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BUII, G PERMI :PROPERTY OWNER
I' erstand that the State of Minnesota requires
re building con rs,remodelers and roofers obtain a state License
unle ualify for a specific exemption from the licensing requirements.This license
requirement applies to owners of residential real estate who build improve such
Property for purposes of speculation or resale.
By srgnmg 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 building or remodeling on speculation or for resale and that the house for which I am
applying for this permit,located at
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 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 th
some of these contractors may be required to be licensed by the State of Minnesota.
understand that unlicensed residential contracting,remo
misdemeanor under Minn.Stat.§326B.082,subd.1 and/or roofing acti ' a
$10,000.1 further state that I understand that also result in a fine
The City of Fridley may also result in a false statement with
to applicable city ordinances and/or seeutron and/or civil penal
tes.
I have also been info owledge that by
this project,I alone onsible to The Ci of the for fo
all applicable building codes and c' ordinances with will
property-
Signature formed on this
Signature of Pro erty Owner
Date
For q ns or inf on on co r licensing,or t k th sin us and enfo t
histor particul tractor, a Minnes De
Code Lmens vis ipn, P nt o r an ustry,Cons on
284-50 e w e is: //w limn. v/
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