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Home My WebLink AboutBuildingApplicantPropertyOwner-Signed ® sr C< 'th 13UILDING PER.%M APPLICAN-1:PRnPnu-t-v OWIIER 5 understand that the State of Minnesota requires ttut aj resideadal building rerttodelers and roofers obtain a state liccnlc mess_yey qualify for a specific exemption from the licensing requirements.This license requures_ent applies to o%mers of residential real estate who build or improve such property ror purposes of speculation or resale. By signing this document.I attest to the fart 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 f-om the slate licensing requireni en is because I am not in the businrss of building or remodeling on speculation or for rtsa:e and that the house for which I am aprolying for this permit,located at /Y S e ..r L.4 is,ue only nesideatial sa'ucwm I have built or improved in the past 24 non . also acknowiedge that because I do not have a state license,I forfeit any mechanic's lien rights to which I may otherwse have been entitled ender Minn•Stat. §514.01. Rathermore.I acknowledge t: t I may be hiring independent contractors to perform crtain aspects of the constr action or L p:ovemrnt of this hoax and I understand that some of these contractors may be re4aired to be licensed by the State of Minnesota./ tmderstmd that udicmsed rtSideafial contracting,remodeling,and/or roofing activity is a alder Arm.StaL§326B.082,subd. 16 and can also result in a fine of up to $10,000.I ft»tI_SM do I understand dial the filing of a false statement with The City of Fridlev may also result in ennunal prosecution and/or civil penalties to applicable city ordinances endlor 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 being preformed on this Signature f Property Owrer �— Date For questions or mfom ation on eeora=lieensin&or to checx ills licensing status and enforcement himry of a paetieulsr contractor.call the Minnesota Depanmenr of Labor and Industry.Construction Codes and Limtscrg Division,at(65'.)234-5069 The web site is,httn•JlwwN.dii.mn.gavrCel.4,810