96-1470 ,_ _ , � F Council File # '� '� i�
... . , � . "7 �
°� • �-.n Ordinance #
Green Sheet #
RESOLUTION .
CITY OF SAINT PAUL, MINNESOTA '7�
Presented By �in.r,y � .�,�
Referred To Committee: Date
i RESOLVED: That application(ID #14447)for a Restaurant-B and On Sale Ma1t License by Sgt
2 Peppers Inc. DBA Angelo's Pizza(James Hafiz, Owner) at 277 McKnight Road South
3 be and the same is hereby approved.
4
5 Requested by Department of:
6 �ays Absent
7 B a �y
8 Guer.�n Office of License, insgections and
9
10 Me a Environmental Protection
12 T une � �
13 Bostrom �
14 . � �
15
16 Adopted by Council: Date �c.v ��.�°19(„ By'
17
18 Adoption Certified by Council Secretary
19 Form Approved by City Attorney
20
21 By: �- . By:
22 /�
23 Approved by Mayor: Date 1� �( %
24
25 � y ���^�'J Approved by Mayor for Submission to
26 By: E� Council
27
By:
\�M� �� 10
LIEP/Licensin ��fN'� D GR�EN SHEET , _N_ 3 5 4 6 4
�` a DEPIiRTMAENT WRECTOR��� �cm couNCa -- �rrmwa►r�
Christine Rozek 266-9108 Ae�" �C�YATT�ORNEY �cirvc��nc
n. ��RO" �euoo�r aRECroR ��.a Mc�:seavices aR.
For hearin : i�I a� qe °"°ER ❑"u'`"c�a�°p'''ss�ar'°"T� ❑
TOTAL#►OF 8KiNATUIiE�GE$� (CLIP ALL LOCATIONS FOR SIGiNA7UR�
ACfION REOUEBTED:
Sgt Peppers Inc. DBA Angelo's Pizza. requests Coiincil approval of its application for an On
Sale Ma.lt (3.2j and R�staurant—B License at 277 McKnight Road South (ID #14447�.
RECOMA�[�CTIONB:Approv�(A)a RNect(R) PERSONAL sERVICE CONTRACTS M!!�T ANSiNER TNE FO�LOMflNO OUE�'f10NS:
_PLANNx�CONNYu88WN �Clvll SERVICE COMMI8810N 1. Hes th�persoMirm ever worked untla►e contract for NNtdoperUn�nt? .
_CIB COMMIITEE _ YE8 NO
2. Hes this peroonRinn ever besn s dty emplayee,?
—�� — YES NO
_OISTRICT COURT _ 3. Does this pereonlfirm possess�skill not normeMY Doeeeeesd bY�Y�+��Y��
8UPPOR'TS WHN�iCOl1NCIL OB.IECrn/E4 YES NO
Expldn NI ya snsw�n on s�anb shMt�d att�ah to prwn�t
n��rurwo�oet�.�.o�onruNmr�wno.vN,.�,wr�n,whsr.,wnrr:
' �������
�
SEP �g �
���� A�.
t�RHEY
ADVANTA�E8 IF APPRONED:
C�WnC� [�s�arch �
OCT 2 2199�
.___.___________
ois�owwr�s iF�a
DISADYANTIU�ES�NOT APPF�VED:
TOTAL AMOUNT OF T11AN3ACTION S C06T/REY�IUE BtlG<iBTEp(CMCLE ONE) YES NO �
FUNDIHO SOURCE ACTIVITY NUMOER
FlNANCIAL INFORMATION:(EXPLAIN)
Greensheet # 35464 L.I.E.P. REVIEW CHECKLIST Date: 9/11/96 �
In Tracker? App'n Received / App'n Proce
� ��
License ID # 14447 License Type: On Sale Malt (3.2 and Resta ra -
Company Name: Sgt Peppers Inc. pgq; Angelo�s Pizza
Business Addresss: 2�� McKnight Road S, 55119 Business Phone: 739-2550
Contact Name/Address: James Hafiz Home Phone:
Date to Council Research:
Public Hearing Date: 2 Labels Ordered: ����9�
Notice Sent to Applicant: �� District Council #: f
/� �,`� ,�/��
Notice Sent to Public: �U � '7`��� Ward #: _,�
Department/ Date Inspections Comments
�
City Attorney
� 9!� O�� -
Environmental
Health
1 D 15 �� � '
Fire
�►lE� o � -�---
License Site Pian Rece��ed:
Lease Received:
� � a"� '`� (v ��L
Police
D , •
Zoning
10 1 �'�� D, � .
' �,_. _� l �f%y"/
CLASS III CITY OF SAINT PAUL
LICENSE APPLICATIUN Office of Liccnse.��t�o�s
and Em•ironmcntal Protection
350 S�Paa St Suite?00
Siim Psul.�1ir.ncsau�5102
(612)2669@90 fu(F12):66•9i2�
-=- q � -14'1 �
TH1S APP I 'TIO'�'IS S 7E TO W BY PL' LIC
PC�f'� OR PRII�''I'L'�i L\'I���� !
't c
Type of License(s)being applied for: ' R
Company:�ame:
Corporation/P ership/Sole Proprietorship
If business is incorporated,give date of incorporation: � 7
Doing Business As: Q /a � � • Business Phone: �.�9 � r.r0
Business Address: 7 � •
Saeet Address Ciry Sute Zip
Betv�•een v��hat cross streets is the business located? �/� Wtvch side of the street? ��,�_
Are the premises now occupied?�� V�'hat T}�pe of Business? /s L�, � .���f�A �
'�4ai1 To Address: a 77 csD i ��i�1�1�g�f' �/�� /�� S.��� 1
Sacet Address City Sute Zip
Applicant Information:
:�anx and Title: ��rltts ���r�1s ��a�Z � Ow� I'
First Tiiddle + (Ttaiden Last 'fitle
Home Address: ��
Ciry Sute Zip
Date of Birth: � �� �� Place of Birth: � Home Phone:
Have you ever been convicted of any felony,crime or violation of any city ordinance other than traffic? YES_ TO�
Date of arrest: Vr'here? �
Chuge:
i � I
Con�•iction: Senteace:
List the names and residences of three persons of good moral cbaracter, li�•ing w•ithin the Twin Cities Metro Area, not related lo the
applicant or financiatly interested in tbc premises or business,w�ho may be referred to as to t6e applicant's chazacter:
NAME ADDRESS PHOr
� c�soN �
-
, List licenses v��hich you curready hold,fotmerly beld,or may have an interest in:
Have any of the above named licenses ever been revoked? YES NO If yes,list the dates and reasons for revocation:
Are you going to opente this business personally? ,�,YFS NO If not,w�ho will operate it?
3`
First Tarne Middle Initial (Aiaidrn) last Date of Birth
Home Address: Strr.et T�ame Ciry Sute Z�p Phone Number
Are�•ou going to ha��e a manaEer or assistant in th�s bttsiness'�� YES �.1`O If the manager is not the same as the operata�j,� � T1
� �
complete the follow•ing information:
Frst:�'ame Aiidd)e Initial (�taiden) Lact Date of Binh \
Home Address: Sveet:�ame Gity State Zip Phone Number
Please list your emplo��ment history for the pre�•ious five(�)}•ear period: �` . 1y�O
Business/Emplo�Tnent ddres
�nc,�/o t �i2 L`t G,�.r ,
List all other officers of the corporation:
OFFICER TITLE HOME HOr� BUSI:��SS DATE OF
Np,�ZE (Office Held) ADDRESS PHOTE PHO\'E BIRTH
If business is a parmership,please include the following information for eac6 partner(use additional pages if necessar}'):
F�i�� ;�4iddle lnitial (Tiaiden) LaSt Date of Binh
Home Address: Strcu'�ame Ciry State Zip Phone Number
F-�i;�� Aiiddle lnioal (Maiden) Last �Dau of Binh
Home Addr�ss: Saea Tame City Sute Zip Phone Number
MII�T'ESOTA TAX IDENTIFICAT'IO\'I�'UMBER-Pursuant to the Laws of Minnesota, 1984,Chapter 502,Article 8,Section 2(270.72)
(Taz Clearance;Issuance of Licenses),licensing autborities are required to pro�•ide to tbe Scate of Minnesota Commissioner of Revenue�
, , t6e Minnesota business tax identification number and the social security number of eac6 license applicant
Under the Minnesota Govemcnent Data Practices Act and tbe Federal Privacy Act of 1974,we aze required to advise you of the fo1loW�ing
regarding the use of the Minnesota Taz ldentificadon Number:
-This information may be used to deoy the issuance or renewal of your license in the event you oW�e Minnesota sales,employer s
w�ithholding or motor vehicle ezcise taxer,
-Upon receiving this information,the licensing authority will supply it only to tbe Minnesota Department of Revenue. However,
undet the Federal Exchange of Information Agreement,the Deparement of Revenue may supply this information to the Internal
Revenue Service.
