96-235Council File # �- a 3 S
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. ., . . `a . . .
Presented By
Referred To
Ordinance #
Green Sheet # ��� ��
RESOLUTION
OF SAINT PAUL, MINNESOTA
Date
0
1 RESOLVED: That application (ID #50543) for a New Motor VehiCle Dealer License by Twin
2 Cities Wrecker Sales, Inc. DBA Twin Cities Salvage Pool (Richard Pellow,
3 President) at 1280 Jackson Street be and the same is hereby approved.
4
S Requeated by Department of:
6 NaVg Absent
7 B a ey
8 Guerz'ry Off�ce of License Inspgct�ons and
9 H r
10 Me a Environmental Protection
12 Thune _T
13 Bostrom ✓
15 M�. � � � BY: ��.�'��'��rn-�>�
16 Adopted by Council: Date 1q��
i� � -�F
18 Adoption Certified by Council Secretary
19 Form Approved by City Attorney
22 $Y: ����p BY: Ut.Y � �.xx�-
23 Approved by ayor: Date V
24
zs Approved by Mayor for Submission to
26 BY: „!i Council
27
By:
�i � -�.'35
DEPARTMENT/OFFICFJCAUNCIL DATE INIT�ATED GREEN SHEE �O 3 5 2 7 6
LIEP/Licensing INff1AVDATE INR�AL/DATE
CON7ACf PEFSON 8 PHONE � DEPARTMENT DIRECTOR � CT' CAUNGIL
Bill Gunther, 266-9132 ���N �CT'ATfORNEY �CRYCLERK
NUYBERFOA
MUST BE ON GOUNCIL AGENDA BY (DATE) C pOUTING O BUDGET OIRECTOfl � FIN. & MGT. SERVICES Dlfi.
F'OI hearing: �j (p `� OPDER �MpVOFiIOFAS5ISTANn O
TOTAL # OF SIGNATURE PAGES (CLP ALL LOCATIONS FOR SIGNATl1RE)
AGT10N flE�UESTED:
Twin Cities Wrecker Sales, Inc. DBA 'ltain Cities Salvage Pool requests Council approval of
its application for a New Motor Vehicle Dealer I.icense at 1280 Jackson Street (ID i650543).
RECOMMENDA710NS: Appmve (A) or Rejea (R) pERSONAL SERYICE CANTRACTS MUST ANSWER TXE FOLtOWING �UESTIONS:
_ PLANNING COMMISSION __ CML SERVICE COMMISSION �� Has this persoNfirm ever worked under a coMract for this tlepartment? �
__ p6 COMMITTEE YES NO
` 2. Has this personHirm ever been a cRy employee?
__ STAFF _ YES NO
, DIS7RIC7COUR7 _ 3. Does this person/firm possess a skill not normall ossessetl �
y p by any curteM city employee.
SUPPORTSWHICHCOUNGILOBJECTIVE? YES NO
Explain all yas answers on separate sheet antl ettach to green sheet
INITIATING PROBLEM, ISSUE, OPP�RTUNIN (WM, W�at. When, Where, Why):
R�cErvED
��o� �
���� ��TORNEY
ADVANTAGES IFAPPROVEO:
DISA�VANTAGES IFAPPROVED.
DISADVANTAGES IF NOT APPRWED:
, � �;' �
`�vac'K �ck�s�°a'i`�'n�� �R"`����
s� �. � �.".,.�
'SJ�
TOTAL AMOUNT OF TpANSACTION $ COST/REVENUE BUDGETED (CIFiCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFOFMATION: (E%PLAIN)
Greensneet # 35276 L.I.E.P. REVIEW CHECKLIST pate: 1-26-96 �� �'' a 3S
In Trackef? ApP'n Received / ApP'n Processed
License ID # 5051+3 License Type: New Motor Vehicle Dealer
COmpany Name: 1t�rin Cities Wrecker Sales, Inc. DBA: �ain Cities Salvape Poo�
Business Addresss: 1280 Jackson St, Ste B Susiness Phone: 488-4210
Contact Name/Address: Rich Pe11ow. 1471-18th St NW Home Phone: 633-7052
Date to Council Research: New Brighton 55112
Public Hearing Date: �- � �d Labels Ordered:
Notice Sent to Applicant: 4istrict Council #:
Notice Sent to Public: 1 � Ward #:
Department/ Date Inspections Comments
City Attorney
� �
Enviranmentat
Heaith ^ ,� n
�,� �+
Fire
� l�
License G Site Plan Received:_
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Police
�1L
Zoning
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/(/,�L�� '��/�� (/�h--- /✓L��. 5 �/ � �US ��
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CLASS III ��"`�� CITY OF SAINT PAUL
� LICENSE APPLICATION ��� of License, Inspections
and Environmental Ptotection
;505�PnaKS�n�;00 �G_�35
Ssint Pml, Mivnesota 55702
(613) 3669090 fix (613) 266-913d
n
THIS APPLICATION IS SUB.TECT TO REVIEW BY THE PUBLIC
PLEASE TYPE OR PRINT IN INK
Type of License(s) bein� applied for:
Company Name:
/ Partnership / Sole Proprietorship
If business is incorporated, give date of incorporation:
Doing Business As:
Business Address:
SVee[ Address
Between whac cross streets is the business located?
Are the premises now occupied?
Mail To Address:
Sveet Address
Applicant Information:
Name and �
City State Zip �
-- �C�/!�� 11�.��i �
1� � Lazt -- � Tide
Home Address: �f�'�/— �X g'J� /j/l1'J /(J�GlJ ��r' C>!/17)�U �J'/j�1//Jl `.,75//'�L'
�� StreetAddress Ciry Sute Zip
Date of Birth: �� 2' Place of Birth: Home Phone: 6,��'i ��D�
Have you ever been convicted of any felony, crime or violation of any city ordinance other than traffc? YES V NO �
Date of arrest:
Charge: _
Conviction:
�
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2 �9�5 ,�nJ� � „ �. �
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3 � "' °
7 /� 7,� � • � =.�
Business Phone: �����!/f1
�,�E� L /�7i�/,� �'//7
����� Ciq• Stare Zip �
�Which side of the street? �
\Vhat Type of Business?
Where?
Sentence:
List the names and residences of three persons of good moral character, living within the Twin Cities Metro Area, not related to the
applicant or financially interested in the premises or business, who may be refened to as to the appticant's character:
NAME
ADDRESS
PHONE
List licenses which you currently hold, formerly held, or may have an interest in:
sr�r� �n�A�E.e /�� �ya-��
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 operate this business personalty? � YES
First Name
Home Address: SVeet Name
Middle Initial
(Maiden)
Ciry
NO If not, who will operate it?
Lz<t
Swte
Date of Binh
Zip Phone Numbef
/-��/—�(�
Are you going to have a manager or assistant in this business? � YES
�l� complete ti�e fo3lowing information:
Snilial
Narnc
Please ]ist your employment history for the previous five (�) year period:
BusinesslEmnlovment
N If the mana er is not the same as thea
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.�D//� 7�r—GJ5
State Zip — �one Number
Address
/a�U ✓f'iC,�YS�� � rSr_ �fJcl�
List all other officers of the corporation: .
OFFICER TITLE HOME HOME BUSINESS DATE Oc
NA E (Office Held) ADDRESS PHONE PHONE BIRTH
✓ �Ci2 �P� � G�vti !) � /
� �LY��J /
6
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If business is a partnership, please include the following information for each partner (use additional pa�es if necessary):
First Name
Middle Initial
(Tiaiden)
Ciry
(Tfaiden)
City
Last
Sute Zip
Last
Date of Binh
Phone Number
Date of Binh
Phone Number
Home Address: SVeet Name
Firs[ Name
Middle Initial
Home AddresS: Street Narne
Siate Zip
MINNESOTA TAX IDENTIFICATION NUMBER - Pursuant to the Laws of Minnesota, 1984, Chapter 502, Article 8, Section 2
(270.72) (Tax Clearance; Issuance of Licenses), licensing authorities are required to provide to the State of Minnesota Commissioner
of P.evenue, tl:c *din^esota busines� ?a:; id�,^.*.ificz?icn r.•amber ar.d ?h 5'�C.ffI 5?CU�Ih' IIC!!IhP� �r' Pa�h Gce*±re a�p]ican:.
Under the Minnesota Govemment Data Practices Act and the Federal Privacy Act of 1974, we are required to advise you of the
£oilowing regarding the use of the Minnesota Tax Identification Number:
- This information may be used to deny the issuance or renewal of your license in the event you owe Minnesota sales,
employer's withholding or motor vehicle excise taxes;
- Upon receivin� this information, the licensing authority will supply it only to the Minnesota Department of Revenue.
However, under the Federat Exchange of Information Agreement, the Depamnent of Revenue may supply this information
to the Intemal Revenue Service.
Minnesota Tax Identification Numbers (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business Records
Department, 10 River Park Plaza (612-296-6181).
Sociai Security Number: �.� vCd ��/�
Minnesota 7'ax Identification Number:
_ If a Minnesota Tax Identification Number is not required for the business being operated, indicate so by placing an "X" in
the box.
ATION OF WORKERS' COMPENSATION COVERAGE PURSUANT TO MINNESOTA STANTE 176.182
certify that I, or my company, am in compliance with the workers' compensation insurance covera�e requirements of
ta Statute 176.182, subdivision 2. I also understandthat provision of false information in this certificationconstitutes sufficient
s for adverse action ao inst 11 licenses held, in udin� revocation and suspension of said licenses, G � r � a ��
e of Insurance C mpany: �t�� ��J'/�/�L ���i' ``� �
olicy Number. �'i �� Covera�e from v 7 I to / 9�
/
I have no employees covered under workers' compensation insurance _ ,
ANY FALSIFICATION OF ANStiV£RS GIVEN OR MATERIAL St3BMITTED
WILL RESULT IN DEA'IAL OF THIS APPLICATION
I hereby state that I have a�swered all of the precedin� 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 have received no money or other consideration, by way of loan, gift,
contri6ution, or �thervise, o*h=; ?hae alreac�y disclesed in the a�plicat�on which I herewith subinitted. I aL=e undexstand this premise
may be inspected by police, fire, health and other city officia]s at any and all times when the business is in operation.
� „�����---� , � � ��/��
(REQUIRED for all applications) Date
**Note: If this application is Food/Liquor related, please contact a City of Saint Paul Health inspector, Steve Olson (266-9139), to
review plans.
If any substantial chan�es to structure are anticipated, please contact a City of Saint Paul Plan Examiner at 266-9007 to apply
for building permits.
If there are any chan�es to the parking lot, floor space, or for new operations, please contact a City of Saint Paul Zoning
Inspector at 266-9008. '
Additianal application requirements, please attach:
A detailed description of the design, location and square footage of the premises to be licensed (site plan).
The fuflowing data shnuld be on the site plan (preferably on an 8 1!2" x 11" or 8 1/2" x 14" paper):
- Name, address, and phone number.
- The scale should be stated such as 1" = 20'. ^N should be indicated toward the top.
- Placement of all pertinent features of the interior otthe licensed facility such as seating areas, kitchens, offices, repair
area, parking, rest rooms, etc.
- If a request is for an addition or ezpansion of the licensed facility, indicate both the current area and the proposed
expansion.
A copy of your lease agreemenf or p�oof of ownership of the property.
FOR SPECIFIC APPLICATION REQUIREMENTS, PLEA5E SEE REVERSE >>>>