Tenafly, MT · Bergen County
Chimney Verification
This form verifies chimney and vent conditions for fuel-fired equipment work and is completed by the individual verifying the installation for a permit or inspection.
What this form is
The form records replacement type, appliance fuel and ratings, chimney or vent details, and the verifying individual’s information. 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. If a chimney liner is being installed, its documentation must accompany the permit application.
Who needs it
The individual verifying chimney and vent conditions for fuel-fired equipment work must complete and sign the applicable verification statement.
How to submit it
For minor and emergency work, provide it with your permit application; for other work, present it to the Code Official before final inspection. Include chimney liner documentation with the permit application if a liner is being installed.
About notarization
This document is signed without a notary; the verifying individual signs and dates the applicable verification statement.
How to submit this form
- 1
Download The Form
Download the Chimney Verification PDF.
- 2
Complete The Form
Supply all applicable information, select the replacement type, and complete the applicable verification statement.
- 3
Gather Liner Documents
If installing a chimney liner, gather all documentation on the liner to accompany the permit application.
- 4
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.
Frequently asked questions
- Do I need a notary for the Chimney Verification form?
- No. The form is signed and dated without a notary. The verifying individual signs the applicable verification statement.
- How do I submit the Chimney Verification form?
- 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 ask for?
- It asks for the replacement type, appliance fuel and ratings, existing chimney or vent details, work-site and owner information, and the verifying individual’s information.
- Do I need to include chimney liner documents?
- If a chimney liner is being installed, the form says all documentation on the liner must accompany the permit application.
Need something notarized?
This Chimney Verification doesn’t need a notary — but if you have another Tenafly form that does, a commissioned online notary can help.