If you have any other specific requirements or require this form in large print or Braille, please contact us on

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1 Northern Powergrid Holdings Companyisawhollyowned subsidiary of Berkshire Hathaway Energy, and operates its electricity distribution business through its subsidiary companies Northern Powergrid (Northeast) Limited and Northern Powergrid (Yorkshire) plc. The notes below have been compiled to assist you in completing your application form. It is important that we receive all of the relevant information for your application to be dealt with as quickly as possible. If you need further assistance, please call us on and we will be happy to help you. Section A - Your details Please give your contact details as well as the details of the site. Please advise us of the builder/developer s details if you are applying on their behalf. We will use your contact details for all future correspondance. Section B-Connections required Please complete this section stating your connection requirements, including details of any temporary site supplies. SectionC-Sitedetails If the application is for a site with motors, the electrical load you require may affect the current network. Please provide the details in this section. If you are unsure of these details, your electrician or the manufacturer of the equipment may be able to help you. The overall design will be determined by the type of heating to be installed in the properties. Please provide full details of electricity and water heating. Please inform us of the anticipated start date and anticipated completion date for the site. Please let us know in this section if any landlords supplies are required. Section E - Protective multiple earthing (PME) To determine if we can provide you with a PME, please tell us if the site consists of metal framed buildings. Section F - Site conditions Please complete this section to help us process your application efficiently, in a way appropriate to the environment and practical considerations on and around the site. Section G - Additional information Please provide any additional information that may be relevant to support your application. Section H - Minimum information checklist Please ensure that you have included the relevant plans (examples are included in this pack) and provided the minimum information listed in this section. Please clearly indicate your response in the boxes provided. Our Distribution Area Hexham Consett Cramlington Newcastle Crook Bishop Auckland Washington Darlington Spennymoor Richmond Ashington Gateshead a Durham Whitley Bay Northeast Ripon South Shields Sunderland Seaham Peterlee Stockton Northallerton Hartlepool Redcar Middlesbrough Please submit your completed application form to: Northern Powergrid Network Connections Alix House Falcon Court Stockton-on-Tees TS18 3TU getconnected@ northernpowergrid.com If you need any help to complete this form please call us on Scarborough Bridlington Note: for flats or maisonettes where a group metering position is required, please provide an internal layout plan. Keighley Bradford Harrogate Leeds York Selby Driffieldfield Beverley Hull Section D - Infrastructure The adoption of roads decides which legal consents we must apply for. Please complete this section. Halifax Dewsbury Huddersfield Wakefield Barnsley Sheffield field Castleford Yorkshire Doncaster Rotherham Goole Scunthorpe Grimsby Cleethorpes Louth If you have any other specific requirements or require this form in large print or Braille, please contact us on Page 1

2 Section A - Your Details Address for Correspondence Site Address Title, initials and surname Site name / plot numbers Company name Street Building name / number Town / city Street Postcode Town/city Postcode NOTE: We may ask you to prove that you are the landowner or that you have the owner s authority to apply for a connection on their behalf. Contact Details Name Fax Telephone Mobile Preferred method of contact: Builder/developer details (please specify if different from above) Section B-Connections required If you require a budget estimate please complete a Budget Estimate application form which is available on our website at alternatively please contact us on Have you previously received a budget estimate? Yes No Total number of plots If yes, state your quotation number Total number of electricity plots Will a temporary supply be required? If yes, please give details below and mark the required position on your plans Yes No Number of temporary supplies 1 or 3 phase Load/kVA Date temporary supply required Note: If the supply will power any motors e.g. lifts or pumps, please specify in section C. Page 2

3 Section C - Property Details Is planning required for the development? Yes No Has as planning application been submitted for the development? Yes No If 'yes' has planning been approved? Yes No Application for the Provision of a Quotation Date Site Works Due to Commence / / Anticipated Date of Completion / / Affecting loads If the supply will power any motor(s), please give details of the motors load(s). Type 1/3/ or split-phase Rating kw/h DOL/Star Delta/Soft Start Starting current Starts per hour Lift Pump Air-Source Heat Pump Ground-Source Heat Pump Other (Please specify) Total number of Air-Source Heat Pumps Total number of Ground-Source Heat Pumps Load guidelines A single, non-electrically heated domestic property with fewer than five bedrooms and no disturbing loads will be provided with a single-phase supply, capable of providing up to 20kVA. This will be adequate for household appliances which use sockets and all normal lighting. An 80amp 1-phase supply can provide up to 20kVA. A 100amp 3-phase supply can provide 60kVA Heating type Please choose your heating type: Electricity Gas Other If other, please specify Property type 1 bed 2 bed 3 bed 4 bed 5 bed Off peak electricity Daytime electricity Dedicated electric Electric (please indicate numbers heating/kw heating/kw e.g. water heating/kw boilers of each property type) Panel heaters e.g. Storage heaters (kw) Detached Semi-detached Terrace Flat/maisonette (if the connections are for flats/ maisonettes, please complete the section below) Bungalow Other Will any landlords supplies be required? Number of landlords supplies required 1-phase or 3-phase Load/kVA Do the Flats/Maisonettes have a separate or communal entrance? (Please note, meters for flats without their own separate entrance MUST go in a communal position) Separate Communal Page 3

