AST-0542-2021 ;A,
3+. Office Use Only
ACCESSORY STRUCTURE Permit 2 ' 202-1
Town ofQuecnsbury PERMIT APPLICATION Permit Fee:$
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8256 www.gueensbury.net
Flood Zone? Y N Reviewed By:
Project Location:
Tax Map ID#: 3 I&e l d— 1—23 Subdivision Name:
PROJECT INFORMATION: E
TYPE: Residential ❑ Commercial, Proposed Use:- JUL 2 0021
y TO bW CIF 6UEEN RY
STRUCTURE: 13UILDING I&CODES
❑ Boathouse(with or w/o sundeck) [] Canopy ❑ Carport ❑ Cell Tower Deck
❑ Detached Garage(>300 s.f.) [] Dock ❑ Gazebo ❑ Pavilion ❑ Pole Barn ❑ Porch ❑ Ramp
❑ Shed(<300 s.f.) ❑ Solar Panels(w/o rafter upgrades) ❑ 3-Season Porch ❑ Other:
SQUARE FOOTAGE OF STRUCTURE: D2 *' u
1st floor: .256 ---L
• &nd
Total square feet: '75&
Brief description of scope of project: 1 _
S. ��ln-Jz42 Z19 44Gk
Accessory Structure Application Revised January 2021
f
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ L'Y�
v0
2. Are there any structures not shown on the plot plan? OYES )kNO Explain:
3. Are there any easements on the property? ❑ YES �No
DECLARATION:
1. 1 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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of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:
SIGNATURE: DATE: 2�
Accessory Structure Application Revised January 2021
r
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s):
Mailing Address, C/S/Z:
Cell Phone: , Land Line:
Email:
• Primar Owners :
Name(s):
Mailing Address, C/S/Z: /ZPf>���-
Cell Phone: 979`?f.,- ZWO Land Line/
Email: I :VA �/Gr7i�
Check if all work will be performed by property owner only
• Contractor(s): (List all additional contractors on the back of this form)
Contractor Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
"Workers' Comp documentation must be submitted with this application"
• Arch itect(s)/Eneineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
Contact Person for any questions regarding this project: Noy
Cell Phone: Land Line:
Email:
Accessory Structure Application Revised January 2021
Deck and Roof Design check) i.st
,
-6 Is deck freestanding o(ttache
ry Footing
Sono tubes sized for posts 4x4 8' 6x6 12"
Big foot or footing for roof load
Proper attachment to post and footing shown
Proper flashing or waterproofing to structure shown
Attachment to structure shown on plans
Galvanized or stainless steel bolts shown NO ZINC COATED AIVIVC`►)
Hex headed bolts NO CARRIAGE BOLTS
Diagonal bracing shown for deck over 24"
Floor joists parallel to carrying beams
Deck post to beam attachment shown
Over 30" requires handrail
Over 30" requires guards
Over 30" requires guards @ 34" to 38" in height and handrails @ 34"-38"
Revised 4/15/2021
[)�_yi2n Repoii
Store#0641 Project Quote
251 QUAKER RD.
QUEENSBURY, NY 12804 Date of Quote:Tuesday May 24, 2011
(518) 798-9050 RICK WINSLOW
Project Number:
Salesperson: FILE COPY
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Belcv-., are the Specifications and Materials 2 Q 2021
that you have,selected for your deck:
TOWN 0 -(JEENSBURy
Overview Number of Levels: 1 Foot r Depth: 48" WiDfi CODI-,,
Total Square Feet:' Live Load: 71 psf
J Dead Load: 10 psf
lCorn.ponent JSIze 1'Wood Typ
Joists
12 x 8 'Top Choice Treated
r - -Beams 2 F x 8 JTop Choice Treated----
1posts 6�x6 ITop Choice Treated
Decking 514 x 6 Pressure Treated
IStandard Decking
Railing Pressure Treated
1Bench [None
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Deck Design Report I file://ltmp/pmh.html
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Footer Depth 48" Live Load 71 psf
Dead Load 10 psf
Today's estimated cost for materials in this design with options:$1,292.71
Pricing is valid until Thursday May 26, 2011
There are missing Components in your Deck Design Project Quote.
The price quoted does not reflect these components.
