PAFDate:
For Condo Owners:
We,
Signature of representative Date
Print Name
† O ther unit owners may sign when there is no association.
Insulation/Air Sealing Permit Authorization
Property Owner
Email:
Site ID:
Joshua Snyder
jrs136@aol.com
CAP-19441
HomeWorks Energy
101 Station Landing
Medford, Ma 02155
781.305.3319
Salem Ma 01970
6 Oakland St
(908) 892-4456
Phone:
Specialist:
Address:
Company:
Address:
Phone:
Peter Reid-Hartford
Email:peter.r-h@homeworksenergy.com
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.
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:
3/20/2024
being the duly authorized representatives of the association
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.
Name of association or management company†
Joshua Snyder
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.
Customer
Signature: