|
Minnesota Department oi Labor and Industry Licensing and Certification Services
<br /> Construction Codes and Licensing Division Phone; 65i.284.5034
<br /> 4A3 Lafayeite Road N Email: DLI.License@state.mn.us
<br /> Saint Paul,iUiN 55955 Website: www.dfi.mn.gov/ccid.asp
<br /> NOTICES
<br /> NOT 7RANSF�RA�L�
<br /> CHANGE YOUR BUSINESS STRUCTURE -
<br /> SUBM2T A NEW APPLtCA1'ION FOR NEW ENTITY: CHARLES CLlDD QE NOVO
<br /> 15054 23RD AVE N
<br /> RENEW OR REPLAC�(NSURANCE POLICY PLYMOUTH, MN 55447
<br /> SUBMI'C NEW CERTiFICATE OF INSURANCE -
<br /> , ;
<br /> ,,.
<br /> ` NOTlFY THE DEt'ARTMENT OE A CiiANGE;IN;Y011:�i BCiSINESS:
<br /> Fa�lure fq �io so,sub��cts you to admin�stra#�ve penalt�es of uJ�to$1a,pU4 _ -_ _ -
<br /> '�5 �ay Nofics R�qu�irement Forms ava�fable ol�lin�at uvww dlr mr ttov7CCLb/LicUpdate asp: -- _- -
<br /> ._ ,;. �, - -- , , _. ___ _
<br /> ,_ _ _. :
<br /> �' ' Change in 6usrnes� physical address mail�ng acidress,phoi�e number,or'emai!address ''• -- -- --� - -
<br /> _., r _ - . -_
<br /> �
<br /> . . ,
<br /> °.• Ghange m;conirol;;owners;oificers;d�rectors,merhbers, ` � '
<br /> :..;::. : . :.
<br /> partners.
<br /> ,: . ., , , -:: -,,.�;: ,> � ::: _ - - - -
<br /> - . . ,.
<br /> - --, --_ � :
<br /> • Ch;ange in buslness'fegal n:ame arid/or assumed name - -� _ ---- - "
<br /> � - _ _ --- =- - _- -
<br /> • L�ss of o�e.ha;� e iii QllALI�Y�NG BUILDER - -� -_- =-_ " - "-
<br /> ,. ,.
<br /> :
<br /> J -- _ "
<br /> ' • Chan e in�"�heral�liabiitt insu"rance or workers'ca�n e�saUorr insurance covera-e� . `. .``' .: .: ';
<br /> ��,.., S ... 5. . ,. .,.. _ Y... P J. .
<br /> -
<br /> ,. :..: .....
<br /> Immedia#e Not►ce Reqw�'errtent .tYotif�cation to-DRl in wr'ting ' _
<br /> •= Judgmee�t l]ebtor _A Itcensed cont'ractor has 15 c�ays to provide 4vntten notE�e of_the€fnding that it is found to be;'a�udgment
<br /> =: debfor baseci upori eonduct requtring IEcensure -
<br /> . Bankruptcv Pe4tron:-Filed A licensed contCactor ha'.s 15 days to provide written not�ce 1f�af-iE fEted a pefition tor bank '
<br /> - :
<br /> ,.
<br /> ` ``` + Conviction'Notice. .A hcensed con#ractor;has 10 days to provide written nobce that it has been fa.und guilty of a!el ny gross
<br /> misdemeanoK, misderrseanor or :ar�y comparabEe offe_nse related :to the_ 1�cense;, moluding conwetions of fraud;
<br /> misrepresentat'ion,m�suse ofi funds;;t�ef�,enm��aFsexua�conduct,;assault;;burglary,canv.ersion of.funds,or the(t;of proceeds
<br /> in this or a�y other.sfate or�any other Unifed States_iurlsdaction
<br /> YOUR CERTI�fCA� � .
<br /> . , , ,
<br /> E IS BEk.OW TtiE PERFO€iATtON SFiOW GERi'IFICA't�INHEN 0�`C'A1NtNG PERMl7S
<br /> -� = � -- -� " _ �- �_ -
<br /> _
<br /> �' .:i ',
<br /> ,. _.
