Joe Wells
Name:
Address: (City/County, State)
Do you need a Chimney Sweep, Inspection, both or something else?
Do you have a Fireplace, Free Standing Stove, Gas Logs? Fireplace
Free Standing Stove
Gas Logs
Something Else
Size of Chimney: One Story
Two Story
Three Story
Other
Number of Fireplaces to be cleaned:
Number of Inserts in Fireplaces:
Do you have Gas Logs in your Fireplace
Last time chimney was cleaned: Last Year
2-3 Years
4-5 Years
Never
Please select any additional problems that you are aware of? Crown work
Flu Cap needed
Flashing leaks
Damper lid or hahdle
Odor/Smells
Masonry Loose
Other
How did you hear about us?
Can you upload a picture of your Fireplace and your Chimney (from the ground up)? THIS IS NOT REQUIRED
Please check any box that applies: I've had a chimney fire.
I have moisture/leaks.
Fireplace doesn't draw good.
I have birds/bats.
None of the above.
Additional Questions / Comments:
Email Address:
This form is for getting a free estimate for a chimney sweep or for
an online response to the questions/comments that you have
selected and filled out.  Just submit when you are through and you
will receive an estimate or a response by email, text or by a phone
call within 24 working business hours.
NFPA
211
Chimney Sweep Form
(606) 794-3507
Chimney Sweeps
& Inspections
Professional Masonry & Chimney Care