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98-256Council File$ `b — � S � ordinance # ORIGINAL �! Presented By ( Referred To RESOLUTION CITY OF SAINT PAUL, MINNESOTA �, ��6t 3g Committee: Date RSSOLVED: 1 That application (ID #0044204) for a Auto Repair Garage, Auto 2 Body Repair Garage License(s) by HEALTH EAST TRANSPORTATION DBA 3 HEALTH EAST TRANSPORTATION at 481 FRONT AVE be and the same is 4 hereby approved with the following conditions: 5 1) There shall be no outside storage of motors or autobody parts. 6 2) Auto Body use must meet all applicable provisions of the State 7 Building Code. VPIiR Navs ahsPnt Requested by Department of: Office of License, inspections and Environmental Protection By: C'�� - �� Form Approved by City Attorney cu. 3-z-y� ed by Mayor for Submission to 1 Green Sheet # LP60024 Adopted by Council: Date �� ' ,. �q1�{ Adoption Certified by Council Secretary �PARTMENT/OFFICE/CWNCIL DA7E INtTiA7ED � y . ] S � LIEP/Llcer�sir�g � P GREEN SHEET No. LP60024 ONTACT PERSON & PHONE M�mvvoms uun.v000e LOOM JAMES (JII� (612)26fr9D73 � C UST BE ON COUNCILAGENDA BY (DATE) � a�r9s �i , r N�m�tFOR 0 Ca,na7 Researa, RdITWG � TOTAL # OF SIGNATURE PAGES (CUP ALL LOCATIONS FOR SIGNATUR� ACTION REQUESTED: Counc�l approval of the fdlowing license application: Lice�e iY 0044204, for HEALTH EAST TRANSPORTATION, Doing Business As HEALTH EAST TRANSPORTATION, at 481 FRONT AVE, induding the fdlowirg business type(s): Auto Repair Gar�e, Auto Body Repair Garage. RECOMMENDATIONS: AppIOVE(A) RejeCt(R) ERSONAL SERVICE CONTR4CT5 MUSTANSWER THE FOLL0IMNG QUESTIONS: 1. Has this persoMrm ever worked under a coMrect fw this depertmeM? PLANNING COMMISSION yEg r,�p CIB COMMITTEE 2. Hes ihis persoMrm ever been a ciry employee? CIVILSVCCINN, YES NO 3. Does this persoMrtn possess a sldli trot �rormalty possessed by a`ry curtetrt city empioyea7 YES NO 4. Is this persoMrtn a fargeted vendorl - YES NO Explaln all yes answers on separate aheet anC attach W green sheet INITIATING PROBLEM, ISSUE, OPPORTUNI7Y (Who, What, When, Where, Why}: Requesting Councii approval fw H�Itheast Transportation DBA Healtheast Trensportation fw an Au[o Repair Garage and Auto Body Repair Garage License at 481 FrontAVe. ADVANTAGESIFAPPROVED: DISADVANTAGES IF APPROVED: DISADVANTAGES IF NOT APPROVED: TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED (CIRCLE ONE) YES NO FUNDING SOURC ACTIVITY NUMBER FINANCIALINFORMATION: A p �, r ,�� (EXPLAIN) �'U.T�,.�.ii ��: S'��''v��:"1 �.,+c'::..� i �l/� CLASS III d3�-�7p LICENSE APPLICATION � f{�G�1'lJ� Q5,('t� THIS APPLICATION IS SUBJECT TO REVIEW BY Tf� PUBLIC PLEASE TYPE OR PRINT IN INK Type of License(s) being applied for. AL/ TO Mp /s/ L� J�FP9'�2 G�/ � �oa� SsfvP City s Company Name: sok Propr;cw,ship If business is give date of incorporation: O� �� Pi CITY OF SAINT PAUL o&ce osLioenu, In�pec[ions � �,d�,��;� q � as 350StPeta5tAd1e300 � Sxi9RN,M'amcota SSIM �su)zeevoea �(eiz)zcssiza S .3��. �o s 3/ 7 ° ° s Doing Business As: �EqzT� %�/{r�SPn2T�/ L�/�. Busines ��a -/70"b BusinessAddress: �� / /�YE.Jt�� ST ��KlL ,�"/��`- Sf//� S�reet Addresa City State Zip Between what cross streets is the business located? �/,{L.�ir.B��/.�.QuF/�EL— Which side of the street7 scli�2>�- Are the premises no�v occupied7 �� S What T�pe of Business? /�Fn. e a( 2.4f,�ssoac�.v->�o��.�e c� /��%r:�v Mail To Address: ApplicanT Informafion: Name and Title: 1Q sireet Addlcss State Zip First �-� Middle (Ufaiden) Lest �// Title Home Address: �lli 5� ��I�nI�S /� �_fJHrGT' .�/�d .��i�E` /�/� S.S�/1 '7 S�rect Addma City State Zip Date of Birth: Place of Birth: � �N.✓F.�j PD � i S Home Phone: G�� J "P�'.<�� Have you ever been convicted of any felony, crime or violation of any city ordinance other than traffic? YES NO � Date of azrest: Charge: _ Conviction: Sentence: List the names and residences of tluee persons of good moral character, living within the Twin Cities Metro Area, not related to ttie applicant or fmancially interested in the premises or business, who may be referred to as to the applicanPs chazacter: e��; � List Iicenses which you Whem? hold, formerly held, or Have any of the above named licenses ever been revoked7 have a interestin: �.t,> �E'�[ Y�S i .13��.�� NO If yes, list the dates and reasons for revocation: s� 2/18/97 Are you going to operate this business personally? �YLS NO If not, who w�ll operate it? �� First'Same Home Addrus: Street �ame \tiddle Initis] (lfaidrn) Are you going to have a manager or assistant in this business? please complete the follo�3�ing information: �j�2iz y F;� �._�� yl� 3 `Z �= HomeAddrt�s: $ixeethemc �iti� :�U, � �� City � �$ � � (:d � aidrn) 7.7/ w�il..�!/.,TOn� Please list your emplo}�nent history for the previous five (5) year period: Business/Emnlovment _ Address � List all other officers of the corporation: OFFICER TITLE HOME NAME (Office Held) ADDRE Last Ststc Dete of Birth Zip Phone V�ber NO If the manager is not the same as the operator, � Stnte HOME BUSINESS PHONE PHONE DATE OF BIItTH �/S , s_�z/ If business is a partnership, please include the foilowing infoimation for each partner (use additional pages if necessary): Fin[Nazne A2iddlelnitial (Maidrn) Lnvt DnteofBirtli Home Addms: Strcet I��ame Fint Name Middlc Initiel Home Addrn�: Street Name City (!vlaidrn) City State Zip Pdone Numba Lasl MINNESOTA TAX IDENTIFICATION NUMBER - Pursuant to the Laws of Minnesota, 1984, Chapter 502, Article 8, Section 2(27092) (TaK Clearance; Issuance of Licenses), licensing authorities are required to provide to the State of Minnesota Commissioner of Revrnue, 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 followittg regazding the use of the Minnesota Tax Identiiication 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 tases; - Upon receiving this information, the licensing authority will supply it only to the Minnesots Department of Revrnue. However, under the Federai Exchange of Information Agreement, the Department of Revenue may supply this infonnation to the Internal Revenue Service. Minnesota TaY Identificalion Numbeis (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business Records Department, 10 RiverPark Plaza (612-296-6181). Social Suurity I�TUmber: � U�1— .�� !�`'�J Minnesofa Tax Idrn�caiion Number: 7��.SV � _ If a Minnesota Tax Ident�cation Number is not required for the business being operated, indicate so by placing an "X" in the box. Date ofB"vth �� S c�- %�� Zip Phone I.Smber -�`l. ✓�sG. /,��K �c // � � 2/18/97 � "�Sb CERTIFICATION OF WORKERS' COMI'ENSATION COVERAGE PURSUANT TO MINNESOTA STATUTE 176.182 I hereby ceitify that I, or my company, azn in compliance with the workers' compensation insurance coverage requiremrnts of Mianesota Statute 176.182, subdivision 2. I alw undeistzr.d that provision of false infotmation in this certification constitutes suflicient grounds for adverse action against alllicenses held, including revocation and suspension of said licenses. Name of Insurar.ce Company: Policy Number: Coverage from �.�/3//5S to .':;: � c no emplo}•ees covered under �vorkers' compensation insurance (INITIALS) A1VY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL SUBMTTTED �YILL RESULT IN DEI�'IAL OF THIS APPLICATION I hereby state that I have ans�+�ered all of the preceding ques[ions, and that the infonnation contained herein is true and correct to the bes[ of my Imowledge and belief. I hereby state fiuther that I have received no money or otha consideration, by way of loan, gift, conhibution, or othenvi.se, other than already disclosed in the application which I haewith 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 operalion. We will accept pa}'ment 6y cash, check (made payable to City of Saint Paul) or credit card (M/C or Visa). lFPAYING BY CREbIT CARD PLEASE COMPLETE THE FOLLON'INC INF02MATION: � MasterCard � Visa EXPII2ATION DATE; ❑❑/o❑ of Cazdholder ACCOUNl' rllJtvIBER: . ■ ■ ■ .. ■ ■ . ■ ■ ■�■�■�■�■i of Cazd Holdet(tequired for all **Note: If this application is Food/Liquor related, please contact a Ciry of Saint Paul Health Inspector, Steve Olson (266-9139), to review plans. If any substantial changes to structure are anticipated, please contact a City of Saint Paul Plan Exazniner at 266-9007 to apply for building per.tits. If there are any changes to the parking lot, floor space, ar for new operations, please contact a City of Saint Paul Zoning Inspector at 266-9008. All applications require the following documents. Please attach these documents when submitting your application: I. A detailed description of the design, location and squaze footage of the premises to be licensed (site plan). The following data should be on the site plan (preferably on an 8 I/2" x i l" or 8 1/2" x 14" paper): - Name, address, and phone number. - The scale should be stated snch as 1" = ZO'. ^N should be indicated toward the top. - Placement of all pertinent features o£the interior of the licensed facility such as seating azeas, kitchens, offiees, repair area, parking, rest rooms, etc. - If a request is for an addilion or expansion of the licensed facility, indicate both the current azea and the proposed expansion. 2. A copy of your lease ageement or proof of ownership of the property. SPECIFIC LIC�ATSE APPLICATIONS REQLTII2E ADDTTIONAL IIVFORMATION. PLEASE SEE R�VERSE FOR DETAILS >>>> 2/]8/97 APR. 1 1�07PM HEALTHEAST TRANS•,�� LIEP 612 P '� z ��2 0!'FIG� 0� UC�NSE.INC�CCTIONE AND EtivtR�NMR�NTAI PRO'[ECT1oN A.b� r�r., a.mr CITY OF SAINT PAtJL NQfn Cotn�n. G4Yc► LOWRYPRO�FEiSIGNA1,OtJL�Nla r.�w�cnsaw�c�o � �, ,y.,"�.»�.. xi.uw.�, �.asxf��re n��+x I apree to the fo{{owinp candifions beinp pinced on tRa fo(tovrinp Qcerts�(s): Lfmnce t� 00«204 Typa of Business: Auto Body Repair Gprspe Auto Rapei� Gara9e Motor Vshicle Duter- Nrw VehiGea Applied far hy_ HEAbTM EAST TRANSPORTATION Doiny Businass As: HEALTH Fl�ST TRANSPORTATION �t: 481 FRONT AVE ST PAUI MN 55117 Condltlons ire as toilows: i) Th�n shaii D� no autsiqs storege of motors or autobvdy paRs. 2) Auto Body uss must meet ali appiicadle provisions ot th� Stato Buildinp Cvde. ��/ 7 � nsap Dat� TOTAL P.02 RPR-01-1998 12�28 612 488 2846 98%: P.02 Council File$ `b — � S � ordinance # ORIGINAL �! Presented By ( Referred To RESOLUTION CITY OF SAINT PAUL, MINNESOTA �, ��6t 3g Committee: Date RSSOLVED: 1 That application (ID #0044204) for a Auto Repair Garage, Auto 2 Body Repair Garage License(s) by HEALTH EAST TRANSPORTATION DBA 3 HEALTH EAST TRANSPORTATION at 481 FRONT AVE be and the same is 4 hereby approved with the following conditions: 5 1) There shall be no outside storage of motors or autobody parts. 6 2) Auto Body use must meet all applicable provisions of the State 7 Building Code. VPIiR Navs ahsPnt Requested by Department of: Office of License, inspections and Environmental Protection By: C'�� - �� Form Approved by City Attorney cu. 3-z-y� ed by Mayor for Submission to 1 Green Sheet # LP60024 Adopted by Council: Date �� ' ,. �q1�{ Adoption Certified by Council Secretary �PARTMENT/OFFICE/CWNCIL DA7E INtTiA7ED � y . ] S � LIEP/Llcer�sir�g � P GREEN SHEET No. LP60024 ONTACT PERSON & PHONE M�mvvoms uun.v000e LOOM JAMES (JII� (612)26fr9D73 � C UST BE ON COUNCILAGENDA BY (DATE) � a�r9s �i , r N�m�tFOR 0 Ca,na7 Researa, RdITWG � TOTAL # OF SIGNATURE PAGES (CUP ALL LOCATIONS FOR SIGNATUR� ACTION REQUESTED: Counc�l approval of the fdlowing license