BTVSound » Homeowner Application

CONTACT INFORMATION
Home Phone

Cell Phone

Email Address

May we contact you by text message?
YesNo

Would you like to participate in the Residential Sound Insulation Program?
YesNo

Acceptance to Participate
I (We) certify that I am (we are) the owner(s) of the property requesting to participate in the Voluntary Residential Sound Insulation Program and hereby state that all information given in this application is true and accurate to the best of my (our) knowledge. I (We) understand that should the property qualify for participation, implementation of the sound insulation construction will be contingent upon my (our) execution of a Homeowner Participation Agreement. A copy of the agreement will be provided once your home has passed the acoustical test. Submission of this application does not commit the Homeowner to participate in the Voluntary Residential Sound Insulation Program.

I (We) agree to allow representatives of the Residential Sound Insulation Consultant Team, and/or staff of the City of Burlington and Vermont Gas Systems access to this residence and its surrounding property for the purpose of conducting acoustical and architectural measurements and inspections. I (We) also agree to complete the pre- and post- construction surveys.

I/We Acceptance to Participate

Decline to Participate

I/We Decline to Participate

I (We) certify that I am (we are) the owner(s) of the property and are declining the opportunity to participate in the Voluntary Residential Sound Insulation Program. I am (We are) declining to participate for the following reason(s): (optional)

I (We) understand the Voluntary Residential Sound Insulation Project is a federally funded project and a future opportunity to participate is not guaranteed.

If you have any questions about the application or participation in the Patrick Leahy Burlington International Airport Voluntary Residential Sound Insulation Program, please call Brianna Whiteman at 802-363-3501.