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HomeMy WebLinkAboutFridley building form B,LqLDI PER T PPL 'A' LU: MCI PE RTY —0—WhMR r si understand building e al ld,� at aff residential building c t that the State Of Minnesota requires tors unless they qualify for a specific, Wtors, remodelers and roofers obtain a state license requirement applies exemption from the licensing requirements. This license es to O%Mers of residential real estate who build or improve such PrOPerty for purposes of speculation or resale. . By s1gninc't'-1's document, I attest to the fact th.e.I a c' use and am not building or improving t:,L4s house m improving this house for my own claim to be exempt from the state 1: for the purpose of reselling it. I hereby censinr req-afi-ernents because I am not in the business of building or remodeling on speculation; fol-resale and that the house applying for this Permit, located at e for which I am is the Only residential structure I have built�O-r-irza�:�ro - acknowledge that because I d c dnthps24months. I alsoo not have a state 'liense, I forfeit any mechanic rights to which I may Otherwise have been. entitled under Minn- St at. §514.0 1 's lien. Furthermore, I acknowledge that I may be hiring independent contractors t,0 perform certa'n 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 Minn. ontraLtj� remodeling, and/or roofing activity is a misdemeanor under nn stat. §32613-082, subd.,16 and can also 1'esult in a fine S 10'000' 1 further state that I understand that the filing of a false statement with of up to Q , of FH(Ue may also The Oty, of Frid1pey to applicable city result in criminal Prosecution andilor civil penalties , ordinances and/or state statute S. I have also been informed and acknowledge that by listing myself as the contractor this project, 1 alone will be responsible to The L�Qof of compliance will for all applicable building codes and city ordinances with the Work being reformed on this property. P atl�e bof]Pr�oneerity '37"ITY,�7) 'Irt, Wner Date For questions or in-formation 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 vveb site is: !Ut LL'ILWww"