Somerdale, MT · Camden County

No notary required

Chimney Verification

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

What this form is

The Chimney Verification form documents the condition, lining, and sizing of a chimney or vent for fuel-fired equipment replacement. For minor and emergency work, it must accompany the permit application; for other work, it must be presented to the Code Official before final inspection. It asks for work-site and equipment details, verification statements, and the verifying individual's signature and date.

Who needs it

The verifying individual completes this form for fuel-fired equipment replacement work requiring chimney or vent verification.

How to submit it

For minor and emergency work, provide this form with the permit application; for all other work, present it to the Code Official before final inspection.

About notarization

This document is signed without a notary; the verifying individual signs and dates the form, and no notarized attachment or step is specified.

How to submit this form

  1. 1

    Download The Form

    Download the Chimney Verification form.

  2. 2

    Complete The Form

    Fill in the work-site and appliance details, check the applicable verification statement, and sign and date the form.

  3. 3

    Gather Liner Documents

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

  4. 4

    Submit For Review

    For minor or emergency work, provide the form with the permit application; otherwise, present it to the Code Official before final inspection.

Frequently asked questions

What does the Chimney Verification form document?
It records work-site and appliance details and lets the verifying individual confirm the chimney or vent condition, lining, and sizing for the listed work.
When must I provide the Chimney Verification 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. The form calls for the verifying individual's signature and date, not notarization; it does not specify a notarized attachment or related step.
How do I submit the Chimney Verification form?
For minor and emergency work, provide it with your permit application. For all other work, present it to the Code Official before final inspection.

Need something notarized?

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