Missing Items:
Component QTY
RFB5 THREADEDROD not found 3
Material List
Lumber Materials
Item# adel Qty. Description Usage
i tt (� 8X16 AGO TOP CHOICE
krbl' F15191 REATED Beam
01691F— 514X6X12 SW TOP CHOICE AGO Fop Rail
017041—f 1 4X6X16 SW TOP CHOICE AGO Fop Rail
1 0 51 96 �'XREATED 4X8 ACQ .40 TOP CHOICE Railing Post
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1763 F—F— X4X12#2.40 ACQ TREATED Railing Post
6981 �—/� 'TRU-FIT RAIL SECTION Hand Rail
X8X10 ACQ TOP CHOICE
2334 . 15 Cladding
TREATED
Deck
F573 -! /4X6X16 STD AGO TREATED Planking
827 F- - X6X8#2.40 AGO TREATED Post
Other Materials
11t�em# ff1Qty.Description Usage
' 472 3 6X6 TZ 2 SIDE POST ANCHOR Footing to Post
I l° PA66E-TZ
1 �0385 15 CONCRETE MIX 80#QUIKRETE lFooting to Post
10150 �3 CONCRETE FORM TUBE 12"X48" Footing to Post
-1 T —f 3 RFBS THREADEDROD not found JFooting to Post
62 44 —11 NAIL COMMON GALV 5 LB 16 D JFooting to Post
63449 -24 GALV ROUND WASHER 1/2" Post to Beam
2 o t'4 05/24/201 1 12:50 PM
i;eek Design RLport - file:l/linip/pinh.IninI
a ,67 8( 12GALV CARRIAGE BOLT 112 X 10 1Post to Beard �I
6i�34.2_ —f 12 ;GALV 1/2 HEX NUT Post to Beam 1
HURR ANCHOR 6.5X1.5TZ DBL
0993 — (PLATE TIE (Joist Framing
i69r 138 1 18 (NAIL COMMON GALV 1LB 8D [Joist Framing
JOIST HGR.NAIL.1 LB
i F68408' +t (1 1/2"NA111CD [Joist Framing
�jTZ�SLANT JSTHGR 2X6-8 I
j 1116241( 122 118GA(14479) Joi' st Framing
i 1 184956' 11 1i6DX1 1/2"NAIL(5 LB.) MC .Joist Framing 1
'69262 S 11 (NAIL COMMON GALV 5 LB 10 D ;Joist Framing
1-5/16X2-3/8X4 TZ ANGL CLP
I il 3087 4 �ACS-TZ —Fist Framing
t' 1 (Olympic Maximum Waterproofing
21! 2g45
I r ( 1 1 Clear Sealant VOC [Deck Planking
Li I 1134 20 4X4 DECK POST TIE TZ (14360) Railing Post
,678�F^40 GALV 318 HEX NUT Railing Post
,41 07 6 F4—j3/8"FLAT WASHER GALV (25) PP lRailing Post
',67 53 3 40 JGALV CARRIAGE BOLT 3/8 X 8 lRailingPost
__
` { j67365 �l32 GALV LAG SCREW 1!2 X 6 PostBmOrLedger }
t Disclamer:This quote is an estimate and is valid until Thursday Ivlay 26,2011.Lowe's Price
Guarantee is applicable to individual material items only.Lo%ve's Price Guarantee does not apply to
the total design package as a Mole zs quantities vrithin different designs may vary.
t
Warning:This may riot be a'iinal design plan.Variations in building'podes,'specific architectural
i
considerations,or site condificrs may require changes to this design.Ycu are responsible far the
final structure,ccde veritication,material usage,ar'd structural safety of this desion.Be sung_to
check ano verify the design ritii your architect,ereinear and building inspacmr.
Lowes is a suoclier cl materials only.Lowe's does itol,vieage in the practice of-engineering,
i architecture,ci general ccntracting.Loves does not assume any responsibility for design,
engineering,or construction;fcr quantities or sizing of materials,or a general or specific use-,for
quantities or sizing ci materials:fcr the use or installation of materials;or fer compliance oath any
i building code or standard of v.•orkmanship.Always refer to information on fastener packaging for
ii use v.1th pressure treated iumter. i
i I
Note:II is recommended that Ii)r3t chat meet on top of beams should pA spitted with gussets,The
eussets should be 2-try wood the same vAcith_at the joist and overlap by 6 inches on each stdc.
These c;ussets should Le held in place with 1216d galvanized nails.
