LPI Solid Fuel Heating Unit Questionnaire
Is your home insured?
If yes, Policy No:
Do you use the unit as:
Primary Heat Source
Auxillary Heating Source
Is the appliance:
Please view diagram at the bottom of this page for descriptive terms.
Is there at least 18 inches between the unit and any shielded combustible material?
Is there at least 18 inches from the loading side-door and 8 inches on the other three sides?
The floor construction supporting the stove is:
Frame Covered with a Non-Combustible Material
Distance between stove and combustibles (furniture, drapes, carpet Etc.):
Is there at least 18 inches between the pipe and any combustible material?
If the pipe goes through the wall or ceiling, is there a metal thimble of at least 18 inches in diameter?
How often are the pipes cleaned?
If other, please describe:
Who installed it?
If chimney is metal, is there at least 2 inches clearance between the chimney and any combustible material?
Does the appliance share a chimney with any other heating appliance?
Is the chimney professionally cleaned annually?
If no, how often?
Freestand Insert (0 Clearance)
Freestanding Metal Fireplace
Fireplace Insert (Other)
Who was unit installed by?
Has it been inspected and approved by:
Fire Department Official
Do you use a metal container for ash removal?
Approx. Hours per Day of Use:
Number of Fire Extinguishers:
Distance of Fire Extinguishers:
Should be Empty:
Disclaimer: This Online form is for estimates only and does not constitute a binding agreement. One of our qualified representatives will contact you for additional information that may be required and to provide you with a quote.