The URL can be used to link to this page

Home My WebLink About085.20-01-35.120 (2) TOWN OF CORTLANDVILLE 3577 Terrace Road • Cortland, New York 13045 Phone: 607-756-9637 RESIDENTIAL OR COMMERCIAL APPLICATION [ X [ Water [ >e [ Sewer Account# 13 a&.. Application for: Bill to: s rrc d 6 4 ra -C-1' Jr r c d 14 lru -1-f--1 �' . g17 ,ux ✓ RcL II, A61(k ?, li 1'V d e pc-- N Phone: 60 7 g44—gaol/ Phone: 11,0 -] & 4 4/ -- ?d vZ/ To the Town of Cortlandville,New York: The undersigned,being the tf) ► of the property located at, S a/ 7 �.Lt ke 7( wner, wners Agent) 1<OC4 I� y l , does hereby request a permit to install a trvC. c service to serve (Water and/or Sewer) the CD rn me re—tn.I P I )pt✓it aid location. (Residence,Commercial) The name and telephone number o the person or firm who will perform the above work: anci / /5a5circ) For all new installations,plans and specifications for the proposed work are attached hereunto as EXHIBIT "A". In consideration of the granting of this permit, the undersigned agrees: (1) To accept and abide by all provisions of the Town of Cortlandville Water and Sewer ordinances and of all other ordinances or regulations that may be adopted in the future. (2) To maintain the sewer lateral from the building to the sewer main at no expense to the Town. (3) To maintain the water service from the curbbox to the building at no expense to the Town. (4) To notify this department when the water and/or sewer is ready for inspection,but before any portion of the work is covered. (5) Notify this department 24 hours in advance for inspections.All inspections will be done between the hours of 7:3 a.m. and 3:00 p.m., Monday through Friday.Anyone that requires an inspection other than these hours, will be�,�F COnT charged for all overtime incurred by this department. "=3cf y 7� ✓� .,b� y0 /S ,0 ;J r Kind of meter: i P C l- Meter fee: // PAID h /0 Meter size: Water fee: 6. D , eL0 Meter No.: 7. 35 4 1 62 Sewer fee: Register Head No.: Reinspection fee: 4 O d Tax Map#: E • o0--C/- J t 9 I' Total: . . °I) Signed: Date: 0_3/6 (Applicant) Inspected by: Date: Check if meter picked up: White-Office Copy Yellow-Field Copy Pink-Customer Copy TOWN OF CORTLANDVILLE N��.IA 3577 Terrace Road • Cortland,New York 13045 Phone: 607-756-9637 I RESIDENTIAL OR COMMERCIAL APPLICATION [ x ] Water [ ] Sewer Account# /3 02.- Application for: Bill to: crc ci 14 ra -r-/- r := r d 4 ,ru ---/- A r RS/`7 iku ke r id Id ZO x lr% 0 t,rvde. ,i . N Phone: b'D i 84'V—90011 Phone: to O 1 & 4-f z7 --q o 07 f To the Town of Cortlandville,New York: The undersigned,being the t 0 lie L.o K c✓ ner, wners Agent) 4 bG dll ca,does hereby request a permit to install a wcl -1 c-c service to serve (Water and/or Sewer) the (o m m,r' in I p r c)pelt aid location. (Residence,Commercial) The name and telephone number of the person or firm who will perform the above work: ifl t1 f i a 7 1,.J ti -JCj 10 For all new installations,plans and specifications for the proposed work are attached hereunto as EXHIBIT "A". In consideration of the granting of this