Ridgewood, MT · Bergen County
Chimney Verification for Replacement of Fuel-Fired Equipment
This form records chimney and vent verification for fuel-fired equipment replacement work and is completed by the verifying individual for the permit process.
What this form is
The form records verification of chimney or vent condition, lining, sizing, and appliance details for replacement or installation of fuel-fired equipment. For minor and emergency work, it must accompany the permit application; for other work, it must be presented to the code official before final inspection. It asks for replacement type, appliance and vent information, work site details, and a signed verification statement.
Who needs it
The individual verifying the chimney or vent completes this form for fuel-fired equipment work covered by the permit process.
How to submit it
For minor and emergency work, provide the form with the permit application. For other work, present it to the code official before final inspection; liner documentation must accompany the permit application if a chimney liner is being installed.
About notarization
This document is signed without a notary; the verifying individual signs and dates the selected verification statement.
How to submit this form
- 1
Download The Form
Download the Chimney Verification form for fuel-fired equipment work.
- 2
Complete The Form
Enter the requested work site, appliance, fuel, vent, and verifying individual information, and select the applicable verification statement.
- 3
Gather Liner Documentation
If installing a chimney liner, include all documentation on the liner with the permit application.
- 4
Provide The Form
For minor and emergency work, provide the form with the permit application. For other work, present it to the code official before final inspection.
Frequently asked questions
- What is the Chimney Verification form for?
- It records chimney or vent verification and appliance details for replacement or installation of fuel-fired equipment.
- When must I provide 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.
- Do I need a notary for the Chimney Verification form?
- No. This document is signed without a notary; the verifying individual signs and dates the selected verification statement.
- How do I submit the Chimney Verification form?
- Provide it with the permit application for minor and emergency work, or present it to the code official before final inspection for other work.