C:\Users\mwright\Desktop\Backwater Valve Application Packet _ 09112019.docx
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CITY OF ALBANY BACKWATER VALVE INSTALLATION GRANT APPLICATION
All applicants must complete the grant application for up to $2,000 grant reimbursement and submit by mail, fax or email with
required documentation to:
Backwater Valve Grant Application Program
City of Albany Department of Water & Water Supply
10 North Enterprise Drive
Albany, NY 12204
Fax 518-434-5332
Email:lmerwin@albanyny.gov
It is recommended the applicant make copies of any papers, photos, the two itemized cost estimates including
scope of
work, etc. submitted and retain a copy for their 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 attached form
providing information about the history of incidences. Applicant may include any documentation of such incidences (i.e.,
insurance claims, photos, previous inspections) together with personal information.
Applicant will obtain a work order and estimate from two contractors (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 (AWD) as an attachment to the grant application. If the work order and estimate is unacceptable to the AWD, 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 AWD. 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 AWD to request an inspection. An inspection will be conducted by
the AWD and a written notice of acceptance issued. In the event there are deficiencies, the AWD 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 AWD 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.
KATHY M. SHEEHAN
CITY OF ALBANY
D
EPARTMENT OF WATER & WATER SUPPLY
10
NORTH ENTERPRISE DRIVE
A
LBANY, NEW YORK 12204
T
ELEPHONE (518) 434-5300
FAX (518) 434-5332
JOSEPH E. COFFEY, JR , P.E.
M
AYOR
C
OMMISSIONER
C:\Users\mwright\Desktop\Backwater Valve Application Packet _ 09112019.docx
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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 (i.e., 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 with PVC backwater valves installed inside dwellings where the flap sits on a hanger and can come off during
higher flows and higher pressures, the Backwater Grant program requires
backwater valves to have a pinned flap that is not
susceptible to this type of failure. 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,
5. Rectorseal Clean Check Valve
If you want to use another manufacturer, please submit the manufacturer’s cut sheet prior to installing.
Both type of valve installations 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
24 hours
before the area is excavated to install the valve. Pipes and backwater valve shall be visible and in place for
inspection.
BWG No. ____________
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BACKWATER VALVE GRANT APPLICATION CHECKLIST
The following checklist has been made available to ensure that the applications submitted to the Albany Water
Department are reviewed and processed in a timely manner. If the application submitted does not have enough
information or all the documents required the application will not be approved.
Backwater Valve Application Completely Filled Out
Backwater Valve Grant Application (page 4)
Item 1-6 completely filled out
Item 7 A: Proof provided and attached
Item 7B: Dates when calls made to Albany Water Department
Backwater Valve Grant Application (page 5)
Item 8a: Complete Name of Contractor/Plumber Want to Use
Item 8b-e completed
Describe Scope of Work (Diameter, Material, Length, etc.)
Verification Page (page 6)
Signed and Notarized by all homeowners of the property
Two Itemized Cost Estimates from Contractor/Plumber stating model of backwater valve
1. Cost Estimate from ______________________________ Amount____________________
Describe Type of Work (Diameter, Material, Length, etc.)
2. Cost Estimate From ______________________________Amount____________________
Describe Type of Work (Diameter, Material, Length, etc.)
KATHY M. SHEEHAN
CITY OF ALBANY
D
EPARTMENT OF WATER & W ATER SUPPLY
10
NORTH ENTERPRISE DRIVE
A
LBANY, NEW YORK 12204
T
ELEPHONE (518) 434-5300
FAX (518) 434-5332
J J OSEPH E. COFFEY, JR , P.E.
M
AYOR
C
OMMISSIONER
BWG No. ____________
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CITY OF ALBANY BACKWATER VALVE INSTALLATION GRANT APPLICATION
1) Property Address _______________________________________________________________________
(Number) (Street)
2) Owner____________________________________ Second Owner_________________________________
(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) _________________________________________________
KATHY M. SHEEHAN
CITY OF ALBANY
D
EPARTMENT OF WATER & W ATER SUPPLY
10
NORTH ENTERPRISE DRIVE
A
LBANY, NEW YORK 12204
T
ELEPHONE (518) 434-5300
FAX (518) 434-5332
JOSEPH E. COFFEY, JR , P.E.