4 Section D-Development Infrastructure Will on-site roads and footpaths be adopted under a Section 38 agreement? Yes No Do you require us to carry out all on-site excavation? Yes No Where there are unadopted areas, will utility strips be provided? Yes No Section E-Protective Multiple Earthing (PME) PME is normally provided for each supply. However, some methods of building, in particular multi-occupancy steel framed buildings, do not allow this means of earthing. In such cases, alternative earthing solutions can be provided by your electrical contractor. Are any buildings steel framed and sub-divided into units? Yes No SectionF-SiteConditions Are there any underground cables and pipes and/or overhead lines in close proximity to your site? Are there any underground or overhead structures that will affect future on-site development e.g. an underground culvert? Do you know the details of any previous land use? Yes No If yes please specify Are you aware of any significant changes in ground level on your site e.g. hills, ditches, holes? Is the site classed as a Site of Specific Interest or listed under any other classification e.g. historical site, conservation area, listed building? Are there any trees or hedges on site that are protected by preservation orders? Are there any existing water courses, culverts or drainage ditches on or adjacent to the site? Is the site marked as a flood plain? Does the site contain any substances hazardous to health or the environment e.g. asbestos, hydrocarbons? Yes No Page 4

5 Section G - Additional Information Page 5

6 Section H - Minimum Information Checklist IMPORTANT: In order to process your application please complete this form in full, ensuring you have provided the following information, by ticking the boxes (we will not be able to process your application if you fail to provide this information). Contact details including method of contact Site details Date for connections Maximum capacity for each connection Technical details of any disturbing loads A site location plan *A site layout with site boundary and meter positions A developer plan with meter positions Technical details of any generation *Boundary plan request Please provide a plan clearly showing the ownership and boundaries of your site. Where appropriate, we will design a cable route that is within the boundary of your land, avoiding the need for third party agreement. This can reduce legal costs and lead times to complete the work. This information may be available from: A site location plan Your planning application Your property deeds Hand drawings on an existing plan Guaranteed Standards Applicable to this Application ECGS3a - Provision of LV demand connections - we will dispatch your quotation within 25 working days. If we take longer we will automatically pay you 65 for each working day after this prescribed period. ECGS3b - Provision of HV demand connections - we will dispatch your quotation in 35 working days. If we take longer we will automatically pay you 135 for each working day after this prescribed period. SectionI-Signature Signature of applicant Date Print name Position in company Data Protection We will use the details you provide to process your connection request and to monitor the service we provide. Your details will be kept securely and will not be used for marketing purposes. We have an obligation to provide the results of customer satisfaction surveys on the services we provide to Ofgem, the electricity industry regulator. Therefore you may be contacted by our appointed Market Research Company to complete a brief satisfaction survey of our service delivery performance. If you do not wish to be contacted as part of these surveys please tick Page 6

7 Example Site Location Plan SITE LOCATION PLAN AND BUILDER/DEVELOPER PLAN FOR HOUSING DEVELOPMENTS FOR 5 OR MORE PROPERTIES. Before submitting your application please read the following guidelines about the plans we require to enable us to provide you with a quotation. We require two sets of plans: 1. Site Location Plan 2. Builder/developer plans Site Location Plan This should be at an appropriate scale to indicate the site boundary, the layout of buildings and roads and the location of any proposed substations. The plan should be free of any unnecessary detail and suitable for use as a background layer for our proposal drawing. The site and boundary should be highlighted. You can obtain a Location Plan for a small fee via internet websites such as: Page 7

8 foralvorhvdemandconnections- A detailed plan with the proposed buildings and access routes onto the site drawn showing accurate measurements should be provided with a completed application. 1. Any existing buildings that are to be demolished should be marked on the plan. 2. All proposed buildings and access routes should be drawn on the plan Example Builder/Developer Plan METER POSITION 1:500 scale Builder/Developer Plan 3. The full site address and proposed meter position should be clearly marked on the plan 4. The size of the new buildings should be shown on the plan and the proposed position in relation to the existing features, for example existing buildings, site boundaries, footpaths and roads Meter Position Preferably all new and re-serviced domestic dwellings and small commercial premises with supplies up to 80Amps shall be metered in an external cabinet at the front or the side elevation of the proposed building. It should be fitted at a minimum height of 750mm and a maximum height of 1000mm from ground level to the bottom of the cabinet. Properties that are to be converted into flats must have either external meter cabinets where possible or an internal communal meter position i.e. the front entrance. Page 8