Water Supply Application Form

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Dublin City Council on behalf of Irish Water
APPLICATION FOR CONNECTION TO WASTEWATER AND/OR WATER NETWORK
Applicant Details:
Name:
Contact No:
Billing Address:
Connection Address:
Planning Permission Ref:
Is the connection required to:
(please tick)
Wastewater Network
Water Network
For connection to the Wastewater Network, please complete part A of the form
For connection to the Water Network, please complete part B of this form
(Note: a separate application form is required for a Surface Water Connection, please refer to
www.dublincity.ie)
PART B
(please circle)
Domestic
WATER SUPPLY APPLICATION FORM
Non-domestic
Mixed
Building Water Supply
Firemain Connection
Sprinkler
Address of Premises (for which supply is required) (Block letters) ………………………….………………………………………………………
………………………………………………………………………………………………………………………………………..…………………………………………….
Name/Address for Billing (Block letters) ….………………………………………………………………………………………………………………
…………………………………………………………………….…………………………………………………………………………..…………………………………….
Description ……………………………………………………………………………………………………………. Number of Dwelling Units ………………………….
(State whether retail outlet, office, factory, workshop, domestic, hotel etc.)
Size of Connection(s) Required (mm) ………………………………..…..
Site Numbers …..……………….………………………………………………………
Floor Area of Non-domestic elements of premises ……………………………..……….. M2
PLANNING REF ………………………………………….. Permission Granted Date ………………………………….. It is ESSENTIAL to provide the
planning ref. and permission granted date if the connection is being provided as a result of a planning application and approval
Name of Applicant (Block letters) ……………………………….………………………….…………………………………………………..…………………………..
Tel. ……………………..…………………… Mobile ……………..…..…………………………. E-mail .…………….……….…...………………………………………………
DETAILS OF FITTINGS TO BE SUPPLIED From Service Pipe:
Number of drinking water points …………….…………………
Break Tank Capacity (Litres) ……………………………………….
Manufacturing or other non-sanitary purposes
State the manufacturing process or other purposes
For which water is required
Storage Cistern Capacity (Litres) ………………………………..
………………………………………………………………………………………..
1.
Maps Required - Two copies of the following maps shall be submitted with this application:
 Site location
 For developments other than a single dwelling – plan and section showing layout of roads, buildings, proposed
watermains and other services
2.
Payments - The following payments must be made before any connection can be made to the water supply:
 All development contributions required under planning legislation (for grants of planning pre January 2014)
 The connection fee - following agreement on the details of the connection and approval of the plumbing works on
site, you will be notified by Irish Water of the charge for the required connection(s). This amount must be paid to Irish
Water before a connection will be made
 Infrastructure Charge – for developments that are not subject to a grant of planning pre January 2014, Irish Water
may require a charge to cover the cost of infrastructure provision. These amounts must be paid to Irish Water before
a connection will be made
Signature ……………………………………………………..……………………..
Date …………………………………..…………….
Signed and completed application form should be returned to:-
Dublin City Council, Staff Officer, Water Services, 68 Marrowbone Lane, Dublin 8
OFFICIAL USE ONLY
Application for
Replacement of single lead supply including boundary
Transfer of supply to mains from obsolete common pipe
Replacement of lead shared supply
Ref No ________________________
Replacement of lead boundary
To avail of boundary offer outside of expiry date
Replacement of shared supply
Dublin City Council Water Services Division ……………………………………………….…………… Date ………………………………………… Form Rev: 11/15
PTO
PART B
Dublin City Council
Working as an agent of Irish Water
Water Supply Application Procedure
Step 1 Submit completed water supply application form to Dublin City Council, Staff Officer, Water Services, 68
Marrowbone Lane, Dublin 8. Further copies of this form are available from the Dublin City Council website
www.dublincity.ie
In order to prevent unnecessary delays in obtaining a water supply connection, the following is recommended:
 The application form should be submitted at an early stage of construction
 Contact is made at this time with the Water Services Division Plumbing Inspectorate. This is necessary to ensure
that the proposed installation and its fittings and materials comply with recognised standards and is approved in
advance by the Water Services Division. This will help to prevent delays due to unapproved plumbing
installations etc.
Plumbing Inspectorate
John Comey
Eamon Dunne
Noel McCormack
Jack Candon
John Riordan
222 4396,
222 4313,
222 4395,
222 4356,
222 4311,
086 3831171 (Northside)
086 3831254 (Northside)
086 3831194 (Southside)
086 3831169 (Southside)
Materials and Fittings
 For water supply connections of 100mm or greater, contact should also be made with our Mainlaying Section.
This is necessary to ensure that the proposed watermain layout and details are in accordance with Dublin City
Council requirements and standards: Mainlaying Section: tel. (01) 222 4375
 For queries on status of application, please contact Joanne Smith, tel. 01 222 2756, joanne.smith@dublincity.ie
Step 2 Once the internal plumbing of the development has been approved by Dublin City Council, Water Services
Division Plumbing Inspectorate, Irish Water will be informed.
Step 3 If Planning Permission was granted before January 2014, the applicant must supply a letter to the Water
Services Division from the Dublin City Council Planning Department confirming that all necessary development
contributions have been paid.
Step 4 A Water Connection Agreement with Acceptance Requirements and invoice for the associated connection and
infrastructure charges will be issued by Irish Water, once the above procedures have been satisfactorily complied with.
Once the Acceptance Requirements have been satisfied and on receipt of payment, Irish Water will request Dublin
City Council, Water Services Division to contact you to schedule the connection.
For any queries, after payment has been made, please contact:
For small connections, i.e. less than 100mm in size
Northside: Finglas Depot, tel. (01) 864 3634
Southside: Marrowbone Lane, tel. (01) 222 4209/4210
For water supply connections of 100mm or greater:
Mainlaying Section: tel. (01) 222 4375
Form Rev: 11/15
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