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HomeMy WebLinkAboutCity of Fridley I 'RDYL% BUILDLLK PERMIT APPLICANT: PROPERTY OWNER 4-2. Gci unders tand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements.This license requirement applies to owners of residential real estate who build or improve such Property for purposes of speculation or resale. By signing this document, I attest to the fact that i am improving this house for my own use and am not building or improving this house for the Purpose of reselling it_I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on specul tion or for resale and that the house for which i ain aPplYing for this permit, located at 6q_ 51 IRSCe Cie is the only residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. §5 i 4.0I. Furthermore,I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minn. Stat. §326B.082,subd. 16 and can also result in a fine i up to $10,000. I further state that I understand that the filing of a false statement with of The Q of Fri4Le may also result in criminal prosecution and/or civil penalties to applicable city ordinances and/or state statutes. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to The City of Fridley for compliance will all applicable building codes and city ordinances with the work bei reformed on this property. ignature of Proper Owner -S - Z02, Date For questions or intortnation on contractor licensing, or to cheek the[icenstng status and ertCorcement history of a.pa rticular conU,:actor,call the N innesota Department of Labor and Industry Construction Codes and Licensin,, Div!sion,at(651)234-5069 ''he web site is lit t�).�3www,dli.ino. ovJC:cld.asl?