Rockaway Township, MT · Morris County
Chimney Verification for Replacement
This form documents chimney or vent condition and sizing for fuel-fired equipment replacements; the verifying individual completes it for the permit or inspection process.
What this form is
This form records details about the replacement fuel-fired equipment, existing chimney or vent, and any chimney liner. The verifying individual selects and signs the applicable statement about the chimney or vent's condition, clearance, lining, and sizing. 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.
Who needs it
A verifying individual completes this form for fuel-fired equipment replacement work, including minor or emergency work requiring it with a permit application.
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 document is signed and dated without a notary; it has no notarized or sworn attachment, and the signer completes the applicable verification statement.
How to submit this form
- 1
Download The Form
Download the Chimney Verification for Replacement PDF.
- 2
Complete The Form
Provide the requested work, equipment, chimney or vent details, and complete 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 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 for Replacement form cover?
- It records replacement equipment and chimney or vent details, including condition, sizing, and liner information when applicable.
- Who completes the chimney verification form?
- The form includes fields for a verifying individual and requires the applicable verification statement to be signed and dated.
- Do I need a notary for the Chimney Verification for Replacement?
- No. This document has no notary block; the applicable verification is signed and dated. If a chimney liner is installed, its documentation must accompany the permit application.
- How do I submit the Chimney Verification for Replacement?
- For minor and emergency work, provide it with the permit application. For all other work, present it to the Code Official before final inspection.
Need something notarized?
This Chimney Verification for Replacement doesn’t need a notary — but if you have another Rockaway Township form that does, a commissioned online notary can help.