Wantage Township, MT · Sussex County

No notary required

Chimney Verification for Replacement of Fuel-Fired Equipment

This form records chimney and vent verification for fuel-fired equipment replacement and is completed by the owner and verifying individual for township permit or inspection purposes.

What this form is

This form documents chimney or vent condition, sizing, and lining for fuel-fired equipment replacements or new appliances. For minor and emergency work, it must accompany the permit application; for other work, it must be presented to the code official before final inspection. It asks for work-site and owner details, equipment and vent information, and a signed verification statement or a choice not to submit verification.

Who needs it

Owners and verifying individuals complete this form for covered fuel-fired equipment work, including replacements, conversions, and new or additional appliances.

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; the document does not identify any notarized attachment or sworn related step.

How to submit this form

  1. 1

    Download the Form

    Download the Chimney Verification for Replacement of Fuel-Fired Equipment form.

  2. 2

    Complete the Form

    Fill in the requested work-site, owner, equipment, and vent information.

  3. 3

    Gather Liner Documentation

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

  4. 4

    Submit 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

Do I need a notary for the Chimney Verification form?
No. This form is signed and dated without a notary, and it does not identify any notarized attachment or sworn related step.
How do I submit the Chimney Verification 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.
What information does the Chimney Verification form request?
It requests work-site and owner information, equipment and vent details, and a signed verification statement or a choice not to submit verification.
When is this form required?
The form states that it must accompany the permit application for minor and emergency work, and be presented to the code official before final inspection for all other work.

Need something notarized?

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