HomeMy WebLinkAbout20230868 2356 State Route 50 Sketch Site Plan Water Service AgreementCity of Saratoga Springs
Department of Public Works
cco
15 Vanderbilt Avenue (temporary address) Anthony J. Commissioner
Saratoga Springs, NT 12866 onnerer
OR i (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 Joseph Balsamo l Project Name (if applicable)race Fellowship Site PIa
Property Address 356 State Route 50, Saratoga Springs, 12866 Tax Map #: �191.-1-50
Size of Tap (check one below)
Number of Dwellings
1.1 Church
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 150,284
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 acknow ge at a copy of this document will be delivered to appropriate and necessary
governmental entities.
Authorized Signature Print Name Jason Dell
Company Name &Address lansing Engineering, 2452 State Route 9, Suite 301, Malta, NY 12020
Company Phone Number
518-899-5243 Fax Number
Date 110/12/2023
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Department of Public Works Approval Date: