97-1331Council File # `� � 1�3 `
Ordinance #
Green Sheet # 3�9��
Presented By
Re£erred To
RESOLUTION
CITY OF SAINT PAUL, MWNESOTA
5�/
i
z
3
4
s
6
�
a
9
io
2. The licensee shall maintain the site in an orderly appearance. All vehicles shall be
parked in the areas designated on the approved site plan. The dumpster shall be stored in
an area at the rear of the building idenfified on the site plan. No vehicle parts, hres,
motors, paint cans, etc. shall be stored outdoors, unless placed inside dumpster.
ii
1z Requested by Department of:
13 Yea Navs Absent
14 B al e�
15 Bostrom Office of License. Inspections and
16 Harris
17 Mecra� Environmental Protection
18 Morton
19 T une
20 Co�
21 4 22 B t �Yl-.�L.a_�'�ta � �V
23 Adopted by Council: Date Y�
24
25 Adoption Certified by Council Secretary
26 Form Approved by City Attorney
27 \
28 BY: �- ,��T+�.ti J
29 � �Y� '�/GYt�✓[/..C. J p��
30 Approved by Mayor: Date )e Z
31
32 Approved by Mayor for Submission to
33 By:
� Council
34
RESOLVED: That application (ID #16761) for an Auto Repair Garage License by Steve's Auto Body St. Paul
Inc. DBA Steve's Auto Body St. Paul Inc. (Michelle Bobick, President) at 877 Westminster
Street be and the same is hereby approved with the following conditions:
1. No more than 22 vehicles shall be pazked on the lot.
By:
q'1-►s3 �
�a�M1E�TR�flCEiC�U17C�L DATE IN171AiED 3 7 9 4 2
LIEP/Licensing GREEN SHEE
CONTACT PERSON & PHONE INITIAL/DATE INITIAVDATE
�DEPARTMENTD�RE OCITYCOUNCIL
Christine Rozek, 266-9108 ASSICN �qTYATTORNEY �CITYCLEFK
NUMBEqFOA
MU5T BE ON CAUNCILACaEND BV �ATE) NOUi1NG O BUDGET DIflEGTOR O FIN. & MGT. SERVICES DIR.
For hearing: �� ��q� ONDEP OMpyOR(ORASSIS O
i
TOTAL 16 OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION FEDUESTED:
Steve's Auto Body St. Paul, Inc. DBA Steve's Auto Body St. Paul, Inc. requests Council
approval of its application for an Auto Body Repair Garage located at 877 Westminster St.
(ID 9116761).
RECAMMENDAiIONS: Approve (A) or Rejeet (R) pERSONAL SEHVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �� Has this person/firm ever worked untler a contract for this depanment?
_ CIB COMMITfEE _ YES NO
_ S7AFF 2- Has this person/firm ever been a city employee?
— YES NO
_ oiSiRic7 COUa7 _ 3. Does this personRirm possess a skill not normally pouessed by any current ciry employee?
SUPPORTS WHICH COUNCIL O&IECTIVE? YES NO
Explain all yes answers on seperate sheet and attach to green aheet
INITIATING PROBLEM, ISSUE, OPPORTUNITY (Who, What. When, Where. Why):
ADVANTAGESIFAPPROVED:
:�.3i$3�:':v : `�' t ``...: y".4�iI G±�,�....c9�`s�
_ Q�� �: ''� IJ`"�.'J7
DISADVANTAGES IF APPROVED: "---�-$ '�..:.�.,,,,� �
DISAOVANTAGES IF NOTAPPROVED:
TOTAL AMOUN7 OF THANSAC710N $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIfdG SOURCE AC7IVITV NUMBER
FINANCIAL INFORIVSATION (EXPL4IN)
cLass zTz
LICENSE APPLICATION
THIS APPLICAI IOI�T IS SL�B7ECT TO REVIEW BY THE PLBLIC
PLEASE TYPE OR PRINT IN A'K
T}pe of License(s) beine applied for: ¢ �l � �O a' ���_���
, �
Company Nazne:
Crnpoix[i 1 Paxtnerstip / Sole Proprie
If business is incorporated, give date of incAiporation:
i y � 2
DoingBusinessAs: ��eVFS !'iLL�'D 1���
Business Address: �_ W Q S� fl'S � h S} 2Y
�f��
Between what cross sffzets is the business located?
Are the premises now occupied?
Mail To Address: 1S �� w
s �� Applicantinforaation:
". °Clne �I+
Nante and Tifle: / Y l i
What TyPe of Business?