M
AYOR
COMMISSIONER
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(COPY OF TWO COST ESTIMATES MUST BE ATTACHED TO THIS FORM) Place the Name of the Contractor or Plumber you
wish to hire for the work below
8) Information on Estimate and Scope of Services
8a) Contractor’s or Plumber Name __________________________________________________________
8b) Contractor’s or Plumber Address _________________________________________________________
(No.) (Street) (City) (State) (Zip Code)
c) Contractor’s or Plumber Phone _______________________________Fax________________________
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
9) Have you applied for grant before" ___No
___Yes
I
F y
es where you approved ____No ____Yes but ____________________________
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 ___________________________________________(Printed name) Initial when completed _______
Inspection Notes _______________________________________________________________________________
_____________________________________________________________________________________________
Post Inspection Scheduled _____ Date ______ Time ______Phone Contact _______ Mailed Notice ______________
Inspector ___________________________________________(Printed name) Initial when completed _______
Notes ___________________________________________________________________________________________________
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BACKWATER VALVE APPLIATION VERIFICATION PAGE
(If joint ownership, verification is required for both owners)
FIRST OWNER
STATE OF _________ )
) SS.:
COUNTY OF _______ )
I, ________________________________, resides at __________________________________ deposes and says 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.
Signature of Home Owner
Sworn to before me this day of , ________________20_.
______________________________
(Notary Public)
Qualified in __________ County
My Commission Expires ____________
SECOND OWNER
STATE OF _________ )
) SS.:
COUNTY OF _______ )
I, ____________________________, resides at________________________________________deposes and says 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.
Signature of Home Owner
Sworn to before me this day of , ________________20_.
______________________________
(Notary Public)
Qualified in __________ County
My Commission Expires ____________
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BACKWATER VALVE GRANT CONTRACTORS/PLUMBERS LIST
This is a list of contractors/plumbers who have installed backwater valves outside or inside of dwellings under the
current Backwater Valve Grant program in the past 4 years. This list is arranged alphabetically. This is intended to
assist applicants in choosing a contractor/plumber. Please do not limit your search to this list only. All
contractors/plumbers should be made aware of the REQUIREMENTS FOR AN ACCEPTABLE BACKWATER
VALVE INSTALLATIONwhich DUH available from the Department of Water & Water Supply.
The backwater valve may be installed by any plumber registered with the City of Albany Division of Building and
Codes for inside installations.
Two cost estimates are required with the make and model number of the valve the contractor/plumber is proposing to
install.
Apex Plumbing & Drain 872 Albany Shaker Road, Latham, NY 12110 Phone: 518-785-0795
Burnett Excavating 82 Beverly Ave, Albany, NY 12209 Phone: 518-462-0480
C.A. Trichilo 161 Helderberg Trail, East Berne, NY 12059 Phone: 518-857-2156
Crisafulli Brothers 520 Livingston Ave, Albany, NY 12206 Phone: 518-449-1782
Farrell Bros. Inc. 6 Simmons Lane, Albany, NY 12204 Phone: 518-462-5454
Keith Lezatte 56 Plank Road, Feura Bush, NY 12067 Phone: 518-378-5900
Metro Plumbing: Paul Bishop - PO Box 376, Watervliet, NY 12189
Phone: 518-785-0576
Precision Plumbing: Sean Clark - 26 Tice Road, Albany NY 12203
Phone: 518-464-0090
Paul Karin Jr. - 386 Elk Street, Albany NY
12206
Phone: 518-463-8885
KATHY M. SHEEHAN
CITY OF ALBANY
D
EPARTMENT OF WATER & W ATER SUPPLY
10
NORTH ENTERPRISE DRIVE
A
LBANY, NEW YORK 12204
T
ELEPHONE (518) 434-5300
FAX (518) 434-5332
J J OSEPH E. COFFEY, JR , P.E.
MAYOR COMMISSIONER