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08/05/2008 11:48 IFAX -* EFAX IJ002/002 <br /> AUG-05-2008 11:41 REED REALTY 715 779 9523 P.02/02 <br /> HUG-01-2008 15;13 From:CB BURET WYZ 9524733932 To;715 779 9523 P.2 <br /> 1 U"t't k-kr-,.ti -r ra - • <br /> BUILDING PERMIT APPLICANT: PROPERTY OWNER <br /> ,understand that the State of Minnesota requires <br /> that all residential building contractors,reinodelers and roofers obtain a state license <br /> - unless they qualify for a specific exemption from the licensing requirements. This license <br /> requirement applies to owners of residential real estate who build or improve such <br /> . property for purposes of speculation or resale. <br /> By signing this document,I attest to the fact that I am improving this house for my own <br /> use and am not building or improving this house for the purpose of reselling it. I hereby <br /> claim to be exempt from the state licensing requirements because I am not in the business <br /> of building or remodeling on speculation or for reside and that the house for which I am <br /> applying for this permit,located at I D 5 q %A., ,. DA_ s ,Orono,is the first <br /> residential structure I have built or improved in the past 24 months. I also acknowledge <br /> that because 1 do not have a state license,I forfeit any mechanic's Hen rights to which I <br /> may otherwise have been entitled under Kinn.Stat. §514.01. <br /> Furthermore,I acknowledge that 1 may be hiring independent contractors to perform <br /> certain aspects of the construction or improvement of this house and I understand that <br /> some of these contractors may be required to be licensed by the State of Minnesota.I <br /> understand that unlicensed residential contracting,remodeling,andlor roofing activity is a <br /> misdemeanor under Minn.Stat. §326B.082,subd. 16 and can also result in a fine of up to <br /> $10,0(0. I further state that I understand that the filing of a false statement with the City <br /> of Orono may also result in criminal prosecution and/or civil penalties pursuant to <br /> applicable city ordinances and/or state statutes. <br /> I have also been informed and acknowledge that by listing myself as the contractor for <br /> this project,I alone will be responsible to the City of Orono for compliance with all <br /> applicable building codes and city ordinances in connection with the work being <br /> performed on this property. _� <br /> y •e# <br /> Name <br /> Date <br /> • <br /> For questions or information on contractor licensing,or to cheek the licensing status and <br /> enforcement history of a particular contractor,call the Minnesota Department of Labor <br /> and Industry,Construction Codes and Licensing Division,at(651)284-5069. The Web <br /> site is:www.doli.state.mn.us/contractor <br /> TOTAL P.02 <br /> TOTAL P.02 <br />