Montvale, MT · Bergen County
Chimney Certification
This form records chimney and vent verification for fuel-fired equipment work and is completed by the verifying individual for a permit or inspection.
What this form is
The Chimney Certification records information about the work site, owner, verifying individual, replacement equipment, fuel type, and chimney or vent. The verifying individual selects and signs the statement that applies to the work, or may indicate that verification is not submitted. For minor and emergency work, the form accompanies the permit application; for other work, it is presented to the code official before final inspection.
Who needs it
A verifying individual completing fuel-fired equipment work uses this form for minor or emergency work or before final inspection for other work.
How to submit it
For minor and emergency work, provide this form with the permit application. For all other work, present it to the code official before final inspection.
About notarization
This form is signed without a notary; if a chimney liner is being installed, include all liner documentation with the permit application, and sign and date the applicable verification.
How to submit this form
- 1
Download The Form
Download the Chimney Certification PDF.
- 2
Complete The Form
Fill in the work site, owner, verifying individual, equipment, and chimney or vent information; select and sign the applicable statement.
- 3
Gather Liner Documentation
If installing a chimney liner, include all documentation on the liner with the permit application.
- 4
Submit The Form
For minor and emergency work, provide it with the permit application; for other work, present it to the code official before final inspection.
Frequently asked questions
- Do I need a notary for the Chimney Certification?
- No. This form is signed and dated without a notary; if a chimney liner is installed, its documentation must accompany the permit application.
- How do I submit the Chimney Certification?
- For minor and emergency work, provide it with the permit application. For other work, present it to the code official before final inspection.
- What information does the form request?
- It requests work site and owner details, information about the verifying individual, replacement equipment and chimney or vent, and a signed verification statement.
- What if I choose not to submit verification?
- The form provides an option to indicate that verification is not submitted. The signer acknowledges they must be present for inspection to remove and reinstall the chimney vent connector.
Need something notarized?
This Chimney Certification doesn’t need a notary — but if you have another Montvale form that does, a commissioned online notary can help.