Glassboro, MT · Gloucester County
Chimney Verification
This form records chimney and vent verification for fuel-fired equipment replacement and is completed by the verifying individual for the permit or inspection.
What this form is
The Chimney Verification form records information about replacement fuel-fired equipment and the existing or new chimney or vent, including appliance details and verification statements. For minor and emergency work, the form must accompany the permit application; for other work, it must be presented to the code official before final inspection. It also requests information about a chimney liner when one is being installed.
Who needs it
The verifying individual completes this form for fuel-fired equipment replacement or related work covered by the listed verification statements.
How to submit it
For minor and emergency work, provide this form with the permit application; for 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 installed, its documentation must accompany the permit application.
How to submit this form
- 1
Download The Form
Download the Chimney Verification form for the fuel-fired equipment work.
- 2
Complete The Form
Provide the requested work, site, equipment, chimney, and vent information, then select and sign the applicable verification statement.
- 3
Gather Liner Documentation
If a chimney liner is being installed, include all documentation on the liner with the permit application.
- 4
Submit To The City
For minor and emergency work, provide the form with the permit application; otherwise, present it to the code official before final inspection.
Frequently asked questions
- What is the Chimney Verification form for?
- It records details about replacement fuel-fired equipment and the chimney or vent, along with a verification statement about its condition, lining, and sizing.
- When must I provide this 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. The form has signature and date lines but no notary block. If a chimney liner is being installed, its documentation must accompany the permit application.
- How do I submit the Chimney Verification form?
- For minor and emergency work, submit it with the permit application. For other work, present it to the code official before final inspection.
Need something notarized?
This Chimney Verification doesn’t need a notary — but if you have another Glassboro form that does, a commissioned online notary can help.