Form Center

Step 1

MECHANICAL CONTRACTOR LICENSE APPLICATION
NAME OF BUSINESS OR LICENSE APPLICANT*
MECHANICAL CONTRACTOR TYPE*
Please Indicate License Applicant Type
1. Mechanical / HVAC / Refrigeration
2. Mechanical / Gas Fireplace Installer
1. Liquid / Gas Fuel Piping Installer
CONTACT PERSON INFORMATION
Last Name*
First Name*
Address1*
Address2
City*
State*
Zip*
Telephone Number*
Mobile Telephone Number
Email Address*
Continue

Step 2

BUSINESS INFORMATION
Minnesota Tax ID Number
Federal Tax ID Number
Upload Evidence of Competency
New license applicants should submit evidence of competency such as installer certifications, trade licenses held, evidence of experience / apprenticeship / education and other information demonstrating competency to perform mechanical work. If State registered, submit evidence of such registration.
Upload Minnesota Worker's Compensation Certificate of Compliance*
For MN Worker's Compensation information and forms, see: http://www.dli.mn.gov/wc/wcforms.asp
Upload State of Minnesota Mechanical Contractor Bond*
For MN State bond information and forms, see: http://www.dll.mn.gov/CCLD/PDF/mechanical_bond.pdf
Upload Insurance Certificate*
Minimum Insurance Limits: $100K / Individual; $300K / Accident; $50K Property Damage
Insurance Agent Name*
Insurance Agent's Telephone Number*
License Validity
This is an application for Mechanical Contractor License and is subject to review and approval. The application is not approved and the applicant is not licensed until an Andover Mechanical Contractor License Certificate has been received by the applicant.
Indemnification Agreement*
1. I AGREE
By checking the box below and in consideration for granting of the license, the licensee hereby agrees to indemnify and hold the City of Andover harmless from all claims and damages, including but not limited to reasonable attorney's fees and costs incurred relative to such claims and losses that may arise in the performance of work by the licensee in the City of Andover.
Electronic Signature*
By checking the box below, the licensee agrees and acknowledges the electronic signature is valid and binding in the same force and effect as a handwritten signature.
1. I AGREE
ADDITIONAL CHARGES APPLY TO ONLINE TRANSACTIONS:
Please note that in addition to the City License Fee, the on-line payment system provider charges a 3.95% processing fee.
MECHANICAL CONTRACTOR LICENSE
Mechanical Licenses are $50.00
Annual License Fee
Taxable
Quantity
Shipping Cost

Leave This Blank:

Calculate Totals Proceed to Checkout | Go Back

Search Forms:

MECHANICAL CONTRACTOR LICENSE APPLICATION

Steps

Step 1

Step 2

Contact Us

Helpful Links

Using This Site