HomeMy WebLinkAboutBuilding Permit Applicant Property Owner r
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UIL OWNER
l l-�w understand.that the Mate of Minnesota requires
that all psi ential building contractors, rernodelers and roofers obtain a state license
Unless they qualify for a specific exemption from the: tensing requirements, This license
requirement applies to owners of residential real estate who build or improve sucil
proper for purposes of speculation or resale.
By signing this document, I attest to the fact that I am improving this house for try 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 speculation or for resale and that the house .for which I a..�x�
applying for this permit, located at �`I
is the only residential structure I have built or improved in the past 24 months. I alsoN
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 oflt ilmesota.. I
understand that unlicensed residential contracting,remodeling, and/or roofing activity is a
rnisderneanor under Minn.. Stat. § 26.B. 82, subd. 16 and can also result in a fine of up to
10,000- I der state that I understand that the ding of a false statement with
the of dl may also result in criminal prosecution andlor 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!Thy City of 'r 4Ley for coxnpliarace will
all applicable building :cedes and city ordinances with the work being preformed on this
Property. /-
�kg�aa of � e Owne
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Date
For gUestions or information on contractor licensing, or to check the licensing status and enforcement
history of a particular contractor, call the munnesota Department of Labor and Industry, Construction
Codes and Licensing Division, at(651)234-5069.The web site is: t ti :zx€z .u� ria: ld