91-2211 C��tIGiNA��
�oun��� F��e � i aa��
Green Sheet # 17�
RESOLUTION �-- �
CITY OF SAINT PAUL, MINNESOTA %���G� ��
' �.�_._�-°�
Presented By � :'� ,
Referred To 1 Committee: Date
RESOLVED: That Application (I.D. #94890) for an On Sale Liquor-B License applied for by
Mateyka Inc. DBA Mateyka Inc. (Paul Mateyka, Senior-President) at 1199 Rice
Street be and the same is hereby approved.
Yeas Navs Absent Requested by Department of:
smon i
OSW1 2 i
on � License & Permit Division
acca ee i-
e tman �
une i �
s son i BY�
�
Adopted by Council: Date D�� 3 1991 Form Approved by City Attorney
Adoption Certified by Coun�l S cretary ' ' G
gy; , ����rr• !�
BY� ' /l�4. � • � �
Approved by M�yor: Date J DEC 5 1991 Approved by Mayor for Submission to
/ Council
, /
By: ?�' �a ed����
By:
PllBIISNE� ��� � 1�'�t
�i- �?a��
DEPARTMENT/OFFICE/COUNCIL DATE INITIATED N� 17 5 9 6
Finan�e�L��ense GREEN SHEET
CONTACT PERSON 8 PHONE INITIAUDATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Kris Van Horn/298-5056 ASSIGN �CITYATfORNEY �CITYCLERK
NUMBER FOR gUDGET DIRECTOR �FIN.&MGT.SERVICES DIR.
MUST BE ON COUNCIL ACiENDA BY(DATE) ROUTING
For Hearing: ORDER �MAYOH(OR ASSISTAN� � Council Research
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Application (I.D. 4�94$90) for an On Sale Liquor-B License
RECOMMENDATIONS:Approve(A)or Reject(R) pERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_PLANNINCi COMMISSION _ CIVIL SERVICE COMMISSION 1• Has this personlfirm ever worked u�der a contract for this department7
_CIB COMMITTEE _ YES NO
2. Has this person/Firm ever been a city employee?
_STAFF — YES NO
_DISTRIC7 COUR7 _ 3. Does this person/firm possess a skill not normally possessed by any current city employee?
SUPPORTS WHICH COUNCIL OBJECTIVEI YES NO
Explein all yes answers on separste shaet and attach to groen shset
INITIATINQ PROBLEM,IS3UE,OPPORTUNITY(Who.What,When,Where,Why):
Mateyka, Inc. (Paul Mateyka, Senior-President) requests Council approval of its applicatdon
for an On Sale Liquor-B License at 1199 Rice Street. Al1 applications and fees have been
submitted. All required departments have reviewed and approved this application.
ADVANTAGES IF APPROVED:
DISADVANTAGES IF APPHOVED:
DISADVANTAOES IF NOTAPPROVED:
TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN)
�U� dc��� nu. . d�I'
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO. 298-4225).
ROUTING ORDER:
Below are correct routings for the five most frequent rypes of documents:
CONTRACTS(assumes authorized budget exists) COUNCIL RESOLUTION (Amend Budgets/Accept. Grants)
1. Outside Agency 1. Department Director
2. Department Director 2. City Attorney
3. City Attorney 3. Budget Director
4. Mayor(for contracts over$15,000) 4. Mayor/Assistant
5. Human Rights(for contracts over$50,000) 5. City Council
6. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services
7. Finance Accounting
ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION (all others,and Ordinances)
1. Activity Manager 1. Department Director
2. Department Accountant 2. City Attorney
3. Department Director 3. Mayor Assistant
4. Budget DireCtor 4. Ciry Council
5. City Clerk
6. Chief Accountant, Finance and Management Services
ADMINISTRATIVE ORDERS(all others)
1. Department Director
2. Ciry Attorney
3. Finance and Management Services Director
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate the#of pages on which signatures are required and paperclip or flag
sach of these pa�es.
ACTION REQUESTED
Describe what the project/request seeks to accomplish in either chronologi-
cal order or order of importance,whichever is most appropriate for the
issue. Do not write complete sentences. Begin each item in your list with
a verb.
RECOMMENDATIONS
Complete if the issue in question has been presented before any body, public
or private.
SUPPORTS WHICH COUNCIL OBJECTIVE?
Indicate which Council objective(s)your projecUrequest supports by listing
the key word(s) (HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDQET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACTS:
This information will be used to determine the ciry's liability for workers compensation claims,taxes and proper civil service hiring rules.