application: Lice�e iY 0044204, for HEALTH EAST TRANSPORTATION, Doing Business As HEALTH EAST TRANSPORTATION, at 481 FRONT AVE, induding the fdlowirg business type(s): Auto Repair Gar�e, Auto Body Repair Garage. RECOMMENDATIONS: AppIOVE(A) RejeCt(R) ERSONAL SERVICE CONTR4CT5 MUSTANSWER THE FOLL0IMNG QUESTIONS: 1. Has this persoMrm ever worked under a coMrect fw this depertmeM? PLANNING COMMISSION yEg r,�p CIB COMMITTEE 2. Hes ihis persoMrm ever been a ciry employee? CIVILSVCCINN, YES NO 3. Does this persoMrtn possess a sldli trot �rormalty possessed by a`ry curtetrt city empioyea7 YES NO 4. Is this persoMrtn a fargeted vendorl - YES NO Explaln all yes answers on separate aheet anC attach W green sheet INITIATING PROBLEM, ISSUE, OPPORTUNI7Y (Who, What, When, Where, Why}: Requesting Councii approval fw H�Itheast Transportation DBA Healtheast Trensportation fw an Au[o Repair Garage and Auto Body Repair Garage License at 481 FrontAVe. ADVANTAGESIFAPPROVED: DISADVANTAGES IF APPROVED: DISADVANTAGES IF NOT APPROVED: TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED (CIRCLE ONE) YES NO FUNDING SOURC ACTIVITY NUMBER FINANCIALINFORMATION: A p �, r ,�� (EXPLAIN) �'U.T�,.�.ii ��: S'��''v��:"1 �.,+c'::..� i �l/� CLASS III d3�-�7p LICENSE APPLICATION � f{�G�1'lJ� Q5,('t� THIS APPLICATION IS SUBJECT TO REVIEW BY Tf� PUBLIC PLEASE TYPE OR PRINT IN INK Type of License(s) being applied for. AL/ TO Mp /s/ L� J�FP9'�2 G�/ � �oa� SsfvP City s Company Name: sok Propr;cw,ship If business is give date of incorporation: O� �� Pi CITY OF SAINT PAUL o&ce osLioenu, In�pec[ions � �,d�,��;� q � as 350StPeta5tAd1e300 � Sxi9RN,M'amcota SSIM �su)zeevoea �(eiz)zcssiza S .3��. �o s 3/ 7 ° ° s Doing Business As: �EqzT� %�/{r�SPn2T�/ L�/�. Busines ��a -/70"b BusinessAddress: �� / /�YE.Jt�� ST ��KlL ,�"/��`- Sf//� S�reet Addresa City State Zip Between what cross streets is the business located? �/,{L.�ir.B��/.�.QuF/�EL— Which side of the street7 scli�2>�- Are the premises no�v occupied7 �� S What T�pe of Business? /�Fn. e a( 2.4f,�ssoac�.v->�o��.�e c� /��%r:�v Mail To Address: ApplicanT Informafion: Name and Title: 1Q sireet Addlcss State Zip First �-� Middle (Ufaiden) Lest �// Title Home Address: �lli 5� ��I�nI�S /� �_fJHrGT' .�/�d .��i�E` /�/� S.S�/1 '7 S�rect Addma City State Zip Date of Birth: Place of Birth: � �N.✓F.�j PD � i S Home Phone: G�� J "P�'.<�� Have you ever been convicted of any felony, crime or violation of any city ordinance other than traffic? YES NO � Date of azrest: Charge: _ Conviction: Sentence: List the names and residences of tluee persons of good moral character, living within the Twin Cities Metro Area, not related to ttie applicant or fmancially interested in the premises or business, who may be referred to as to the applicanPs chazacter: e��; � List Iicenses which you Whem? hold, formerly held, or Have any of the above named licenses ever been revoked7 have a interestin: �.t,> �E'�[ Y�S i .13��.�� NO If yes, list the dates and reasons for revocation: s� 2/18/97 Are you going to operate this business personally? �YLS NO If not, who w�ll operate it? �� First'Same Home Addrus: Street �ame \tiddle Initis] (lfaidrn) Are you going to have a manager or assistant in this business? please complete the follo�3�ing information: �j�2iz y F;� �._�� yl� 3 `Z �= HomeAddrt�s: $ixeethemc �iti� :�U, � �� City � �$ � � (:d � aidrn) 7.7/ w�il..�!