02-658 C.M.R. ch. 13, 658-13 app F - STATE OF MAINE CHIMNEY OR FIREPLACE CONSTRUCTION/INSTALLATION DISCLOSURE

Current through 2022-14, April 6, 2022

Dear Consumer: As of January 1, 1992, State law, specifically 32 MRSA ยง18108, requires that chimney or fireplace installers provide you with this "Disclosure" prior to the installation or construction of your chimney or fireplace. The purpose of this Disclosure is to inform you that the National Fire Protection Standard #211 (NFPA #211) (2013 edition) is the current standard which applies to all new construction of chimneys and fireplaces. Please note that the State of Maine does not require registration or licensure of chimney or fireplace installers. It is important to realize that many fires are caused each year from improperly constructed fireplaces and chimneys. This disclosure form should help you in making an informed decision as to the abilities of the installer and under what requirements the installation must comply.

INSTALLER INFORMATION

Name of Installer: D/B/A:
Name of Installer (if incorporated): D/B/A:
Legal Address:
City: State: Zip Code:
County: Home Telephone: (_____) ___________ Work Telephone: (_____) ___________
Years of experience doing fireplace or chimney installations:

CONSUMER INFORMATION

Name of Consumer:
Mailing Address:
City: State: Zip Code:
County: Home Telephone: (_____) ___________ Work Telephone: (_____) ___________

Installer, please give a brief description of installation being offered: ____________________________________________________________

____________________________________________________________

____________________________________________________________

I hereby attest that the preceding information provided is true to the best of my knowledge. I also understand that if I fail to conform with the standards as outlined in NFPA #211 that I shall be subject to penalties as outlined in Title 32, MRSA Chapter 139 and the Maine Fuel Board Rules.

Signature of Installer: _________________________________ Date: ____________________

Notes

02-658 C.M.R. ch. 13, 658-13 app F

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