�har��e.-
° �7� 1�31
CITY OF SAINT P UZ
�cz of License, ItttpeNpns
a�d Emirocimemal ProtzCion
35" St Peta Sc SwL-30J
Ss_ 55702
(6:2)2659�90 f�(612)2659:2:
$ � �7_ L�l�.
S
f - � + � I RR�
L d'1 C r Business
>f.P0.�i
CiTy
aYU4a-
� �',
�,
sr� zt
!b
ta
_ _ _ � k �re� i de�,�
HomeAddress: ��g� Ga.l�i�r c S�Y'e�C�' �Si'•PQLtA,I � I�Il�' T' �/�� - ,��Q�
s�� 1 i ry ,/
Date of Birth: S 1 Place of Birth: � I� l2 �0. �!�C ��V Home Phone:�� l2 'TgZ�P" �� g �
Have }�ou ever been concicted of any felony, crime or ��iolation of azry city ordinance other than traffic? YES NO _�
Date of azrest: �1F) Wh� /� /�'
Charge: _
Con�icuon: M
Sentence: /V �F4
List the names and residenr,es of tbree 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 refeirred to as to the applicant's character:
�
ADDRESS
Have any of the above named licenses ever bcen revoked?
PHONE
YES A' NO If yes, iist the dates and reasons for revocation:
State Zip
W}uch side of the street? w e�
o n o:n-r
List licenses which you cucrently hol� fozmerly held, or may have an interest in:
;
Are you going to operaie this business personally? -� YES �
N!'�
Fust\mne �iiddteinilial (\3aidrn)
n�j�
Homc qddrtss: Stre_^['�amt Cin� State Zip Phane \'vmbcr
Are you going to hzve a manager orassistant in this business? YES _� NO If the manager is not the same as the operztor,
please complete the follo�ving uiformalioa:
/✓/�
�vscTzmc
h'O If not, a•ho v.711 operate it?
I,est
MiddleInitis! (�faid_-n)
N1/�-
x�� na�: se-. n:a�,�
HOME
AnnRRCS
Please list your emplopment his�ory for the previous five (5) } zaz penod:
$usinesslEm I�o�ment Address
C;m
S�-�.de�� «�t � o�' �n m p i s. , m N
ihe(�obick Corn ac��2� ,� 108b �a{ S�r�et St.Pa�t rttNSs�r�-Sr�s
Qeck.L�,nd �4o�,e Ne�;th Care 84�-! 1Nav�2alf-a 3L�d �/OU oldenUafiev,tY1�
t�'ro t� e r
List all other o�cers of thz corporation:
OFFICER TITLE
NAME (Office Held1
� iF;rrt Tamc
ii`3r; ± ,
Home Adda�sa: Svxc I�eme
Fust?dame
Home Adc4su: Skcet l�ame
i�oo m �
BUSINESS
PHONE
I ast
s�r� zip
�
HOME
° l'1-13,31
Date of Bi*th
Dste of Binh
Phone \�ber
DATE OF
BIRTH
please include the follawing uiformation for eaoh pazmer (use additional pages if necessary}:
Middle Initia�
?�fiddle Istidal
���)
� A' '
City
V� "
/ (.YJa+den)
�` �
Gry
Last Date o£Binit
State Zip Phone Numba
Lut . DateofButh
Statc Zip Phonc Numbcr
MIi3NESOTA TAX IDENTIFICATION NUMBBR - Pursuant to the Laws of Minnesota, 1984, Chapter 502, Article 8, Secuon 2(270.72)
{Tax Cleazance; Issnance of Licenses}, licensing authorities are required to provide to the State of Minnesota Commissioner of Revenue, the
Minnesota business tvc 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 following
regarding the use of the Minnesota Tax Identification Number: �
-'Ihis infoimation 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 taYes;
- Upon receiving ttus information, the licensing authority uzll sapply it only to the Miimesota Department of Revenue. However,
under the Federal Exchange of Information Agreement, the Department of Revenue may supply tlus infocmation to the Tnternal
Revenue Seivice.