permit,the undersigned agrees: (1) To accept and abide by all provisions of the Town of Cortlandville..Water and Sewer ordinances and of all other ordinances or regulations that may be adopted in the future. (2) To maintain the sewer lateral from the building to the sewer main at no expense to the Town. (3) To maintain the water service from the curbbox to the building at no expense to the Town. (4) To notify this department when the water and/or sewer is ready for inspection,but before any portion of the work is covered. (5) Notify this department 24 hours in advance for inspections.All inspections will be done between the hours of 7:30 a.m.and 3:00 p.m.,Monday through Friday.Anyone that requires an inspection other than the a hours,will be charged for all overtime incurred by this department. -. Kind of meter: t P 6 .L Meter fee: Meter size: Water fee: IQ 6. 60 Meter No.: 7613544$4/442 Sewer fee: Register Head No.: Reinspection fee: , v J TaxMap#:. S.S. JO 9O1- l .q/ _ Total: E .. 00 Signek '' f Pr, Date: j�f 7 3 /f j 1%/�r / Applicant) Inspected by: 1_— Date: /z` `/(e Check if meter picked up: ❑ f . 4,. /� White-Office Copy Yellow-Field Copy Pink-Customer Copy TOWN OF CORTLANDVILLE WATER/ SEWER RECORD (OUTSIDE ) STREET ADDRESS: 3815-3817 LUKER ROAD SANITARY SEWER MAIN DIA: 8" TYPE OF PIPE:PVC DISTANCE FROM CLOSEST M.H. TO { }WHY OR{ } SADDLE SIZE OF LATERAL: 4" TYPE OF PIPE:SDR 35 BACKFILL: DATE INSTALLED:1994 CONTRACTOR: WATER SERVICE MAIN SIZE: TYPE: DI-TAP SIZE:) SERVICE SIZE: TYPE OF PIPE PLX DIST. MAIN TO CURBSTOP:_ DATE INSTALLEDY CONTRACTOR: SSAQQ i1-6-/G SKETCH: WATER SEWER 4,, f4tli V 3815 3817 Emig 551- �" � 104'--f 4/ 0Cd ell 041°"' ■ ■ ems _ - - - - - - - 70' - - — 66' - - 23, ��I�en ZD • Sensus order: 123565 LLne: 4 Order: 123565 line: 4 www.sensus.com Date: 10/10 111111111111111 I I I I Date: 10/10 II II II II II II I I I 1-800-METERIT Part No: I2XXGLXX : Part No:I2XXGLXX 1-800-638-3748 Desc: Desc: MTR 3/4S IPERL 1000G 7.5"LL MTR 3/4S IPERL 1000G 7.5"LL Customer I IIIIIIIIIIIIIIIIII III Customer I IIIIIIIIIIIIIIIIII III Meter S/N: Meter S/N: 72354896 f1 Flow: II I I I I III I I I II1I I I IRROI I I III Flo',-: II I I I I III I I I11I I I IIIII I I III 410, .._ Lo: 099.5 Md: 099.9 Hi:099.9 Lo:099.5 Md: 099.9 H1:099.9 Sensus I IIIII I III I II II III I I I I Sensus I IIIIIIIIIIIIIIIIII IE Meter S/N: 72354896 Meter S/N: 72354896 For Factory Use Only i NSF I Certified - Il IIIII I III 1.0 11111 II 11I1l1 NSF/ANSI 61 G Installation Information: sEnsus Address: 3 1/ n vc WWW.SENSUS.COM nn 1-800-METERIT Installer: f 1/2-r 1-800-6383748 Date: � // // Old Meter ID: 45 p / 3 Old Mtr Reading: 3 8 f� New Meter ID: /3 �a35� Co CPS)10 New Mtr Reading: Register ID: - Port 1 M51OM-FI-TC-X-MI TX ID 13838356 Date:oe10 Other Info: IIIIIIIIIIIII IIII I I III O _ __A- 7 3 • METER UP—GRADE FORM Date: i- 1 I W-Pa4 Address: 3g1'7 Lv /z-e2 _ Fisk) w,Lip LiFe lq�,� 13tb) Tech.: tfia,-e Old Meter #: Se?,-(O ) o(n 39 Old Meter Rdg. 3 3 1 New Meter#: '?