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2. Residential HVAC Permit Application
   This application is for a Residential (1- or 2- family dwellings or townhomes) HVAC Permit only. If your project is not one of these, please fill out the "Commercial HVAC Permit Application". Townhomes must be built to IRC standards (NOT condo's). If you are not sure if the project is considered a townhome or not, please contact the Building Safety Department.
4. Site/Building Information
   Fill out information about the site/building where the project is to take place.
6. Project Address*
   Fill out the address, including unit number (if applicable) where the project is to take place. If there are multiple addresses, include EVERY address.
8. Property Owner Name*
   Fill out the project owner name (where the project is taking place).
10. Property Owner Phone Number
11. Property Owner Email
15. Project Information
    Fill out information on the project.
17. Type of Work*

    1. New

    1. Addition

    1. Remodel

    1. Other
19. Project Description*
    Fill out description of project/work to be performed. Project Description must include a detailed description of all work being done. For example: Install new furnace, including HRV, ductwork, and gas piping. (Text box will expand as needed).
23. Applicant Information
    The applicant can be the owner/occupant (no licensed rental or daycare) of the property or a City of St. Cloud licensed HVAC Contractor.
25. Applicant Is:*

    1. Contractor

    1. Owner
27. City HVAC Licensing
    Please click here for more information

    You must be licensed with the City of St. Cloud as a HVAC Contractor with a City of St. Cloud Master Certificate holder. We do not reciprocate other cities' Certificate of Competency cards.
29. Applicant Name*
    Applicant must be LISTED owner of the property.
30. Phone Number*
32. Applicant Address*
33. City, State*
34. Zip*
36. Applicant Email Address*
38. Property Owner Waiver*

    As the permit applicant, I acknowledge that I am responsible for the work performed under this permit and that all work will be done in accordance with the conditions of this permit; the ordinances of the City of St. Cloud; the Minnesota State Codes; and the ruling of the Building Safety Department. The work will remain accessible and exposed for inspection purposes. The person doing the work shall call for the inspections, and a 24-hour notice is required. The permit will become void if work does not begin within 180 days or is suspended at any time over 180 days. I certify that I am the owner AND occupant of this single-family dwelling, and that the property is NOT now and will not be rental property and will NOT provide daycare services. I understand that as a homeowner obtaining a heating permit to work on their own home I must own and occupy the residence. With regard to installation of a furnace, a separate electrical permit is required, and a copy of the Heating Test Record must be returned to the Building Safety Department. The House Heating Test Record MUST be completed by a Licensed Contractor with the City of St. Cloud.

    1. I agree to the Property Owner Waiver
40. Who Is Doing The Work

    I certify that:

    1. I Am Doing The Work Myself

    1. I Have a Relative Who Is Doing The Work
42. Relative's Name*
43. Relationship*
    Relationship between Owner and Relative (for example: Owners Father).
45. Relative's Address*
46. Relative's Phone Number*
48. Applicant Signature /s/*
    Typed name above shall constitute an electronic signature and acceptance of applicant disclaimer(s) above.
50. Company Name*
    Name of licensed HVAC contractor company.
51. HVAC Contractor AEC Number*
    Your City issued AEC Number, it is the same number as your State Bond Number, should start with MB.
53. Contractor Email Address*
54. Contractor Phone Number*
56. Contractor Address
    If your address has not changed since you renewed your license you do not need to enter your address.
58. Contractor Disclaimer*

    As Contractor I acknowledge that I am responsible for the work performed under this permit and that all work will be done in accordance with the conditions of the permit; the approved plans and specifications; the ordinances of the City of St. Cloud; and the Minnesota State Building Codes. The work will remain accessible and exposed for inspection purposes. The person doing the work shall call for the inspections and a 24-hour notice is required. The permit will become void if work does not begin within 180 days or is suspended at any time for over 180 days.

    1. I agree to Contractor Disclaimer
60. Pay With The Credit Card on File With The City*

    1. Yes

    1. No

    By choosing Yes I request the City to apply any permit fees to the credit card on file once the permit is approved.

61. Last 4 Digits of Payment Credit Card on File*
62. Expiration Date of Payment Credit Card on File*
64. Master Holders Signature /s/*
    Typed names above shall constitute an electronic signature. Master Holder MUST sign.
65. Master Type*

    1. Master A
    2. Master B
69. Construction Contact Information
    Fill out information for contact person during construction, this contact will receive emails on inspection results.
71. Construction Contact Name
72. Phone Number
74. Email Address
78. Description of Work
    Work being completed under this permit.
80. Footnote 1
    Completed HTR required to be posted at final HVAC inspection, or submitted to the St. Cloud Building Safety Department prior to the final HVAC inspection.
82. Footnote 2
    Heating appliances include, but are not limited to: furnace, boilers, unit heaters, space heater, wall furnace, and alterations to existing burners.
84. Footnote 3
    Type of heating appliance(s) (furnace, boiler, unit heater, etc.) must be listed in the Project Description in the top portion of the application.
86. Footnote 4
    Ductwork/air-to-air exchanger, HRV, ERV, in-floor tubing, and gas piping fees are included in the heating appliance fee when they are associated with the heating appliance.
88. Footnote 5
    No additional permits are required for replacement only of domestic type storage water heaters under 60,000 BTUH input for which a plumbing permit has been issued by the City of St. Cloud.
90. Footnote 6
    Gas appliances include, but are not limited to: gas range, gas dryer, gas barbecue, gas logs, and other domestic gas appliances.
92. Heating Appliances

    Check all that apply

    1. New Heating Appliance

    1. Replacement Heating Appliance
93. Estimated Completion Date*
    Final inspections must be requested within 7-days of project completion.
95. New Heating Appliance (1, 2, 3, 4)*
    Enter # of Units.
96. Replacement Htg Appliance (1, 2, 3, 4)*
    Enter # of Units.
98. New Heating Appliance*

    Check all that apply for additional work associated with the new heating appliance(s). See footnote #4 above for fee information on additional work associated with heating appliances.

    1. New Htg Appliance Only
    2. Installation of Ductwork
    3. Alteration of Ductwork
    4. Air-to-Air Exchanger
    5. HRV
    6. ERV
    7. In-Floor Tubing
    8. Gas Piping
99. Replacement Htg Appliance*

    Check all that apply for additional work associated with the replacement heating appliance(s). See footnote #4 above for fee information on additional work associated with heating appliances.

    1. Replacement Htg Appliance Only
    2. Installation of Ductwork
    3. Alteration of Ductwork
    4. Air-to-Air Exchanger
    5. HRV
    6. ERV
    7. In-Floor Tubing
    8. Gas Piping
100. Electrical Contractor Name*

     Please provide the name of the Electrical Contractor that will be wiring the heating appliance(s).  Please note: only licensed electricians, or homeowners with the necessary knowledge, can perform electrical work INCLUDING temporary wiring.  A separate electrical permit is required to be obtained for all electrical work. 

102. Gas Fireplace
     Enter # of Units.
103. Solid Fuel Fireplace
     Enter # of Units.
104. Water Heater (5)
     Enter # of Units.
105. Gas Appliance (6)
     Enter # of Units.
107. Air-to-Air Exchanger
     Enter # of Units.
108. Alteration Of Ductwork
     Enter # of Systems.
109. Alterations to:

     Check all that apply.

     1. Radiation
     2. Tubing
111. Gas Piping - System
     Enter # of Systems.
112. Gas Piping Openings/Tees
     Enter # of Openings and/or Tees.
113. Mobile Home

     Check all that apply.

     1. Mobile Home Gas Piping
115. Type Of Equipment Gas Piping System and/or Tees are for.*

     Please provide type(s) of equipment the gas piping and/or tee is for.

Leave This Blank:


117. 1. Receive an email copy of this form.
118. Email address

     This field is not part of the form submission.

119. Submit

* indicates a required field