AST-0169-2023 i^ Office Use Only
ACCESSORY STRUCTURE Permit#: -A5T— O 1 LQ9 ^Le 2j
rr,,,'l;ofQ11ve)).4,;r„ PERMIT APPLICATION Permit Fee:$
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8256 www.gueensburV.net Flood Zone? Y N ReviewedkV
Project Location: &(k C Nj Q_ W .
Tax Map ID#: Subdi i '� Na
PROJECT INFORMATION:
APR 17 2023
TYPE: ❑ Residential Commercial, Proposed U e:
I.OWN, OF may,
BUILDING-& CGDES
STRUCTURE:
❑ Boathouse(with or w/o sundeck) ❑ Canopy ❑ Carport ❑ Cell Tower ❑ Deck
-❑ Detached Garage (>300 s.f.) ❑ Dock ❑ Gazebo X.Pavilion -❑ Pole Barn ❑ Porch ❑ Ramp
❑ Shed (<300 s.f.) ❑ Solar Panels (w/o rafter upgrades) ❑ 3-Season Porch ❑ Other:
SQUARE FOOTAGE OF STRUCTURE: .
1st floor: 00
2nd floor: 1
Total square feet: q011 4`
Brief description of scope of project: .c OL V j Ll 0 V '
Gt c (� ���� C..�.Z'9� � �c tit`�S `� ��� U-
le Ref ei� �-0 0 {� -fy-. 'S�tc s. A -I- A V- f4
Accessory Structure Application Revised November 2022
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ 1 �
2. Are there any structures not shown on the plot plan? ❑ YES NO 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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of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: V� l'dVe I il
SIGNATURE: DATE:
Accessory Structure Application Revised November 2022
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): To — per J6S `, aCC1'-e&% 0r\
Mailing Address, C/S/Z: L-
Cell Phone: Land Line: `� ��
Email: 2Ve L C LkeQ�..�(J�+ .✓\e '.
• Primary Owner(s):
Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
IE�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**
• Architect(s)/Engineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
Contact Person for any questions regarding this project: �PVQ V '4
Cell Phone: Land Line: i — b (-
Email: ye- L�aer%Ebi. ;r`� m,✓de
Accessory Structure Application Revised November2022
FIRE MARSHAL'S OFFICE
Tozon of Queensbury
742.Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
TOQ Parks and Rec Dept
118 Gurney Ln
AST-0169-2023
04/18/2023
I have reviewed the submitted drawings for the above project; and offer the
following comments:
1) Verify Truss ID x 2
Deputy Fire Marshal
Tyson Converse
742 Bay Road
Queensbury NY 12804
518 761 8205
garys@queensbury.net
Fire Marshal 's Office Phone: 518-761-8206 Fax: 518-745-4437
flrentarshal@queensbitrit.net zozozv.queensburtt net
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Town of Queensbury Purchase Order
742 Bay Road
Queensbury,NY 12804 Fiscal Year 2023 Page 1
Phone:(518)761'-8201 Fax:(518)745-4445 -
THIS NUMBER;MUSTAP tE§'&-'ALL!INV(JICES;;
B Town Of Queensbury-Town Hall _._ , PACI(AGES'AND_SHIFP,ING BAP_ERS ;1ti }
742 Bay Road Order#a 20230039 - 00
Yf Queensbury, NY 12804
Delivery must be made within doors of
specified destination.
p: Retain this purchase order for.proof of tax exemption.
Tax Exempt#14-6002393
UTOPIA ENTERPRISES .,SI Town of Queensbury-Town Hall
e 7769 STATE RTE 40 h' 742 Bay Road
HARTFORD, NY 12838 I'i Queensbury, NY 12804
;tl �F?
o;
,y,.endo�IPfaoneiNumb`er. ,� Veridore-ax Numlier> ".e'`uiSition.Numtior: �Delivi3:.:Reference: ` a.�
518-632-9118 39
-LDate:Ordered ;I9jg§r!Number.:,.:;.21194k uiL*C ; iFre("fit`Metfiod/Terriis '' = ;iD'e aPtriientl-ocation:
02/01/2023 4954 7020 RECREATION ADMIN
:Item#y. Descri `tton/Pa unlu4ty-"s' 'iC i,
�.__ IEzfended=Pice:'-,.___._
001. PURCHASE: 1.0
EACH
10 round 4'8"x 12" deck piers with 2' base. QPR will
pick up and transport
1577110-2899
" PO Total
* Important:
When complete shipment is made,mail your invoice itemizing all charges to the"Ship To"address on this GCI
Purchase.Order. By
Authodted Official
Pocs DEPARTMENT COPY
Invoice
UTOPIA ENTERPRISES
BOX 8=4
Date Invoice#
I-IARTFORD.NY 12838
2/l/2023 . 16352
Bill To Ship To
Town o I*Queensbury P/U ON 2/2
742 Bay Road Ordered by FRED
Qucensbury.N.Y. 12804 518-683-3410
HIGHWAY DEPT.
P.O.Number Terms Rep Ship Via F.O.B. Project
'0230039-00 2/1/2023
Quantity Item Code Description Price Each Amount
10 DECK PIER 4'8"high R... ROUND DECK PIERS 4'8"high 860 Ibs
PARKS & RECREATION
Ver dor#: H q
Ac t#:
PO#:
Vot Cher,
Art. Paid:
r
Ap royal: _ ter• f
Co ments:
Qby Parks &Rec
F E B 08 2023
RECEIVED
*2%IN'I'L•REST WILL BE CHARGED AFTER 30 DAYS
Total $
Payments/Credits $0.00
Phone# 518-632-9118
Balance Due $
utopiaprecast a gmail.com
Job Truss Truss Type Qty Ply Cock Trusses
14040600B 2052T FINK 1 1
Reference(optional)
Universal Forest Products,5631 S.NC 62,Burlington,NC 7.640 s Apr 22 2016 MiTek Indusbies,Inc.Thu Oct 20 09:33:45 2016 Page 1
ID:5R?ASHPnHx?rat ISR8N5xCzUNhR-cPeIHQp9Pud3spvQOOwiu25LX5ucWcknXECXuCyRa7
-1-o-o 5-3-14 10-0-0 14-8-2 20-0-0 21-0-0
1-0-0 5-3-14 4-8-2 4-8-2 5-3-14 1-0-0
Scale=1:35.
44=
4
5.00 12
1.5x3\\ 1.Sx3'//
5
11 3 12
2
1 1
2 6
7
10 9 8
3x8= 3x4= 3x4= 3x4= 3x8=
6-10-10 13-1-6 20-0-0
6-10-10 6-2-13 6-10-10
Plate Offsets X - 2:OA-2 0-1-8 6:04-2 0-1-8
SPACNG-:2-" SPACING-:1-4-0 SPACING- 2-0-0 CSI. DEFL in (loc) I/defl Ud PLATES GRIP
LOADING(psf) LOADING(pst) Plate Grip DOL 1.15 TC 0.67 Vert(LL) -0.14 8-10 >999 240 MT20 197/144
TCLL 46.2 TCLL 69.3 Lumber DOL 1.15 BC 0.71 Vert(CT) -0.20 8-10 >999 180
(Ground Snow=-60.0) (Ground,Snow=90.0) Rep Stress Ina YES WB 0.21 Hcrz(CT) 0.07 6 n/a n/a
TCLL 10.0 BCDL 15.0 BCLL 0.0 BCLL 0.0 Code IRC2015/TPI2014 (Matra) Wind(LL) 0.05 B-10 >999 360 Weight:67lb
•.BCDL 10.0 BCDL 15.0 FT=4%
LUMBER- BRACING-
TOP CHORD 2x4 SPF No.2 TOP CHORD Structural wood sheathing directly applied or 2-10-4 oc pudins.
BOT CHORD 2x4 SPF No.2 BOT CHORD Rigid ceiling directly applied or 8-5-7 oc bracing.
WEBS 2x4 SPF No.2
REACTIONS. (lb/size) 2=143310-3-8 (min.0-2-4),6=1433/0-3-8 (min.0-2-4)
Max Horz2=47(1_C 13)
Max Uplift2=136(LC 12),6=136(LC 13)
FORCES. (lb)-Max.Comp./Max Ten.-All forces 250(lb)or less except when shown.
TOP CHORD 2-11=2611/613,3-11=2383/614,3-4=2245/568,45=2245/568,5-12=2383/614,6-12=2611/613
BOT CHORD 2-10=-486/2305,9-10=231/1505,8-9=231/1505,6-8=-4B6/2305
WEBS 3-10=701/243,4-10=183/870,4-8=183/870,5$=701/243
NOTES-
1)Wind:ASCE 7-10;Vult=115mph(3-second gust)Vasd=91mph @24in o.c.;TCDL=3.3psf;BCDL=3.3psf;(Alt.141mph @16in o.c.;TCDL=5.OpsF,
BCDL=5.0psf);h=24ft;Cat.ll;Exp C;enclosed;MWFRS(envelope)and C-C Exterior(2)zone;cantilever left and right exposed;C-C for members and farces
&MWFRS for reactions shown;Lumber DOL=1.60 plate grip DOL=1.60
2)TCLL:ASCE 7-10;Pg=60.0 psf(ground snow);Pf=46.2 psf(flat roof snow);Category II;Exp C;Partially Exp.;Ct=1.1
3)Unbalanced snow loads have been considered for this design.
4)This truss has been designed for greater of min roof live load of 16.0 psf or 2.00 times flat roof load of 46.2 psf on overhangs non-concurrent with other live
loads.
5)This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
6)•This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will fit between the bottom
chord and any other members.
7)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 100 lb uplift atjoint(s)except at--lb)2=136,6=136.
8)This truss is designed in accordance with the 2015 International Residential Code sections R502.11.1 and R802.10.2 and referenced standard ANSI/TPI I.
9)"Pin all pitchbreaks"Member end fixity model was used in the analysis and design of this truss.
LOAD CASE(S)Standard
O F N,c
LAC' M P s �O
i b
n �
R� No. 085777-1 G�
PROFESSIOVA
This truss is to be fabricated per ANSUCPI quality requirements.Plates shall be of size and type shown and centered at joints unless otherwise noted.This design is based upon paramerers shaven,and is for an individual
building component to be installed and loaded vertically.Applicability of design parameters and proper incorporation of component is responsibility of the Building Designer.Building Designer shall verify all design
information on this shect for conformance with conditions and requirements of the specific building and governing codes and ordinances.Building Designer accepts responsibility for the correctness or accuracy fthe design
information as it may relate to a specific building.Certification is valid only when miss is fabricated by a UFP company.Bracing shown is for laws[support of truss members only and does not replace erection and
permanent bracing.Refer to Building Component Safety Information(BCSI)for general guidance regarding storage,delivery,erection and bracing available from SBCA and Truss Plate Institute.
02/06/2023 10:36
s t�ony u•r ��d
Queensbury
rtis Lumber Co Inc
vU460 Big Bay Road
Il In endenl
Neensbury NY 792-601804 IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�I
Fax: (518)792-8603 INVOICE
2302-275787 PAGE 1 OF 1
SOLD.T0. SHIP,TO ACCOUNT. ...: JOB. -
Town of Queensbury Queensbury-Parks& Recreation 7266 5
Attn:Accounts Payable 118 Gurney Lane I SOLD ON 2/8/2023 6:16:50 AM
742 Bay Rd Queensbury NY 12804 DELIVER ON 2/8/2023
Queensbury NY12804 VOUCHER
BRANCH S-1007/M-1000
CUSTOMER Pb# TRUSSES
STATION OD5
CASHIER 761061
PLEASE CALL JAMIE AT 518-744-2441 - - -- -
Curtis Lumber Co, Inc WITH APROX.TIME SPERSON 1000
:ORb�L�R,*_tNtkY7
E Store Hours: M-F 7am-5pm L 560045
Sat 8am-4pm Closed Sun
Yard Quantity, U/M . Item Description Location Notes
Order: 2302-Q56933
Y 21 EACH 2O52T 20'5/12 24"OC 12"OH REG TRUSS X
60#GROUND SNOW LOAD 24"OC 90#
GROUND SNOW LOAD 16"OC CONTACT
LOCAL BUILDING INSPECTOR FOR
APPROVAL
1 ZONE DELIVERY Service Charge
Stager Loader Driver Truck Time BF SF Weight Cubes Route
0 0 1881.E 1000
Auth Purch: JAMIE FLANSBURG 005
Receiver.-
Received in Good Condition
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Job Truss Truss Type Qty Ply Stock Trusses
14040600B 12052T FINK 1 1
cl'
ID:5R?ASHPnHx?ra118R8N5xCzUNhR-cPeIHQp9Pud3spvQ00wiu25LX5ucWcknXECX6CYR:
-1-0-0 5-3-14 10-0-0 14-8-2 20-0-0 21-0-0
1-0-0 5-3-14 4-8-2 4-8-2 5-3-14 1-0-0
4x4 =
Scale = 1
70T-rLoi�S-$S
�-
3x8 = SX4 = 3X4 = 3X4 =
3x8 =
0
t - 6-10-10 16-2-13 6-10-10
Plate Offsets (X,Y)- [2:0-4-2,0-1-81,[6:0-4-2,0-1-81
SPACING-: 2-0-0
LOADING (psf)
SPACING-: 1-4-0
LOADING (psf)
SPACING- Z-0-0
CSI.
