Moorestown, MT · Burlington County
Chimney Verification for Replacement of Fuel-Fired Equipment
The Chimney Verification form records equipment, vent, and chimney details and verifies conditions for fuel-fired equipment replacement work in Moorestown.
What this form is
This form documents fuel-fired equipment replacement work and verifies the condition, lining, and sizing of the chimney or vent. For oil or coal to gas conversions, oil-to-oil or gas-to-gas replacements, and new or additional appliances, the signer selects and completes the applicable verification. It requests work-site and owner information, appliance details, and, when a liner is being installed, liner specifications.
Who needs it
Property owners or verifying individuals involved in fuel-fired equipment replacement work must complete the applicable verification or indicate that verification is not submitted.
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 and dated without a notary; if a chimney liner is being installed, liner documentation must accompany the permit application.
How to submit this form
- 1
Download The Form
Download the Chimney Verification form for fuel-fired equipment replacement work.
- 2
Complete The Applicable Sections
Fill in the work-site, owner, verifying individual, appliance, and chimney or vent information requested.
- 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 or emergency work, provide it with the permit application; otherwise, present it to the code official before final inspection.
Frequently asked questions
- What does the Chimney Verification form cover?
- It records fuel-fired appliance and chimney or vent details and includes verification statements for equipment replacement, conversions, and new or additional appliances.
- When must I provide the form?
- For minor and emergency work, provide it with the permit application. For all other work, present it to the code official before final inspection.
- Do I need a notary for the Chimney Verification form?
- No. The form calls for a signature and date, not notarization. If a chimney liner is being installed, its documentation must accompany the permit application.
- How do I submit the Chimney Verification form?
- Provide it with the permit application for minor or emergency work. For all other work, present it to the code official before final inspection.
Need something notarized?
This Chimney Verification for Replacement of Fuel-Fired Equipment doesn’t need a notary — but if you have another Moorestown form that does, a commissioned online notary can help.