New Miscellaneous Construction Questionnaire

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 Service

What 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

Member Information

Name(Required)

First Last

Phone

Email

Mailing Address(Required)

Street Address City State ZIP Code

Are you the Property Owner?(Required)

Yes

No

Security Light

Member 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 Service

Builder/Contractor Name

First Last

Builder/Contractor Address

Street Address City State ZIP Code

Relocation

Converting from overhead to underground

Moving Meterbase only

Existing Service Size

100A

200A

400A

New Service Size

100A

200A

400A

Other

Barn or Garage (Metered)

Builder/Contractor Name

First Last

Builder/Contractor Address

Street Address City State ZIP Code

Agree to pay $100 Engineering Fee prior to scheduling a site meeting.

Yes

Is this a new building?

Yes

No

A site meeting will be needed.

Address of the barn or garage

Street Address City State ZIP Code

Location of the site meeting

Street Address City State ZIP Code

Who will be attending the site meeting?

Phone

Is this an existing non-metered building?

Yes

No

A site meeting will be needed.

Address of the barn or garage

Street Address City State ZIP Code

Location of the site meeting

Street Address City State ZIP Code

Who will be attending the site meeting?

Phone

Will you need temporary electric for construction?

Yes

No

We will use a:

URE provided temporary meterbase

Member provided temporary meterbase

Please note: No fee to use URE provide temporary meter structure for first year. After first year, a fee will be charged. URE will remove a URE provided temporary after the second year of use.

Please note: The intention of a temporary meterbase is for temporary construction use and is not intended as permanent electric. URE will remove the electric meter after the second year of use.

Who will pay for temporary electric power usage?

Member

Other

Name

First Last

Address

Street Address City State ZIP Code

Phone

Email

The following questions will help URE ensure your energy needs are met:

Service

Electric

Natural Gas

Other

Please explain

Service size

100A

200A

320A

Other

Desired Service Installation

Overhead

Underground

What will you be using Natural Gas for?

Heater

Water Heater

Other

What is the square feet?

Water Heater

Yes

No

Type of water heater

Electric

Natural Gas

Propane

Size of water heater

Style of water heater

Gallon

Tankless

Heat

Yes

No

Heat Source

Electric

Natural Gas

Propane

Other

Air Conditioning/Heat Pump

Yes

No

What is the size in tons?

Will you have a back up generator?

Yes

No

Which type of generator?

Whole structure

Portable

Do you need a Generlink Transfer Switch?

Visit our Electrical Safety page for Generlink information.

Yes

No

Which type?

30 Amps

50 Amps

Please check all that apply.

Motors

Welding Equipment

Motors Rating in Horsepower

Welding Equipment in Amps

Service Upgrade

Builder/Contractor Name

First Last

Builder/Contractor Address

Street Address City State 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 aerators

Other

Please explain

Member Agreement & Consent

Member Electronic Signature (Full Name)(Required)

Comments

This field is for validation purposes and should be left unchanged.