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10_Water & Sewer Permit ApplicationsMUNICIPAL SEWER AVAILABILITY APPLICATION Northampton Public Works 125 Locust Street Northampton, MA 01060 413-587-1570 Director: ____________________ A Department of Public Works Trench Permit and Sewer Entry Permit shall be required prior to any construction or connection activity associated with this application. Location: _______________________________________________________________________________________ Date of Inquiry: __________________________________________________________________________________ Name, phone and email: ___________________________________________________________________________ Reason for Request: _______________________________________________________________________________ ________________________________________________________________________________________________ ---------------------------------------------------------For Office Use Only below line ----------------------------------------------------------- Municipal Sewer Main in front of Location: Yes __________ No __________ Size of Sewer Main: __________ Material: __________ Age: __________ Depth of Sewer Main: ___________________________________________ Length of Sewer Main: ___________________________________________ Size of Sewer Connection: ________________________________________ Type of Sewer Connection: _______________________________________ City Requires 6" Cleanout Installed at City Property Line A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer system. Arrangements of such installation shall be made with the Northampton Department of Public Works with a minimum of 5 working days notification. All work shall conform to Northampton Department of Public Works specifications. If this availability is for new construction, it must be submitted electronically or mailed to the Building Inspector. *Fees will be charged based on current fee structure at the time of entry, application page 2 ________________________________________________________________________________ Sewer foreman Date ________________________$__________________________ Permit #Sewer entry fee Sewer Entrance Fee 1.Single Family Home $1,250 per home 2.Apartment Blocks, Attached Condominiums, Townhouses, etc.$1250 for first unit plus $250/unit for unit for each additional unit 3.Motels of Hotels $1,250 for the first unit plus $50/unit for each additional unit 4.Commercial Buildings Greater of: a. $0.20/square foot of gross floor area b. $1,250 Flat Fee 5. Industrial Building Greater of: a. $0.10/square floor of gross floor area b. $50 per 100 gallons per day average flow c. $1,250 flat fee MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Public Works Director Water Division 125 Locust Street Northampton, MA 01060 o A Department of Public Works Trench Permit and Water Entry Permit is required prior to any construction or connection activity associated with this application. Location: ________________________________________ Inquiry made by: (Name) ________________________________________________ (Phone number) ________________________ Type of Connection: # of Units: ______ Fire Line ________ Irrigation _______ Domestic ________ Type of Units: Single Family ________ Apartments ________ Multi-Family ________ Commercial ________ Type of Ownership: Private _______ Condo ________ Rental ________ -----------------------------------------------For Office Use Only Below this Line------------------------------------------- Municipal Water Main in Front of Location? Yes _____ No _____ Existing Service to Site: Yes _____ No _____ Size of Municipal Water Main: _____ Material: ___________ Age: _____ Approximate Static Street Pressure: __________ Flow Test Conducted: Yes _____ No _____ *flow test results attached Size of Service Connection: ___________ (Suggested) Meter Size: ______________ Water Connection # Units: $ _____ Meter Charge: $_____ Radio Read Charge: $_____ Tapping Charge: $_____ Fire Protection Tapping Charge: $ _____ ____________________________________ _________________________ Water Superintendent Date *If this availability is for new construction, it must be submitted to the Building Commissioner by the applicant Cc: Building Commissioner, Northampton Building Dept. NOTES New tap in street required by qualified contractor in accordance with Northampton’s water specs __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Requirements for Utility Connection Permits The following requirements shall apply to and be incorporated into any Utility Connection permit, as defined below, issued by the City of Northampton Department of Public Works (DPW) for interconnection to City owned utilities including the Water, Sewer and Storm Water systems. 1. Utility connection Permits and Trench Permits will be good for a period of thirty days, unless extended. Please contact the DPW at 413-587-1570 seven days prior to permit expiration for an extension, if needed. 2. The DPW will be strictly enforcing the following inspection requirements for all Utility Connections: a. No Utility Connection shall be back-filled before the utility connections have been inspected on-site by a DPW representative and determined to be in accordance with City standards. b. Any trench that is backfilled prior to inspection will be required to be re-excavated to expose the new work in its entirety to satisfactorily close the permit. c. To request an inspection, please contact the DPW at 413-587-1570. Every effort will made to accommodate same day requests if made before 1 PM, but the DPW cannot guarantee same day inspection. There will be a $100 fee for same day requests made after 1 PM on business days, and all same day requests made on weekends or on legal holidays. d. PHOTGRAPHS ARE NOT ALLOWED IN LIEU OF ON-SITE INSPECTION. 3. For purposes of this Policy Order, a "Utility Connection" shall be a connection to the City water system in accordance with the Code of City Ordinances § 325-3, a connection to the City sanitary sewer system in accordance with the Code of City Ordinances § 260-5 et seq., or a connection to a drain within the City storm water system in accordance with the Code of City Ordinances § 256-10. A "Utility Connection Permit" shall be any permit issued by the DPW, regardless of its title or form, necessary to make a Utility Connection. All water entrance fees shall be paid prior to making any connection to the municipal water system. Arrangements of such installation shall be made with the Northampton Water Division with a minimum of 5 working days notification. All work must conform to Northampton Water Division specifications. 1. Plan/sketch and specifications for the proposed water service must be attached to the permit. 2. Taps to the water main must be made by a qualified contractor with a Water division employee on site, unless approved by the Water Superintendent. 3. The Department of Public Works cannot guarantee adequate water pressure during peak demand times at elevations above 320’ 4. Additional work performed by City staff from the water main to the street line shall be paid at the prevailing labor rates and cost of material. Water Entrance Fees – Connection fees (new or increased service connection to public water main) Fees will be charged based on current fee structure at the time of entry application. Residential: $625 per unit Non-Residential: The equivalent number of units shall be calculated by dividing design flow by 330 gallons per day determined using the Sewage System Flow Design values of Title 5 of the State Environmental Code (310 CMR 15) Tapping Fee (Connection at main, in addition to Connection Fee where applicable) Service Size Tapping Fee 1” Service or less $625 1 1/4“ Service $650 1 1/2“ Service $750 2” or 3” Service $850 4” Service $1,000 6” Service $5,000 Fire Protection Water Tapping Fees Service Size Tapping Fee 4” and Smaller Fire Service $350 6” Fire Service $650 8” and Larger Fire Service $1,000 Water Meters greater than 1 inch will be purchased by the City and charged to the customer Meter Size Charge 5/8” Meter $490 3/4 “ Meter $512 1” Meter $695 MXU Radio Read Fee (MXU) is charged with the purchase of a new meter. $250 1 1/2” Meter $1,955 2” Meter $2,210 3” Meter $2,720 4” Meter $4,395 6” Meter $7,550 8” Meter $11,150