Do I need a notary for the chimney installation permit application?

No. The applicant and owner, if different, sign and date this application without a notary. The form identifies no sworn or notarized attachment.

When must I apply for a chimney or solid fuel equipment permit?

Complete the application before work begins. The form says work must not start until the Code Enforcement Official has issued a permit.

What information does the application ask for?

It asks for applicant, project-site, and contractor or installer contact information, the type of equipment or installation, and applicant and owner signatures.

Bergen, NY · Genesee County

No notary required

Application for Permit to Install a Chimney or Solid Fuel Burning Equipment

Property owners and applicants use this application to request a permit before installing a chimney or solid fuel burning equipment in Bergen.

What this form is

This application requests a permit to install a chimney or solid fuel burning equipment. It asks for applicant, project-site, and contractor or installer contact information, the equipment or installation type, and applicant and owner signatures. The form says work must not start until the Code Enforcement Official issues a permit, and the equipment must not be used until final inspection and a Certificate of Compliance.

Who needs it

Applicants seeking to install a chimney or solid fuel burning equipment in Bergen should complete this application before starting the work.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the applicant and owner, if different, sign, and no sworn or notarized attachment is identified.

How to submit this form

1
Download the Application
Download the Bergen application for a chimney or solid fuel burning equipment installation permit.
2
Complete the Application
Provide applicant, project-site, and installer details, then mark the applicable equipment or installation type.
3
Sign and Date
The applicant and owner, if different, must sign the certification.
4
Submit to the City
Submit the application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the chimney installation permit application?: No. The applicant and owner, if different, sign and date this application without a notary. The form identifies no sworn or notarized attachment.
When must I apply for a chimney or solid fuel equipment permit?: Complete the application before work begins. The form says work must not start until the Code Enforcement Official has issued a permit.
What information does the application ask for?: It asks for applicant, project-site, and contractor or installer contact information, the type of equipment or installation, and applicant and owner signatures.
How do I submit the chimney installation permit application?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Application for Permit to Install a Chimney or Solid Fuel Burning Equipment doesn’t need a notary — but if you have another Bergen form that does, a commissioned online notary can help.