/.,TOn� Please list your emplo}�nent history for the previous five (5) year period: Business/Emnlovment _ Address � List all other officers of the corporation: OFFICER TITLE HOME NAME (Office Held) ADDRE Last Ststc Dete of Birth Zip Phone V�ber NO If the manager is not the same as the operator, � Stnte HOME BUSINESS PHONE PHONE DATE OF BIItTH �/S , s_�z/ If business is a partnership, please include the foilowing infoimation for each partner (use additional pages if necessary): Fin[Nazne A2iddlelnitial (Maidrn) Lnvt DnteofBirtli Home Addms: Strcet I��ame Fint Name Middlc Initiel Home Addrn�: Street Name City (!vlaidrn) City State Zip Pdone Numba Lasl MINNESOTA TAX IDENTIFICATION NUMBER - Pursuant to the Laws of Minnesota, 1984, Chapter 502, Article 8, Section 2(27092) (TaK Clearance; Issuance of Licenses), licensing authorities are required to provide to the State of Minnesota Commissioner of Revrnue, 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 followittg regazding the use of the Minnesota Tax Identiiication 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 tases; - Upon receiving this information, the licensing authority will supply it only to the Minnesots Department of Revrnue. However, under the Federai Exchange of Information Agreement, the Department of Revenue may supply this infonnation to the Internal Revenue Service. Minnesota TaY Identificalion Numbeis (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business Records Department, 10 RiverPark Plaza (612-296-6181). Social Suurity I�TUmber: � U�1— .�� !�`'�J Minnesofa Tax Idrn�caiion Number: 7��.SV � _ If a Minnesota Tax Ident�cation Number is not required for the business being operated, indicate so by placing an "X" in the box. Date ofB"vth �� S c�- %�� Zip Phone I.Smber -�`l. ✓�sG. /,��K �c // � � 2/18/97 � "�Sb CERTIFICATION OF WORKERS' COMI'ENSATION COVERAGE PURSUANT TO MINNESOTA STATUTE 176.182 I hereby ceitify that I, or my company, azn in compliance with the workers' compensation insurance coverage requiremrnts of Mianesota Statute 176.182, subdivision 2. I alw undeistzr.d that provision of false infotmation in this certification constitutes suflicient grounds for adverse action against alllicenses held, including revocation and suspension of said licenses. Name of Insurar.ce Company: Policy Number: Coverage from �.�/3//5S to .':;: � c no emplo}•ees covered under �vorkers' compensation insurance (INITIALS) A1VY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL SUBMTTTED �YILL RESULT IN DEI�'IAL OF THIS APPLICATION I hereby state that I have ans�+�ered all of the preceding ques[ions, and that the infonnation contained herein is true and correct to the bes[ of my Imowledge and belief. I hereby state fiuther that I have received no money or otha consideration, by way of loan, gift, conhibution, or othenvi.se, other than already disclosed in the application which I haewith 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 operalion. We will accept pa}'ment 6y cash, check (made payable to City of Saint Paul) or credit card (M/C or Visa). lFPAYING BY CREbIT CARD PLEASE COMPLETE THE FOLLON'INC INF02MATION: � MasterCard � Visa EXPII2ATION DATE; ❑❑/o❑ of Cazdholder ACCOUNl' rllJtvIBER: . ■ ■ ■ .. ■ ■ . ■ ■ ■�■�■�■�■i of Cazd Holdet(tequired for all **Note: If this application is Food/Liquor related, please contact a Ciry of Saint Paul Health Inspector, Steve Olson (266-9139), to review plans. If any substantial changes to structure are anticipated, please contact a City of Saint Paul Plan Exazniner at 266-9007 to apply for building per.tits. If there are any changes to the parking lot, floor space, ar for new operations, please contact a City of Saint Paul Zoning Inspector at 266-9008. All applications require the following documents. Please attach these documents when submitting your application: I. A detailed description of the design, location and squaze footage of the premises to be licensed (site plan). The following data should be on the site plan (preferably on an 8 I/2" x i l" or 8 1/2" x 14" paper): - Name, address, and phone number. - The scale should be stated snch as 1" = ZO'. ^N should be indicated toward the top. - Placement of all pertinent features o£the interior of the licensed facility such as seating azeas, kitchens, offiees, repair area, parking, rest rooms, etc. - If a request is for an addilion or expansion of the licensed facility, indicate both the current azea and the proposed expansion. 2. A copy of your lease ageement or proof of ownership of the property. SPECIFIC LIC�ATSE APPLICATIONS REQLTII2E ADDTTIONAL IIVFORMATION. PLEASE SEE R�VERSE FOR DETAILS >>>> 2/]8/97 APR. 1 1�07PM HEALTHEAST TRANS•,�� LIEP 612 P '� z ��2 0!'FIG� 0� UC�NSE.INC�CCTIONE AND EtivtR�NMR�NTAI PRO'[ECT1oN A.b� r�r., a.mr CITY OF SAINT PAtJL NQfn Cotn�n. G4Yc► LOWRYPRO�FEiSIGNA1,OtJL�Nla r.�w�cnsaw�c�o � �, ,y.,"�.»�.. xi.uw.�, �.asxf��re n��+x I apree to the fo{{owinp candifions beinp pinced on tRa fo(tovrinp Qcerts�(s): Lfmnce t� 00«204 Typa of Business: Auto Body Repair Gprspe Auto Rapei� Gara9e Motor Vshicle Duter- Nrw VehiGea Applied far hy_ HEAbTM EAST TRANSPORTATION Doiny Businass As: HEALTH Fl�ST TRANSPORTATION �t: 481 FRONT AVE ST PAUI MN 55117 Condltlons ire as toilows: i) Th�n shaii D� no autsiqs storege of motors or autobvdy paRs. 2) Auto Body uss must meet ali appiicadle provisions ot th� Stato Buildinp Cvde. ��/ 7 � nsap Dat� TOTAL P.02 RPR-01-1998 12�28 612 488 2846 98%: P.02 Council File$ `b — � S � ordinance # ORIGINAL �! Presented By ( Referred To RESOLUTION CITY OF SAINT PAUL, MINNESOTA �, ��6t 3g Committee: Date RSSOLVED: 1 That application (ID #0044204) for a Auto Repair Garage, Auto 2 Body Repair Garage License(s) by HEALTH EAST TRANSPORTATION DBA 3 HEALTH EAST TRANSPORTATION at 481 FRONT AVE be and the same is 4 hereby approved with the following conditions: 5 1) There shall be no outside storage of motors or autobody parts. 6 2) Auto Body use must meet all applicable provisions of the State 7 Building Code. VPIiR Navs ahsPnt Requested by Department of: Office of License, inspections and Environmental Protection By: C'�� - �� Form Approved by City Attorney cu. 3-z-y� ed by Mayor for Submission to 1 Green Sheet # LP60024 Adopted by Council: Date �� ' ,. �q1�{ Adoption Certified by Council Secretary �PARTMENT/OFFICE/CWNCIL DA7E INtTiA7ED � y . ] S � LIEP/Llcer�sir�g � P GREEN SHEET No. LP60024 ONTACT PERSON & PHONE M�mvvoms uun.v000e LOOM JAMES (JII� (612)26fr9D73 � C UST BE ON COUNCILAGENDA BY (DATE) � a�r9s �i , r N�m�tFOR 0 Ca,na7 Researa, RdITWG � TOTAL # OF SIGNATURE PAGES (CUP ALL LOCATIONS FOR SIGNATUR� ACTION REQUESTED: Counc�l approval of the fdlowing license application: Lice�e iY 0044204, for HEALTH EAST TRANSPORTATION, Doing Business As HEALTH EAST TRANSPORTATION, at 481 FRONT AVE, induding the fdlowirg business type(s): Auto Repair Gar�e, Auto Body Repair Garage. RECOMMENDATIONS: AppIOVE(A) RejeCt(R) ERSONAL SERVICE CONTR4CT5 MUSTANSWER THE FOLL0IMNG QUESTIONS: 1. Has this persoMrm ever worked under a coMrect fw this depertmeM? PLANNING COMMISSION yEg r,�p CIB COMMITTEE 2. Hes ihis persoMrm ever been a ciry employee? CIVILSVCCINN, YES NO 3. Does this persoMrtn possess a sldli trot �rormalty possessed by a`ry curtetrt city empioyea7 YES NO 4. Is this persoMrtn a fargeted vendorl - YES NO Explaln all yes answers on separate aheet anC attach W green sheet INITIATING PROBLEM, ISSUE, OPPORTUNI7Y (Who, What, When, Where, Why}: Requesting Councii approval fw H�Itheast Transportation DBA Healtheast Trensportation fw an Au[o Repair Garage and Auto Body Repair Garage License at 481 FrontAVe. ADVANTAGESIFAPPROVED: DISADVANTAGES IF APPROVED: DISADVANTAGES IF NOT APPROVED: TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED (CIRCLE ONE) YES NO FUNDING SOURC ACTIVITY NUMBER FINANCIALINFORMATION: A p �, r ,�� (EXPLAIN) �'U.T�,.�.ii ��: S'��''v��:"1 �.,+c'::..