Do I need a notary for the Chimney Certification?

No. This document is signed without a notary; the signer signs and dates the applicable verification statement. Chimney-liner documentation, if required, is not a notarized step.

When is this form required?

The form must accompany the permit application for minor and emergency work. For all other work, it must be presented to the code official before final inspection.

What information does the form request?

It asks for work-site and owner details, appliance and chimney or vent information, and a signed verification statement or a choice not to submit verification.

Millstone Township, MT · Monmouth County

No notary required

Chimney Certification for Replacement of Fuel-Fired Equipment

This checklist lets a verifying individual provide chimney and vent details and certify conditions for fuel-fired equipment replacement work.

What this form is

Use this form to provide chimney or vent information and verify its condition and suitability for fuel-fired equipment being installed or replaced. For minor and emergency work, submit it with the permit application; for other work, present it to the code official before final inspection. It requests work-site and owner details, appliance and vent information, and a signed verification statement or a choice not to submit verification.

Who needs it

A verifying individual completing minor or emergency fuel-fired equipment work, or presenting verification before final inspection for other work, needs this form.

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. If installing a chimney liner, include all liner documentation with the permit application.

About notarization

This document is signed without a notary; the signer signs and dates the applicable verification statement, and any chimney-liner documentation is an attachment, not a notarized step.

How to submit this form

1
Download The Checklist
Download the chimney certification PDF.
2
Complete The Form
Enter the requested work-site, owner, appliance, and chimney or vent information, then sign and date the applicable 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
Provide the form with the permit application for minor and emergency work; otherwise present it to the code official before final inspection.

Frequently asked questions

Do I need a notary for the Chimney Certification?: No. This document is signed without a notary; the signer signs and dates the applicable verification statement. Chimney-liner documentation, if required, is not a notarized step.
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.
When is this form required?: The form must accompany the permit application for minor and emergency work. For all other work, it must be presented to the code official before final inspection.
What information does the form request?: It asks for work-site and owner details, appliance and chimney or vent information, and a signed verification statement or a choice not to submit verification.

Need something notarized?

This Chimney Certification for Replacement of Fuel-Fired Equipment doesn’t need a notary — but if you have another Millstone Township form that does, a commissioned online notary can help.