HomeMy WebLinkAbout20220086 126 West Special Use Permit DPW Water Service Agreement 10.22.21 ���"��OC`' �s'�-, City of Saratoga S�rings
�� ��� � ��!� DepartmeYct of Public Works
_ ��,�� �� I5"IlaYcderbiltAvera��e (tem�orary address� Anthony J. Scirocco
- � '�;�� ��� Saratoga SpriYtgs, N'Y� 12866 Commissioner
�"`��P�oq��� ��� �518� 5'87-35'S'0 o�f'ice Joseph J. O'Neill
www.saratoga-s�rings.org Deputy Commissioner
NEW WATER SERVICE CONNECTION
AGREEMENT & APPLICATION FORM
Property Owner's Name B&D P1'Ope�tleS, LLC Project Name (if applicable) West Ave Mixed Use Building
Property Address 126 West Ave Tax Map#: 165.72-1-22.1
Size of Tap (check one below)
3/4 " 1" X Greater than 1"
A ttnit of water shall be defined as 14,000 (fottrteen
thottsand) cttbic feet of water per year.
Contact the Utilities Department at ext. 2502 for
assistance with water use estimation and meter
specifications before signing below.
Number of Dwellings: 6 Estimated Ctibic Feet of Water per Year $D,7rJ� CF
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 appropriate and necessary
governmental entities.
Authorized Signature ���'� �- ��a'�°' Print Name I�avirl F Innallc
cotn�az�y Natne&add��ess Ingalls &Associates, LLP at 2603 Guilderland Avenue, Schenectady., NY 12306
Company Phone Number (518) 393-7725 Fax Number(518) 393-2324 Date 1012212021
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Department of Pttblic Works Approval Date: