Fuel Burning System Inspection (OCFS-4926)

All applicants must complete this form regardless of inspection requirement. Ÿ· Sites where any wood, coal, pellet, or other solid fuel-burning stove or fireplace, gas space heater or gas fireplace are used, must have each of these inspected. ·Ÿ Inspections performed within the last 12 months can be attached and submitted with this form. ·Ÿ If you have multiple fuel burning systems requiring inspection, duplicate this form and properly complete one for each system inspection.