New Home Construction Questionnaire Step 1 of 4 0% ** NOTE TO APPLICANT: If your deed information is not available at this time, you may submit your application to begin the new service process. HOWEVER, this information MUST be submitted to URE and an easement created and signed by the homeowners BEFORE any URE facilities will be installed.**(Required) I AGREE to provide all necessary documents I am the:(Required) Homeowner Builder/Contractor Other Contact InformationName(Required) First Last Email(Required) Best Contact Phone(Required)Service 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 Mailing Address(Required) Same as Service 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 Builder/Contractor InformationBuilder/Contractor Name(Required) Builder/Contractor Email(Required) Builder/Contractor Phone(Required)Builder/Contractor 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 Will the home be built in a subdivision? Yes No Subdivision InformationName of Subdivision(Required) Lot Number(Required) These items must be checked before a site meeting can be scheduled.Site plan was filed with the county/township(Required) Yes House must be professionally staked(Required) Yes House property must be accessible - URE employee must be able to take measurements and located stakes (area and terrain cleared)(Required) Yes Non-Subdivision HomePlease provide the following information so URE can prepare your electric easement. Much of the information will be on the grantor’s deed/general warranty deed. Your County agency (most likely the Auditor’s office or Recorder’s office) should be able to help you obtain any missing information.Upload the Grantor’s Deed/General Warranty DeedMax. file size: 512 MB.The Grantor’s Deed/General Warranty Deed file upload must include the following:Official Names on the Deed(Required) Recorded Instrument number on Grantor's deed/General warranty Deed Parcel Number where the easement will reside (not the parent parcel) Number of Acres of the Parcel(Required) Upload written legal description. URE will prepare an easement document on the propertyMax. file size: 512 MB.Virginia Military Survey Number (VMS) Parcel is located in what County?(Required) Parcel is located in what Township?(Required) Site plan was filed with the county/township (this shows well, septic, driveway, house etc.)(Required) Yes All items must be checked before a site meeting can be scheduled Are you a URE member? If not- please fill out the New Member Application Property pins must be located Driveway must be staked/known Septic must be staked/known Well location must be known Property must be professionally staked Property must be accessible - URE employee must be able to take measurements and located stakes (area and terrain cleared) Select AllSite Meeting InformationWho will be at this meeting?(Required) Best Contact Phone- in the event the meeting needs to be rescheduled(Required) New Home InformationNew Home Services - please check all that apply to your home(Required) Multi-Level Single Familly Duplex Multi-Family Mobile Home What is the square feet of your new home?(Required) Service Installation type:(Required) Overhead Underground Service type (Amps)(Required) 100 200 320 Other Type of water heater(Required) Electric Natural Gas Propane Tankless - electric Tankless - natural gas Size of Water Heater (gallons)(Required) How many water heaters/tankless units will this home have?(Required) What will be the main source of heat for the home? Electric Natural Gas Propane Geothermal Other *If you are using geothermal or air-to-air heat pump, what is your backup heating source?(Required) What is the size (in tons) of your air conditioning/heat pump?(Required) Temporary PowerTemporary power for construction provided by? Member URE Who will pay for temporary electric usage?Name(Required) First Last Phone(Required)Email(Required) 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 Property InformationWill your property contain any of these items? Please check all that apply(Required) Back-up generator Barn/Out building Workshop Motors Welding equipment Pool Hot tub Pond, Pump, Aerator Electric vehicle charging station Solar/Wind turbine interconnection Not Applicable Other Please explain(Required) Is your generator:(Required) Whole House Portable Will you need a GenerLink transfer switch? For more information about GenerLinks go to https://ure.com/generlink/(Required) Yes No Amp?(Required) 30 Amp 50 Amp Motor Rating in Horsepower(Required) Welding Equipment Amps?(Required) Member Agreement & ConsentMember Consent(Required) I agree to the 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.privacy policy.Member Electronic Signature (Full Name)(Required) EmailThis field is for validation purposes and should be left unchanged.
