HomeMy WebLinkAboutBuilding Permit Application- Property Owners W 4�
B.
she fate o f N1
ti. r fi r�, a I.t4311i�C?'tit i'{ tttr4!'e re,:,idt ntiaa =uildi l�,�c{�zatz'act'01:-, rernodelers a€ d rtaot:F rs obtain
a state Izcez�5e
kli3le5S t`l4eV qualify'} 4t�:r a s1? Ci C e`+e Cl ti'Fi i'^,.rr t?'i:1'iceizsi;g Tc t4ial'iTzLT14s.
requirement applies rk? , 'This lieIer,.4e
p L � is o. res.1dential ieal estate whip build or :1RI� �,� ,
Proper fbi-Lllq uses, l r�;r stick.
1 of spe+�ulat€c�xl Fir resalti.
By signingthis document,I attest to the fact that I ainl ixrzprovirzg this house for my own
use and am not building or improving this house for the
claim to be exempt fi�orrz the state licensingpurpose of reselling it. I hereby
of building or remodeling on speculation or repal��e and hat the house uts because I am (zor which I a Mi the ss
applying for this permit, located at speculation
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is the only residual sinicture I have built or improved m the past 24 moj,ttas. 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 under Mian. Stat. §514.01.
Furthvt'u E()re- 1 aclaikowle,
ai tllal May' be 111ring inilej7e.C3t.leEl�. Go-atrac-tors to �7erforn-I
s
certain aspect �,`;�`tity�: Qor'st ttctik)"Ol u`I?.p;'o e4ntnt oil t-�;s h(-) isk and I Understaind [-[Kilt
SQ'I e W t tlese contractors May be re uzrtd to be SLL
under tang', that I l=��nse�l by the State of1<l'izzzzesc�#:�. I
unlicensed ceszderx�4al. cc�ntza4tjng rer odelz.44g, an&,or ro)()r activity Es a
fnis aiemeailor Cinder I'v`Af t3?n. Stat. � f '' ' -i
- -,a te. i attcl 4 _3lsc result m a fkaie of t4� HU
tt7.000. I ,.uathel state hat I undo. staud that .�Liil,l die _ g d tl r� lake:st"tL"' ns-_ r t
I'h{ti C'i' ,Of � rzl�..t w..C.�.
to apP a r Iev rz���y also result in criminal ptOsecut:iou andi`or ci=rz►penalties
Iscz�l?l city ta:dlillailces atid'or stare atatutes_
I have also been ins,)rmed and ack-iowled�
ge that by lt�istg 4Tc�S:l ati tiie Lc?€Irl'a([er.tt7t thts proiect,I alone Will be responsible to The City, �.
ig�. applicable'1scal3l�. h],� �i Fridley .t'l)i L'.L%Ylp4.a�.r1t.�-' L�-ail.
a xlil?iT� srt'l l."S aflCl city ?'CI?? e1. .tI tae Ork ?eirl * forproperty. med C t7l :liS3
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at re f Property OwrX r
For qtEestians or i formation on contractor Licensing,or to check the licensing status and enforcement
history of a patt€cutar contrzictor,ca l the MiTmesuta€�epanment of Labor and Industry,consiructicn
Curses and Licensing Dtisi at i._bl"} -a5 i e web site is: