HomeMy WebLinkAbout20181055 18.057 96 Ballston Ave_WATER AGREEMENTCity of Saratoga Springs
OFFICE OF PUBLIC WORKS
5 Lake Avenue
Saratoga Springs, New York 12866
Phone 518-587-3550 ** Fax 518-587-2417
www.saratoga-springs.org
NEW WATER SERVICE CONNECTION
AGREEMENT & APPLICATION FORM
Ballston Ave Partners, LLC
Property Owner's Name:
96-116 Ballston Avenue
Property Address:
Size of Tap (check one below):
r,
18
Number of Dwellings:
ANTHONY J. SCIROCCO
COMMISSIONER
TIMOTHY- J. COGAN
DEPUTY COMMISSIONER
Project Name (if applicable): Ballston Ave Partners
178.26-1-39, 40 and 46
Tax Map#:
reater than I"
unit of water shall be defined as fourteen thousand (14,000) cubic feet
of water per year.
Contact the Water Dept at ext. 2502 for assistance with water
use estimation and meter specifications before signing below.
Estimated Cubic Feet of Water per Year: 1,423,500
To be completed in full without any contingencies or protest, on or before the Building Inspector approval of the rough plumbing,
including the installation of the water meter, or at the time of the issuance of a tapping permit.
The undersigned represents to the City that they have full and complete authority to execute this document and find and commit the
developer to abide by the City Water Ordinance. This agreement shall be binding on all of the undersigned transferees.
The undersigned acknowledges that a copy of this document will be delivered to all appropriate and necessary governmental entities.
Ballston Ave Partners, LLC
Authorized Signature: Company Name:
96 Ballston Avenue, Saratoga Springs, NY 12866
Company Address:
Phone Number: (518) 583-1515 Fax Number: (518) 226-0187 Date: 11/19/2018
Department of Public Works Approval: Date: