HomeMy WebLinkAbout20230830_164737 17M
CITYOF
BUILDING PERMIT APPLIQ "D PROPERTY OWIvTR
+ Ak' Z understand that the State of Minnesota requires
that all resi ential building contractors, remodelers and roofers obtain a state license
unless they qualify for a specific exemption from the Licensing bild or im ove This
license
requirement applies to owners of residential real es p
property for purposes of speculation or resale.
By signing this document, I attest to the fact that I am improving this house for my ovm
use and am not building or improving this house for the purpose of reselling it_ I hereby
claim to be exempt fi-om the state licensing requirements because I aim not in the business
of building or remodeling on speculation or for resale and that the house for which I am
applying for this permit, located at Ll 7 5 7 2 N b C ,
is the only residential structure I have built or improved in the past 24 months. 1 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 Minn. Stat. §514.01.
Furthermore, I acknowledge that I may be hiring independent contractors to perform
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, and/or roofing activity is a
misdemeanor under Minn. Stat. §326B.082, subd. 16 and can also result in a fine of up to
$101-000. I further state that I understand that the filing of a false 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 informed and acknowledge that by listing myself as the contractor for
this project, I alone will be responsible to The City of Fr idley for compliance will
all applicable building codes and city ordinances with the work being preformed on this
Property. _ f
Signature of Property Owner
Date - -----
For questions or information on contractor licensing, or to check the licensing status
history of a p%�rtic��lar eontraetor, call the Minnesota nepaitment oi'Labor an
Codes and Licensing and enforcement
d Division, at (651 284.5069, The web site is: Itt `Il�tnn v vl nstruction
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