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G:\Water Foreman\Engineering Department\BWV_Grant_Program_08-15\Backwater Valve Application Packet_exp2018.docx NOTE: THE APPLICATION DEADLINE IS DECEMBER 31, 2018. APPLICATIONS RECEIVED AFTER THAT DATE WILL NOT BE CONSIDERED APPLICATIONS WILL BE CONSIDERED IN THE ORDER RECEIVED CITY OF ALBANY DEPARTMENT OF WATER & WATER SUPPLY 10 NORTH ENTERPRISE DRIVE ALBANY, NEW YORK 12204 PHONE: (518) 434-5300 FAX: (518) 434-5332 KATHY M. SHEEHAN JOSEPH E. COFFEY, JR., P.E. MAYOR COMMISSIONER CITY OF ALBANY, NY BACKWATER VALVE INSTALLATION GRANT APPLICATION Directions All applications for the $1,500 grant must complete the grant application and mail it together with required documentation to: Backwater Valve Grant Application Program City of Albany Department of Water & Water Supply 10 North Enterprise Drive Albany, NY 12204 Make copies of any papers, photos, estimates, scope of work, etc. submitted and retain a copy for your records. This program is available to the owner of any single family or two family dwellings, owner occupied, in the City of Albany where a backup of combined sewage due to sewer incapacity on the municipal system occurred since 2002. After receipt of a properly completed application the dwelling must be inspected by a city official or a city appointed inspector who must certify that the dwelling is eligible based upon the history of incidents. The city official or a city appointed inspector will also verify whether roof drainage or sump pumps are connected to the lateral and will recommend additional steps which may be necessary for an effective installation of a backwater valve. Applicant should complete the form providing information about the history of incidences. Applicant may include any documentation of such incidences insurance claims, photos, previous inspections) together with personal information. Applicant will obtain a work order and estimate from a contractor (either a licensed plumber or a site work contractor) which will define the scope of the work, provide specifications for backwater valve together with other materials. The estimate must include all costs associated with the work. This must be submitted to the Department of Water & Water Supply (DW&WS) as an attachment to the grant application. If the work order and estimate is unacceptable to the DW&WS, the reason for denial will be indicated and the Applicant will have the opportunity to resubmit this portion of the application within 30 days of the receipt of the denial. A written approval including a notice of the grant amount will be issued by the DW&WS. When the written notification of the grant is received, the Applicant may enter into a contract with the approved contractor. The Applicant will have a maximum of 6 months after receipt of the written approval of the grant to complete the installation as defined in the work order and estimate. Requests for additional time to complete the installation must be made in writing and must be received at least 30 days prior to the expiration of the 6 month period. In the event that a grant award expires, an applicant will be required to resubmit the grant application. Once work is completed, Applicant must contact the DW&WS to request an inspection. An inspection will be conducted by the DW&WS and a written notice of acceptance issued. In the event that there are deficiencies, the DW&WS will indicate what deficiencies have been noted and the Applicant will be allowed to correct these deficiencies within 30 days of the inspection. When inspection has been satisfactorily completed, the DW&WS will authorize payment be issued to the Applicant. A check will be mailed to the Applicant. Grants will be received and processed based upon the date and time of receipt. ---PAGE BREAK--- Page 2 REQUIREMENTS FOR AN ACCEPTABLE BACKWATER VALVE INSTALLATION Re: Backwater Valve Installations under Grant Program The City of Albany Department of Water & Water