�3 S L-i 8 q 6 New Meter Rdg.: Transceiver ID #: 13 S 3 35 (c Transceiver Location: i,vs Na e New Meter Size: . '3A(_S New Meter Style IPE OMNI (See Below) ( ircle Style) Service Size: W-e << Backflow: (Yes) o) Check Valve: (Yes) (( 1 ) V/V S y 5?-P i d Ai Liv - L L IPERL: OMNI Turbo: OMNI COMPOUND: OMNI FIRE: 3/4s (short) 1.5T2 1.5C2 4F2 1 2T2 2C2 6F2 3T2 3C2 4T2 4C2 6T2 6C2 Rev. 12/2010 TOWN OF CORTLANDVILLE 3577 Terrace Road • Cortland, New York 13045 Phone: 607-756-9637 RESIDENTIAL OR COMMERCI APPLICATION Water Sewer Account# DiF .3 Application for: i Bill to: /.,1.9X. '( l� ./ /1 '1'77, '411-44 /j". •e 2 ' ge-3- 4 9 ' lill �J , - /fci Phone: Phone: / To the Town of Cortlandville, New York: The undersigned, being the q��/ of the pro y located at, � ��.j�r� ( caner wners Agent) ,does hereby request a permit to install a service to serve (Water and/or Sewer) the /,./'`e -,�C� at said location. (Residence,Commercial) The name and telephone number of the person or firm who will perform the above work: For all new installations, plans and specifications for the proposed work are attached hereunto as EXHIBIT "A". In consideration of the granting of this permit, the undersigned agrees: (1) To accept and abide by all provisions of the Town of Cortlandville Water and Sewer ordinances and of all other ordinances or regulations that may be adopted in the future. (2) To maintain the sewer lateral from the building to the sewer main at no expense to the Town. (3) To maintain the water service from the curbbox to the building at no expense to the Town. (4) To notify this department when the water and/or sewer is ready for inspection, but before any portion of the work is covered. (5) Notify this department 24 hours in advance for inspections.All inspections will be done between the hours of 7:30 a.m. and 3:00 p.m., Monday through Friday.Anyone that requires an inspection other than these hours, will be charged for all overtime incurred by this department. Kind of meter: Meter fee: L 4 Meter size: Water fee: /5-•e0 Meter No.: .S. ' ' D e �!� Sewer fee: Register Head No.: Reinspection fee: r Tax Map#: 5-�'A0- el is. d Total: "PAZ 'M A Signed: Date: 2/z7-/0,3 (Applicant) Inspecte by: Date: Check if meter picked up: White-Office Copy Yellow-Field Copy Pink-Customer Copy TOWN OF CORTLANDVILLE . 3577 Terrace Road • Cortland, New York 13045 Phone: 607-756-9637 RESIDENTIAL OR COMMERCIAL APPLICATION [ Water [96 Sewer Account# �. -1._` Application for: Bill to: //i X-s1( ' :/41-1 jV /fo.9 Phone: Phone: To the Town of Cortlandville,New York: The undersigned,being the Lg (1- of the pro located at, f ri7,-- 4 (Owner,Owners Agent) //y ,doe hereby request a permit to install a service to serve the .' at said location. (Water and/or Sewer) / (Residence,Commercial) The name and telephone number of the person or firm who will perform the above work: For all new installations,plans and specifications for the proposed work are attached hereunto as EXHIBIT "A".In consideration of the granting of this permit,the undersigned agrees: (1) To accept and abide by all provisions of the Town of Cortlandville Water and