Date Permit No.
Site Address Unit No.
Applicant is: Licensed Contractor Homeowner/Occupant
Property Owner Name
Address
City State Zip Code
Phone No.
Contractor Name
Address
City State Zip Code
Phone No. License No.
Email: (REQUIRED)
Project Valuation $___________________
DESCRIPTION OF WORK (Residential or Commercial)
Make ______ Refrigeration ____________
Model Forced Air
Conn. Load Hot Water/Boiler
Flue Dia. Ductwork
Supply Openings Unit Heater
Return Openings Air Cond.
Input ______ Ventilation System
Output Special Devices ____________
Gas Lines: Furnace _ Fireplace Range Dryer _
Other: _____________________________________________________________________________
Minimum Permit Fee of $74.00 plus $1.00 State Surcharge
***LICENSED CONTRACTORS MAY APPLY ONLINE FOR RESIDENTIAL
FURNACE & AIR CONDITIONER PERMITS @
https://etrakit.burnsvillemn.gov/eTRAKiT/.
Furnace Replacement Only Furnace and Air Conditioner Replace Air Conditioner or Air Exchanger
Gas Piping Fee is $30.00 per Gas Line No. of lines:
Heating Permit Fee for New Single Family Installation = $224.00+ Surcharge + $1.00 = $225.00
Heating Permit Fee for Residential Remodel or Addition = $99.00+ Surcharge + $1.00 = $100.00
Total Permit Fee $ + State Surcharge $1.00 = Total Amount Due $
**SEPARATE PERMITS AND STAMPED ENGINEERED DRAWINGS ARE REQUIRED FOR BLDG. SHELL AND INDIVIDUAL TENANT SPACES**
**HEAT LOSS CALCULATIONS REQUIRED ON ALL NEW CONSTRUCTION AND ADDITIONS**
COMMERCIAL ESTIMATED JOB COST:
Commercial Permit Fee + Surcharge = Total $
[Commercial Fee Shall Be Computed at .0263 of Contract Price plus .0005 of Contract Price for State Surcharge,
plus Commercial Mechanical Plan Review Fee – 10% of permit fee]
*Gas Piping Fee is NOT INCLUDED IN COMMERICAL PERMIT FEE. (see above for fee calculation)
2021 MECHANICAL PERMIT APPLICATION