M'innesoss Tac Identification Numbus (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business Records Department,
10 River Park Plaza (612-296-6181).
Social Seeurity Number:
Minnesota TaY Identification Numbex: .� l T� T��
_ If a Minnesota Tax Identificat�on Number is not required for the husiness being operated, indicate so by placing an "X" in the box.
i 2l18,57
� ~ ' ° l'1-1� 3
CEkTffICAI'ION OF WORKERS' COU�ENSATION CO VERAGE PURSUAI�IT TO MINIQESOTA STANTE 176.182
I hereby cerdfy that I, or my cotnpany, am in cpmpliance �t Ath the �a o;l:e: s' compensation uvsurznce coverage requiremznts of Minnesota Sfatute
176.182, subdi�ision 2. I also undetstand that pro��ision offalse information in this certification constitutes sufficient grounds for adverse action
against all licenses he;� including re�'ocalion and suspensio¢ of said licenses.
i�'z.�ne of Insurance Company:
Pollcy Number:
Cocerage from
I ha��e no emplo� ees cocered under u�orkzrs' compansation insura�ez .�{'1f�. (P.�IITIALS)
-T ZT
to
ANX FALSIITCATIOlV' OF ANSR'ERS GIVEN OR MATERIAL SUBMITZ'ED
WII,L RESULT IN DE\T=iL OF THIS APPLICATION
I hereby state that I ha��e snswered atl of tke preceding questions, and that the information contained herein is h ue and correct to the 6est of
m} knoa•ledge and belief. I hereby state furthet that I have reczi��ed no money or oTt�er considaation, hy �cz}• of ]oan, gifi, conhibulio� or
otberwise, other th� already disclosed in the applicalion wiuch I hereu�th submitted I also understand this premise ma}' be inspected b}' police,
fire, health and other city officials at any and all times when the business ss in operation.
Signature (ftEQUIRED for all applications)
We will accept pa}'ment by cash, check (made payable fo City of Saiut Paun or credit card (M!C or Visa),
��
Date
IF PAYING BX CREDIT CARD PLEASE COMPLETE THE FOLLOIt'ING INFORMATIQN: � MasterCard � Visa
EXPII2ATION DATE:
❑C7/�❑
ACCOUNT NiJMBER:
■■■■ ■■■■ ■■■■ ■■■■
ror au
"Note: If this application is Food/Liquor related, please contact a City of Saint Paul Health Inspector, Steve Olson (266-9139), to re�iew
plans.
If any substantial changes to structure are anticipated, please contact a City of Saint Pau1 Plan Br,aminer at 266-9007 to apply for
building permits.
If there are any changes to the parkuig lot, floor space, or for new operations, please contact a City of Saint Paul Zoning Inspector at
266-90
All applications mquim the followwg documents. Please attack t6ese documents when submitting your applicarion:
1. A detailed desciiption of the desigu, location and square footage of the premises to be licensed (site plan).
The following data should be on the site plan (preferably on an 8 1/2" x 11" or 8 1!2" x i4" paper):
- Name, address, and phone number.
- Tf�e scale should be stateii such as 1" = 20'. ^N should be indicated towazd the top.
- Placement of all pertinent features of the interior of the ficensed facility such as seating areas, kitchens, offices, reQair azea,
pazking, rest rooms, ete.
- If a request is for an addition or expansion of the licensed facility, indicate both the current azea and the proposed erpansion.
2. A copy of your lease agreement or proof of ownetship of the propeRy,
APPLICATIONS REQUII2E ADDTfIONAL
PLEASE SEE AEVERSE FOR DETAILS >>>>
Council File # `� � 1�3 `
Ordinance #
Green Sheet # 3�9��
Presented By
Re£erred To
RESOLUTION
CITY OF SAINT PAUL, MWNESOTA
5�/
i
z
3
4
s
6
�
a
9
io
2. The licensee shall maintain the site in an orderly appearance. All vehicles shall be
parked in the areas designated on the approved site plan. The dumpster shall be stored in
an area at the rear of the building idenfified on the site plan. No vehicle parts, hres,
motors, paint cans, etc. shall be stored outdoors, unless placed inside dumpster.
ii
1z Requested by Department of:
13 Yea Navs Absent
14 B al e�
15 Bostrom Office of License. Inspections and
16 Harris
17 Mecra� Environmental Protection
18 Morton
19 T une
20 Co�
21 4 22 B t �Yl-.�L.a_�'�ta � �V
23 Adopted by Council: Date Y�
24
25 Adoption Certified by Council Secretary
26 Form Approved by City Attorney
27 \
28 BY: �- ,��T+�.ti J
29 � �Y� '�/GYt�✓[/..C. J p��
30 Approved by Mayor: Date )e Z
31
32 Approved by Mayor for Submission to
33 By:
� Council
34
RESOLVED: That application (ID #16761) for an Auto Repair Garage License by Steve's Auto Body St. Paul
Inc. DBA Steve's Auto Body St. Paul Inc. (Michelle Bobick, President) at 877 Westminster
Street be and the same is hereby approved with the following conditions:
1. No more than 22 vehicles shall be pazked on the lot.
By:
q'1-►s3 �
�a�M1E�TR�flCEiC�U17C�L DATE IN171AiED 3 7 9 4 2
LIEP/Licensing GREEN SHEE
CONTACT PERSON & PHONE INITIAL/DATE INITIAVDATE
�DEPARTMENTD�RE OCITYCOUNCIL
Christine Rozek, 266-9108 ASSICN �qTYATTORNEY �CITYCLEFK
NUMBEqFOA
MU5T BE ON CAUNCILACaEND BV �ATE) NOUi1NG O BUDGET DIflEGTOR O FIN. & MGT. SERVICES DIR.
For hearing: �� ��q� ONDEP OMpyOR(ORASSIS O
i
TOTAL 16 OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION FEDUESTED:
Steve's Auto Body St. Paul, Inc. DBA Steve's Auto Body St. Paul, Inc. requests Council
approval of its application for an Auto Body Repair Garage located at 877 Westminster St.
(ID 9116761).
RECAMMENDAiIONS: Approve (A) or Rejeet (R) pERSONAL SEHVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �� Has this person/firm ever worked untler a contract for this depanment?
_ CIB COMMITfEE _ YES NO
_ S7AFF 2- Has this person/firm ever been a city employee?
— YES NO
_ oiSiRic7 COUa7 _ 3. Does this personRirm possess a skill not normally pouessed by any current ciry employee?
SUPPORTS WHICH COUNCIL O&IECTIVE? YES NO
Explain all yes answers on seperate sheet and attach to green aheet
INITIATING PROBLEM, ISSUE, OPPORTUNITY (Who, What. When, Where. Why):
ADVANTAGESIFAPPROVED:
:�.3i$3�:':v : `�' t ``...: y".4�iI G±�,�....c9�`s�
_ Q�� �: ''� IJ`"�.'J7
DISADVANTAGES IF APPROVED: "---�-$ '�..:.�.,,,,� �
DISAOVANTAGES IF NOTAPPROVED:
TOTAL AMOUN7 OF THANSAC710N $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIfdG SOURCE AC7IVITV NUMBER
FINANCIAL INFORIVSATION (EXPL4IN)
cLass zTz
LICENSE APPLICATION
THIS APPLICAI IOI�T IS SL�B7ECT TO REVIEW BY THE PLBLIC
PLEASE TYPE OR PRINT IN A'K
T}pe of License(s) beine applied for: ¢ �l � �O a' ���_���
, �
Company Nazne:
Crnpoix[i 1 Paxtnerstip / Sole Proprie
If business is incorporated, give date of incAiporation:
i y � 2
DoingBusinessAs: ��eVFS !'iLL�'D 1���
Business Address: �_ W Q S� fl'S � h S} 2Y
�f��
Between what cross sffzets is the business located?
Are the premises now occupied?
Mail To Address: 1S �� w
s �� Applicantinforaation:
". °Clne �I+
Nante and Tifle: / Y l i
What TyPe of Business?
�har��e.-
° �7� 1�31
CITY OF SAINT P UZ
�cz of License, ItttpeNpns
a�d Emirocimemal ProtzCion
35" St Peta Sc SwL-30J
Ss_ 55702
(6:2)2659�90 f�(612)2659:2:
$ � �7_ L�l�.
S
f - � + � I RR�
L d'1 C r Business
>f.P0.�i
CiTy
aYU4a-
� �',
�,
sr� zt
!b
ta
_ _ _ � k �re� i de�,�
HomeAddress: ��g� Ga.l�i�r c S�Y'e�C�' �Si'•PQLtA,I � I�Il�' T' �/�� - ,��Q�
s�� 1 i ry ,/
Date of Birth: S 1 Place of Birth: � I� l2 �0. �!�C ��V Home Phone:�� l2 'TgZ�P" �� g �
Have }�ou ever been concicted of any felony, crime or ��iolation of azry city ordinance other than traffic? YES NO _�
Date of azrest: �1F) Wh� /� /�'
Charge: _
Con�icuon: M
Sentence: /V �F4
List the names and residenr,es of tbree 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 refeirred to as to the applicant's character:
�
ADDRESS
Have any of the above named licenses ever bcen revoked?
