HomeMy WebLinkAbout20220104 30 Caroline Site Plan Review DPW-New Water Service Connection Agreement �.rr:I ,
-,�� City of Saratoga Springs
-V �' Department of Public Works
_ = �. ' Anthony J. Scirocco
_ ��'+7"� ,_ 5 Lake Avenue Commissioner
. Saratoga Springs, NY 12866
(518J 587-3550 office loseph J. O'Neill
www.saratoga-springs.org Deputy Commissioner
NEW WATER SERVICE CONNECTION
AGREEMENT & APPLICATION FORM
GM 30 Caroline Street Corp. 30 CBr011ne Street
Property Owner's Name Project Name (if applicable)
PropertyAddress 30 Caroline Street Tax Map#: � V�.60-1 -85
Size of Tap (check one below)
% " 1" ^ Greater than 1"
A unit of water shall be defined as 14,000 (fourteen
thousand) cubic 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: � � Estimated Cubic Feet of Water per Year
89,298 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 Print Name LOUIS LaZZlnnal"O
GM 30 Caroline Street Corp., 365 Arlington Ave, Brooklyn, NY 11208
Company Name &Address
Company Phone Number �646� 335 - 6126 Fax Number Date
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Department of Public Works Approval Date: