HomeMy WebLinkAbout20230032 Crescent & Jefferson Site Plan New Water Service ConnectionDomp,A VVoA City of Saratoga Springs ANTHONY J. SCIROCCO
r OFFICE Off' PUBLIC WORKS FRANK COPPOLA,, JRR
" 5 Lake Avenue DEPUTY CONMSSIONHR
:< Saratoga Springs, New York 12866
y Phone 518-587-3550 ** Fax 518-587-2417
°�'pasnreo www.saratoga-springs.org
NEW WATER SERVICE CONNECTION
AGREENIENT & APPLICATION[ FORM
Property Owner's Name: Bmhd _Inc. & Saratoga, Harness
Racing, Inc.
Property Address: Crescent Avenue& Jefferson Street
Size of Tap (check one below):
❑ %" ❑ 1,�
Number of Dwellings:
Project Name (if applicable): Liberty at Saratoga
Tax Map#: 179.-5-8
® Greater than I"
A 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:1 674 620-cf/year
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 doe ent will be delivered to all appropriate and necessary governmental entities.
Authorized Signature: Company Name: Liberty Affordable Housing. Inc -
Company Address: 117 West Liberty Street, Suite 3, Rome, NY 13440
Phone Number: 315-334-9333
Fax Number: Date: 01 /13/2023
Department of Public Works Approval: Date: