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98-554oR��a� RESOLUTION CfTY QF SAINT PAUL, MINNESOTA Presented By Re£erred To Committee: Date 1 2 3 4 5 6 7 8 RESOLVEDs Council File � l _SS y Ordinance # Green Sheet # LP60054 y�' That application (ID #19980000473) for a Auto Repair Garage License(s) by EDDIE'S TRUCK REPAIR INC DBA EDDIE'S TRUCK REPAIR at 895 PRIOR AVE N be and the same is hereby approved with the following conditions: 1. Al1 vehicles parked outdoors on the lot must appear to be completely assembled, with no parts missing. Vehicle salvage is not permitted. 9 2. Vehicle parts, tires, oil or similar items will not be stored 10 outdoors. Trash will be stored in the dumpster or in an enclosed 11 area, not visible from the street. 12 13 3. No repair oE vehicles will occur on the exterior o£ the lot 14 or on the public right-of-way. Requested by Department of: Of£ice o£ License, InBpections and Environmental Protection g �,�J..o�.�.�� } � J By: App By: Form Approved by City Attorne `, /� �. BY= � . Approved by Mayor for Submission to Council By: Adopted by Council: Date �`i Adoption Certified by Counci Secretary DEPARTMEtSTlOfFICElCOUNqL DATENJITIATED � LIEPoLicensiig GREEN SHEET No. LP60054 s ONTACT PERSON & PHONE �� LOOM JAMES (JIA� (612}26G9073 � C�yAttaneY UST BE ON COUNCII AGENDA BY (DATEj �SS�GN 624198 HUMBERFOR O2 CousrlRc�rch R6UTWG ORUER TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Councit approval of tlm folfrnving ficense application: License ik y9980000473, tor EDDIE'S TRUCK REPAIR INC, Doing Business As EDDIE'S TRUCK REPAIR, at 895 PRIOR AVE N, inGUding the tollovring business lype(s): Auto Repair C>arage. RECOMMENDATIONS: Approve(A) Reject(R) ERSONALSERVICE CONTR4CTS MUSTANSWER THE FOILOWING OUESilONS: t. Has ihis perso�rtn everv+orlced urMer a coniwd farihis departmenYl _ PLANNING COMMISSION vES NO CIB COMMITTEE 2. Has Mis perso�rm ever been a city emplm�eel �ClVtISVCCINN, YES NO 3. ooes enis persannim. a�sess a skin iwt namafM aossessed b�i anv currem cit✓ e+nvloree? YES NO . is this persoNfirtn a targeted vendoR ° YES NO Explain all yes answers on separote sheef antl attach to green sheet INITIA7ING PROBLEM, ISSUE, OPPORTUNITY (Who, What, When, Where, Why): Request Council approval for Eddie's Truok Repair, Inc. DBA Eddie's Truck Repair for an Auto Repair Garage License at 895 Priw Avenue N. ADVANTAGES IF APPROVEp: DISAOVANTAGES IF APPROVED: DISADVANTAGES IF NOTAPPROVED: TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO fUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION: � ° (�ya�y�n,� �'J�,� a^ (EXPLAIN) ' . _ .. �� '� �'� fi3�� - `O �c] S � . CLASS III LICENSE APPLICATION THIS APPLICATION IS SUBJECT I'O I2EVIEW BY THE P�BLIC CII'Y OF SAINT PAUL �<E of License, Inspzctio:vs and Emironme.ttzl PrWection i50 St "rr.j St S:�te i00 Sz 55'.Ol (61?)2>69�?p ;ax(617)3b69114 PLEASE TYPE OR PRTNT IN I'�'K � T}pe of License(s) being applied for: �J��C':.�' �i� ( g�/„? U�i �/�o � �� S Company I�uae: �i� � 1 e �S � �( / /i' If business is i�ycoiporztrd, give date of inco�poration: �G• ��` �°� � G DoingBusinessAs: ��FS Tri�GN /( �/�/�//� IIIJ� BusinessPhone: ��`��1 BusinessAddress: � P� %�-� :S/�/N�' �� r �5'IC�{ s� naa� c;�y s�tz zcp Betv.•een w•hat cross streets is the business ]ocated? 1�[ l c� �' fi/�f �N 5 F�z �'i ,!t'mq/� Which side of the street? �.�- Are the premises now occupiedT 2vSail To Address: �i yJ`� � s�c aaa�, Applicant Information: I�'zme and Tide: � - Fint Home Address: �,i � What Type of Business? O Sentence: U l- ciTy (\'faiden) �'h�/ , s� Aaa�' � c;�. Date of Birth: OG � I�= l'�I ZT Place of Birth: �� .�So*.it�l ��-� Have yov ec�er bzen comlcted oi any ieiony, crime or ti7olation of any city ordinance other than traffic, Date of arrest: Chazge: � Conviction: La+t Title __��, � ' S'SN) � s�t� z;P Home Phone: �S2 / • 7 �Y`/ � � YES NO ✓�_, List the names and Nsidences of three persons of good moral character, living w7thin the Twin Cities Metro Area, not related to the applicant or financially interested in the premises or business, w•ho may be referted to as to the applicanYs chuacter: Listlicenses u you cuirently Where? ADDRESS 3��1 �'J��11,t�:- .�-,�,.` , LIS�S ?% 3�1- ?�.� `�� i< l� - rmerly held, or may have an interest in: � � �ll /.�i � �71�,ii,;� Have any of the aboi•e named licenses e�'er been State Zip �i�.�ic.�� 'hrz,Ss 1td �,..�5'�!1 G F3:Zi3��l� YES � NO If yes, list the dates and rezsons for recocation: 2/78/97 q,�-SS y A y gou;g to operzte this business personall}'? _� YES �\O If not, �3 �a'ill operate it? Y�L'.,.u-� �Zi• 7,;.�� to i? zp Furt :�ams ��ii3dlc Snitiel (�!a'sdrn) � L<st Date of Buth �-ss2 G-�./.� �•7�c� �Ii��-- �- ---ss��$�- 2�i�?s�z x�: �aa�: ssGn Are;-ou going to hzcz a m2nzget or 2ssistznt in Lhis busi�zss? .X YES please complete ?hz iol]ouing infoimaUOn: Fini..eme �laz._3...F�` �= HO'.�CP�SL55: SuYCL�EIDC (�faidcn) y 51xte Zip phone�umber !� :v0 If the mz�ager is not the szme as the operator, Plezse lis[ }'o;:r e.*,;clo}ment history for Lhe pre�•ious fice (�) }'ezr period: Bnc�esslEm�]o��ent ddress T�a 1,�:... ,.,,� �..,�_ �"r�� 1�,� I.ast Dxu stPU Zip Phone is a partnership, pl ease include rhe following information for each pazmer (use additional paces if necessary): � ---- ---��---- -- - - ��.NVI-� l�-i ��: �� x� naa,�: � ��h , r�� (�1o;dn,> ss�t� - �ri� I.est !�i Datc ofBirUt Dau of Birth Ad..�'-ss: Stx:�:cyz Li.y Stzs Zip P!:c:.e\.t-.ba D�NESOTA TAX IDENTIFICATION I�TI7MBER - 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 pro�ride to the State of Minnesota Commissioner of Revenue, the Minnesota business tax identification number and the social security numba of each license applicant Under the Minnesota Governrnent Data Practices Act and the Federal Pricacy Act of ] 974, we are required to advis`e you of the follou�ing regarding ffie use of the Minnesofa Ta�t Idrntification Number: - This infortnation may be used to deny the issuance or renewal of your license in the e��ent you o�i�e Minnesota sales, employer's withtrolding or motor ��ehicle excise ta�es; - Upon recei�•ing this information, the licensing authority wili supply it only to the Minnesota Department of Revenue. Howe��er, under the Federal Exchange of Information Agreement, the Deparlment of Recrnue may supply this information to the Internal Revenue Senice. Muusesota TaY Identfication I�'tunbas (Sa1es & Use Tax Number) may be obtained from the State of Minnesota, Business Recards Departmen� 10 Rit•er Park Plaza (612-296-6181). Social Security :�tur.iber. Minnesota Tax Ideatification Number: �D � 7 ��I �i If a Mimiesota Tax Identification Number is not required for the business being operatzd, indicate so by placing an"X" in the box. 2/7 8.97 List all other officers of the corporation: OFfICER I'ITLE HO?viE HO'v1E BUSI'.�TESS DATE OF NAME (OfficeHeld) ADDRESS PHOIvB PHOI�TE BII2TH CERTTFICATIOA� OF WORiCERS' CO?viPE:3SATIOV COVERAGE PURSU,'�\'T TO _N�Ih'tiESOTA STATUTE 176.182 ��`S`s� I h?rreby certu�� thzi I, or m}' compam�, z'n in compliance «ith ihe �. orkr, s' compensation insurznce co�'erzge rzquirements of Minnesota Statu?e 176.182, sibdi�ision 2. ? a�so undecstand that p;o�ision offzlse �or,ration in this ce; �cation constitutes suEicieat grounds :or ad��erse zction zgaiast zll licznses held, includine re��oc znd susper.sio� ef said licenses. I�zme ofIns:uance Compan}: �✓/1�c:�( Q ��rn.ow�i�-•y Policy Number: C �{ C G� c/ (, ]— (� Cocerage from /- 2.3 -�`14 � to I 3 'L`� T q S ha��e no emplo}•ees co�'erzd under w'orke:s' compensation ;.:s� a*:ce (I:�ZTIALS) ARY FaLSIFICAI'ION OF A,":SPVERS GIVEN OR MATERLAL SUB3ITTTED WILL RESliLT L'� DE\`L-1L OF TFIIS APPLICATION I hereby state that I hace zr.s� ered zll of the preceding quetuoas, znd that the info,.,�ation coatained herein is true and coirut to the best of my know]edge and beiizt: I hereby stzte fiuther that I have r�..°ived no money or other considerauon, by way of loan, eifi, contribution, or otheiutise, other than zlready dix.losed in L�e applicztion u hich I h. zuith submitted I also understand this premisz may be inspected by police, fue, health znd other city o�cials at zny and a11 times �rhen �e business is in operation. Signatum (REQULRED for-e1( applications) Date We v�ill accept pa�ment by cas6, check (made pa}'abte to City of Saint Paui) or credit card (M/C or Visa). IFPAYINGBXCREDITCARDPLF�SECOMPLETETHEFOLLDWINGINFORb1ATION �MasterCard � Visa EXPiRATiON DATE: ACCOLNf i3LJM8ER: ❑oio❑ ❑oo❑ ❑oo❑ ❑oo❑ ❑oo❑ ��of of Cazd Holdet(required [or all charQesl Date '�'�Note: If this appiication is FoodlLiquor related, piease con?act a City of Saint Paul Health Inspector, Steve Olson (26b-9139), to re�iew plans. If any substantial changes to structure are anticipated, please contact a City of Saint Paul Plan Examiner at 266-9007 to apply for building �eraaiu. Ifthere are az�}° changes to the pazking lot, floor space, or for new operations, please contact a City oF Saint Paul Zoning Inspector at 266-9008. All spplications mquire the folloRing documents. Please attach these documents when submitting your apptication: 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 1!2" x I 1" oz 81l2" x 14" paper): - Nazne, address, and phone number. - The scaie shou7d be stated such as 1"= 20'. ^N should be indicated toward the top, - Placement of all pertinent features of ihe interior of the licensed facility such as seating areas, kitchens, offices, repzir area, � - _ parking, rest rooms, etc. - - If a request is for an addition or expansion of the licensed facility, i2dicate both tha current area and ihe proposed eapansion, 2. A copy of your lease agreement or proof of ounership of the property. SPECIFIC LICEl\SE APPLICATIONS REQL�E ADDITIONaL L\TFORMATION. PLEASE SEE REVERSE FOR DETAILS >>>> zn si9� oR��a� RESOLUTION CfTY QF SAINT PAUL, MINNESOTA Presented By Re£erred To Committee: Date 1 2 3 4 5 6 7 8 RESOLVEDs Council File � l _SS y Ordinance # Green Sheet # LP60054 y�' That application (ID #19980000473) for a Auto Repair Garage License(s) by EDDIE'S TRUCK REPAIR INC DBA EDDIE'S TRUCK REPAIR at 895 PRIOR AVE N be and the same is hereby approved with the following conditions: 1. Al1 vehicles parked outdoors on the lot must appear to be completely assembled, with no parts missing. Vehicle salvage is not permitted. 9 2. Vehicle parts, tires, oil or similar items will not be stored 10 outdoors. Trash will be stored in the dumpster or in an enclosed 11 area, not visible from the street. 12 13 3. No repair oE vehicles will occur on the exterior o£ the lot 14 or on the public right-of-way. Requested by Department of: Of£ice o£ License, InBpections and Environmental Protection g �,�J..o�.�.�� } � J By: App By: Form Approved by City Attorne `, /� �. BY= � . Approved by Mayor for Submission to Council By: Adopted by Council: Date �`i Adoption Certified by Counci Secretary DEPARTMEtSTlOfFICElCOUNqL DATENJITIATED � LIEPoLicensiig GREEN SHEET No. LP60054 s ONTACT PERSON & PHONE �� LOOM JAMES (JIA� (612}26G9073 � C�yAttaneY UST BE ON COUNCII AGENDA BY (DATEj �SS�GN 624198 HUMBERFOR O2 CousrlRc�rch R6UTWG ORUER TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Councit approval of tlm folfrnving ficense application: License ik y9980000473, tor EDDIE'S TRUCK REPAIR INC, Doing Business As EDDIE'S TRUCK REPAIR, at 895 PRIOR AVE N, inGUding the tollovring business lype(s): Auto Repair C>arage. RECOMMENDATIONS: Approve(A) Reject(R) ERSONALSERVICE CONTR4CTS MUSTANSWER THE FOILOWING OUESilONS: t. Has ihis perso�rtn everv+orlced urMer a coniwd farihis departmenYl _ PLANNING COMMISSION vES NO CIB COMMITTEE 2. Has Mis perso�rm ever been a city emplm�eel �ClVtISVCCINN, YES NO 3. ooes enis persannim. a�sess a skin iwt namafM aossessed b�i anv currem cit✓ e+nvloree? YES NO . is this persoNfirtn a targeted vendoR ° YES NO Explain all yes answers on separote sheef antl attach to green sheet INITIA7ING PROBLEM, ISSUE, OPPORTUNITY (Who, What, When, Where, Why): Request Council approval for Eddie's Truok Repair, Inc. DBA Eddie's Truck Repair for an Auto Repair Garage License at 895 Priw Avenue N. ADVANTAGES IF APPROVEp: DISAOVANTAGES IF APPROVED: DISADVANTAGES IF NOTAPPROVED: TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO fUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION: � ° (�ya�y�n,� �'J�,� a^ (EXPLAIN) ' . _ .. �� '� �'� fi3�� - `O �c] S � . CLASS III LICENSE APPLICATION THIS APPLICATION IS SUBJECT I'O I2EVIEW BY THE P�BLIC CII'Y OF SAINT PAUL �<E of License, Inspzctio:vs and Emironme.ttzl PrWection i50 St "rr.j St S:�te i00 Sz 55'.Ol (61?)2>69�?p ;ax(617)3b69114 PLEASE TYPE OR PRTNT IN I'�'K � T}pe of License(s) being applied for: �J��C':.�' �i� ( g�/„? U�i �/�o � �� S Company I�uae: �i� � 1 e �S � �( / /i' If business is i�ycoiporztrd, give date of inco�poration: �G• ��` �°� � G DoingBusinessAs: ��FS Tri�GN /( �/�/�//� IIIJ� BusinessPhone: ��`��1 BusinessAddress: � P� %�-� :S/�/N�' �� r �5'IC�{ s� naa� c;�y s�tz zcp Betv.•een w•hat cross streets is the business ]ocated? 1�[ l c� �' fi/�f �N 5 F�z �'i ,!t'mq/� Which side of the street? �.�- Are the premises now occupiedT 2vSail To Address: �i yJ`� � s�c aaa�, Applicant Information: I�'zme and Tide: � - Fint Home Address: �,i � What Type of Business? O Sentence: U l- ciTy (\'faiden) �'h�/ , s� Aaa�' � c;�. Date of Birth: OG � I�= l'�I ZT Place of Birth: �� .�So*.it�l ��-� Have yov ec�er bzen comlcted oi any ieiony, crime or ti7olation of any city ordinance other than traffic, Date of arrest: Chazge: � Conviction: La+t Title __��, � ' S'SN) � s�t� z;P Home Phone: �S2 / • 7 �Y`/ � � YES NO ✓�_, List the names and Nsidences of three persons of good moral character, living w7thin the Twin Cities Metro Area, not related to the applicant or financially interested in the premises or business, w•ho may be referted to as to the applicanYs chuacter: Listlicenses u you cuirently Where? ADDRESS 3��1 �'J��11,t�:- .�-,�,.` , LIS�S ?% 3�1- ?�.� `�� i< l� - rmerly held, or may have an interest in: � � �ll /.�i � �71�,ii,;� Have any of the aboi•e named licenses e�'er been State Zip �i�.�ic.�� 'hrz,Ss 1td �,..�5'�!1 G F3:Zi3��l� YES � NO If yes, list the dates and rezsons for recocation: 2/78/97 q,�-SS y A y gou;g to operzte this business personall}'? _� YES �\O If not, �3 �a'ill operate it? Y�L'.,.u-� �Zi• 7,;.�� to i? zp Furt :�ams ��ii3dlc Snitiel (�!a'sdrn) � L<st Date of Buth �-ss2 G-�./.� �•7�c� �Ii��-- �- ---ss��$�- 2�i�?s�z x�: �aa�: ssGn Are;-ou going to hzcz a m2nzget or 2ssistznt in Lhis busi�zss? .X YES please complete ?hz iol]ouing infoimaUOn: Fini..eme �laz._3...F�` �= HO'.�CP�SL55: SuYCL�EIDC (�faidcn) y 51xte Zip phone�umber !� :v0 If the mz�ager is not the szme as the operator, Plezse lis[ }'o;:r e.*,;clo}ment history for Lhe pre�•ious fice (�) }'ezr period: Bnc�esslEm�]o��ent ddress T�a 1,�:... ,.,,� �..,�_ �"r�� 1�,� I.ast Dxu stPU Zip Phone is a partnership, pl ease include rhe following information for each pazmer (use additional paces if necessary): � ---- ---��---- -- - - ��.NVI-� l�-i ��: �� x� naa,�: � ��h , r�� (�1o;dn,> ss�t� - �ri� I.est !�i Datc ofBirUt Dau of Birth Ad..�'-ss: Stx:�:cyz Li.y Stzs Zip P!:c:.e\.t-.ba D�NESOTA TAX IDENTIFICATION I�TI7MBER - 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 pro�ride to the State of Minnesota Commissioner of Revenue, the Minnesota business tax identification number and the social security numba of each license applicant Under the Minnesota Governrnent Data Practices Act and the Federal Pricacy Act of ] 974, we are required to advis`e you of the follou�ing regarding ffie use of the Minnesofa Ta�t Idrntification Number: - This infortnation may be used to deny the issuance or renewal of your license in the e��ent you o�i�e Minnesota sales, employer's withtrolding or motor ��ehicle excise ta�es; - Upon recei�•ing this information, the licensing authority wili supply it only to the Minnesota Department of Revenue. Howe��er, under the Federal Exchange of Information Agreement, the Deparlment of Recrnue may supply this information to the Internal Revenue Senice. Muusesota TaY Identfication I�'tunbas (Sa1es & Use Tax Number) may be obtained from the State of Minnesota, Business Recards Departmen� 10 Rit•er Park Plaza (612-296-6181). Social Security :�tur.iber. Minnesota Tax Ideatification Number: �D � 7 ��I �i If a Mimiesota Tax Identification Number is not required for the business being operatzd, indicate so by placing an"X" in the box. 2/7 8.97 List all other officers of the corporation: OFfICER I'ITLE HO?viE HO'v1E BUSI'.�TESS DATE OF NAME (OfficeHeld) ADDRESS PHOIvB PHOI�TE BII2TH CERTTFICATIOA� OF WORiCERS' CO?viPE:3SATIOV COVERAGE PURSU,'�\'T TO _N�Ih'tiESOTA STATUTE 176.182 ��`S`s� I h?rreby certu�� thzi I, or m}' compam�, z'n in compliance «ith ihe �. orkr, s' compensation insurznce co�'erzge rzquirements of Minnesota Statu?e 176.182, sibdi�ision 2. ? a�so undecstand that p;o�ision offzlse �or,ration in this ce; �cation constitutes suEicieat grounds :or ad��erse zction zgaiast zll licznses held, includine re��oc znd susper.sio� ef said licenses. I�zme ofIns:uance Compan}: �✓/1�c:�( Q ��rn.ow�i�-•y Policy Number: C �{ C G� c/ (, ]— (� Cocerage from /- 2.3 -�`14 � to I 3 'L`� T q S ha��e no emplo}•ees co�'erzd under w'orke:s' compensation ;.:s� a*:ce (I:�ZTIALS) ARY FaLSIFICAI'ION OF A,":SPVERS GIVEN OR MATERLAL SUB3ITTTED WILL RESliLT L'� DE\`L-1L OF TFIIS APPLICATION I hereby state that I hace zr.s� ered zll of the preceding quetuoas, znd that the info,.,�ation coatained herein is true and coirut to the best of my know]edge and beiizt: I hereby stzte fiuther that I have r�..°ived no money or other considerauon, by way of loan, eifi, contribution, or otheiutise, other than zlready dix.losed in L�e applicztion u hich I h. zuith submitted I also understand this premisz may be inspected by police, fue, health znd other city o�cials at zny and a11 times �rhen �e business is in operation. Signatum (REQULRED for-e1( applications) Date We v�ill accept pa�ment by cas6, check (made pa}'abte to City of Saint Paui) or credit card (M/C or Visa). IFPAYINGBXCREDITCARDPLF�SECOMPLETETHEFOLLDWINGINFORb1ATION �MasterCard � Visa EXPiRATiON DATE: ACCOLNf i3LJM8ER: ❑oio❑ ❑oo❑ ❑oo❑ ❑oo❑ ❑oo❑ ��of of Cazd Holdet(required [or all charQesl Date '�'�Note: If this appiication is FoodlLiquor related, piease con?act a City of Saint Paul Health Inspector, Steve Olson (26b-9139), to re�iew plans. If any substantial changes to structure are anticipated, please contact a City of Saint Paul Plan Examiner at 266-9007 to apply for building �eraaiu. Ifthere are az�}° changes to the pazking lot, floor space, or for new operations, please contact a City oF Saint Paul Zoning Inspector at 266-9008. All spplications mquire the folloRing documents. Please attach these documents when submitting your apptication: 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 1!2" x I 1" oz 81l2" x 14" paper): - Nazne, address, and phone number. - The scaie shou7d be stated such as 1"= 20'. ^N should be indicated toward the top, - Placement of all pertinent features of ihe interior of the licensed facility such as seating areas, kitchens, offices, repzir area, � - _ parking, rest rooms, etc. - - If a request is for an addition or expansion of the licensed facility, i2dicate both tha current area and ihe proposed eapansion, 2. A copy of your lease agreement or proof of ounership of the property. SPECIFIC LICEl\SE APPLICATIONS REQL�E ADDITIONaL L\TFORMATION. PLEASE SEE REVERSE FOR DETAILS >>>> zn si9� oR��a� RESOLUTION CfTY QF SAINT PAUL, MINNESOTA Presented By Re£erred To Committee: Date 1 2 3 4 5 6 7 8 RESOLVEDs Council File � l _SS y Ordinance # Green Sheet # LP60054 y�' That application (ID #19980000473) for a Auto Repair Garage License(s) by EDDIE'S TRUCK REPAIR INC DBA EDDIE'S TRUCK REPAIR at 895 PRIOR AVE N be and the same is hereby approved with the following conditions: 1. Al1 vehicles parked outdoors on the lot must appear to be completely assembled, with no parts missing. Vehicle salvage is not permitted. 9 2. Vehicle parts, tires, oil or similar items will not be stored 10 outdoors. Trash will be stored in the dumpster or in an enclosed 11 area, not visible from the street. 12 13 3. No repair oE vehicles will occur on the exterior o£ the lot 14 or on the public right-of-way. Requested by Department of: Of£ice o£ License, InBpections and Environmental Protection g �,�J..o�.�.�� } � J By: App By: Form Approved by City Attorne `, /� �. BY= � . Approved by Mayor for Submission to Council By: Adopted by Council: Date �`i Adoption Certified by Counci Secretary DEPARTMEtSTlOfFICElCOUNqL DATENJITIATED � LIEPoLicensiig GREEN SHEET No. LP60054 s ONTACT PERSON & PHONE �� LOOM JAMES (JIA� (612}26G9073 � C�yAttaneY UST BE ON COUNCII AGENDA BY (DATEj �SS�GN 624198 HUMBERFOR O2 CousrlRc�rch R6UTWG ORUER TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Councit approval of tlm folfrnving ficense application: License ik y9980000473, tor EDDIE'S TRUCK REPAIR INC, Doing Business As EDDIE'S TRUCK REPAIR, at 895 PRIOR AVE N, inGUding the tollovring business lype(s): Auto Repair C>arage. RECOMMENDATIONS: Approve(A) Reject(R) ERSONALSERVICE CONTR4CTS MUSTANSWER THE FOILOWING OUESilONS: t. Has ihis perso�rtn everv+orlced urMer a coniwd farihis departmenYl _ PLANNING COMMISSION vES NO CIB COMMITTEE 2. Has Mis perso�rm ever been a city emplm�eel �ClVtISVCCINN, YES NO 3. ooes enis persannim. a�sess a skin iwt namafM aossessed b�i anv currem cit✓ e+nvloree? YES NO . is this persoNfirtn a targeted vendoR ° YES NO Explain all yes answers on separote sheef antl attach to green sheet INITIA7ING PROBLEM, ISSUE, OPPORTUNITY (Who, What, When, Where, Why): Request Council approval for Eddie's Truok Repair, Inc. DBA Eddie's Truck Repair for an Auto Repair Garage License at 895 Priw Avenue N. ADVANTAGES IF APPROVEp: DISAOVANTAGES IF APPROVED: DISADVANTAGES IF NOTAPPROVED: TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO fUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION: � ° (�ya�y�n,� �'J�,� a^ (EXPLAIN) ' . _ .. �� '� �'� fi3�� - `O �c] S � . CLASS III LICENSE APPLICATION THIS APPLICATION IS SUBJECT I'O I2EVIEW BY THE P�BLIC CII'Y OF SAINT PAUL �<E of License, Inspzctio:vs and Emironme.ttzl PrWection i50 St "rr.j St S:�te i00 Sz 55'.Ol (61?)2>69�?p ;ax(617)3b69114 PLEASE TYPE OR PRTNT IN I'�'K � T}pe of License(s) being applied for: �J��C':.�' �i� ( g�/„? U�i �/�o � �� S Company I�uae: �i� � 1 e �S � �( / /i' If business is i�ycoiporztrd, give date of inco�poration: �G• ��` �°� � G DoingBusinessAs: ��FS Tri�GN /( �/�/�//� IIIJ� BusinessPhone: ��`��1 BusinessAddress: � P� %�-� :S/�/N�' �� r �5'IC�{ s� naa� c;�y s�tz zcp Betv.•een w•hat cross streets is the business ]ocated? 1�[ l c� �' fi/�f �N 5 F�z �'i ,!t'mq/� Which side of the street? �.�- Are the premises now occupiedT 2vSail To Address: �i yJ`� � s�c aaa�, Applicant Information: I�'zme and Tide: � - Fint Home Address: �,i � What Type of Business? O Sentence: U l- ciTy (\'faiden) �'h�/ , s� Aaa�' � c;�. Date of Birth: OG � I�= l'�I ZT Place of Birth: �� .�So*.it�l ��-� Have yov ec�er bzen comlcted oi any ieiony, crime or ti7olation of any city ordinance other than traffic, Date of arrest: Chazge: � Conviction: La+t Title __��, � ' S'SN) � s�t� z;P Home Phone: �S2 / • 7 �Y`/ � � YES NO ✓�_, List the names and Nsidences of three persons of good moral character, living w7thin the Twin Cities Metro Area, not related to the applicant or financially interested in the premises or business, w•ho may be referted to as to the applicanYs chuacter: Listlicenses u you cuirently Where? ADDRESS 3��1 �'J��11,t�:- .�-,�,.` , LIS�S ?% 3�1- ?�.� `�� i< l� - rmerly held, or may have an interest in: � � �ll /.�i � �71�,ii,;� Have any of the aboi•e named licenses e�'er been State Zip �i�.�ic.�� 'hrz,Ss 1td �,..�5'�!1 G F3:Zi3��l� YES � NO If yes, list the dates and rezsons for recocation: 2/78/97 q,�-SS y A y gou;g to operzte this business personall}'? _� YES �\O If not, �3 �a'ill operate it? Y�L'.,.u-� �Zi• 7,;.�� to i? zp Furt :�ams ��ii3dlc Snitiel (�!a'sdrn) � L<st Date of Buth �-ss2 G-�./.� �•7�c� �Ii��-- �- ---ss��$�- 2�i�?s�z x�: �aa�: ssGn Are;-ou going to hzcz a m2nzget or 2ssistznt in Lhis busi�zss? .X YES please complete ?hz iol]ouing infoimaUOn: Fini..eme �laz._3...F�` �= HO'.�CP�SL55: SuYCL�EIDC (�faidcn) y 51xte Zip phone�umber !� :v0 If the mz�ager is not the szme as the operator, Plezse lis[ }'o;:r e.*,;clo}ment history for Lhe pre�•ious fice (�) }'ezr period: Bnc�esslEm�]o��ent ddress T�a 1,�:... ,.,,� �..,�_ �"r�� 1�,� I.ast Dxu stPU Zip Phone is a partnership, pl ease include rhe following information for each pazmer (use additional paces if necessary): � ---- ---��---- -- - - ��.NVI-� l�-i ��: �� x� naa,�: � ��h , r�� (�1o;dn,> ss�t� - �ri� I.est !�i Datc ofBirUt Dau of Birth Ad..�'-ss: Stx:�:cyz Li.y Stzs Zip P!:c:.e\.t-.ba D�NESOTA TAX IDENTIFICATION I�TI7MBER - 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 pro�ride to the State of Minnesota Commissioner of Revenue, the Minnesota business tax identification number and the social security numba of each license applicant Under the Minnesota Governrnent Data Practices Act and the Federal Pricacy Act of ] 974, we are required to advis`e you of the follou�ing regarding ffie use of the Minnesofa Ta�t Idrntification Number: - This infortnation may be used to deny the issuance or renewal of your license in the e��ent you o�i�e Minnesota sales, employer's withtrolding or motor ��ehicle excise ta�es; - Upon recei�•ing this information, the licensing authority wili supply it only to the Minnesota Department of Revenue. Howe��er, under the Federal Exchange of Information Agreement, the Deparlment of Recrnue may supply this information to the Internal Revenue Senice. Muusesota TaY Identfication I�'tunbas (Sa1es & Use Tax Number) may be obtained from the State of Minnesota, Business Recards Departmen� 10 Rit•er Park Plaza (612-296-6181). Social Security :�tur.iber. Minnesota Tax Ideatification Number: �D � 7 ��I �i If a Mimiesota Tax Identification Number is not required for the business being operatzd, indicate so by placing an"X" in the box. 2/7 8.97 List all other officers of the corporation: OFfICER I'ITLE HO?viE HO'v1E BUSI'.�TESS DATE OF NAME (OfficeHeld) ADDRESS PHOIvB PHOI�TE BII2TH CERTTFICATIOA� OF WORiCERS' CO?viPE:3SATIOV COVERAGE PURSU,'�\'T TO _N�Ih'tiESOTA STATUTE 176.182 ��`S`s� I h?rreby certu�� thzi I, or m}' compam�, z'n in compliance «ith ihe �. orkr, s' compensation insurznce co�'erzge rzquirements of Minnesota Statu?e 176.182, sibdi�ision 2. ? a�so undecstand that p;o�ision offzlse �or,ration in this ce; �cation constitutes suEicieat grounds :or ad��erse zction zgaiast zll licznses held, includine re��oc znd susper.sio� ef said licenses. I�zme ofIns:uance Compan}: �✓/1�c:�( Q ��rn.ow�i�-•y Policy Number: C �{ C G� c/ (, ]— (� Cocerage from /- 2.3 -�`14 � to I 3 'L`� T q S ha��e no emplo}•ees co�'erzd under w'orke:s' compensation ;.:s� a*:ce (I:�ZTIALS) ARY FaLSIFICAI'ION OF A,":SPVERS GIVEN OR MATERLAL SUB3ITTTED WILL RESliLT L'� DE\`L-1L OF TFIIS APPLICATION I hereby state that I hace zr.s� ered zll of the preceding quetuoas, znd that the info,.,�ation coatained herein is true and coirut to the best of my know]edge and beiizt: I hereby stzte fiuther that I have r�..°ived no money or other considerauon, by way of loan, eifi, contribution, or otheiutise, other than zlready dix.losed in L�e applicztion u hich I h. zuith submitted I also understand this premisz may be inspected by police, fue, health znd other city o�cials at zny and a11 times �rhen �e business is in operation. Signatum (REQULRED for-e1( applications) Date We v�ill accept pa�ment by cas6, check (made pa}'abte to City of Saint Paui) or credit card (M/C or Visa). IFPAYINGBXCREDITCARDPLF�SECOMPLETETHEFOLLDWINGINFORb1ATION �MasterCard � Visa EXPiRATiON DATE: ACCOLNf i3LJM8ER: ❑oio❑ ❑oo❑ ❑oo❑ ❑oo❑ ❑oo❑ ��of of Cazd Holdet(required [or all charQesl Date '�'�Note: If this appiication is FoodlLiquor related, piease con?act a City of Saint Paul Health Inspector, Steve Olson (26b-9139), to re�iew plans. If any substantial changes to structure are anticipated, please contact a City of Saint Paul Plan Examiner at 266-9007 to apply for building �eraaiu. Ifthere are az�}° changes to the pazking lot, floor space, or for new operations, please contact a City oF Saint Paul Zoning Inspector at 266-9008. All spplications mquire the folloRing documents. Please attach these documents when submitting your apptication: 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 1!2" x I 1" oz 81l2" x 14" paper): - Nazne, address, and phone number. - The scaie shou7d be stated such as 1"= 20'. ^N should be indicated toward the top, - Placement of all pertinent features of ihe interior of the licensed facility such as seating areas, kitchens, offices, repzir area, � - _ parking, rest rooms, etc. - - If a request is for an addition or expansion of the licensed facility, i2dicate both tha current area and ihe proposed eapansion, 2. A copy of your lease agreement or proof of ounership of the property. SPECIFIC LICEl\SE APPLICATIONS REQL�E ADDITIONaL L\TFORMATION. PLEASE SEE REVERSE FOR DETAILS >>>> zn si9