� i �l/� CLASS III d3�-�7p LICENSE APPLICATION � f{�G�1'lJ� Q5,('t� THIS APPLICATION IS SUBJECT TO REVIEW BY Tf� PUBLIC PLEASE TYPE OR PRINT IN INK Type of License(s) being applied for. AL/ TO Mp /s/ L� J�FP9'�2 G�/ � �oa� SsfvP City s Company Name: sok Propr;cw,ship If business is give date of incorporation: O� �� Pi CITY OF SAINT PAUL o&ce osLioenu, In�pec[ions � �,d�,��;� q � as 350StPeta5tAd1e300 � Sxi9RN,M'amcota SSIM �su)zeevoea �(eiz)zcssiza S .3��. �o s 3/ 7 ° ° s Doing Business As: �EqzT� %�/{r�SPn2T�/ L�/�. Busines ��a -/70"b BusinessAddress: �� / /�YE.Jt�� ST ��KlL ,�"/��`- Sf//� S�reet Addresa City State Zip Between what cross streets is the business located? �/,{L.�ir.B��/.�.QuF/�EL— Which side of the street7 scli�2>�- Are the premises no�v occupied7 �� S What T�pe of Business? /�Fn. e a( 2.4f,�ssoac�.v->�o��.�e c� /��%r:�v Mail To Address: ApplicanT Informafion: Name and Title: 1Q sireet Addlcss State Zip First �-� Middle (Ufaiden) Lest �// Title Home Address: �lli 5� ��I�nI�S /� �_fJHrGT' .�/�d .��i�E` /�/� S.S�/1 '7 S�rect Addma City State Zip Date of Birth: Place of Birth: � �N.✓F.�j PD � i S Home Phone: G�� J "P�'.<�� Have you ever been convicted of any felony, crime or violation of any city ordinance other than traffic? YES NO � Date of azrest: Charge: _ Conviction: Sentence: List the names and residences of tluee persons of good moral character, living within the Twin Cities Metro Area, not related to ttie applicant or fmancially interested in the premises or business, who may be referred to as to the applicanPs chazacter: e��; � List Iicenses which you Whem? hold, formerly held, or Have any of the above named licenses ever been revoked7 have a interestin: �.t,> �E'�[ Y�S i .13��.�� NO If yes, list the dates and reasons for revocation: s� 2/18/97 Are you going to operate this business personally? �YLS NO If not, who w�ll operate it? �� First'Same Home Addrus: Street �ame \tiddle Initis] (lfaidrn) Are you going to have a manager or assistant in this business? please complete the follo�3�ing information: �j�2iz y F;� �._�� yl� 3 `Z �= HomeAddrt�s: $ixeethemc �iti� :�U, � �� City � �$ � � (:d � aidrn) 7.7/ w�il..�!/.,TOn� Please list your emplo}�nent history for the previous five (5) year period: Business/Emnlovment _ Address � List all other officers of the corporation: OFFICER TITLE HOME NAME (Office Held) ADDRE Last Ststc Dete of Birth Zip Phone V�ber NO If the manager is not the same as the operator, � Stnte HOME BUSINESS PHONE PHONE DATE OF BIItTH �/S , s_�z/ If business is a partnership, please include the foilowing infoimation for each partner (use additional pages if necessary): Fin[Nazne A2iddlelnitial (Maidrn) Lnvt DnteofBirtli Home Addms: Strcet I��ame Fint Name Middlc Initiel Home Addrn�: Street Name City (!vlaidrn) City State Zip Pdone Numba Lasl MINNESOTA TAX IDENTIFICATION NUMBER - Pursuant to the Laws of Minnesota, 1984, Chapter 502, Article 8, Section 2(27092) (TaK Clearance; Issuance of Licenses), licensing authorities are required to provide to the State of Minnesota Commissioner of Revrnue, 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 followittg regazding the use of the Minnesota Tax Identiiication 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 tases; - Upon receiving this information, the licensing authority will supply it only to the Minnesots Department of Revrnue. However, under the Federai Exchange of Information Agreement, the Department of Revenue may supply this infonnation to the Internal Revenue Service. Minnesota TaY Identificalion Numbeis (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business Records Department, 10 RiverPark Plaza (612-296-6181). Social Suurity I�TUmber: � U�1— .�� !�`'�J Minnesofa Tax Idrn�caiion Number: 7��.SV � _ If a Minnesota Tax Ident�cation Number is not required for the business being operated, indicate so by placing an "X" in the box. Date ofB"vth �� S c�- %�� Zip Phone I.Smber -�`l. ✓�sG. /,��K �c // � � 2/18/97 � "�Sb CERTIFICATION OF WORKERS' COMI'ENSATION COVERAGE PURSUANT TO MINNESOTA STATUTE 176.182 I hereby ceitify that I, or my company, azn in compliance with the workers' compensation insurance coverage requiremrnts of Mianesota Statute 176.182, subdivision 2. I alw undeistzr.d that provision of false infotmation in this certification constitutes suflicient grounds for adverse action against alllicenses held, including revocation and suspension of said licenses. Name of Insurar.ce Company: Policy Number: Coverage from �.�/3//5S to .':;: � c no emplo}•ees covered under �vorkers' compensation insurance (INITIALS) A1VY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL SUBMTTTED �YILL RESULT IN DEI�'IAL OF THIS APPLICATION I hereby state that I have ans�+�ered all of the preceding ques[ions, and that the infonnation contained herein is true and correct to the bes[ of my Imowledge and belief. I hereby state fiuther that I have received no money or otha consideration, by way of loan, gift, conhibution, or othenvi.se, other than already disclosed in the application which I haewith 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 operalion. We will accept pa}'ment 6y cash, check (made payable to City of Saint Paul) or credit card (M/C or Visa). lFPAYING BY CREbIT CARD PLEASE COMPLETE THE FOLLON'INC INF02MATION: � MasterCard � Visa EXPII2ATION DATE; ❑❑/o❑ of Cazdholder ACCOUNl' rllJtvIBER: . ■ ■ ■ .. ■ ■ . ■ ■ ■�■�■�■�■i of Cazd Holdet(tequired for all **Note: If this application is Food/Liquor related, please contact a Ciry of Saint Paul Health Inspector, Steve Olson (266-9139), to review plans. If any substantial changes to structure are anticipated, please contact a City of Saint Paul Plan Exazniner at 266-9007 to apply for building per.tits. If there are any changes to the parking lot, floor space, ar for new operations, please contact a City of Saint Paul Zoning Inspector at 266-9008. All applications require the following documents. Please attach these documents when submitting your application: I. A detailed description of the design, location and squaze footage of the premises to be licensed (site plan). The following data should be on the site plan (preferably on an 8 I/2" x i l" or 8 1/2" x 14" paper): - Name, address, and phone number. - The scale should be stated snch as 1" = ZO'. ^N should be indicated toward the top. - Placement of all pertinent features o£the interior of the licensed facility such as seating azeas, kitchens, offiees, repair area, parking, rest rooms, etc. - If a request is for an addilion or expansion of the licensed facility, indicate both the current azea and the proposed expansion. 2. A copy of your lease ageement or proof of ownership of the property. SPECIFIC LIC�ATSE APPLICATIONS REQLTII2E ADDTTIONAL IIVFORMATION. PLEASE SEE R�VERSE FOR DETAILS >>>> 2/]8/97 APR. 1 1�07PM HEALTHEAST TRANS•,�� LIEP 612 P '� z ��2 0!'FIG� 0� UC�NSE.INC�CCTIONE AND EtivtR�NMR�NTAI PRO'[ECT1oN A.b� r�r., a.mr CITY OF SAINT PAtJL NQfn Cotn�n. G4Yc► LOWRYPRO�FEiSIGNA1,OtJL�Nla r.�w�cnsaw�c�o � �, ,y.,"�.»�.. xi.uw.�, �.asxf��re n��+x I apree to the fo{{owinp candifions beinp pinced on tRa fo(tovrinp Qcerts�(s): Lfmnce t� 00«204 Typa of Business: Auto Body Repair Gprspe Auto Rapei� Gara9e Motor Vshicle Duter- Nrw VehiGea Applied far hy_ HEAbTM EAST TRANSPORTATION Doiny Businass As: HEALTH Fl�ST TRANSPORTATION �t: 481 FRONT AVE ST PAUI MN 55117 Condltlons ire as toilows: i) Th�n shaii D� no autsiqs storege of motors or autobvdy paRs. 2) Auto Body uss must meet ali appiicadle provisions ot th� Stato Buildinp Cvde. ��/ 7 � nsap Dat� TOTAL P.02 RPR-01-1998 12�28 612 488 2846 98%: P.02