HomeMy WebLinkAbout20220930093302481 C,FPIIT6plr
BUILDING PEPJMIT APPLICANT: PROPERTY )'Wl\rE
understand that the State Of Minnesota re that all residential building CO]TtTactors, remodelers and roofers obtain astate license quires
Lmle,ss they qualify for a specific exemption from the licensing requirements. This license
requirement applies to Owners of residential real estate who build Or improve such
Property for purposes of speculation or resaje.
By signing tI-ds 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 building or remodeling on specula Ion or for sale and t the house fLgr which I am
applying for this permit, located at
or improved in the past 24 moInths. I als
is the only residential structure I have built
aelmowledge that because I do not have a state license, f forfeit any mechanic's lien
tights to which I may otherwise have been entitled under Minn. Stat. §514.0 1.
Furthermore, I acknowledge that I May be hiring independent contractors p 0
the construction or improvement of this house.and I understand that
certain aspects of tI to eTf nn
some of these contractors may be required to be licensed by the State of Minnesota. I
understand that Unlicensed residential contracting, remodeling, and/or roofing activity is a
misdemeanor under Minn. Stat. §326B4O82, subd. 16 and can also result in a fine of up to
$10,000, 1 ful ther state that I understand that the filing of a Use statement with
The City of Fridley may also result in criminal prosecution and/or civil penalties
to applicable city ordinances and/or state statutes.
I have also been inforined 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
property.
Signature of Property Owner
14
-B-11—teFor questions or information on contractor licensing or to check the licensing status and enforcement
history of a particular contractor, call the Minnesota Department of Labor and (ndustry, construction
Codes and Licensing Division, at(651)284-5069.The web site is: lit a,/
Id,use