Fillable APPLICATION FOR A RENTAL DWELLING LICENSE RLIC (City of Minneapolis)

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APPLICATION FOR A RENTAL DWELLING LICENSE RLIC (City of Minneapolis)

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Page - 1 - of 5
V2.04
APPLICATION FOR A RENTAL DWELLING LICENSE
New Application □ Update to Existing Application □
RENTAL PROPERTY ADDRESS (INCLUDE ADDRESS #, STREET NAME, & DIRECTIONAL), Apt/Unit#
APPLICANT (all fields required)
when a property is owned by a corporation or LLC, an associated natural person must be listed in this section, and a copy of the Articles of
Organization listing the shareholders of the corporation or LLC must be submitted with the application
OWNER OR SHAREHOLDER NATURAL NAME
CORPORATION, LLC, OR ORGANIZATION (if applicable)
DATE OF BIRTH
OWNER ADDRESS (cannot be PO Box or commercial mailing service)
CITY
STATE
ZIP
COUNTY
MOBILE PHONE
EMAIL
Any changes to the names, addresses, and other information concerning the persons on this application must be provided in writing to the Department
of Regulatory Services within ten days.
OWNER SIGNATURE __________________________________________________________________ DATE _______________________________
AGENT/CONTACT (if different from owner)
a local agent or contact is required if the applicant lives further than 60 miles driving distance from the property and/or outside the counties of
Anoka, Carver, Chisago, Dakota, Goodhue, Hennepin, Isanti, Lesueur, Mcleod, Ramsey, Rice, Scott, Sherburne, Sibley, Washington, or Wright
NAME OF AGENT/CONTACT
DATE OF BIRTH
ADDRESS (cannot be PO Box or commercial mailing service)
CITY
STATE
ZIP
COUNTY
MOBILE PHONE
EMAIL
I affirm by my signature below that I am in compliance with all rental licensing standards
outlined in Minneapolis Code of Ordinances, Title 12, Chapter 244. I understand that failure to
comply with any of these standards and/or conditions shall be adequate grounds for the denial,
refusal to renew, revocation, or suspension of my rental dwelling license. I acknowledge that the
Department of Regulatory Services will hold me responsible for the maintenance, management,
and any legal actions that may ensue for the above listed rental property. I agree that all
correspondence sent from the Department of Regulatory Services will be mailed to me as the
appointed agent/contact person as listed in this section.
AGENT/CONTACT SIGNATURE __________________________ DATE ____________
NOTARY STAMP (required for agent/contact)
Subscribed and sworn to before me on ___ of ________, 20___.
Notary Public, ________________ County
___________________________
Space Reserved f
or Notary Stamp
Regulatory Services
505 4
th
Avenue South – Room 510A
Minneapolis, MN 55415
Office 612-673-3000 or 311
Fax 612-673-3699
TTY 612-673-2157
minneapolismn.gov/rental-licenses
Office Use Only
RLIC #_______________________________________
Amount _____________________________________
Flag(s)
_______________________________________
CSR Initia
ls ___________ Date____________________
Application Form
RLIC
Page - 2 - of 5
V2.04
LICENSE CATEGORIES
If you have questions about fee amounts or applicability, please refer to the supplemental information sheet.
Conversion
□
Most new rental licenses are conversions. A
$1000 conversion fee applies to the following:
1.
Single family homes when the property
was previously owner-occupied or has not
been licensed for 12 months
2.
Duplexes and triplexes with separate
property ID numbers
3. Condominium, co-
op, and townhouse
units in buildings with one to five units
whose units have
separate property ID
numbers and have not had a license for
12 months
Change of Ownership
□
When a duplex, triplex, or fourplex changes
ownership, regardless of when the property
was last licensed, a $450 change of ownership
fee applies to the following:
1. Single family dwellings that do not meet
the conversion definition
2. All duplexes, triplexes, and fourplexes
3. Mixed-
use commercial properties
containing one to four units
Condominium
□
Condominium, co-op, or townhouse buildings
containing six or
more units on the same
parcel are not subject to the conversion or
change of ownership fee.
Apartment
□
Rental buildings containing five or more units
on the same parcel are not subject to the
conversion or change of ownership fee.
CALCULATING YOUR LICENSE FEES
License Fee (based on property condition tier)
Supplemental Fee (based on property management
fee level)
1-3 Unit Buildings 4+ Unit Buildings
1-3 Unit
Buildings
4+ Unit Buildings
Building Fee Fee Per Unit Building Fee Fee Per Unit Fee Level 1 $0 $0
Tier 1 $80 $30 $140 $10 Fee Level 2 $100 $155
Tier 2 $85 $60 $165 $20 Fee Level 3 $205 $410
Tier 3 $100 $160 $195 $80
FEE CALCULATION
1.
Number of units:
2.
Multiply number of units by per unit license fee from above table:
3.
Building fee:
4.
Supplemental fee, if applicable:
5.
$250 administrative fee, if applicable:
6.
$450 change of ownership fee, if applicable:
7.
$1000 or $750 (see next page) conversion fee, if applicable:
Total lines 2 through 7:
STRUCTURE DETAIL
Enter the total number of units at your property, and the total number of units covered by this rental license application, e.g. if you are renting out one unit in a
duplex and living in the other unit, you would enter “2” and “1”.
Total Units: _____ Licensed Units: _____
If your rental property is a multi-unit building, use the grid below to identify the units on each floor, listing them from lowest to highest along with the unit type in the
appropriate column. If your building does not fit on this grid, please supply your own grid with the same information and attach to the application at the time of
submission. Unit type examples: Studio, 1 BR, 2 BR, and 3 BR
Floor 1
Floor 2
Floor 3
Unit
Unit Type
Unit
Unit Type
Unit
Unit Type
$ 0
Page - 3 - of 5
V2.04
Important Rental License Information
• A rental license is required for any dwelling unit where the owner is not occupying the unit, even if no rent is paid or if the unit is
occupied by a relative.
• The rental license year runs from March 2 to March 1 of the following year.
• Annual renewal notices are mailed out in late January and payment is due by March 1.
• Licenses are not transferable.
• A Who to Call poster (pdf)
must be posted in the property with the rental license certificate in a conspicuous location.
• Any changes to the names, addresses, and other information concerning the persons on this application must be provided in writing to
the Department of Regulatory Services within ten days.
• When selling a rental dwelling, the owner must notify the buyer in writing of all unresolved housing violation orders and administrative
citations issued by the Department of Regulatory Services.
• Landlords are required by City ordinance to notify tenants or prospective tenants of pending mortgage foreclosure or cancellation of
contract for deed involving the licensed property.
• The property will be inspected pursuant to Minneapolis Code of Ordinances 244.130.
Submitting Your Application
In Person
Applications may be submitted in person at the Public Service Area of the Public Service Building during the following hours: Monday through
Thursday, 8:00 AM to 4:00 PM, and Friday 9:00 AM to 4:00 PM. City staff is available to answer questions and notarize agent/contact signatures if
needed.
By Mail or Fax
You may also mail in or securely fax applications using the payment sheet on the last page of this application. Make sure to include both sides
of the license application itself with your payment information.
Documents You May Need
Articles of Organization
If the property is owned by a business, the applicant will need to submit a copy of the Articles of Organization listing the owner of the business.
The business owner's name, date of birth, and signature are required in Section 2 of the application. A rental license will not be issued to a
business if the owner of record is the natural person who owns the business.
Proof of Ownership
A rental license can only be issued to the owner of record as identified by the Hennepin County Property Tax
website (www16.co.hennepin.mn.us/pins/addrsrch.jsp). If you have purchased the property in the last four months, it is strongly
recommended that you check the website above before submitting your application. If you or your business are not listed as the owner,
you will need to submit a photocopy of one of the following documents with your application:
1. The closing disclosure statement
2. The recorded deed
3. The certificate of real estate value
4. The contract for deed, including the receipt showing that the deed has been recorded
Rental License Application Supplemental Information
Smoke Free Housing
The Minneapolis Health Department is gathering voluntary information about where smoke-free living is offered in the city. Responses do no alter
the status of your rental license.
Will this rental property have a smoke-free policy that prohibits smoking anywhere indoors, including all units, without exception?
Yes □
No
□
Thinking About It □
Page - 4 - of 5
V2.04
Fee Information
Annual Fees
Minneapolis uses a tiered rental license billing structure. Use the matrixes on the application to calculate your annual fee. If you don’t know your
property’s tier, please call 612.673.3000 or look it up online at minneapolismn.gov/inspections/rental. License fees are prorated by 50% for
applications submitted between September 1 and December 31.
Administrative Fee
Properties occupied for more than 60 days without a license are subject to an administrative fee of $250.00. This is in addition to the annual fee
and any applicable license fee.
Change of Ownership
This $450.00 fee is due when a duplex, triplex, or fourplex changes ownership. It applies to:
1. Single family dwellings that don’t meet the conversion definition (see below)
2. All duplexes, triplexes, and fourplexes
3. Mixed-use commercial properties with one to four units
Exceptions:
• Certificate of Occupancy issued within three years (new construction)
• Certificate of Code Compliance issued within the 12 months (condemnation, rehab)
• Restoration Agreement completed within 12 months
• Non-profit organizations
• Qualifying relative homestead single family dwellings
• Properties granted a rental license exemption
• Properties that have had an approved rental license inspection within six months
• Properties where a Change of Ownership fee has been paid within six months
Conversion Fee
This $1000.00 fee covers the initial inspection of a rental property and applies to the following:
1. Single family homes when the property was previously owner-occupied or has not been licensed for 12 months
2. Duplexes and triplexes with separate property ID numbers
3. Condominium, co-op, and townhouse units in buildings with one to five units whose units have separate property ID numbers and have
not had a license within 12 months
Exceptions:
• Certificate of Occupancy issued within three years (new construction)
• Certificate of Code Compliance issued within the 12 months (condemnation, rehab)
• Restoration Agreement completed within 12 months
• Non-profit organizations
• Qualifying relative homestead single family dwellings
• Mixed-use commercial properties (one to four units would be considered a Change of Ownership)
An owner or agent can qualify for a $250 discount on the conversion fee by attending a recognized rental property management course.
Acceptable courses are listed at minneapolismn.gov/inspections/rental.
Spanish - Atención. Si desea recibir asistencia gratuita para traducir esta información, llama 612-673-2700
Somali - Ogow. Haddii aad dooneyso in lagaa kaalmeeyo tarjamadda macluumaadkani oo lacag la’ aan wac 612-673-3500
Hmong - Ceeb toom. Yog koj xav tau kev pab txhais cov xov no rau koj dawb, hu 612-673-2800
Sign Language Interpreter – 612-673-3220
TTY: 612-263-6850
Rental License Application Supplemental Information
Page - 5 - of 5
V2.04
PAYMENT OPTIONS
□ In person at the City of Minneapolis Service Center, Monday through Thursday, 8:00 AM to 4:00 PM, and Friday, 9:00 AM to 4:00 PM:
Public Service Building
505 South 4
th
Avenue, Skyway Level
M
inneapolis, MN 55415
□
By mail, with a check payable to Minneapolis Finance Department,
or the below credit or debit card information, mailed to:
Rental Licensing
Inspection Services
505 South 4
th
Avenue, Room 510A
Minneapoli
s, M
N
55415
MasterCard or Visa only
Card Number _______________________________
Expiration Date ________ CVV ________
□
By secure fax, with the below credit or debit card information:
MasterCard or Visa only
Card Number _______________________________
Expiration Date ________ CVV ________
Secure fax to 612-673-3699
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APPLICATION FOR A RENTAL DWELLING LICENSE RLIC (City of Minneapolis)

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Completed 13 December 2021

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