Minnesota?ax Identification Numbers (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business Records
Department, 10 River Park Plaza(612-296-6181).
Social Securiry Number: � ���
Minnesota Taz Tdentification Number: ,"'�� � �� '
lf a Minnesota Taz Identification Number is not required for the business being operated,indicate so by placing an"X" in the
boz.
v � � RTIFICATIO\ OF WORKERS'CO'�'IPETSATION CO��� �� �� r
��
�'o ' ' RAGE PI,�UA.\?TO MII�'1�'ESOTA STANTE 176.182
w. 1 hereby certify that I,or my company,am in compliance v�•ith the v��orkers'compensation insurance co��erage requiremenu of:�4innesota
�x Statute 176.182,subdi�•ision 2. I also understand that pro��ision of false inforn�ation in this certification constitutes sufficient grounds for
ad��erse action against all licenses held,including revocation and suspensiun of said licenses. � � - 1 �^�
� . � II
1�'ame of Insurance Company:
Policy Number: Corerage from to
I ha�•e no employees co��ered under�•orkers'compensation insurance •
A'�Y FALSffICATION OF A\S`�'ERS GI�'EN OR AIATERIAL SUB:��TTED
R'II,,L RESULT IN DE\7AL OF THIS APPLICATION
I hereby state that I have answered all of tbe preceding questions,and that the information contained herein is true and correct to the best
of my knoWledge and belief. I hereby state further that I ha�•e received no money or otber consideration,by v��ay of 1oan,gift,conu-ibution,
or otberwise,other than already disclosed in tbe application w•hich I herewith submined. I also understand this premise may be inspected
bp police,fue,health and other city officials at any and all times v��hen the business is in operation.
� Signatur QliIRED for all applications ate
**:�ote: If this application is Food/Liquor related,please contact a City of Saint Paul Health Inspector,Steve Olson(266-9139),to re.�iew
plans.
lf any substantial changes to swcwre are anticipated,please contact a City of Saint Paul Plan Ezaminer at 266-9007 to apply for
building permiu.
If there are any changes to the parking lot,floor space,or for new operations,please contact a City of Saint Paul Zoning Inspector
at 266-9008.
Additional application requirements,please attach:
A detailed description of the design,location and square footage of the premises to be licensed(site plan).
The[ollo�ing data should be on the site plan(preferably on an 81/Z"a 11"or 81R"a 14"paper):
-T'ame,address,and phone number.
-The scale should be stated such as 1"=20'. ^N should be indlcated toward the top.
-Placement of all pertinent features of the interior of the licensed facility sach as seating areas,kitchens,ofGces,repair
area,parking,rest rooms,etc.
- If a request is for an addition or e�cpansion oi the licensed facility, indjcate both the current area and the proposed
expansion.
A copy of 3•our lease agreement or proof of ow�nership of the property.
FOR SPECIFIC APPLICATION REQUIREIIZENTS, PLEASE SEE REVERSE >>>>