Sewer ordinances and of all other ordinances or regulations that may be adopted in the future. (2) To maintain the sewer lateral from the building to the sewer main at no expense to the Town. (3) To maintain the water service from the curbbox to the building at no expense to the Town. (4) To notify this department when the water and/or sewer is ready for inspection,but before any portion of the work is covered. (5) Notify this department 24 hours in advance for inspections.All inspections will be done between the hours of 7:30 a.m. and 3:00 p.m.,Monday through Friday.Anyone that requires an inspection other than these hours, will be charged for all overtime incurred by this department. Kind of meter: !eaMeter fee: /i// €Q Meter size: Water fee: f..0 Meter No.: 9 Sewer fee: 5 2 ' ®d Register Head No.: Reinspection fee: Tax Map#: 55• o- O/ f . alt9 Total: ,/g6 .61 291 Signed: Date: 7/z 0,3 (Applicant) Inspecte by: Date: Check if meter picked up: X White-Office Copy Yellow-Field Copy Pink-Customer Copy TOWN OF CORTLANDVILLE WATER/ SEWER RECORD (OUTSIDE) STREET ADDRESS: 3815-3817 LUKER ROAD SANITARY SEWER MAIN DIA: 8" TYPE OF PIPE:PVC DISTANCE FROM CLOSEST M.H. TO { }WHY OR{ } SADDLE SIZE OF LATERAL: 4" TYPE OF PIPE:SDR 35 BACKFILL: DATE INSTALLED:1994 CONTRACTOR: WATER SERVICE MAIN SIZE: TYPE: TAP SIZE:_SERVICE SIZE: TYPE OF PIPE DIST.MAIN TO CURBSTOP:_ DATE INSTALLED: CON TRACTOR: SKETCH: WATER SEWER 3815 3817 559- 104'- ■ ■ 70' 66' TOWN OF CORTLANDVLLE WATER/SEWER RECORD { OUTSIDE} STREET ADDRESS: .3.;!. 7 L ', I I , n- I^a SANITARY SEWER MAIN DIA: 8- ; TYPE OF PIPE: S ') d, ir DISTANCE FROM CLOSEST MH. TO{ }WHY OR { } SADDLE SITE OF LATERAL: TYPE OF PIPE: 5 O?-3c BACKFIL ''1/ S= DATE INSTALLED: /v /& , % CONTRACTOR: %1 s 5 ti WATER SERVICE MAIN SIZE: _TYPE: TAP SIZE: SVC SIZE: TYPE OF PIPE: DIST. MAIN TO CURB-STOP: DATE INSTALLED: COr'1'RACTOR: WATER . SEWER ---------- SKETCH: 1 ( I /4 (23, I ,IN‘ 2 , 7 \LIN \ ) 1 Lt ' 1 / 0 ..6 TOWN OF CORTLANDVILLE WATER/SEWER SERVICE INFORMATION {INSIDE} DATE: [ l COMMERCIAL El INDUSTRIAL Cl RESIDENTIAL [ ] MULTI-FAMILY ADDRESS : S ) `7 L U lL ,Pj? SIGNATURE OF PERSON WHO LET YOU IN: T (WATER METER INFORMATION} SERVICE SIZE: -?4-£TEI S_ METER MAKE: METER * MET RDG. DATE INST . : METER HEAD * 1 �( DATE INST: READING FROM . TER THAT WAS REMOV^ • REMOTE HOOKED-U REMOTE LOCATION: IS PROPERTY ON PUBLIC WATER? [ l YES• [ l NO (BACKFLOW INFORMATION} DOES PROPERTY HAVE A BACKFLOW DEVICE? [ ] YES .6 NO IF YES PROVIDE: MAKE: MODEL: • SIZE: SERIAL * : LOCATION: ( FOR ADDITIONAL DEVICES USE BACK OF FORM ) IF NO , DOES PROPERTY QUALIFY FOR BACKFLOW? IF YES GIVE REASON: [ ' [ l YES [ ' NO Ofgy�^T R STATION [ i HILL [ l OTHER (SPRINKLER INFORMATION: DOES THE PROPERTY HAVE A SPRINKLER RISER? [ l YES 6.1 NO IF YES , GIVE SIZE: {SEWER INFORMATION} IS THIS PROPERTY HOOKED TO PUBLI SEWER:' j�` YES [ l NO IF NO, IS THE SEWER AVAILABLE? or YES [ I NO IF PROPERTY IS HOOKED TO PUBLIC SEWER IS THEIR A NEED FOR Cl OIL SEPARATOR [ l GREASE TRAP (NEITHER. PERSON WHO PERFORMED WORK: COMMENTS : tt V. 4/98