96-139� , �' I(�` i�`, s jt E
' i`, ? �.i : � ,. t i
counci� File # �G —�.'f �1
Ordinance #
Green Sheet � ���
RESOLUTION
41N� PAUL, MINNESOTA
Presented By
Referred To
�7
Committee: Date
1 RESOLVED: That application (ID #37707) for an Auto Body Repair Garage License applied
2 for by Highland Auto Collision Center DBA Highland Auto Collision Center
3 (John Ritter, President) at 2042 7th Street West be and the same is hereby
4 approved with the following conditions:
1. Landscaping shall be installed by Sune 1, 1996, as shown on the approved
site plan dated, November 10, 1993.
2. The landscaping, once installed, shall be maintained in a healthy
condition. Dead landscaping shall be removed and replaced within either
the growing season it was removed or the next available season.
������ Requested by Department of:
Adopted by Council:
By:
Appr
By:
Of£ice of License, Insnections and
Environmental Protection
n
By: � i
Form Approved by City Attorney
BY= __I�LItL��LZ��I v.^'� i�`��Ir,�
Approved by Mayor for Submission to
Council
By:
Adoption Certified by Council Secretary
s�_ �39
DEPAR7MEM/OFFICFJCOUNCIL pATEINITIATED GREEN SHEE N� 35254
LIEP/Licensing �NtT1AUDATE INITIAUOATE
CAMACf PERSON 8 PHONE O DEPARTMEM DIRECfOR O C1TY COUNCIL
Bill Gunther, 266-9132 "��" OCRYATTOflNEY �CITYCLERK
MUST BE ON CAUNCIL AGENDA BY (DAT� NUYBFA FOR O BUDGET DIRECTOR O FIN. & MGT. SEflVICES DIR.
ROVfING
For hearin : a �I �Ilo ��� OMAYOR(ORASSISTAN'n �
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACT10N REQUESTED:
Highland Auto Collision Center DBA Highland Auto Collision Center requests Council
approval of its application for an Auto Body Repair Garage License at 2042 7th Street West
(ID �137707).
RECOMIAENDnTtONS: Appmve tA) w Reject (R) pERSONAL SERVICE CON7RACTS MUST ANSWER TNE FOLLOWING �UESTIONS:
_ PLANNING COMMISSION _ qVIL SEflViCE COMMISSION 1. Has this persoNfirm ever worked under a contrect for this departmeM? -
_ CIB COMMITfEE _ YES �NO
_ STAFF 2. Has this personffirm ever bee� a city employee?
— YES NO
_ DIS7RICTCOUR7 — 3. Does [his person/lirm possess a skill not normall ossessetl �
y p by any curtent ciry employee.
SUPPoRTSWHICHCOUNCILO&IECTIVE? YES NO
Explafn all yes enswers on separate sheet and aitech to green sheet
INRIATING PROBLEM, ISSUE, OPPORTUNITY (Who, What, When, Where, Why):
A�VANTAGES IFAPPROVED:
DISADVANTAGES IFAPPROVED�
DISAOVANTAGES IF NOTAPPROVED:
�t�L�1��s:. .....a�.,.,_„ "�p`.`�.;���C
c��n3"'J � � �'i�u1^�
TOTALAMOUNTOFTHANSACTION E COS7/FEVENUEBUDGETED(CIHCLEONE) VES NO
FUNDIHG SOURCE AC71VI7Y NUMBER
FINANCIAL INFOBMATION: (EXPLAIN)
Greensheet� 35254 L.I.E.P. REYIEW CHECKLIST Date: 12/2Q/95 [
In Tracket? aPp•n Received / app'n aocessed
`�6—l39
license ID # 3�� lrcense Type: Auto Bodv Renair Gara�e
Company Name: Highland Auto Collisioa ('enter DBA: same
8usiness Addresss: 7th Street West Business Phona: 699-0340
Contact Name/Address: John Ritter, (Pres) Home Phone: 431-4332
1709 Victoria Lane, Burnsville, 55337
Daie to Councl ResearCh: /�
Public Hearing Daie: �- �� 9� Labeis Ordered: ���/7 �
�-
Notice Sent to Applicant: � District Counci! #: ��
� 1 � m, 3�c 3
Notice Sent to Public: ���`�� � � Ward #:
Department/
Attorney
Environmentat
Health
Fire
License
Poflce
Date inspections
I-S-�6
�'�`��
/- !6� �G
l-�`-26
r - c�
Comments
6�
6�
/v f / ' i
� ��n�dS��/�
C+a�O
e�
�K
��D1/J`1 L �
�,�� .
