HomeMy WebLinkAbout20230524 12 Ballston Chipotle Site Plan Water Service AgreementCITY OF SARATOGA SPRINGS
UTILITIES DEPARTMENT
Department of Public Works
474 Broadway-RM 12
Saratoga Springs, New York 12866
Telephone 518-587-3550
Email: utilities@saratoga-springs.org
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NEW WATER SERVICE CONNECTION
AGREEMENT & APPLICATION FORM
Frank J Parillo / Saratoga Prime Properties, LLC
Property Owner s Name
Property Address 12 Ballston Avenue
Size of Tap (check one below)
3/ it
4
Number of Dwellings: 1
JASON GOLUB
COMMISSIONER
JOSEPH O'NEII.L, III
DEPUTY COMMISSIONER
MICR AFL VEITCII
BUSINESS MANAGER
Project Name (if applicable) Proposed Chipotle
Tax Map #: 165.83-1-3
1" 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 for assistance with
water use estimation and meter specifications
before signing below.
Estimated Cubic Feet of Water per Year 65,871
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 L Print NameGowy,)c
Company Name & Address Solli Engineering / 11 Vanderbilt Avenue, Norwood, MA 02062
Company Phone Number (781) 352-8491 EMAIL_ casey@sollillc.com Date 07/18/23
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OFFICE USE ONLY.
Department of Public Works Approval
Date:
UPDATED 6/8/23