New Home Construction Questionnaire Step 1 of 3 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 Choose One Option(Required) I am the homeowner I am the builder/contractor Other Contact InformationName(Required) First Last 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 Phone(Required)Email(Required) Billing 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 InformationName of Builder/Contractor(Required) Phone(Required)Email(Required) Billing 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 Natural Gas Load InformationFurnace British Thermal Units (BTU) per HourWater Heater BTU per HourDryer BTU per HourGas Logs BTU per HourCook Stove BTU per HourOther Natural Gas Appliances BTU per HourTotal Load BTU per Hour or Standard Cubic Feet per Hour (SCFH)(Required) Required Delivery Pressure(Required) Standard (7" wc) 2 PSI Other EasementIf an easement is required, much of the information will be on the grantor's deed/general warranty deed. Your county agency (auditor's office or recorder's office) will be able to help you obtain these requirements. Attach the grantor's deed/general warranty deed - must include the following:Official Name on Deed The Recorded Instrument Number from the Grantor's Deed/General Warranty Deed The Parcel Number Where the Easement Will Reside (Not the Parent Parcel) Number of Acres of the Parcel (Not the Parent Parcel) Attach Grantor's Deed/General Warranty DeedMax. file size: 256 MB.Attach the written legal description of the parcel – must include the following (not the parent parcel):County the Parcel Resides In Virginia Military Survey # (VMS) Township the Parcel Resides In Attach Written Legal Description of the ParcelMax. file size: 256 MB.Before a site meeting can be scheduled, the following must be completed Complete a new member application (if not already a member of URE) New construction location must be professionally staked Property pins must be. located Site plan was filed with the county/township (this shows septic, well, driveway, house, etc Septic must be staked (for non-subdivision home) Well location must be known (for non-subdivision home) Driveway must be staked Property must be accessible – URE employee must be able to take measurements and locate stakes (area and terrain cleared) Site Meeting For New ConstructionWho Will Be At the Site Meeting?(Required) Best Contact Phone(Required)(in the event the meeting needs to be rescheduled)New Home Specifications(Required) Single family Multi-family Duplex Mobile home Additional Information you'd like to provide NameThis field is for validation purposes and should be left unchanged.
