HomeMy WebLinkAboutProperty Owner ,understand that the State of Minnesota requires
that all residential building contractors, rezzzodelers and roofers obtain a state license
unless they qualify for a specific exemption from,the licensing requirements. This license
regWrement applies to owners of residential real estate who build or improve such
property for purposes o:l<speculation or resale.
By signing this documents 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
ose 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 speculation or for resale and that the house for which I am
applying for this permit, located at (¢' 7I ('aryl At/t AhZ- rV IA
is the only residential structure I have built or improved in the past24 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. §514.01.
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 oft1hese contractors may be required to be licensed by the State of Minnesota. I
understand that unlicensed residential contracting,rezngdeling, and/or roofing activity is a
misdemeanor under Minn. Stat. §326B.0 2, subd. 16 and can also result in a fine of up to
S 1 01000-I hither state that I understand that the ding of a false statement with
' I oaf '�rzd[Ie may also result in criminal prosecution and/or civil penalties
to applicable city ordinances and/or state statutes,.
l have also been informed and acknowledge that by listing myself as the contractor for
this project, I alone will be responsible to The 4Cit of Fridte for compliance will
property-all applicable building nodes and city ordinances with the work being preformed on this
Signatur o Property Owner
W202
D) e
For questions or information on contractor licensing, or to check the licensing status and enforcement
history of a particular contractor, call the Minnesota Department of Labor and Industry, Construction
Codes and Licensing Division, at(651)284-5069.The web site is: