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96-898\l 1 S� V S�`L � b.� Council File # ��=�� ordinance # Green Sheet # `�� Presented By Re£erred To 50 Committee: Date 1 RESOLVED: That application (ID #30828) for a Cigarette, Entertainment-A, Sunday On Sale 2 Liquor, Restaurant-B, and Liquor On Sale-B License by The Vintage, Znc. DBA 3 The Vintage (Troy DeWitt, President� at 579 Selby Avenue be and the same is 4 hereby approved. 5 6 Requested by Department of: 7 Yeas a s Absent 8 B a -- 9 Guerin Office of License Inspections and 10 Harris 11 �M_e�a�r �� Environmental Protection 12 Re t� man 13 Thune 14 Bostrom 15 /Z 1 ��t� � �� 16 1 � V 17 Adopted by Council: Date B y ° `� 18 19 Adoption Certified by Council Secretary 2 0 Form Approved by City Attorney 21 � 22 By: <`� �- � iv- By. �� \ � 23 � \J 24 Approved by Mayor: Date T�l) 25 26 �'! ` Y ' ,� ,,,,, Approved by Mayor for Submission to 27 $Y- �� Council 2S RESOLUTION CITY OF SAINT PAUL, MINNESOTA Bye 9G-�9�' DEPARTMENT/OFFICFJCOUNCIL DATE INRIATEO GREEN SHEE N� 3 5 2 9 7 LIEPjLicensin ' wrtinware � iNrrv,ware CANTACf PEFSON & PHONE O DFPARTMENT �IRE � CRY CAUNpI Christine Rozek, 266-9108 ASSIGN �CITYATlORNEY �CITYCLERK NUYBFA FOH MUST BE ON CAUNCIL AGENDA (DA ppM� � BUDGET D�RECTOR � FlN. & MGT. SERVICES DIP. �'OL hearing: g 'J�q� ONDER �MpYOR(OpASSISfANn � TOTpL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS POR SIGNATURE) ACT10N REpUESfED: The Vintage, Znc. DBA The Vintage requests Council approval of its application for a Cigarett Entertainment-A, Sunday On Sale Liquor, Restaurant-B, and Liquor On Sale-B License at 579 Selby Avenue (ID 1130828). RECpnMENDATIONS: Approve (A) a Rejee[ (R) pERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING �UESTIONS: __ PLANNING CqMMISSION _ CML SEfiVICE COMMISSION �� Hd5 th15 PefSOMI(m eVef WOdced undet d COnVeCt fOr this tlepelVneOt? - � CIB COMMfTTEE _ YES 'NO _ s7AFF 2. Has this perso�rm ever been a city employee? — YES NO ,_ DISTRICT CAUF77 _ 3. Does this person/firm possess a skill not normally possessetl by any current city employee? SUPPORTS WHICH CqUNCIL O&lECTIVE? YES NO Expiafn all yes answars on separate sheet and attach to green sheet INITIATING PROBIEM, ISSUE, OPPoFiTUNITY (Wha, What. When, Where, Why): R��9 �� )AY 09 1996 �� ATT Y ADVANTAGESIFAPPROVED: a R�-�� t DISADVANTAGES IFAPPROVED: �f L DISAOVANTAGES IF NOT APPROVED: COUtf�� $�3��i C��ei JUL 0 8 15�6 TOTAL AMOUNTOFTRANSACTION S COST/REVENUE BUDGETED (CIRCLE ONE) YES NO FUNDINCa SOURCE ACTIVI7Y NUMBEN FINANCIAL INFORMATION: (EXPLAIN) Greensheet# 35297 L.I.E.P. REVIEW CHECKLIST Dafs�7/96 AG-gq�' in Trackef? App'n Received / App'n Processed License ID # 30828 LicenseType: CiQ. Entertainment-A, Sundav On Sale Lia. Rest.-B Company Name: The VintaQe Inc Liquor On Sa1�8�: The Vintage Business Addresss: 579 Selby Avenue Business Phone: 222-7000 Contact Name/Address: Trov DeWitt Home Phone: Date to Council Research: �/�Z��O/��3��0�73� a Public Hearing Date: � n Labels Ordered: � � Notice Sern to Applicar�t: e�� !� ' � 1 District Council #: i � i . ' '"'� , Notice Sent to Date Inspections City Attamey Environmental Health � Fire License Site Plan Received:�' � Lease Received: t7 , k • 1`t�D 1+1.G . '1'6�l � . '� � 1�Y�� bk� L1Q....�tis tr�. ��i�t�s Police Zoning Ward 5•2� Z� �R b Comments r�• � • 0.�. / 1 (�, • 13 • `�b � c �•K. (n►�P ��z�iac.��r�t�stT `11�I c�•K• � �� . � � � � CLASS III CITY OF SAINT PAUL LICENSE APPLICATION Office of License, Inspections and Environmental Protection i5o S� Pnu S2 Suim 300 SvntPaul,Minnesou 55103 � (613) 2669D9U fu (613) 2669II< THIS APPLICATION IS SUSJECT TO REVIEW BY THE PUBLIC PLEASE TYPE OR PRINT IN INK Type of License{s) being applied for: Company Name: Corporation / Parinetship / Sole Proprietorship �EST�tU�Al�I"C3 PfkT►b .r��7 _ r�ti Cdi L . �}�2q J�J�v If business is incorporated, give date of incor 1��Q-�GR-�J �'i Doing Business As: ___ �i� � V 1� T�C] �_______. Business Ph�ne: Business Address: Sveet Address' YJ 1 Ciry Between what cross streets is the business ]ocated? ��1�� C'�T Are the premises now occupied? y�5� What T�pe of Business? � Mail To Address: Sveet Address Applicant Information: A�ame and I'it]e: � > City L N �5io' State Zip Which side of the street? �� State Zip � M.A.// /� First � � Middle (T9aiden) �� Street Address City State Zip Da*.e 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 _ NO X Date of arrest: Char�e: _ Cor.v;cticr.: .°,zntence: List the names and residences of three persons of �ood moral chazacter, living within the Twin Cities Metro Area, not related to the applicant or financially interested in the premises or business, who may be referred to as to the applicant's character: NAME _ _ _ _` ADDRESS � List licenses which you currently hold, formerly held, or may have an interest in: NC7�.1C 4 Have any of the above named licenses ever been revoked? _ YES � NO If yes, list the dates and reasons for revocation: r n � Are you going to this business persona3ly? _ YES NO If no � wh d o wi11 operate it4 A AIT11f�'V�4 �. . 1'�V1LSLgV�S �_'`� Where? � First Name Middte Initial (Maiden) Last Date of Birth �� Home Address: Strcet Name Ciry State Zip Phone Number Aie you goin� to have a manager or assistant in this business? � YES please complete the following information: Ficit Name Home Address: Sveet Name (Dfaiden) CiR' Please list your employment history for the previous five (5) year period: �� w r. NO If the manager is not the same as the operator, U—. � �'G-d'9 Y a Last Date of Birth State Zip Phone Number �:� - 727-£'� ¢ IN OP�TLCN- Si t��E 5�� z� l�lg� List all other officers of the corporation: OFFICER TiTLS HONE NA,p.�SE � 1 I (Office Held) ADDRESS �r7ri1 i �' 1 Jr.\�11 iTl -- t�ftfJZ _ n for each partner (use additional pages if necessary): _ If a Minnesota Tax Identification Number is not required for the business being operated, indicate so by placing an "X" in the box. ' o � CERTIFICATION OF WORKERS' COMPENSATION COVERAGE PURSUANT 7'O MINNESOTA STATUTE 176.182 �` �� j'� I hereby certify that I, or my company, am in compliance with the workers' compensation insurance coverage requirements of / Minnesota Starute 176.182, subdivision 2. I also understand that provision of false information in this certificationconstitutes su�cient �ounds for adverse action against all licenses held, includin� revocation and suspension of said licenses. ` Name of Insurance Company: � W � �� Svl t'PI�y J Policy Number: Co��era�e from to I have no employees covered under workers' compensation insurance ANY FALSIFICATION OF ANS�'VERS GIVEN OR MATERIAL SUBMITTED WILL RESULT IN DENIAL OF THIS APPLICATION I hereby state that I have answered all of the precedin� questions, and that the information contained herein is true and correct to the best of my knowled�e and belief. I hereby state further that I have received no money or other consideration, by way of loan, aifr, contribution, or otherwise, other than a:ready disctosed in the anplication 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 when the business is in operation. '*Note: If this application is Food/Liquor re]ated, please contact a City of Saint Paul Heaith Inspector, Steve Olson (266-9139), to review plans. ]f any substantial changes to structure are anticipated, please contact a City of Saint Paul Plan Examiner at 266-9007 to apply for buildin� permits. If there are any changes to the parkin� lot, floor space or for new operations, please contact a City of Saint Paul Zonin� Inspector at 266-9008. ' Additional application requirements, please attach: A detailed description of the design, location and square foofage of the premises to be licensed (site plan). The following data should be on the site plan (preferably on an S 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. - Placementof 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 expansion. A copy of your lease agreement or p�oof of ownership of the property. FOR SPECIFIC APPLICATION REQUIREMENTS, PLEASE SEE REVERSE >>>> a----n (al�$ being applied for: CLASS III LICENSE APPLICATION CITY OF SAINT PA� office of Licenu, Inspections ana Environmental Protect;on 350 S� PaaSt Suue 300 SaimPaW,Min saa511@ (6t2) 2669D30 fu (612) 36b912d THIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC PLEASE TXPE OR PRINT IN INK ��) �'��v�� .� r� t� — i� .� t� 1L.1 s^ CaY�o� �1�5�� ,_, ,� Company Name: ( �l'G 117A �r� Cocpotttion / Pazinuship / Sole Proprietorship If business is incocporated, give date of incorporation: Doing Business As: Business Address: Between what cross streets is the business located? � Y� 4.� ��.�[! )"'� Wirich side of the street? �j� Are the premises now occupied? � W6at Type of Business? _ 1��0�1�(,� 'Ti�tt-� }Z�' /�(�j.� Mail To Address: 5� � �`Z 1��' �c1� �- y� � L� �� Street Address City State Zip Applicant Information: Name and TiUe: � Frst Middle (Maiden) Last ._ ....- TiOe v HomeAddress: �� City State Zip Date of Birth: �— � Place of Birth: �� Ilome Phone: ��' `� � � Have you ever been convicted of any felony, crime or violation of any city ordinance other than traffic? :'ES _ NO � Date of arrest: Chazge: _ Conviction: Whece? Sentence: List the names and residences of three persons of good moral chazacter, living within the Twin Cities Metro Area, not related to the applicant or financially interested in the premises or business, who may be referred to as to the applicant's chazacter: NAME ^- ADDRESS PHONE ��. M�cµ�c-� saa2c.,� - List licenses which you currendy hold, formerly held, or may have an interest in: Have any of the above nazned licenses ever been revoked? _ YES � NO If yes, list the dates aud reasons for revocation: Are you going to operate this business personally? � YES _ NO If not, who will operate it? ArstName Middle (Maiden) Iast Date of B'vih Home Address: Street Nazre Ciry Sta�e Zip PFwne Number s��^ ___.. _ _ - - __ �vcec naaess City State Zip Are you going to have a manager or assistant in this business? _ YES �, NO comple[e the follawing inforntation: First Name Home Addras: Street Name Please list your employment history for the previous five (5) yeaz period: State 7ap Date of Hinh Phone Number If business is a paztnezstup, please include the following ioformacion fo[ each partnec (use additional pages if necessary): Frst Name Home Address: Street Name Frst Name �^ F '°� n m If ihe manager is not the same as the opera[or, p'�' p N A = q c.- d�9�� Middle Initia! (Maiden) Ias[ Middle [nitial Middle Utitiat City (Maiden) LaSf Sute last Date of Bi�th Home Address: Streel Name City Sum Zip Phone Nmnber MINNESOTA TAX IDEN'ITFICATiON NUMBER - Pursuant ro the I.aws of Minnesota, 1984, Chapter 502, Article 8, Section 2(270.72) (Taz Cleazance; Issuance of Licenses), licensing authorities are requiced to provide tA the State of Miwesota Commissioner of Reveoue, the Minnesota business taz identification number and the social security number of each liceose applicant. Under the Micmesota Govemment Data Practices Act and the Federal Privacy Act of 1974, we ue tequiced to advise you of the following regazding the use of the Minnesota Tax Identificadon Number: - This information may be used to deny the issuance or renewal of your license in the event you owe Minnesota sales, employei s_. withholding or motor velucle excise ta�es; - Upon receiving ihis infonmation, the licensing authority will supply it only to the Minnesota Depaztmeot of Revenue. However, under the Federal Exchange of Informafion Agreement, the Departtnent of Revenue may supply tlus inforn�ation [o the Intemal Revenue Service. Minnesota Tac Idenflficafion Numbers (Sales & Use Tax Number) may be obtained from the State of Minuesota, Business Records Depaztment, 10 River Pazk Plaza (612-296-6181). Social Security Number: '— Iviinnesota Taz Idenfification Number: _ If a Mi sota Tax Iden ' atio um�s not required for the business being opetated, indicate so by placiog an "X" in the �x.�� Date of Birth Zip Phone Number Business(Emnlovment Address List all other officers of the coiporation: OFFiCER TITLE HOME HOME BUSINESS DATE OF •,/ NAME (Office Held) ADDRESS PHONE PHONE BIRTH i i�� w c o�-cvfTr �r� � ^ Wr � . .,� , � �TIFICATION OF WORKERS' COMPENSATION COVERAGE PURSUANT TQ MINNESOTA STATUTE 176.182 q�- �'�, � I hereby certify that I, or my company, am in compliance with the workers compensation insurance covecage requirements of Minnesota Statute 176.182, subdivision 2. I aiso understand that pcovision of false infocmation in this cert�cation constituces sufficient grounds for advezse action against all licenses held, including revocation and suspension of said licenses. Name of Insurance Company. Policy Number: Coverage from to I have no employees covered under workers' compensation insurance ��/�� sv y J ANY FALSIFICATION OF ANS�VERS GIVEN OR MATERIAL SUBNIITTED WILL RESCiLT IN DENIAL OR THIS APPLICATION I hereby state thaz I have answered all of the preceding questions, and that the information coutained hereiu is true and coirect to the best of my knowledge aod belief. I hereby state further that I have received no money or other consideration, by way of ]oan, gi$ conuibution, or otherwise, other than already disclosed in the appjication w}rich I herewith submitted. I also understaod this premise may be inspected by police, fice, heaith and other city officials at any and all times when the busioess is in operatioa. **Note: If this application is Food/Liquor related, please coniact a City of Saint Pau] Health Inspector, Steve Olson (266-4139), to ieview plans. ff any substantial changes to siructure are anticipated, please contact a City of Saint Panl Plan Examiner at 266-9007 to apply fot bulding pemtits. If there are any changes to the pazking lot, floor space, or for new operations, please contact a City of Saint Paul Zoning Lnspector at266-9008. Additional application requirements, please attach: A detailed description of the design, location and square footage of the premises to be licensed (site plan). The following data should be on the site pian (preferably on an 8 L2" x 11" or 81/2" x 14" paper): - Name, address, and phone number. - The scale should be stated such as 1" =?A'. ^N should be indicated towazd the top. - Placement of all pertinent features of the interior of the licensed facility such as seating areas, kitchens, offices� repair azea, parlang, rest rooms, etc - If a request is for an addition or e�ansion of the licensed facility, indicafe both the current area and the proposed expansion A copy of your lease agreement or proof of ownership of the property. FOR SPECIFIC APPLICATION REQUIREMENTS, PLEASE SEE REYERSE >>>>.