No titleNew Miscellaneous Construction Questionnaire Font Size: Share Share on FacebookShare on X (Twitter)Share on PinterestShare on LinkedinShare on Email Feedback Print
New Miscellaneous Construction Questionnaire Step 1 of 3 33% For any non-home service including barns, garages, pumps, etc. Excluding structures intended for Commercial Business. Please refer to the Commercial Electric or Commercial Gas Section. Type of ServiceWhat type of service do you want?(Required) Security Light Relocation of existing electric service New barn or garage with separate meter Service Upgrade Billboard Electric Vehicle Charging Station (metered) Solar/Wind Installation Pond Pump / Aerator (metered) Other Select All Member InformationName(Required) First Last PhoneEmail Mailing Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Are you the Property Owner?(Required) Yes No Security LightMember agrees to pay monthly fee for a URE owned light. Yes Type of Security Light $9.75 per month for regular security light $11.75 per month for higher output security light Member understands a CIAC (Contribution to aid of Construction) may be required. Yes Municipal Street Light Contact the office (937) 642-1826 to set up a site visit.Relocation of Existing Electric ServiceBuilder/Contractor Name First Last Builder/Contractor Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Relocation Converting from overhead to underground Moving Meterbase only Barn or Garage (Metered)Builder/Contractor Name First Last Builder/Contractor Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Agree to pay $100 Engineering Fee prior to scheduling a site meeting. Yes Is this a new building? Yes No Will you need temporary electric for construction? Yes No The following questions will help URE ensure your energy needs are met:Service Electric Natural Gas Other Please explainWhat is the square feet?Water Heater Yes No Heat Yes No Size of water heaterHeat Source Electric Natural Gas Propane Other Air Conditioning/Heat Pump Yes No Will you have a back up generator? Yes No What is the size in tons?Which type of generator? Yes No Do you need a Generlink Transfer Switch?Visit our Electrical Safety page for Generlink information. Yes No Please check all that apply. Motors Welding Equipment Select AllMotors Rating in HorsepowerWelding Equipment in AmpsService UpgradeBuilder/Contractor Name First Last Builder/Contractor Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Existing Service Size 100A 200A 400A New Service Size 100A 200A 400A Other Billboard (metered) Call the office (937) 642-1826 and request to speak to Engineering about metered billboards.Electric Vehicle Charging Station (metered)Charging Station I will be installing an EV charging port in the garage and need URE to analyze usage data This charging point be a standalone system with a separate electrical service. Please contact the office (937) 642-1826 to set up a site visit Solar/Wind Information Visit our Solar page for more information.Pond Pump / Aerator (metered) Call the office (937) 642-1826 and request to speak to Engineering about pumps and aeratorsOtherPlease explain Member Agreement(Required) I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature. Member Electronic Signature (Full Name)(Required)