Supply has set the goal for all installations to have a functional and maintainable backwater valve installed on all applicants dwelling. Float valves in floor drains do not comply. The following applies to all installations seeking approval under the Backwater Grant Program: For exterior installation, valve must be accessible for periodic maintenance and cleaning. Extendable PVC backwater valves are acceptable. If any other method is to be used, the valve installer must submit details for approval with their estimate. The installer should demonstrate to the applicant how to remove the extendable section, if an extendable valve is utilized. Installer should also demonstrate how to reset it and secure the valve in place. For interior installation, the backwater valve must be placed between the house trap and the outside sewer lateral. No other openings pit drains, floor drains, etc.) may remain open between the backwater valve and the outside sewer lateral. This may require excavating the existing house trap and moving its location further from the foundation wall. Backwater valves must be accessible and clear of any concrete or other materials which inhibit the opening of the valve for periodic maintenance and cleaning. Due to failures which have taken place with PVC backwater valves installed inside dwellings, these occur where the PVC flap sits on a hanger and can come off during flows especially under higher pressures, backwater valves with the type where the flap is pinned so it is not susceptible to this type of failure are required for the Backwater Grant Program. Acceptable Backwater valves are: 1. Globe Manufacturing Model 2604 4” no hub backflow valve (or Model 2606 for 6” pipes), 2. Jay R. Smith Model 7012S-04 for 4” or 7012S-06 for 6” pipe, 3. Wade – Model 4204NH, 4. Josam – No Hub Model 67400, If you want to use another manufacturer, please submit a cut sheet prior to installing. Both type of valves should be periodically inspected and cleaned when necessary. Valve manufacturers have information on this. A copy of this information should be provided to the applicant. Also note that all installers must obtain a permit from the City of Albany Department of Water & Water Supply. You must also call during normal business hours to contact the Department’s dispatch office at 434-5322 to arrange for the inspection before the area excavated to install the valve is backfilled. Pipes shall be visible and in place. ---PAGE BREAK--- Page 3 Backwater Valve Grant Application Program City of Albany Department of Water & Water Supply 1) Property Address (No) (Street) 2) Second (Last Name, First Name, M.I.) (must be listed if dwelling is jointly owned) 3) Mailing Address City State Zip Code 4) Phone No. (Home) (Work) (Cell) Best Time to Call 5) Year Property Purchased 6) Number of Years of Residence at this Dwelling 7) Number of Combined Sewage Backups since 2002 7a) Proof Provided (Check Information and ENCLOSE COPIES) Insurance Claim Photos Statement Provided at Purchase Inspection Report Home Inspection Report None (complete Part 7b) 7b) No Proof Provided (Only complete this information if you provided no proof under Item 7a) Did you call in a complaint to City of Albany? (Check one) Yes No Don’t recall Approximate date(s) when call(s) was (were) made Was your house inspected by City employee or an agent for any of these storms? Yes (Complete Below) (No, continue with Question No. 8) Date of Storm after which inspection occurred Name of Inspector (if known) ---PAGE BREAK--- Page 4 8) Information on Estimate and Scope of Services (COPY MUST BE ATTACHED TO THIS FORM) 8a) Contractor’s or Plumber Name 8b) Contractor’s or Plumber Address (No.) (Street) (City) (State) (Zip Code) c) Contractor’s or Plumber Phone d) Contractor’s Total Cost Estimate e) Does Scope of Work include (Check all that apply) Installation inside dwelling Installation outside dwelling Repair or replacement of water service Repair or replacement of sewer lateral beyond valve Repair or replacement of sidewalk or driveway Lawn restoration Do Not Complete Information Below This Line for Department of Water & Water Supply Use Tax Map Parcel No. Owner’s names verified Proof of Backup Approved Application Complete Application Incomplete Application Rejected Reason for Rejection of Application Inspection Scheduled Date Time ______Phone Contact Mailed Notice Inspector name) Initial when completed Inspection Notes Reinspection Scheduled Date Time ______Phone Contact Mailed Notice Inspector name) Initial when completed Reinspection Notes Grant Action: Approved Rejected: (Date Notice Mailed) ---PAGE BREAK--- Page 5 VERIFICATION (If joint ownership, verification is required for both owners) OWNER STATE OF ) ) SS.: COUNTY OF ) , deposes and says (Name of Individual) that (s)he has read the foregoing application and knows the contents thereof; and that the same is true and complete and accurate to the best of his(her)knowledge. Sworn to before me this day of , (Notary Public) Qualified in County My Commission Expires SECOND OWNER STATE OF ) ) SS.: COUNTY OF ) , deposes and says (Name of Individual) that (s)he has read the foregoing application and knows the contents thereof; and that the same is true and complete and accurate to the best of his(her)knowledge. Sworn to before me this day of , (Notary Public) Qualified in County My Commission Expires ---PAGE BREAK--- Page 6 PLUMBERS LIST This is a list of plumbers who have installed backwater valves inside dwellings under the current Backwater Valve Grant program, Grant Nos. 1 – 399. This list is arranged by the number of installations and alphabetically where the same number of valves has been installed. This is intended to assist applicants in choosing a plumber. The backwater valve may be installed by any plumber registered with the City of Albany Division of Building and Codes. All plumbers should be made aware of the “REQUIREMENTS FOR AN ACCEPTABLE BACKWATER VALVE INSTALLATION” which is available from the Department of Water & Water Supply. Crisafulli Brothers 520 Livingston Ave Albany NY 12206 Phone: [PHONE REDACTED] Total Installations = 142 Real Plumber 26 Tice Road Albany NY 12203 Phone: [PHONE REDACTED] Total Installations = 13 Robert DelBane Plumbing & Heating 51 Ramsey Place Albany NY 12208 Phone: [PHONE REDACTED] Total Installations = 9 Farrell Bros. Inc. 6 Simmons Lane Albany NY 12204 Phone: [PHONE REDACTED] Total Installations = 9 Melden Plumbing & Heating, INC 4 Sand Creek Road Albany NY 12205 Phone: [PHONE REDACTED] Total Installations = 4 Metro Plumbing/Nino Crisafulli PO BOX 144 Latham NY 12210 Phone: [PHONE REDACTED] Total Installations = 4 ---PAGE BREAK--- Page 7 James D. Warren & Sons 69 Fourth Ave Albany NY 12202 Phone: [PHONE REDACTED] Total Installations = 4 Bass Plumbing 486 Central Avenue Albany, NY 12206 Phone: [PHONE REDACTED] Total Installations = 3 William Zurek Plumbing & Heating 64 Bradford Street Albany NY 12206 Phone: [PHONE REDACTED] Total Installations = 3 C.A. Trichilo 161 Helderberg Trail East Berne NY 12059 Phone: [PHONE REDACTED] [PHONE REDACTED] Total Installations = 2 Empire State Plumbing Inc. PO BOX 101 East Greenbush NY 12061 Phone: [PHONE REDACTED] Total Installations = 2 Keith Lezatte 56 Plank Road Feura Bush NY 12067 Phone: [PHONE REDACTED] [PHONE REDACTED] Total Installations = 2 Mike Mazone Pipeline Plumbing & Heating 5 Highfield Lane Albany NY 12208 Phone: [PHONE REDACTED] Total Installations = 2 Mister Rooter 334 Northern Turnpike Johnsville NY 12094 Phone: [PHONE REDACTED] Total Installations = 2 Rotor Rooter PO Box 5368 Albany NY 12205 Phone: [PHONE REDACTED] Total Installations = 2 ---PAGE BREAK--- Page 8 Taub Heating & Plumbing Paul Karins Jr. 386 Elk Street Albany NY 12206 Phone: [PHONE REDACTED] Total Installations = 2 A. Septic Service Anthony Corellis PO BOX 86 Rensselaer NY 12144 Phone: [PHONE REDACTED] Total Installations = 1 Acro Plumbing & Heating PO BOX 10 Glenmont