HomeMy WebLinkAbout20221061 West Ave & Station Lane Sketch Site Plan Water Service ConnectionCity of Saratoga Springs
Department of Public Works
n 15 Vanderbilt Avenue (temporary address) Anthony J. Scirocco
Saratoga Springs, NY 12866 Commissioner
twt1aA,fa J`" (518) 587-3550 office Joseph J. O'Neill
www.saratoga-springs.org Deputy Commissioner
NEW WATER SERVICE CONNECTION
AGREEMENT & APPLICATION FORM
Property Owner's Name West Station LLC
Property Address Corner of West Ave and Station Lane
Size of Tap (check one below)
Number of Dwellings: Mixed Use. Letter Report Attached.
Project Name (if applicable) West Ave Site Plan
Tax Map #: 165.-2-76.2
X . 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.
Estimated Cubic Feet of Water per Year 602,794cf
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
Company Name & Address
Print Name Yates Scott Lansi
ng Engineering - 2452 State Route 9, Suite 301, Malta, NY 12020
Company Phone Number 518 899-5243 Fax Number (518) 899-5243 Date July 06, 2022
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Department of Public Works Approval Date: