06 E n/a n/a
BCLL 0.0 * Code IBC2018/TPI2014 Matrix-MS Weight:107 Ib FT=20%
BCDL 10.0
LUMBER-
TOP CHORD 2x6 SPF No.2 NOTES-
BOT CHORD 2x4 SPF No.2 1)Wind:ASCE 7-16;Vult=115mph(3-second gust) )
WEBS 2x4 SPF No.2 LOAD CASE(S)TCDL=4.2psf;BCDL=5.0psf;h=25ft;
BRACING- Cat.II;Exp B;Enclosed;MWFRS(envelope)gable Standard
TOP CHORD 1)Dead+Snow(balanced):Lumber Increase=1.15,
end zone and C-C Exterior(2E)0-2-12 to 3-2-12,
Structural wood sheathing directly applied or 2-6-7 oc Exterior(2R)3-2-12 to 6-2-12,Interior(1)6-2-12 to Plate Increase=1.15
purlins. Uniform Loads(plf)
10-5-0,Exterior(2R)10-5-0 to 13-5-0,Interior(1)
BOT CHORD Vert:B-I=-58,D-M=-58,A-F=-20,E-F=-20,
Rigid ceiling directly applied or 10-0-0 oc bracing. 13-5-0 to 17-7 4, rightoxposr(2E)17-7 4 to 20-7 4 zone; B-C=-112,C-D=-112
cantilever left and exposed;end vertical left and
MiTek recommends that Stabilizers and required right exposed;C-C for members and forces&MWFRS
cross bracing be installed during truss erection,in for reactions shown;Lumber DOL=1.60 plate grip
accordance with Stabilizer Installation guide. DOL=1.60
2)**TCLL:ASCE 7-16;Pg=60.0 psf;Ps=varies(19.0
REACTIONS. (lb/size) psf)see load cases(Lum DOL=1.15 Plate DOL=1.15);
A = 1190/0-5-8 (min.0-1-11) Is=1.0;Rough Cat B;Partially Exp.;Ce=1.0;Cs=0.08
E = 1190/0-5-8 (min.0-1-13) ,1.00,1.00,0.08;Ct=1.10;IBC 1607.11.2 minimum roof
Max Horz live load applied where required.
A = 159(LC 11) 3)Roof design snow load has been reduced to
Max Uplift account for slope.
A = -41(LC 15) 4)Unbalanced snow loads have been considered for
E = -41(LC 14) this design.
Max Gray 5)This truss has been designed for a 10.0 psf bottom
A = 1190(LC 1) chord live load nonconcurrent with any other live
E = 1314(LC 22) loads.
6)`This truss has been designed for a live load of
FORCES. (lb) 20.Opsf on the bottom chord in all areas where a
Max.Comp./Max.Ten.-All forces 250(lb)or less except rectangle 3-6-0 tall by 2-0-0 wide will fit between the
when shown. bottom chord and any other members.
TOP CHORD 7)Bearing at joint(s)A,E considers parallel to grain
A-B=-1433/134,D-0=-1422/140, value using ANSI/TPI 1 angle to grain formula.
E-0=-1566/128,B-P=-1393/114, Building designer should verify capacity of bearing
P-Q=-1246/116,Q-R=-1228/116, surface.
C-R=-1212/127,C-S=-1212/131, 8)Provide mechanical connection(by others)of truss
S-T=-1228/120,T-U=-1246/119, to bearing plate capable of withstanding 41 lb uplift at
D-U=-1413/118 joint A and 41 lb uplift at joint E.
BOT CHORD 9)This truss is designed in accordance with the 2018
A-F=-149/672,E-F=-60/710 International Building Code section 2306.1 and
WEBS referenced standard ANSI/TPI 1.
C-F=0/336,B-F=0/746,D-F=-55/731 10)Attic room checked for U360 deflection.