HomeMy WebLinkAboutbuilding permit application BOLDING RE IT APPLIQ�L PRC P�C)
c , understand that the State of Minnesota requires
that al residential building co tractors, remode.lers and roofers obtain a state license
unless they qualify for a specific"-eruption from the licensing requirements. This license
requirement applies to o'wirers of residential real estate who build or improve such
Property for purposes of speel-Cation or resale.
By signing this document, 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 purpose of reselling it. I hereby
claim to be exempt from the state licensing requirements because I am not in the business
of blinding or remodeling on speculation, or for resale and that the house for which I am
applying for this permit, located
is the only residential structure I have built or improved in the past 24 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 ruder Minn. Stat. §514.01,
Furthermore, ) acknowledge that I may be hiring independent contractors to peri!brm
certain 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 contracting, remodeling, andlor roofing activity is a
misdemeanor under Minn. Stat. §326B.082, subd. 16 and can also result in a.fine of up to
$10,000, I further state that I understand that the filing of a false statement with
_ ity of F'ra"tdtey may also result in criminal'prosecution and/or cavil penalties
to applicable city ordinances and/or 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 +G of eri,"ev for compliance will
all applicable building codes and city ordinances with the work being preformed on this
property.
`- 9111taTure of Property Owner ,
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Date
For questions or information on contractor licensing, or to check the licensing status and er:l'orcement
history of a particular contractor, call the Minnesota Department of Labor and Industry Codes and Licensing Division, at(651)284-5069. The web site is- htt IJwww.dli._rrt + Construction
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