Site Pian Received:
�ase ae���ea:
Zoning � �'Cl��iy' �j Cfj�Gy
`- ! l - 9G �, �,,�,�,,, ,
� "" �h���/'a � �v
=/3 9
CLASS IIT CI'IY OF SAR�T PAUL
LICENSE A.PPLICATION O�ce of License, Inspections
and Environmentat Protection
;5o Sc Paa Si Suiie i0D
$zimPul,?finnaou 35105
(6t.):669090 fax(61:);6�91:A �
TH1S APPLICATION IS SUBJECT TO REVIE�V BY THE PliBLIC ����
PLEASE TYPE OR PRINT IN INK
Type of License(s:
Company IvTame:
If business is incorporated, give daTe of incorporation:
Doin� $usiness As:
�� 9 -d.�s�d
BusinessAddress: o�04�c`� w�� �� cS�/�L `- //�„ SS//(�
Street Address Ciry � J State Zip
Betiyeen what cross streets is the business looated? f¢a�vLP.lL °�'' lZ�t�Ji�/+Wh�ch side of the street? �'p ,
Are the premises now occupied? �`i5 �'Jhat T}pe of Business�? /Y�! ����''I
Mail To Address: ��f �- � 7 �. �- _ _______ _ d�i�`"" Z[.. .S
SVee[ Address
City
State Zip
Applicant Information: } -�
Name and Title: ��/ �'c14.��7 � /G� �lr lL-� L� W.�E����
First / Middi (Maiden) Lazt Tide
Home Address: r70 1 /�/Gy�C'Jl�1- Zl3 l�,�J�f�/tL� Zr.,� SS ���
Sveei Address ` Ciry State Zip
Date of Birth: �- � O`� S Place of Birth: �—� 3� �3 Home Phone: ��/ ` 7�j2.-
Have you ever been convicted of any fe]ony, crime or violation of any ciry ordinance other than traffic? YES _ NO �
Date of arrest;
Charge; _
Conviction:
Where?
Sentence:
List the names and residences of three persons of �ood moral character, ]ivin� within the Twin Cities Metro Area, not re)ated to the
applicant or financially interested in the premises or bnsiness, who may be referred to as to the applicanPs charaMer:
NAME
ADDRESS
1396 !� ? ��i�;
m
List
currently hold, fo:merly he1d, or may have an interest in:
.�.., -- / 0 55.5 td-cve.c�-✓
PHONE
y3 �/90 a
Have any of the above named licenses ever been revoked? _ YES � NO If yes, )ist the dates and reasons for revocation.
Are you going to operate this business personally? � YES _ NO If not, who will operate it?
Fim Name
tnitial
(Maiden)
I,azt
Nome Address; Sueet Namc Ciry State T.ip
Date
Phone Number
Corporation / Partnership / Sole Proprietorshfp
�JG-/39
Are ;�ou going to have a mana�er or assistant in this business? ^ YES � NO tf the manager is not the same as the opei
ptease complete the follo�vin� information:
First �ame Middle Initial (\lziden) Last Date ot Binh
Home Address: Street Tame
Please ]isT yovr employmeni history for the previons five (�) ;�ear period:
Sizie Zip Pbone lumber
Address
IG
Ciq'
List a1t other officers of the corporation:
OFFICER TITLE HOME HOME BUSINESS DATE OF
NAT4B (Office Held) ADDRESS PHONE PHONE BIRTH
If business is a partnership, please inctude the following information for each partner (use additional pa�es if necessary);
Fint 2.`ame
Home Address: Sveet +�'ame
First 7�'ame
Home Address; Sveet Name
Middle
Middie Inifiai
(�faiden)
City
(riaiden)
C;cy
Last
State Zip
Lazt
State Zip
Date of Birth
Phone Numbu
Date of Birth
Phone Numbv
�4
�w
\ r
ti �
MINNESOTA TAX IDENTIFICATION ATUMBER - Punuant to the Laws of Minnesota, 1984, Chapter 502, Article 8, Section 2
{270.72) (Tax Cleazance; Issuance of Licenses), licensin� authorities are required to provide to the State of Minnesota Commissioner
of Revenue, the Minnesota business tax identification number and the social security number of each ticense appiicant.
