Plumsted, MT · Ocean County
Chimney Verification for Replacement of Fuel-Fired Equipment
This form documents chimney and vent verification for fuel-fired equipment replacement and is completed by the verifying individual for a permit or inspection.
What this form is
This form records chimney or vent details and verification statements for replacement of fuel-fired equipment, including appliance type, fuel, venting, liner, and chimney information. For minor and emergency work, it must accompany the permit application; for other work requiring a full permit, it must be presented to the code official before final inspection. A homeowner cannot submit it in lieu of the required inspection.
Who needs it
The verifying individual completes this form for fuel-fired equipment replacement work, subject to the form’s separate inspection requirement for homeowners.
How to submit it
For minor and emergency work, provide this form with the permit application. For other work requiring a full permit, present it to the code official before final inspection.
About notarization
This document is signed and dated without a notary; it does not identify any notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Form
Download the Chimney Verification for Replacement of Fuel-Fired Equipment PDF.
- 2
Complete The Form
Fill in the work site, owner, verifying individual, appliance, fuel, vent, and chimney details, then check the applicable verification 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; for other full-permit work, present it to the code official before final inspection.
Frequently asked questions
- What does the chimney verification form cover?
- It records information about the work site, appliances, fuel, chimney or vent, and any liner, along with a verification statement selected and signed by the verifying individual.
- When must I provide this form?
- For minor and emergency work, provide it with the permit application. For other work requiring a full permit, present it to the code official before final inspection.
- Do I need a notary for the Chimney Verification form?
- No. The form calls for a signature and date, not notarization, and does not identify a notarized or sworn attachment or related step.
- How do I submit the Chimney Verification form?
- Provide it with the permit application for minor and emergency work. For other work requiring a full permit, present it to the code official before final inspection.
Need something notarized?
This Chimney Verification for Replacement of Fuel-Fired Equipment doesn’t need a notary — but if you have another Plumsted form that does, a commissioned online notary can help.