HomeMy WebLinkAboutBuilding Applicant Property Owner Form 2 CITY -OF
F R-1 D L,�,-.
BMDTNG PERMT APPLICANT : PROPERTY p .
Yasin Abshir
, understand that the Sfats o
_ Iylir�neso�ta requires
that all residential building contractors, remodclers and roofers obtain
unless they qualz�y for a specific exemption fi-om the licen
sin �� a state license
0
requirement applies to a�wners of residential real estate who build�� ezn�nts . Thus license
propexfiy for puz-poses of speculation or resale. or improve such
BY sung tI-us document, I attest to the fact that 1 az�ri izn rov in th is
use and am not building or unproving this house for th e � g house �'or �xzy oven
claim to be exempt tom. t�.e state licensing pose of reselling it. I hereby
requirements because I am not in the business
of bi_uIdiono- or remodel * on specu �Q fn�- resa e and that t . �, �P
applying for this Permit. Zocated a�t L � ti�h � I a�_Luc anan t � Sridlp'zs the �/1 N
only residential structure I have built. or improved - 1
aclmowledge that because I do not have a p d � the past 24 zx�or�t.�;s . I also
state license, I forfeit any rxzecharuc ' s lien
ri ghts to which I m ay otherwise have been entitIed under Minx. Stat,
§ 514 . 0 1 .
Furthe ore, I aclmowl dge that I may be hiring independent contract
certain a�p��ts off' t��� construction or improvement of this house ors to perform
some o� these contractors may be required to be licensedan� � understand tha�I by the State of M -
understandulc�.esota. I
that unlicensed residential contrac�ang, remode�in�, and/or r � .
misdemeanor under Minn. Stat. §326B . 082 , subd. I so 6 and b oo �n act�vl�r �s a
10 , (� 04• I furt.her state that I understand that
can also result in a one �� up to
the of a false statement with
The City of Fridley may also result in c�izxiinal prosecution and/or c 'v'
Co applicable city Ordinances and/or state statutes .
� II Penalties
I have also been informed and ackn,ow(ed�e that by iistinQ myself a
this project, Z alone vv�11 be responsible to the Ci-q-0-fb y s the conC�•actor For
alb applzcable buildingcodes and cit Fridley for compliance
y ordinances with the work being preformed on this
Property.
Signatu e
(fe 1 /2 ty Owner
Date
For questioris or in-fork-nation on contractor ticerisIng, or to check the Hcenstng status and en �'orcemertt
history of a particular cont�-�.etoz-, call the Minnesota Oepar-tment of Labor and 1ndLLSt1-y, Construct 'ar�
Codes znd Licensin(y Dlvls *on , aY (6S t ) 28�-5069 . The web site is : littr) ://w%,vv%; . cfli . i-nii.,..,�v/ccid .�,ts