HomeMy WebLinkAbout20220727115328423 Lux ers-tatid that the ste,tte of&Iilmesot,
'It �-��4
tha 11 wsidentiat bait ing contractors, reniodelers and roofers obtain a 3 a requires
Unless they qualify for a specifte exetIlptiot, from tate license
requirement applies , the liceasing rQquirements. This license
W owners of residential real estate who build Or improve such
Property for W`rl?o -scs Of sPect'lation or resale.
By si,
, ilig jl�s (loct,11,jen-t, I attest to tt'le:flct dl,:It I OT-11 irnproving this house f6r my owl,
utse and aria not building or improving this house for the pmpose Of reselling it. I homby
cla im to be cKempt fi-oin thtt state lice-o-sing requirements because I am not in file basi-aess
Of l"Alding or remodeling on specillatir4r�r resale and that the 11 0 s e for which T amalPlying for this pertr1it, j)ctL0dati I ) /i S N c-
is tile only residerrlial structure I have built or im
acknowledge that because f do not h-,tvc a qt<jtc Proved �Uthe past 24- motiffis, I also
license, I forfeit any mechanic lien
tights to Whic-I-A f may otherwise have been ontitIcd under ,Staff. §514,0 1.
Furd-jermoi-c,' I acknowledge that I t-MY be hiring independent contractors to perforin
celtain aspects of ttle construction Or 'n"PrOvelnent Of this house and I understand that
some Of these Contractors may be required to be licensed by the State ofMirmesota. I
Undorstaiid that Unlicensed residential COtItracting, remodeling, and/or roorng activity is a
misdemeanor under Milm, Stat, §326B.082, subd. 16 and can also result in a fine Of LIP to
$10,000, 1 further state that I understand that the riling of a false statement with
The LAEdqhW may also result in Criminal Prosecution and/or civil penalties
to applicable city ordinances and/or state statutes,
I have also beeil inforrued and acknowledge that by listing myself as tile contractor for
this PtcJcct, I alone will be responsible to 1!12-C!tL-qf�r ad:le fur compliance will
all applicable buildiag codes arld city ordinances wit], the work, (ding formed j
Property, �orrned Oil this
2tv Zoe of V®1
el Owner
For questions or inzormatioll on contractor
, licensing, or to shook the at,(,elf(rmlltll
thistory of Pal-ficubir colltr�totor, calf dio ilvfinitusokct ot-payttil,lit()f f,abpr acid IdLSY, ostrj(; w
Codes anci I-icklsinp Divisjon at(651)284-5()6'),Thy web sit, is: Ilt nVUC