24D-202 (8) MUNICIPAL WATER AVAILABILITY APPLICA t tv,,
Northampton Water Department
237 Prospect St.
Northampton,MA 01060
413-587-1097
A Department of Public Works Trench Permit shall be required prior to any construction or
connection activity associated with this application.
Location: t7.3 V�'nn S}' tJ6fkhorn�+on mB
Inquiry Made By: JAVc Q�zcc�owsk� to- 26 &- 2?yR
(Name) (Telephone Number)
Dateofinquiry: '118+9 Fire Line _ Irrigation_ Domestic
Number of Units:_ Type of Units: Type of Ownership:
Single Family X Private X
Apartments_ Condo_
Multi-Family_ Rental_
Commercial
Applicant to fill out the above)
Municipal Water Main in Front of Location: Yes_ No
Existing service to site? Yes_ No
Size of Water Main: Material: Age:
Approximate Static Street Pressure: Flow Test Conducted: Yes_ No
(if flow test conducted attach results)
Size of Service Connection: Suggested Meter Size:
Comments: The Water Department cannot guarantee adequate water pressure during
peak demand times at elevations above 320'
- A corresponding water enterance fee shall be paid prior to making any connection to the municipal
water system.
- Arrangement of such installation shall be made with the Northampton Water Department within a
minimum of S working days notification.
-All work shall conform to Northampton Water Department specifications.
(Water Superintendent) (Date)
*Water Entry _ ($1,250) Domestic *Meter $ *Radio Read $150
_ ($2,500)Subdivision (fee to be dete—
rmined)
(Includes fire line if required)
cc: City of Northampton Building Dept./Commissioner
NOTE: If this availablitiy is for a new construction,it must be hand delivered to the Building
Inspector
*Fees will be charged based on current fee structure at the time of entry application