Northumberland, NY · Saratoga County

No notary required

Application for Heat Producing Equipment

Northumberland property owners or applicants use this application to request a permit for installing solid fuel-burning appliances, chimneys, or flues.

What this form is

This application requests a permit for installing a solid fuel-burning appliance, chimney, or flue under the New York State Uniform Fire Prevention and Building Code. It asks for applicant and owner details, construction address, appliance types, manufacturers, models, listing agencies, and fuel types. The form also lists required specifications or construction details for certain installations and includes a $40 fee.

Who needs it

An owner, applicant, or agent seeking a permit for a solid fuel-burning appliance, chimney, or flue installation uses this application.

How to submit it

The form lists the Town of Northumberland at P.O. Box 128, 17 Catherine Street, Gansevoort, NY 12831. It lists a $40 fee payable by cash or check.

About notarization

This document is signed and dated without a notary; required manufacturer specifications or construction details are attachments, and the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Application for Heat Producing Equipment.

  2. 2

    Complete The Form

    Enter the applicant, owner, construction address, appliance, manufacturer, model, listing agency, and fuel information requested.

  3. 3

    Gather Required Attachments

    Include manufacturer specifications for factory-built appliances and chimneys, or construction details for masonry fireplaces and chimneys.

  4. 4

    Submit To The Town

    Submit the application to the Town address listed on the form and include the $40 fee, payable by cash or check.

Frequently asked questions

Do I need a notary for the Application for Heat Producing Equipment?
No. This application has no notary block; the owner, applicant, or agent signs and dates it. Required manufacturer specifications or construction details are attachments.
How do I submit the heat producing equipment application?
The form lists the Town of Northumberland at P.O. Box 128, 17 Catherine Street, Gansevoort, NY 12831. It lists a $40 fee payable by cash or check.
What information does the application ask for?
It asks for applicant and owner information, the construction address, appliance type, manufacturer and model, listing agency, fuel type, and whether an oil-to-gas conversion is involved.
What attachments does the form require?
The form requires manufacturer specifications for factory-built appliances and chimneys, and construction details for masonry fireplaces and chimneys.

Need something notarized?

This Application for Heat Producing Equipment doesn’t need a notary — but if you have another Northumberland form that does, a commissioned online notary can help.