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