DEFL. in (loc) Udefl Ud -
PLATES GRIP
TCLL 46.2
TCLL 69.3
Plate Grip DOL 1.15
TC 0.67
Vert(LL) -0.14 8-10 >999 240
MT20 197/144
(Ground Snow=60.0)
(Ground. Snow=90.0)
Lumber DOL 1.15
BC 0.71
Vert(CT) -0.20 8-10 >999 180
BCDL 10.0
TCDL 15.0
Rep Stress Incr YES
WB 0.21
Horz(CT) 0.07 6 n/a n/a
BOLL 0.0
BCLL 0.0
Code IRC2015/rP12014
( Matrix)
Win (LQ 0.05 8-10 >999 360
Weight: 67 lb
BCDL 10.0
BCDL 15.0
FT = 4%
LUMBER- BRACING -
TOP CHORD 2x4 SPF No.2 TOP CHORD Structural wood sheathing directly applied or
2-10-4 oc puriins.
BOT CHORD 2x4 SPF No.2 BOT CHORD Rigid ceiling directly applied or 8-5-7 oc bracing.
WEBS 2x4 SPF No.2
REACTIONS. (lb/size) 2=1433/0-3-8 (min. 0-2-4), 6=1433/0-3-8 (min. 0-2-4)
Max Horz 2=-47(LC 13)
Max Uplift2=-136(LC 12), 6=136(LC 13)
FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown.
TOP CHORD 2-11=-2611/613, 3-11=-2383/614, 3-4=2245/568, 4-5=-2245/568, 5-12=-2383/614, 6-12=2611/613
BOT CHORD 2-10=-486/2305, 9-10=-231/1505, 8-9=231/1505, 6-8=-486/2305
WEBS 3-10=701/243, 4-10=-183/870, 4-8=-183/870, 5-8= 701/243
NOTES-
1) Wind: ASCE 7-10; Vult=115mph (3-second gust) Vasd=91mph @24in o.c.; TCDL=3.3psf; BCDL=3.3psf; (Alt. 141mph @16in o.c.; TCDL=5.Opsf;
BCDL=5.Opsf); h=24ft; Cat. II; Exp C; enclosed; MWFRS (envelope) and C-C Exterior(2) zone; cantilever left and right exposed ;C-C for members and forces
& MWFRS for reactions shown; Lumber DQL=1,60 plate grip DOL=1.60
2) TCLL ASCE 7-10; Pg= 60.0 psf (ground snow); Pf=46.2 psf (flat roof snow); Category II; Exp C; Partially Exp.; Ct=1.1
3) Unbalanced snow loads have been considered for this design.
4) This truss has been designed for greater of min roof live load of 16.0 psf or 2.00 times flat roof load of 46.2 psf on overhangs non -concurrent with other live
loads.
5) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
6) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will fit between the bottom
chord and any other members.
7) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 lb uplift at joint(s) except at=lb) 2=136, 6=136.
8) This truss is designed in accordance with the 2015 International Residential Code sections R502.11.1 and R802.10.2 and referenced standard ANSI/TPI 1.
9) 'Pin all pitchbreaks" Member end fixity model was used in the analysis and design of this truss.
LOAD CASE(S) Standard
C3 New
P
C �p
rl
No. 085777-1
�Ca
A�aF�SS 10W,
tis truss is to be fabricated per ANSIfrPi quality requirements. Plates shall be of size and type shown and centered at joints unless otherwise noted. This design is based upon parameters shown, and is for an individual
iilding component to be installed and loaded vertically. Applicability of design parameters and proper incorporation of component is responsibility of the Building Designer. Building Designer shall verify all design
formation on this sheet for conformance with conditions and requirements of the specific building and governing codes and ordinances. Building Designer accepts responsibility for the correctness or accuracy of the design
formation as it may relate to a specific building. Certification is valid only when truss is fabricated by a UFP company. Bracing shown is for lateral support of truss members only and does not replace erection and
:rmanent bracing. Refer to Building Component Safety Information (BCSI) for general guidance regarding storage, delivery, erection and bracing available from SBCA and Truss Plate Institute. N.
02/06/2023 10:36
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