'tt Handling Precautions for Pressure-Treated
Wood
Disposal: Cispose of treated:•.•ocd by ordinary trash collection.Treated:sccd Should rot be burned
in ecen files,stoves•fireplaces,or residential trailers because toxic chemicals tray be prcduced as
Part of the smoke and ashes.Treated..iocd from commercial or industrial use(e.g.,construction
t sites)must be disposed cl in accordancewlth State and Federal regulations,Which may include
burning only in commercial or industrial incinerator_or boilers Always refer to information on
fastener p<=ckaging for use with pressure treated lumter.
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` Lumber Materials
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! l(� �i~r1ode! ? �1- Unii
I:em T t* --4Qty lDescnption Cost €CI ast
`^01519 2X8X16 ACQ TOP CHOICE
�` TREATED 111.97
p1691112 514X6X12 SW TOP CHOICE ACQ 6.97 13.94
017041 Fl 5/4X6X 16 SW TOP,CHOICE ACQ 19.07 19.97
4X4X8 ACQ .40 TOP CHOICE
,20 1596i �1 TREATED F
5.97
" f t 1763 _ F3 4X4X12:2 .40 ACQ TREATED - 11.97 35.91
4i % .: 6981 �4�1' 6' TRU-FIT RAIL SECTION 31.96 223.72
2X8X10 ACQ_70P CHOICE
192334 15 TREATED 6.97 104.55
�6573 ;�-21. 5i4X6X16 STD ACQ TREATED 6.77� 142.17
1282 �6X6X8 ,,2 .40 ACO TREATED 16.97 +50.91
Other Materials
�Model j � �Unit
(Item� joty.IDescription (Cost Cost
16472 �13 JIX6 TZ 2 SIDE POST ANCHOR F6O
00
( - I PA66E-TZ _�
10385 �- �115 ECONCRETE M IIf IX 01 QURETE 3.75 J56.25 11i
1i0150 -�-,3 CONCRETE FORM TUBE 12"X48" 6.96 F20.88 I !
F1 r_T3RFB5 THREADEDROD not found
i6 2 4 [1 NAIL COMMON GALV 5 LB 16 D 14.84 14.84
63449 -724 'GALV ROUND WASHER 112 0.35 8.40
167 F-12 GALV CARRIAGE BOLT 1/2 X 10 4.00 48.00
67342 12 GALV 1/2 HEX NUT 10.38 14.56
F1993
+ -2fi HURR ANCHOR, 6.5X1.5TZ DBL . 0.51 13.26
PLATE TIE
69136 8 NAIL COMMON GALV 1 LB BD r 4.39 35.12
i JOIST I-IGR.NAIL 1 LB (( ((''
880808J 11 ,2" I4.47 I4.47
_!!! 1-ii NA111CD i
ril
6241 22 7 SLATJSTHGR 2X6-B E0.91 20.02
f F4956 11jj0DX1 1/2"NAIL [15.86-15.86
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ri leJ111 m p/price,h nn l
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96 262 j�—r1 INAIr-Y L COMMON GALV 5 LB 10 D ' 14.84 14.84
113087 1 -F 1-5/16X2-3/8X4 TZ ANGL CLP AC5-TZ 2.32 9.28
—__F —1 Olympic Maximum Waterproofing Clear [31.98 31.98�alant VOC �
11347 �20� X4 DECK POST TIE TZ (14360} 2.65 53.00
�67�- 40 1G A LV 3/8 HEX NUT 0.22 8.80 !
i41 07 6 F4 I318" FLAT WASHER GALV (25) PP 5.24 20.96
,67r 353 40 GALV CARRIAGE BOLT J8 X 8 2.65 106.00
�67� 365_ 32 GALV LAG SCREW! V2 X 6 3.10 99.20
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'Total:
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c:!? 05/24/20 1 12:50 PAM
7/1612021 Town of Queensbury Interactive Mapper
Town Of Queensbury Interactive Mapper
7iO RIA"BERINA j-fiT-GER X?
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SBL.316.10-1-2
OWNER:f,11CHAEL 0 H
SBL:316.10-f- 8
ANOREWJ D 1 E
SSL:316.10-1-29
E5'?:RODNEY H FLANDERS
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SBL:316-10-1-27
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SK:316.10-1-30 014WElt CHERYL 3WNSLOW
OWNER.•CHELSEA L F057ER
SBL'316.10-1-23
DANIEL T SPRAG UE
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L 0 20 40ft
hftps:Hqbygis.queensbury.nettwebapp/default.html?pid=316.10-1-28 1/2