pafDate:
For Condo Owners:
We,
Signature of representative Date
Print Name
† Other unit owners may sign when there is no association.
Martha Delaney
If you have property oversight by a condo association †, please have the association's authorized person(s) complete and sign the
section below. Please email this document to wxpermitting@homeworksenergy.com once completed.
being the duly authorized representatives of the association
Name of association or management company †
or management company have reveiwed the plans and specifications for improvements to the address specified above.
We further acknowledge that the above listed owner has given notice that they intend to seek permits and to carry out the
proposed work.
In the event that a permit is pulled on your home for insulation and/or weatherization work, you may be required to have a final
inspection of the work scheduled and performed by the building inspector in your town. If required by the town, you will be notified
by HomeWorks Energy that an inspection is necessary with instructions on how to complete this process to close out your permit.
Email: mjdelaney05@gmail.com
Customer
Signature:4/17/2024
I, the owner of the property identified above hereby authorize HomeWorks Energy Inc., or their Partner
___________________________ to act on my behalf in obtaining any building permit that maybe required to perform insulation
and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any
related permit application cost will come at no additional charge provided that the agreed Weatherization work is completed.
Cell:603.630.7656 Medford, MA 02155
Customer: Martha Delaney
Address:
181 federal st
Phone: 9784904658
Site ID: 5145360 5145358
Salem, MA, 01970
Email:Ryan.Creamer@homeworksenergy.com 101 Station Landing, Ste 110
Insulation/Air Sealing Permit Authorization
Specialist: Ryan Creamer HomeWorks Energy, Inc