Under the Minnesota Government Data Praciices Act and the Federal Privacy Act of 1974, we aze tequired to advise you of the
followin� re�arding the use of the Minnesota Tax Identification Number:
- I'his information may be ased to deny the iswance or renewal of your license in the event you owe Minnesota sales,
employer's withholdin� or motor vehic)e excise taaes; �
- Upon receiving this information, the licensin� authority witl supply it only to the Minnesota Depamnent of Revenue.
However, under the Federai Exchange of Information A�reement, the Department of Revenue may supply this information
to the Intemal Revenue Service.
Minnesota Tax Identification Numbers (Sales & Use Tax A'vmber) may be obtained from the State of Minnesota, Business Records
bepartment, 10 River Park Plaza (612-296-618]).
SocialSecurityNumber. �1`73 �76 ��O
Minnesota Tax Identificacion Number. �7d `- 6�'�U
If a Minnesota Tax Tdentification hTamber is not required for the business being operated, indicate so by plac4ng an"X" in
� the box.
��.
9G _ /3 9
ERTIFICATION OF WORKERS' COMPENSA7'ION COVERAGE PURSUANT TO MINNESOTA S7'ATUTE 176.182
I hereby certify that I, or my company, am in compliance tirith the workers' compensation insurance covera�e requirements of
Minnesota Stamte ] 76.182, subdivision 2. I also understand that provision of false information in this certification constitutes suffi cienT
grounds for adverse action against a licenses held, including revocaYion and suspension of said licenses.
Name of Insvrance Company: k�� 'zD
,I ___—_
Policy Number. 0 `� — 0 7� S 3� Co��erage from ��� -° /-�io �-1�—�
I have no employees covered under tii�orkers' compensation insurance
ANY FALSIFICATION OF AA'S\i'ERS GIVEN OR MATERIAL SUBMIT'FED
WILL RESULT TN DEnIAL OF THIS APPLICATION
I hereby state that I have ansH�ered all of the precedin� qnestions, and that the information contained herein is true and correct to the
best of my knowledge and belief. I hereby state further that I have received no money or other consideration, by way of Ioan, gifr,
contribution, or othenvise, other than already disclosed in the application which I here�vith submitted. I a[so understand this premise
may be inspected by police, fire, health and other city officials at any and all times when the business is in operation.
/� /G "7
for all applications} Date
**Note: If this application is FoodlLiquor re]ated, please contact a Ciry of Saint Paul Heahh Inspector, Steve Olson (266-9139), to
review plans.
If any substantial changes to structure are anticipated, please contact a City of Saint Paul Plan Eaaminer at 266-9007 io app]y
for buildin� germits.
If there are any chan�es to the parking lot, floor space, or for new operations, please contact a City of Saint Paul Zonin�
Inspector at 266-9�08.
AddiYional application requirements, please ariach:
A detailed descripfion of the design, location and square Pootage of the premises io be licensed (site plan).
The following data should be on the sife plan (preferably on an 8 1/2" x 11" or 8 1/2" x 14" paper): y �,,,, y �,,�
- Name, address, an@ phone number. ,�i __
- The scale should be stated sach as 1" = 20'. ^N shou)d be indicated toward the top. �����
- Placement of all peKinent features of the interior of the licensed facitity svch as seating areas, kifchens, offices, repair
area, parking, rest rooms, etc. '
- If a request is for an addition or expansion of the licensed facility, indicate both the current area and the propose�
expansion.
A copy of your lease agreement or proof of ownership of the property.
FOR SPECIFIC APPLICATION REQUTREMENTS, PLEASE SEE REVERSE >>>>