<br /> . , : .:.. . :., : :: = .
<br /> .
<br /> ( ' " � �`
<br /> __ _ , : -:
<br /> .: _
<br /> � : n,°'�H�S��n�'�arh,����� � RESIDENTfAt BLDG CO�lTRACTOR
<br /> , ;L�iBE�.F�$�[ II'*�CtUST1tY ;. :. ,
<br /> ,
<br /> w ; ,
<br /> .,
<br /> Constroction Codes and Licensing Diviswn = = �Licensing and Certiticat{on Services 443 Latayette Road N 5t Paul;MN 55155
<br /> ' ,Websiie: wuvw dl�r�n gov/ccldyasA -:� ` _� _
<br /> - ` Ema+l;cil�IrcenseCa)state mri u� !Phone:651284 5094 : -
<br /> T'his is to cetttfy fhat tl�e cerhficate bolder i�l�censed as a RE�IDE.NT[AL BUILDING CQ�ITRA,CT�R m the st�te o#',Miiinesota and is iri. :.-_-'._-=-..,;'`;:
<br /> , __ ,
<br /> : _ . _ ......: . , : -
<br /> >. : compliance wiEh Mfnriesoha Statutes 326B 805,and may tiuild resident�al real estate;:coiitract or offei fo contraat witit an own�r tu bculd`
<br /> :..-. ,, ;, - ;
<br /> res�dential real estate and conFract oF offer to contract with an owner to tmprove existing residen€ia�real estate;provided the
<br /> tespons�ble zr�d�viduai is at ali liinc5 a QUALIFYING BUILDEit:a:nd t�i�cett�fieate holdec ziiamtams`cbmpliarice with;'the required genera[ ---
<br /> liab�lity��surance,and workers(cdmpensat�on Jaws _ = �:.:.:•-_�• "__
<br /> _ - -_ _ _ _ - ;!.
<br /> `::. ..: Licens , , �: , :. - _ =�=..
<br /> ;. ;,.;.� .. . :,. ....:...�. : .. .. ...... .:�.,�:�... . . , .
<br /> �
<br /> e ;. RESIDENTlAL.BLDG CONTRACTOR :;
<br /> • ;:. .:. .. •.. : . . . . .. •.
<br /> ,
<br /> Lic IVumber ::BC635245 °CHA�#LES CUDD DE'_NOVQ.- '.;. _;.� _ :. ..;' � �� : ':.. :.`. . :'.:'..': ::;, .`':: :..: .: :..:. f::
<br /> _ �...
<br /> Eifeat�ve Data Q4/Qi/2013 1,5050 23RD AVE� _ - _ =- �:
<br /> .,,,. .,, - - :�:
<br /> , .
<br /> Ex ir�t�on Date ' '` "
<br /> ` p .03/3 t/2015 . ' ,
<br /> ' - �,;FLY,(ViOEJTH 55447 = -
<br /> . ,.,; , , ,NiN - _
<br /> . .. .. , ,,,,� .. -
<br /> _ - ,., ,,. _: ._ .
<br /> . . . ,.... , „ _ -
<br /> .... , �,.; ,... . ..,, . :. ...:..... - -
<br /> ,. ,., ... . . _.:, , , ,_. ......_.
<br /> �:.:
<br /> �.
<br /> ;::.
<br /> VEi�f�Y UP TQ-DAT�STATUS, 80ND,AND INSLlRANCE'INFO�ATwww;dli mn.qov/cctd/LicVerifV.asp ENTER NUMBER,I.. . . . :, .:;.,
<br /> ,_:.:. ........:.. .:... .... ...
<br /> . _ ..:. . .._
<br /> ..--:..:., :-._:�-• - = - -- -- - --
<br /> _ _
<br /> . �.-
<br /> �. . ... : - -. . _. . --- - - -
<br /> ;..
<br /> -_-. . .•-_ -- , _---. . : _ -
<br /> ....:. . _
<br /> _ . ._. ._., . - - --. __...�-_ �........ . . . ...::......:. - -
<br />
|