PHONE
YES A' NO If yes, iist the dates and reasons for revocation:
State Zip
W}uch side of the street? w e�
o n o:n-r
List licenses which you cucrently hol� fozmerly held, or may have an interest in:
;
Are you going to operaie this business personally? -� YES �
N!'�
Fust\mne �iiddteinilial (\3aidrn)
n�j�
Homc qddrtss: Stre_^['�amt Cin� State Zip Phane \'vmbcr
Are you going to hzve a manager orassistant in this business? YES _� NO If the manager is not the same as the operztor,
please complete the follo�ving uiformalioa:
/✓/�
�vscTzmc
h'O If not, a•ho v.711 operate it?
I,est
MiddleInitis! (�faid_-n)
N1/�-
x�� na�: se-. n:a�,�
HOME
AnnRRCS
Please list your emplopment his�ory for the previous five (5) } zaz penod:
$usinesslEm I�o�ment Address
C;m
S�-�.de�� «�t � o�' �n m p i s. , m N
ihe(�obick Corn ac��2� ,� 108b �a{ S�r�et St.Pa�t rttNSs�r�-Sr�s
Qeck.L�,nd �4o�,e Ne�;th Care 84�-! 1Nav�2alf-a 3L�d �/OU oldenUafiev,tY1�
t�'ro t� e r
List all other o�cers of thz corporation:
OFFICER TITLE
NAME (Office Held1
� iF;rrt Tamc
ii`3r; ± ,
Home Adda�sa: Svxc I�eme
Fust?dame
Home Adc4su: Skcet l�ame
i�oo m �
BUSINESS
PHONE
I ast
s�r� zip
�
HOME
° l'1-13,31
Date of Bi*th
Dste of Binh
Phone \�ber
DATE OF
BIRTH
please include the follawing uiformation for eaoh pazmer (use additional pages if necessary}:
Middle Initia�
?�fiddle Istidal
���)
� A' '
City
V� "
/ (.YJa+den)
�` �
Gry
Last Date o£Binit
State Zip Phone Numba
Lut . DateofButh
Statc Zip Phonc Numbcr
MIi3NESOTA TAX IDENTIFICATION NUMBBR - Pursuant to the Laws of Minnesota, 1984, Chapter 502, Article 8, Secuon 2(270.72)
{Tax Cleazance; Issnance of Licenses}, licensing authorities are required to provide to the State of Minnesota Commissioner of Revenue, the
Minnesota business tvc 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 following
regarding the use of the Minnesota Tax Identification Number: �
-'Ihis infoimation 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 taYes;
- Upon receiving ttus information, the licensing authority uzll sapply it only to the Miimesota Department of Revenue. However,
under the Federal Exchange of Information Agreement, the Department of Revenue may supply tlus infocmation to the Tnternal
Revenue Seivice.
M'innesoss Tac Identification Numbus (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business Records Department,
10 River Park Plaza (612-296-6181).
Social Seeurity Number:
Minnesota TaY Identification Numbex: .� l T� T��
_ If a Minnesota Tax Identificat�on Number is not required for the husiness being operated, indicate so by placing an "X" in the box.
i 2l18,57
� ~ ' ° l'1-1� 3
CEkTffICAI'ION OF WORKERS' COU�ENSATION CO VERAGE PURSUAI�IT TO MINIQESOTA STANTE 176.182
I hereby cerdfy that I, or my cotnpany, am in cpmpliance �t Ath the �a o;l:e: s' compensation uvsurznce coverage requiremznts of Minnesota Sfatute
176.182, subdi�ision 2. I also undetstand that pro��ision offalse information in this certification constitutes sufficient grounds for adverse action
against all licenses he;� including re�'ocalion and suspensio¢ of said licenses.
i�'z.�ne of Insurance Company:
Pollcy Number:
Cocerage from
I ha��e no emplo� ees cocered under u�orkzrs' compansation insura�ez .�{'1f�. (P.�IITIALS)
-T ZT
to
ANX FALSIITCATIOlV' OF ANSR'ERS GIVEN OR MATERIAL SUBMITZ'ED
WII,L RESULT IN DE\T=iL OF THIS APPLICATION
I hereby state that I ha��e snswered atl of tke preceding questions, and that the information contained herein is h ue and correct to the 6est of
m} knoa•ledge and belief. I hereby state furthet that I have reczi��ed no money or oTt�er considaation, hy �cz}• of ]oan, gifi, conhibulio� or
otberwise, other th� already disclosed in the applicalion wiuch I hereu�th submitted I also understand this premise ma}' be inspected b}' police,
fire, health and other city officials at any and all times when the business ss in operation.
Signature (ftEQUIRED for all applications)
We will accept pa}'ment by cash, check (made payable fo City of Saiut Paun or credit card (M!C or Visa),
��
Date
IF PAYING BX CREDIT CARD PLEASE COMPLETE THE FOLLOIt'ING INFORMATIQN: � MasterCard � Visa
EXPII2ATION DATE:
❑C7/�❑
ACCOUNT NiJMBER:
■■■■ ■■■■ ■■■■ ■■■■
ror au
"Note: If this application is Food/Liquor related, please contact a City of Saint Paul Health Inspector, Steve Olson (266-9139), to re�iew
plans.
If any substantial changes to structure are anticipated, please contact a City of Saint Pau1 Plan Br,aminer at 266-9007 to apply for
building permits.
If there are any changes to the parkuig lot, floor space, or for new operations, please contact a City of Saint Paul Zoning Inspector at
266-90
All applications mquim the followwg documents. Please attack t6ese documents when submitting your applicarion:
1. A detailed desciiption of the desigu, location and square footage of the premises to be licensed (site plan).
The following data should be on the site plan (preferably on an 8 1/2" x 11" or 8 1!2" x i4" paper):
- Name, address, and phone number.
- Tf�e scale should be stateii such as 1" = 20'. ^N should be indicated towazd the top.
- Placement of all pertinent features of the interior of the ficensed facility such as seating areas, kitchens, offices, reQair azea,
pazking, rest rooms, ete.
- If a request is for an addition or expansion of the licensed facility, indicate both the current azea and the proposed erpansion.
2. A copy of your lease agreement or proof of ownetship of the propeRy,
APPLICATIONS REQUII2E ADDTfIONAL
PLEASE SEE AEVERSE FOR DETAILS >>>>
Council File # `� � 1�3 `
Ordinance #
Green Sheet # 3�9��
Presented By
Re£erred To
RESOLUTION
CITY OF SAINT PAUL, MWNESOTA
5�/
i
z
3
4
s
6
�
a
9
io
2. The licensee shall maintain the site in an orderly appearance. All vehicles shall be
parked in the areas designated on the approved site plan. The dumpster shall be stored in
an area at the rear of the building idenfified on the site plan. No vehicle parts, hres,
motors, paint cans, etc. shall be stored outdoors, unless placed inside dumpster.
ii
1z Requested by Department of:
13 Yea Navs Absent
14 B al e�
15 Bostrom Office of License. Inspections and
16 Harris
17 Mecra� Environmental Protection
18 Morton
19 T une
20 Co�
21 4 22 B t �Yl-.�L.a_�'�ta � �V
23 Adopted by Council: Date Y�
24
25 Adoption Certified by Council Secretary
26 Form Approved by City Attorney
27 \
28 BY: �- ,��T+�.ti J
29 � �Y� '�/GYt�✓[/..C. J p��
30 Approved by Mayor: Date )e Z
31
32 Approved by Mayor for Submission to
33 By:
� Council
34
RESOLVED: That application (ID #16761) for an Auto Repair Garage License by Steve's Auto Body St. Paul
Inc. DBA Steve's Auto Body St. Paul Inc. (Michelle Bobick, President) at 877 Westminster
Street be and the same is hereby approved with the following conditions:
1. No more than 22 vehicles shall be pazked on the lot.
By:
q'1-►s3 �
�a�M1E�TR�flCEiC�U17C�L DATE IN171AiED 3 7 9 4 2
LIEP/Licensing GREEN SHEE
CONTACT PERSON & PHONE INITIAL/DATE INITIAVDATE
�DEPARTMENTD�RE OCITYCOUNCIL
Christine Rozek, 266-9108 ASSICN �qTYATTORNEY �CITYCLEFK
NUMBEqFOA
MU5T BE ON CAUNCILACaEND BV �ATE) NOUi1NG O BUDGET DIflEGTOR O FIN. & MGT. SERVICES DIR.
For hearing: �� ��q� ONDEP OMpyOR(ORASSIS O
i
TOTAL 16 OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION FEDUESTED:
Steve's Auto Body St. Paul, Inc. DBA Steve's Auto Body St. Paul, Inc. requests Council
approval of its application for an Auto Body Repair Garage located at 877 Westminster St.
(ID 9116761).
RECAMMENDAiIONS: Approve (A) or Rejeet (R) pERSONAL SEHVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �� Has this person/firm ever worked untler a contract for this depanment?
_ CIB COMMITfEE _ YES NO
_ S7AFF 2- Has this person/firm ever been a city employee?
— YES NO
_ oiSiRic7 COUa7 _ 3. Does this personRirm possess a skill not normally pouessed by any current ciry employee?
