6. Water Entry PermitPermitNo. W3l-16
CITY OF NORTIIAMPTON, MA
RESIDENTIAL OR COMMERCIAL BTM,DING WATER ENTRY APPLICATION
A Department of Public Works Trench Permit shall be required' prior to any construction or connection activity associated with this application.
To the City ofNORTHAMPTON, MASSACHUSETTS:
The undersigned, being the Owner's Agent of the property
(Owner, Owner's Agent)
located at 6 Beaver Brook Loop Lot 17 , does hereby request a permit to install and
(Numbed (Street)
connect a l" Water Service to the--CEe) -
Residence at said location.
(Residence, Commercial Bldg., etc.)
o'Owner" shall mean the person holding title to the property served or to be served by the
water service.
The person or firm who will perform the proposed work is
Truehart Paving of Southampton, MA 01073
(Name)(Address)
3. Plans/sketch and specifications for tfre proposed water service shall be attached to permit.
In consideration of the granting of t[ris permit, the undersigned agrees:
The Water Department shall makb all taps to the water main.
WATER ENTRY PERMIT FEE is S200.00.
Additional work performed by City forces from the water main to street line shall be paid at
the prevailing labor rates and cost of material.
1.
1.
2.
J.
Water Meters 518"
Water Meters 3/4,,
Water Meters l"
$130.00
$140.00 Radio Read $135.00
$180.00
***:t* Water Meters 1.5" and above shall be purchased bv the owners using citv specs.
4. A fee of $135 for the Radio Read Fee with the purchase of a new meter.
5. The Water Superintendent shall be notified forwater line inspection prior to backlill of
trench.
saql(r
zab 4a1
I
PermitNo. W31-15
WATER CONI\ECTION
INSPECTION REPORT
Northampton Water Department
237 Prospect Steet
Northampton, MA 01060
(4t3) s87-1s70
Date: l1ll2ll5
ContractorlDeveloper Installing
Service Connection:
Telephone No.:
Truehart Paving
TypeofService: N.* I x I Renewat E Repair E
Pipe: Size 8" Material C-900 Blue Age 2006
Locationoflnstallation: 6BeaverBrookLoop Lot#17
(Street and Number)
Permit Issued To: steve Ferrari FCM smart Build
The service connection at this location was inspected by the undersigned on
-lDaie)-
at andapprovedbyr
I have instructed that the
installation can be backfilled.
Meastrements for all installation shall be documented bv the Water Deoartment. Theinformation shall be on file at the Public Works Deparhnent office.
Copy to Supervisor:Date:
Copy to Utility Billing: _ Date:
4t3-527-9246
of
Copy to Office Manager: Date: