96-712`R�GINAL
Council File � 1�� \�
ordinance #
Green Sheet # ����
RESOLUTION
OF SAINT PAUl1, MINNESOTA
Presented By
Referred To
s3
Committee: Date
1 RESOLVED: That application (ID #47564) for a Sunday On Sale Liquor, Entertainment-A,
2 Gambling Location-A, Restaurant-B, and Liquor On Sale-C License by Coach's
3 Pub, Inc. DBA Coach's Pub (Paul Droher, President) at 1192 Dale Street North
4 be and the same is hereby approved.
5
6 Requested by Department of:
7 Yea Nays Absent
8 B a e. c� �
9 Guer_� Office of License Insnections and
10 Harris �
11 � ar -�� Environmental Protection
12 Re t� man
13 T un� -�
14 Bostrom
�— � O 1 �
16 By: �I1 �� �.xr�
17 Adopted by Council: Date `3 ` (
18 �
19 Adoption Certified by Council Se etary
20 Form Approved by City Attor ey
21
22 By: R - — a . �
23 ` By:
24 Approved by Mayor: Date �d �
25
26 � �.��� '`^V'^' J Approved by Mayor for Submission to
27 By . Council
28
By'
9l.-'l��
DEPAqTMENi/OFFICE/COUNCIL DATE INITIATED GREEN SHEE �O 3 5 2 8 7
LIEP/Licensing �' iNmawaTe iumnvonre
CONTACT PEflSON 8 PHONE a DEPARTMEMDIREC�OR � CITY CAUNCIL
Christine Rozek 266-9108 "�'�" �cmnrroaNEV Ocmc�r+K
NUYBEfl FON
MUST BE ON COUNCIL AGENDA BY DATE� p�M� � BUDGET DIRECTOfl � FlN. & MGT. SERVICES DIF.
r'OI hearin : � ��� Q�YOR(OPASSISTANn O
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATUR�
ACf70N REQUESfED:
Coach's Pub, Inc. DBA Coach's Pub requests Council approval of its application for a Sunday
On Sale Liquor, Entertainment-A, Gambling Location-A, Restaurant-B, and Liquor On Sa1e-C
License located at 1192 Dale Street North (ID 1E47564).
RECOMMENOAnONS: Approve (A) m Reject (R) pERSONAI SERYICE CONiRACTS MUST ANSW ER TXE POLLOWING QUES710NS:
_ PLANNING COMMISSION _ CIVIL SEflVICE COMMISSION �� H25 Ni5 PCfWnffiml BVBf WOlked undef a CoM2Ct fOr dlis dep2Mlent?
_CIBCOMMITTEE YES �NO
_ S7AFF 2. Has this person/firm ever been a city employee?
— YES NO
_ DISiRICT COURT — 3. Does this pereoMirm possess a skill not normally possessed by any Current ciry employee?
SUPPQRTSWHICHCOUNCIL�&IECTIVE? YES NO
Explain all yes answers on separate sheet and atteeh to grean sheet
INITIATMG PROBLEM, ISSUE, OPP�RTUNITY (Wlw, What. Whan, Where, Why): F �. T, ii � ��
R�` tF'.��
RPR 15 199�
CIT�� ���`� � Y
ADVANTAGESIFAPPROVED.
DISADVANTAGES IFAPPROVED:
DISADVAMAGES �F NOT APPROVED:
+.��
���s� � � ����
TOTAL AMOUNT OF TRANSAC710N S COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIfdG SOURCE ACTIVITY NUMBER
PINANCIAL INFORMATION: (EXPLAIN)
Greensheet # 35287 L.I.E.P. REVIEW CHECKLIST
In Tracker?�
License ID # 47564 License Type: SundaY On Sale Li uor
o�ion- , estaurant
Company Name: Coach's Pub DBA: C
Date: 4/10/96 � F�� 1,�
App'n Received / App'n Processed
Business Addresss: 1192 Dale Street N Business Phone: 489-4720
Contact Name/Address: Paul Droher, 5570 Park P1 Dr. , 117 Home Phone: 483-9929
Date to Council Research:
Public Hearing Date: �O Z � � �
Notice Sent to Aoolicant: ������
,oi.�- o?s�9�3a�oiv, �-s� 9��2� �
Labels Ordered: �l�s���
District Council #: �
- ��� .�; 5
Notice Sent to Public: �� U � Ward #:
Department/ Date Inspections Comments �
Cfty Attorney �. � .
�{ • 30 - 910
Environmental 4 ��
Health � �G � ,���� � (�,�0�-2.�
�� � � �
Fire �•� "
� .� •��
tt� t�'�'� �t��g a
License �.�, O � � �� � Site Plan Received: ��
1 � Lease Received: ,O }�
S Z� �i � � � � �� C � �
�..p ���.� --
� � I�.�e�s �-`� �`�-,�-,�,�
Police /.� _ 2 3—� �O �. �C . G�Y Ix7'f'. �f�l� --'
Zoning c � ! � �.�''. L. � .$ ,
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SAINt
PAOL
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AAAA
CLASS III
LICENSE APPLICATION
PLEASE TYPE OR PRINT IN II3K
Type of License(s) bein� applied for:
��
Company Name: _ � �7 /� c /l �s � P(/�'j T��C —
Corporation / Pannenhip / Sole Preprietorship
If business is incorporated, �ive date of incorporation: �j
Doing Business As: (, �7A� �� �//� Business Phone: y�� •�
Business Address: /� > ��/� _�� � � � � � Sr' �� ��� pl/fN r� //�
Street.4ddress Ciry State Zip
Behceen �vBat cross streets is the business bcated? �O/�,V r_ R�� M!}�'L fl,�l�rtjch side of the street? �/� S' �
Are the premises now occupied� ��_ What T�pe of Business� �! F S T"/� ///i /���' 9�- ��/„$'q / E L/(��
MailToAddress: �� ��c2. i{/0 /)A/ F ..5� '7" n/} L f��f .5,��/ T^
Sveet .4ddre55 Ciry State Zip
Applicant Information:
Name and 7itle: l�p [/L r �/�/ly��� �,�� S
F�rst A7iddie (1.7aiden) Last Titie
Home Address: S.� �f, / fl � f j 1. 8j GF /��'fV F S% �✓# vC. /�f.{/ S 3 //'J
Sveet Address City $tate Zip
Date of Birth: .3�' `J –�� Place of Binh: -s �i '�/� VL, Home Phone: 'i��.l ' 9�/,�9
Have you ever been convicted of any felony, crime or violation of any city ordinance other than traffic? YES NO X
Date of arrest:
Charge: _
Conviction:
Sentence:
THIS APPLICATTON IS SUBJECT TO REVIEW BY THE PUBLIC
1Vhere?
List the names and residences of three persons of �ood moral character, living within the Twin Cities Metro Area, not related to the
app]icant or financial3y interested in the premises or business, who may be referzed to as to the applicant's character:
�
NAME
N
� �`" 1�� �
PHONE
.1sA /Y//M Ytt 9tC— ✓S H>'Y Gb� /LI' .g4x�4 31ao Kr OR v� a q�'
List licenses which you currently hold, formerly held, or may have an interest in:
F�i; Mf—�r�' N�zD /3�l/.SA � r' LiP� ��aR Gic�a�E �r s,yinF f}-DO/�r <
Have any of the above named licenses ever been revoked? _ YES J( NO If yes, list the dates and reasons for revocation:
Are you going to operate this business personaliy? .Y YES _ NO If not, who �vill operate it?
Firsi Name Middk Initial
Home Address: Sveet Name
(Maiden)
Ciry
LaSt
C1TY OF SAINT PAl
Office of LiccnSe, Inspeciions
and Enrironmen7al Protetiion
i50 5� Pna St Sui�e i00
Saint Paul,}finnesau 55103
(6I2) 264W90 fu (61?) 266913i
Date of Sinh
State Zip PM1one Numbe�
� � �—
Are you going to have a manager or assistant in this business? _ YES � NO
please complete the following infonnation:
t�rst Name
Home Address: SVeet 1.'ame
Dliddie Initial
(�faiden)
City
r N U� b ;,.
Q U A w o
r T N '� d
If the manager is not the same as the ope,'�"� d F �
� � c o
on
°Il.-'ll
L3t1 Dateo(Binh �
Slate
Please list your employment history for the previous five (5) � period:
Busin ess/Em �lo�7n ent
List all other officers of the corporation:
OFFICER TITLE
NAME (Office Held)
Address
Zip Phone humber
HO��fE HOME BUSINESS
� �GncF— PHOI�'E PHONE
DATE OF
BIRTH
If business is a partnership, please include the follo�� in� infonnation for each partner (use additiona] pages if necessary):
First Tame
Tliddle Initial
Home Ad'dress: Sveet 1.'ame
First 1�'ame
Middie initial
Home Address: Sveet Name
(�faiden)
CiTy
(Maiden)
City
Lazt
State Z{
Lu[
State ZiP
Date of Binh
Phone \umber
Date of Binh
Phonc Number
MINt�'ESOTA TAX IDENTIFICATION r�1.JMBER - Pursuant to the Laws of Minnesota, 1984, Chapter 502, Article 8, Section 2
(270.72) (Tax Clearance; 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 license applicant.
Under the Minnesota Govemment Data Practices Act and the Federal Privacy Act of 1974, we are required to advise you of the
follo«�ing 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 withholdin� or motor vehicle excise taxes;
- Upon receivin� this information, the licensin� authority w'sll supply it only to the Minnesota Department of Revenue.
However, under the Federal Erchan�e of Information Agreement, the Department 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).
Social Security Number: �/ ��' � b 9(,' 3 (e
Minnesota Tax Identification Number: 0� ��� j� �
_ If a Minnesota Tax Identification Number is not required for the business being operated, indicate so by ptacing an "X" in
the box.
. „/ . b o , �,.,-
oi`FICATION OF ��ORKERS' COMPENSA710N COVERAGE PURSUAN"C TO MINNESOTA STATUTE 176.182
nereby cenify tl�at I, or my company, am in compliance ��ith the workers' compensation insurance coverage requirements of
�Ivlinnesota Statute 176.182, subdivision 2. I also understand that provision of false information in this certification constitutes sufficient
� grounds for adverse action against all licenses held, including revocation and suspension of said licenses. a/ 1 ''�
Name of Insurance Company: 1�o � 1`�
Policy Number:
Coverage from to
I have no employees covered under « compensation insurance �_
ANY FALSIFICATION OF ANSNERS GIVEN OR RIATERIAL SUBA4ITTED
�VILL RESULT IN DENIAL OF THIS APPLICATION
I hereby state that I have ans��ered all of the precedin� questions, and that the information contained herein is true and correct to the
best of my l:nowled�e and belief. I hereby state further that I have received no money or other consideration, by way of loan, gift,
contribution, or othern�ise, other than already disclosed in ihe application which I herewith submitted. I also understand this premise
may be inspected by police, fire, health and other city officials at any and all times �vhen the business is in operation.
r
�7'I �
Si�nature (REQUIRED for all applications) Date
* 'Note: If this app]ication is Food/Liquor related, please contact a City of Saint Paul Health Inspector, Steve Otson (266-9139), to
review plans.
If any substantial changes to shvcture are anticipated, please contact a City of Saint Paul Plan Examiner at 266-9007 to apply
for buitding permits.
If there are any changes to the parking )ot, floor space, or for new operations, please contact a City of Saint Pau] Zonin�
Inspector at 266-9008.
Additiona] application requirements, please attach:
A detailed description of the design, location and square footage of the premises to be licensed (site plan).
The follo�ving data should be on the site plan (preferably on an 8 1/2" x 11" or 8 I/2" x 14" paper):
- A'ame, 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 of the licensed facility such as seating areas, kitchens, 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 proposed
espansion.
A copy of your lease agreement or proof of o�r•nership of the property.
FOR SPECIFIC APPLICATION REQUIREMENTS, PLEASE SEE REVERSE >>>>