SUPPORTS WHICH COUNCIL O&IECTIVE? YES NO
Explain all yes answers on seperate sheet and attach to green aheet
INITIATING PROBLEM, ISSUE, OPPORTUNITY (Who, What. When, Where. Why):
ADVANTAGESIFAPPROVED:
:�.3i$3�:':v : `�' t ``...: y".4�iI G±�,�....c9�`s�
_ Q�� �: ''� IJ`"�.'J7
DISADVANTAGES IF APPROVED: "---�-$ '�..:.�.,,,,� �
DISAOVANTAGES IF NOTAPPROVED:
TOTAL AMOUN7 OF THANSAC710N $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIfdG SOURCE AC7IVITV NUMBER
FINANCIAL INFORIVSATION (EXPL4IN)
cLass zTz
LICENSE APPLICATION
THIS APPLICAI IOI�T IS SL�B7ECT TO REVIEW BY THE PLBLIC
PLEASE TYPE OR PRINT IN A'K
T}pe of License(s) beine applied for: ¢ �l � �O a' ���_���
, �
Company Nazne:
Crnpoix[i 1 Paxtnerstip / Sole Proprie
If business is incorporated, give date of incAiporation:
i y � 2
DoingBusinessAs: ��eVFS !'iLL�'D 1���
Business Address: �_ W Q S� fl'S � h S} 2Y
�f��
Between what cross sffzets is the business located?
Are the premises now occupied?
Mail To Address: 1S �� w
s �� Applicantinforaation:
". °Clne �I+
Nante and Tifle: / Y l i
What TyPe of Business?
�har��e.-
° �7� 1�31
CITY OF SAINT P UZ
�cz of License, ItttpeNpns
a�d Emirocimemal ProtzCion
35" St Peta Sc SwL-30J
Ss_ 55702
(6:2)2659�90 f�(612)2659:2:
$ � �7_ L�l�.
S
f - � + � I RR�
L d'1 C r Business
>f.P0.�i
CiTy
aYU4a-
� �',
�,
sr� zt
!b
ta
_ _ _ � k �re� i de�,�
HomeAddress: ��g� Ga.l�i�r c S�Y'e�C�' �Si'•PQLtA,I � I�Il�' T' �/�� - ,��Q�
s�� 1 i ry ,/
Date of Birth: S 1 Place of Birth: � I� l2 �0. �!�C ��V Home Phone:�� l2 'TgZ�P" �� g �
Have }�ou ever been concicted of any felony, crime or ��iolation of azry city ordinance other than traffic? YES NO _�
Date of azrest: �1F) Wh� /� /�'
Charge: _
Con�icuon: M
Sentence: /V �F4
List the names and residenr,es of tbree 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 refeirred to as to the applicant's character:
�
ADDRESS
Have any of the above named licenses ever bcen revoked?
PHONE
YES A' NO If yes, iist the dates and reasons for revocation:
State Zip
W}uch side of the street? w e�
o n o:n-r
List licenses which you cucrently hol� fozmerly held, or may have an interest in:
;
Are you going to operaie this business personally? -� YES �
N!'�
Fust\mne �iiddteinilial (\3aidrn)
n�j�
Homc qddrtss: Stre_^['�amt Cin� State Zip Phane \'vmbcr
Are you going to hzve a manager orassistant in this business? YES _� NO If the manager is not the same as the operztor,
please complete the follo�ving uiformalioa:
/✓/�
�vscTzmc
h'O If not, a•ho v.711 operate it?
I,est
MiddleInitis! (�faid_-n)
N1/�-
x�� na�: se-. n:a�,�
HOME
AnnRRCS
Please list your emplopment his�ory for the previous five (5) } zaz penod:
$usinesslEm I�o�ment Address
C;m
S�-�.de�� «�t � o�' �n m p i s. , m N
ihe(�obick Corn ac��2� ,� 108b �a{ S�r�et St.Pa�t rttNSs�r�-Sr�s
Qeck.L�,nd �4o�,e Ne�;th Care 84�-! 1Nav�2alf-a 3L�d �/OU oldenUafiev,tY1�
t�'ro t� e r
List all other o�cers of thz corporation:
OFFICER TITLE
NAME (Office Held1
� iF;rrt Tamc
ii`3r; ± ,
Home Adda�sa: Svxc I�eme
Fust?dame
Home Adc4su: Skcet l�ame
i�oo m �
BUSINESS
PHONE
I ast
s�r� zip
�
HOME
° l'1-13,31
Date of Bi*th
Dste of Binh
Phone \�ber
DATE OF
BIRTH
please include the follawing uiformation for eaoh pazmer (use additional pages if necessary}:
Middle Initia�
?�fiddle Istidal
���)
� A' '
City
V� "
/ (.YJa+den)
�` �
Gry
Last Date o£Binit
State Zip Phone Numba
Lut . DateofButh
Statc Zip Phonc Numbcr
MIi3NESOTA TAX IDENTIFICATION NUMBBR - Pursuant to the Laws of Minnesota, 1984, Chapter 502, Article 8, Secuon 2(270.72)
{Tax Cleazance; Issnance of Licenses}, licensing authorities are required to provide to the State of Minnesota Commissioner of Revenue, the
Minnesota business tvc 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 following
regarding the use of the Minnesota Tax Identification Number: �
-'Ihis infoimation 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 taYes;
- Upon receiving ttus information, the licensing authority uzll sapply it only to the Miimesota Department of Revenue. However,
under the Federal Exchange of Information Agreement, the Department of Revenue may supply tlus infocmation to the Tnternal
Revenue Seivice.
M'innesoss Tac Identification Numbus (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business Records Department,
10 River Park Plaza (612-296-6181).
Social Seeurity Number:
Minnesota TaY Identification Numbex: .� l T� T��
_ If a Minnesota Tax Identificat�on Number is not required for the husiness being operated, indicate so by placing an "X" in the box.
i 2l18,57
� ~ ' ° l'1-1� 3
CEkTffICAI'ION OF WORKERS' COU�ENSATION CO VERAGE PURSUAI�IT TO MINIQESOTA STANTE 176.182
I hereby cerdfy that I, or my cotnpany, am in cpmpliance �t Ath the �a o;l:e: s' compensation uvsurznce coverage requiremznts of Minnesota Sfatute
176.182, subdi�ision 2. I also undetstand that pro��ision offalse information in this certification constitutes sufficient grounds for adverse action
against all licenses he;� including re�'ocalion and suspensio¢ of said licenses.
i�'z.�ne of Insurance Company:
Pollcy Number:
Cocerage from
I ha��e no emplo� ees cocered under u�orkzrs' compansation insura�ez .�{'1f�. (P.�IITIALS)
-T ZT
to
ANX FALSIITCATIOlV' OF ANSR'ERS GIVEN OR MATERIAL SUBMITZ'ED
WII,L RESULT IN DE\T=iL OF THIS APPLICATION
I hereby state that I ha��e snswered atl of tke preceding questions, and that the information contained herein is h ue and correct to the 6est of
m} knoa•ledge and belief. I hereby state furthet that I have reczi��ed no money or oTt�er considaation, hy �cz}• of ]oan, gifi, conhibulio� or
otberwise, other th� already disclosed in the applicalion wiuch I hereu�th submitted I also understand this premise ma}' be inspected b}' police,
fire, health and other city officials at any and all times when the business ss in operation.
Signature (ftEQUIRED for all applications)
We will accept pa}'ment by cash, check (made payable fo City of Saiut Paun or credit card (M!C or Visa),
��
Date
IF PAYING BX CREDIT CARD PLEASE COMPLETE THE FOLLOIt'ING INFORMATIQN: � MasterCard � Visa
EXPII2ATION DATE:
❑C7/�❑
ACCOUNT NiJMBER:
■■■■ ■■■■ ■■■■ ■■■■
ror au
"Note: If this application is Food/Liquor related, please contact a City of Saint Paul Health Inspector, Steve Olson (266-9139), to re�iew
plans.
If any substantial changes to structure are anticipated, please contact a City of Saint Pau1 Plan Br,aminer at 266-9007 to apply for
building permits.
If there are any changes to the parkuig lot, floor space, or for new operations, please contact a City of Saint Paul Zoning Inspector at
266-90
All applications mquim the followwg documents. Please attack t6ese documents when submitting your applicarion:
1. A detailed desciiption of the desigu, location and square footage of the premises to be licensed (site plan).
The following data should be on the site plan (preferably on an 8 1/2" x 11" or 8 1!2" x i4" paper):
- Name, address, and phone number.
- Tf�e scale should be stateii such as 1" = 20'. ^N should be indicated towazd the top.
- Placement of all pertinent features of the interior of the ficensed facility such as seating areas, kitchens, offices, reQair azea,
pazking, rest rooms, ete.
- If a request is for an addition or expansion of the licensed facility, indicate both the current azea and the proposed erpansion.
2. A copy of your lease agreement or proof of ownetship of the propeRy,
APPLICATIONS REQUII2E ADDTfIONAL
PLEASE SEE AEVERSE FOR DETAILS >>>>