Spotswood, MT · Middlesex County
Chimney Verification for Replacement of Fuel-Fired Equipment
This form records chimney and vent details and signed verification statements for fuel-fired equipment replacement work in Spotswood.
What this form is
The form documents the worksite, equipment, fuel type, chimney or vent, and any liner being installed. The form must accompany permit applications for minor and emergency work; for all other work, it must be presented to the code official before final inspection. It includes verification options for different replacement situations and allows the signer to choose not to submit verification.
Who needs it
People filing permit applications for minor or emergency fuel-fired equipment replacement work, or presenting the form before final inspection for other work, need this form.
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 without a notary; the signer completes and dates the applicable verification statement, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download the Form
Download the Chimney Verification for Replacement of Fuel-Fired Equipment form.
- 2
Complete the Applicable Details
Provide the requested worksite, equipment, chimney or vent, and liner information, as applicable.
- 3
Gather Liner Documentation
If a chimney liner is being installed, include all documentation on the liner with the permit application.
- 4
Submit or Present the Form
Include it with a permit application for minor or emergency work, or present it to the code official before final inspection for other work.
Frequently asked questions
- Do I need a notary for the Chimney Verification form?
- No. The form has signature and date fields but no notary block. The applicable verification statement is signed and dated by the signer.
- 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 requests worksite, owner or verifying individual, company, equipment, fuel, chimney or vent, and liner details, as applicable.
- Can a homeowner submit this form instead of having an inspection?
- No. The form states it may not be submitted by a homeowner in lieu of the required inspection.
Need something notarized?
This Chimney Verification for Replacement of Fuel-Fired Equipment doesn’t need a notary — but if you have another Spotswood form that does, a commissioned online notary can help.