Business Link - InstallGas.com

Gas Line Quote (Business Link)
Your Name:*
Today's Date:*

MonthDayYear
Date
Your E-mail Address:*
Your Company Name:*
Gas Type*

Natural GasPropane
Quote only: (select one)

Quote to Homeowner directlyQuote to our Company
OR
Authorization to proceed

Authorization to proceed
To authorize to proceed, input your initials:
Step 1: Customer Details
Customer Name:*
Customer Contact Information:*
Address of Installation (if different):
Inspection agency (township):
Step 2: Installation Details
Property Type*

ResidenceCommercial
Is this a medical need?*

YesNo
Appliance(s) to be installed:
List Make and Model of the appliance(s):
Please describe any other appliances to be installed, or work to be done:
Please describe the locations (including floor) of all appliances to be installed:
For boiler installations,

Gas to GasOil to Gas
Is there a chimney liner installed?

NewExisting
Note: To pass inspection, Inspector will require a receipt indicating new liner was installed OR exisiting liner is adaquate for this installation.
If oil to gas conversion, please upload Nassau County Oil Tank Abandonment Form.

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If oil to gas conversion, please upload Nassau County Oil Tank Abandonment Form.

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Oil Tank Location

AboveBelow
For generator or boiler installations, please include make, model, & BTU rating:
For generator installations, please provide the electrician's information:
Note: To pass final inspection, an Electrical Underwriters Certificate must be sent or uploaded to the Minicipality Building Department and also emailed to InstallGas at christinec@installgas.com to complete our filing.
Above-ground pipe distance & location:*
ex. 70' through basement
Below-ground pipe distance & location:*
ex. 30' outside
Will this job require any inside piping?*
Appliance in Place Date (if known)

MonthDayYear
Date
Other notes & special instructions:
Step 3: Permit Details
Is a permit required for this work?*

YesNoUnsure
Who will file for the required permit(s)?*

InstallGas.comOther
Estimated Cost of Job ($):
This is for permit filing.
Estimated Installation Date:
Step 4: Gas Service Details
*National Grid requires that a meter upgrade application be completed and submitted to verify that there is adequate gas supply from the street to the property. Please select all new and existing gas appliances at the property.
Existing Appliances:
New Appliances:
Existing Gas Meter Location:*

Outside MeterInside Meter
If Inside Meter, we need:

- one close up picture of the front of the meter

- step away and take one picture which shows the complete view of where the meter is located

- if it is interior piping, take several pictures of the interior pipe route

Please email those pictures to johna@installgas.com

Please note, we can not schedule an installation without these pictures.
Existing Gas Meter Size:*
Is a gas meter upgrade or gas meter installation required?*

Meter upgrade requiredMeter set required (new gas service)No meter upgrade or meter set neededOther
If a gas meter upgrade or installation is required, who will submit the application to National Grid?*
If a gas meter upgrade or installation is required, what size meter is needed?
*PLEASE NOTE THAT NO WORK CAN BE DONE UNTIL NATIONAL GRID VERIFIES THAT THERE IS ADEQUATE GAS SUPPLY TO ADD THE NEW APPLIANCE(S).
If propane, are the tanks new or existing?
If propane, # of propane tanks*
LP tanks - Above-ground or below-ground?*
LP tanks - Size:*
ex. 100g
If propane, who will be doing the propane installation?*
Step 5: Important Information Needed
All forms and additional documentation can be attached directly to this form by uploading the file below, or by faxing a copy to 516 752-5000, or by mailing a hardcopy to our office: InstallGas.com 201 Northwest Drive, Suite1, Farmingdale NY 11735.

1. License & Insurances
We require proof of your license and insurances for each specific Village/Town. Please note that the appropriate Village/Town must be listed as the Certificate Holder & Additionally Insured. We will not be able to file your permit without this information.

2. Survey and Additional Documents:
All surveys must be legible and full size. (Generators must be clearly marked with distances to all lot lines as well as the distances from the house.) We will not be able to file your permit without this information.
Upload Survey

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Upload Survey

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3. Additional Documents & Information (if required)
Additional Documents: Checks to village/town for permit fee; contractor/electrician license and insurances naming the town/village as the certificate holder (some request to be additional insured); tax bills, copies of COs, specifications, customer signatures, etc. The customer is responsible for calling in final building inspection if required.
File Upload

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File Upload

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File Upload

Upload a File

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This is the end of the Business Link Form. Please hit "Submit" below and we will provide you with a contract shortly.
Step 6: Submit Form
Upload
Should be Empty:

Step 1: Customer Details

Step 2: Installation Details

Step 3: Permit Details

Step 4: Gas Service Details

Step 5: Important Information Needed

Step 6: Submit Form