Edgewater, MT · Bergen County

No notary required

Chimney Verification

This form records chimney and vent verification for fuel-fired equipment work and is completed by the verifying individual for a permit or inspection.

What this form is

The form documents chimney or vent condition, sizing, lining, and appliance details for fuel-fired equipment work. For minor and emergency work, it must be provided with the permit application; for other work, it must be presented to the code official before final inspection. It includes verification statements for different work types and requests liner documentation when a liner is installed.

Who needs it

A verifying individual completing fuel-fired equipment work uses this form to document chimney or vent conditions for the permit or inspection.

How to submit it

For minor and emergency work, provide it with the permit application; for other work, present it to the code official before final inspection. 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 signer completes the applicable verification statement or indicates that verification is not submitted.

How to submit this form

  1. 1

    Download The Form

    Download the Chimney Verification PDF.

  2. 2

    Complete The Form

    Enter the requested work, site, appliance, and chimney or vent details, then complete the applicable verification statement.

  3. 3

    Gather Liner Documentation

    If a chimney liner is being installed, include all documentation on the liner with the permit application.

  4. 4

    Submit For The Work

    Provide the form with the permit application for minor and emergency work; for other work, present it to the code official before final inspection.

Frequently asked questions

What is the Chimney Verification form for?
It records chimney or vent condition, sizing, lining, and appliance information for fuel-fired equipment work, with verification statements for different types of work.
When must I provide or present this 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.
Do I need a notary for the Chimney Verification form?
No. This document is signed and dated without a notary; the signer completes the applicable verification statement or indicates that verification is not submitted.
How do I submit the Chimney Verification form?
For minor and emergency work, provide it with the permit application; for other work, present it to the code official before final inspection. Check the city website for current contact details.

Need something notarized?

This Chimney Verification doesn’t need a notary — but if you have another Edgewater form that does, a commissioned online notary can help.