NY 12077 Phone: [PHONE REDACTED] Total Installations = 1 Allen & Taub 556 Yates Street Albany NY 12206 Phone: [PHONE REDACTED] Total Installations = 1 Almindo Plumbing Mark Almindo One Norge Road Delmar NY 12054 Phone: [PHONE REDACTED] Total Installations = 1 Apex Plumbing & Drain 872 Albany Shaker Road Phone: [PHONE REDACTED] Latham NY 12110 Total Installations = 1 Bennett Contracting, Inc. 693 South Pearl Street Albany, NY 12202 Phone: [PHONE REDACTED] Total Installations = 1 August Bohl Construction 197 Broad Street Albany, NY 12202 Phone: [PHONE REDACTED] Total Installations = 1 Casimo’s Plumbing and Heating 104 Avenue Albany NY 12208 Phone: [PHONE REDACTED] Total Installations = 1 ---PAGE BREAK--- Page 9 Collett Mechanical 138 Sicker Road Latham NY 12110 Phone: [PHONE REDACTED] Total Installations = 1 Decker’s Plumbing & Heating LLC. 485 Washington Avenue Albany, NY 12206 Phone: [PHONE REDACTED] Total Installations = 1 HRO Mechanical Inc. Dba Mr. Rooter PO BOX 9111 Latham NY 12110 Phone: [PHONE REDACTED] Total Installations = 1 Michael Hogan 173 Sycamore Street Albany NY 12209 Phone: [PHONE REDACTED] Total Installations = 1 J&R Plumbing & Heating 1 Baker Street Albany NY 12205 Phone: [PHONE REDACTED] Total Installations = 1 Kumpel’s Plumbing & Heating Chris Kumpel PO BOX 171 Burnt Hill NY 12027 Phone: [PHONE REDACTED] Total Installations = 1 MTV Plumbing & Heating 1435 Lowell Road Schenectady NY 12308-2515 Phone: [PHONE REDACTED] Total Installations = 1 Rizzo Plumbing & Heating 24 Woodlawn Drive Schenectady NY 12309 Phone: [PHONE REDACTED] Total Installations = 1 Ross Court Plumbing PO BOX 123 Latham NY 12110 Phone: [PHONE REDACTED] Total Installations = 1 ---PAGE BREAK--- Page 10 Rotor Matic Plumbing & Pipe Cleaning Unit 211 - 159 Delaware Ave Delmar NY 12054 Phone: [PHONE REDACTED] Total Installations = 1 J&S Walter 4043 Albany Street Schenectady NY 12304 Phone: [PHONE REDACTED] Total Installations = 1 Jamit D Zielinski 1152 Schenectady NY 12302 Phone: [PHONE REDACTED] Total Installations = 1 ---PAGE BREAK--- Page 11 CONTRACTORS LIST This is a list of contractors who have installed backwater valves outside of dwellings under the current Backwater Valve Grant program, Grant Nos. 1 – 399. This list is arranged by the number of installations and alphabetically where the same number of valves has been installed. This is intended to assist applicants in choosing a contractor. All contractors should be made aware of the “REQUIREMENTS FOR AN ACCEPTABLE BACKWATER VALVE INSTALLATION” which is available from the Department of Water & Water Supply. Keith Lezatte 56 Plank Road Feura Bush NY 12067 Phone: [PHONE REDACTED] [PHONE REDACTED] Total Installations = 41 C.A. Trichilo 161 Helderberg Trail East Berne NY 12059 Phone: [PHONE REDACTED] [PHONE REDACTED] Total Installations = 32 Burnett Excavating 82 Beverly Ave Albany NY 12209 Phone: [PHONE REDACTED] Total Installations = 20 William Zurek Plumbing & Heating 64 Bradford Street Albany NY 12206 Phone: [PHONE REDACTED] Total Installations = 11 Taub Heating & Plumbing Paul Karin Jr. 386 Elk Street Albany NY 12206 Phone: [PHONE REDACTED] Total Installations = 10 Farrell Bros. Inc. 6 Simmons Lane Albany NY 12204 Phone: [PHONE REDACTED] Total Installations = 8 ---PAGE BREAK--- Page 12 Best Construction David Taft / Mark Taft 960 Best Road East Greenbush NY 12061 Phone [PHONE REDACTED] Total Installations = 2 Robert Delbene Plumbing and Heating 51 Ramsey Place Albany NY 12208 Phone [PHONE REDACTED] Total Installations = 1 JSE Contracting, LLC 231 Alexander Road Delanson, NY 12053 Phone: [PHONE REDACTED] Total Installations = 1 P.J. Construction/Severance Construction 17 Giraffin Drive Latham NY 12202 Phone: [PHONE REDACTED]/[PHONE REDACTED] Total Installations = 1 Pine Bush Contracting, LLC 2024 Oak Tree Lane Schenectady NY 12303 Phone [PHONE REDACTED] Total Installations = 1 Saw Plumbing and Drain 2 Lexington Road Cohoes, NY 12047 Phone [PHONE REDACTED] Total Installations = 1