DeRuyter, NY · Madison County

No notary required

Solid Fuel Burning Appliances and Metal Chimneys Permit Application

Property owners or authorized agents use this application to request a Town of DeRuyter permit for a solid fuel-burning appliance or metal chimney.

What this form is

This application requests a permit for a solid fuel-burning appliance or metal chimney at a Town of DeRuyter site address. It asks for stove and chimney details, estimated cost, owner and contractor contact information, and information about the installation. The instructions call for installation according to manufacturer instructions and clearance guidelines, followed by an inspection.

Who needs it

An owner or authorized agent proposing to install a solid fuel-burning appliance or metal chimney in the Town of DeRuyter should complete this application.

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 application is signed and dated without a notary; it asks the owner or authorized agent to certify the information, with no notarized attachment or sworn step stated.

How to submit this form

  1. 1

    Download The Application

    Download the Solid Fuel Burning Appliances and Metal Chimneys Permit Application.

  2. 2

    Complete The Application

    Fill in the site address, appliance details, estimated cost, owner information, and contractor information.

  3. 3

    Gather Installation Information

    Have manufacturer instructions and clearance information available for review when applicable, as directed by the form.

  4. 4

    Submit To The Town

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

Frequently asked questions

What does the Solid Fuel Burning Appliances and Metal Chimneys Permit Application do?
It requests a Town of DeRuyter permit and collects site, stove, chimney, cost, owner, and contractor information for a proposed installation.
Who completes this permit application?
The form provides signature lines for the owner or an authorized agent and requests information about the property, appliance, and contractor.
Do I need a notary for the Solid Fuel Burning Appliances and Metal Chimneys Permit Application?
No. The application is signed and dated without a notary; it asks the owner or authorized agent to certify the information and lists no notarized attachment or sworn step.
How do I submit the permit application?
The document does not give a submission method. Submit it to the city department named on the form and check the city website for current contact details.

Need something notarized?

This Solid Fuel Burning Appliances and Metal Chimneys Permit Application doesn’t need a notary — but if you have another DeRuyter form that does, a commissioned online notary can help.