Lakewood Township, MT · Ocean County
Chimney Verification for Replacement of Fuel-Fired Equipment
This form records chimney and vent verification for fuel-fired equipment replacement work in Lakewood Township, completed by the verifying individual.
What this form is
Use this form to document chimney or vent condition, lining, sizing, and appliance details for replacement or installation of fuel-fired equipment. For minor and emergency work, provide it with the permit application; for other work, present it to the code official before final inspection. The form includes verification statements for different replacement types and an option to decline verification.
Who needs it
The verifying individual for fuel-fired equipment replacement work must complete the applicable verification statement 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 document is signed without a notary; the verifying individual signs and dates the applicable verification statement, or the statement declining verification.
How to submit this form
- 1
Download The Form
Download the chimney verification PDF.
- 2
Complete The Form
Fill in the work, owner, verifying individual, appliance, and chimney or vent details, then sign and date the applicable statement.
- 3
Gather Liner Documents
If installing a chimney liner, include all documentation on the liner with the permit application.
- 4
Provide The Form
For minor and 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 details about the replacement work, appliances, existing chimney or vent, and any liner, along with a verification statement.
- 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 is signed and dated without a notary; the verifying individual completes the applicable statement or signs the option declining verification.
- 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.
Need something notarized?
This Chimney Verification for Replacement of Fuel-Fired Equipment doesn’t need a notary — but if you have another Lakewood Township form that does, a commissioned online notary can help.