Carteret, MT · Middlesex County
Chimney Verification for Replacement of Fuel-Fired Equipment
This form records chimney and vent verification for owners or other individuals replacing fuel-fired equipment in Carteret.
What this form is
Use this form to document the condition, lining, and sizing of a chimney or vent when fuel-fired equipment is replaced or added. It asks for the work-site and owner details, equipment and vent information, and a signed verification statement that applies to the work. For minor and emergency work, include it with the permit application; for other work, present it to the code official before final inspection.
Who needs it
Owners or other individuals replacing or adding fuel-fired equipment need this form for minor or emergency work, or before final inspection for other work.
How to submit it
For minor and emergency work, provide the form with your permit application. For all other work, present it to the code official before final inspection.
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
Download The Form
Download the Chimney Verification Form PDF.
- 2
Complete The Form
Fill in the work-site, owner, equipment, and vent details, then sign and date the applicable statement.
- 3
Gather Liner Documentation
If installing a chimney liner, include all documentation on the liner with the permit application.
- 4
Submit To The City
For minor and emergency work, provide the form with the permit application; otherwise, present it to the code official before final inspection.
Frequently asked questions
- Do I need a notary for the Chimney Verification Form?
- No. This form is signed and dated without a notary; complete the applicable verification statement or indicate that verification is not submitted.
- 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.
- What information does the form request?
- It asks for work-site and owner details, equipment and vent information, and a signed statement verifying the chimney or vent, as applicable.
- When is this form required?
- The form says to provide it with the permit application for minor and emergency work, and to present it to the code official before final inspection for all other work.