INITIATING PROBLEM, ISSUE, OPPORTUNITY
Explain the situation or conditions that created a need for your project
or request.
ADVANTAGES IF APPROVED
Indicate whether this is simply an annual budget procedure required by law/
charter or whether there are specific ways in which the City of Saint Paul
and its citizens will benefit from this project/action.
DISADVANTAOES IF APPROVED
What negative effects or major changes to existing or past processes might
this projecUrequest produce if it is passed(e.g.,traffic delays, noise,
tax increases or assessments)?To Whom?When? For how long?
DISADVANTAGES IF NOT APPROVED
What wili be the negative consequences if the promised action is not
approved?Inabiliry to deliver service?Continued high traffic, noise,
accident rate?Loss of revenue?
FINANCIAL IMPACT
Although you must tailor the information you provide here to the issue you
are addressing, in general you must answer two questions: How much is it
going to cost?Who is going to pay?
��9� �°�/1
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE /
INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
� � .
Applicant �(a�-�� ��,�,,,,�,,,-���. Home Address ��C� �((�� �_
Business Name '���,,,�.�,�,�����,ry��'CQ Home Phone �Fj� � ��a
_,��
Business Address��q��;�`�-�, Type of License(s) n ��'...�q _� �
Business Phone -�� - �y��j � � �,��
�,�,.,, . l,._,�. °i�--� �s`1 .
Public Hearing Date � (,,� �l ( L�ense I.D.� ,'� (o,(���
a t 9:0 0 a.m. in t he Counc i l C ham bers, '
3rd floor City Hall and Courthouse State Tax I.D. 4� ���j��Cj�(�
Date Notice Sent; Dealer � �/�! �
to Applicant
Federal Firearms 4� �
Public Hearing �j�t, - �,,t
DATE INSPECTION
REVIEW VERFIED (COMPUTER) CON��ENTS
A roved Not A roved
Bldg I & D �V l I�� �
d�
Health Divn. (
f�� ('S � �
Fire Dept. � I
� � �5
I �� I�
Police Dept. (O � I
�� p.l-�
License Divn. f
I�� � I � �
City Attorney I
� I`S i �
Date Received:
Site Plan �j� „�- Q,
To Council Research
Lease or Letter Date
from Landlord
��f�.��i�
CITY OF SAINT PAUL, MINNESOTA
APPLICATION FOR ON SALE INTORICATZNG LIQIIOR LICENSE
SUNDAY ON SALE INTORICATING LIQUOR LICENSE
INTO%ICATING CLUB LIQDOR LICENSE
OFF SALE INTORICATING LIQUOR LICENSE
ON SALE MALT BEVERAGE LICENSE
ON SALE WINE LICENSE
Directions: THIS FORM MIIST BE FILLED OUT WITA TYPEWRITER OR BY PRINTING IN INK BY THE SOLE
OWNER, BY EACH PARTNER, BY EACH PERSON WHO HAS INTEREST IN ERCESS OF 5x IN THE
CORPORATION AND/OR ASSOCIATION IN WHICH THE NAME OF THE LICENSE WILL BE ISSUED.
THIS APPLZCATION IS SUBJECT TO REVIEW BY THE PUBLIC
. 1) Application foz (type of license) �� �a� L��n�i�nt�
2) Located at (business address) ��qG �1C �fo�� �
STREET: Number Name Type Direction
3) Business Name m('�-�LV� �� (�(�(��(��}�
Co'rporation, Part ership or Sole Proprietorship
4) If business is incorporated, give date of incorporation , 19
5) Doing Business As �.��l�Q� �('�C(�('f�C\('(l��'-�C� Business Phone � C-`�q '�yR�
6) Mail to Address (if different than business address)
�_�� I � Y�rin. �'1� �
STREET: N�ber Name Type Direction
� �c� 1-� ���.h�� (�1 � 5: ����
City State Zip Code
7) Your Name and Title QAv�� _� i ''1fl '�`e � IC(� ��� p5 � rPR
(First) (Middle) (Maiden) (Last) ( itle)
8) Home Address �J' ��f Q��a;h.ra f,Q Phone# �� � ��� �
STREET: Number Name Type Direction �
��- �r�.�l 1't� ✓v� �SSI o�
City State Zip Code
9) Date of Birth q y �� Place of Birth s � {�� ,.� (,
(Month, Day, and Year)
. �'�q�`aa'�
10) Are you a citizen of the IInited States? `I�S Native Naturalized
T-
11) Married? (V'Q If answer is "yes", list name and address of spouse.
12) Have you ever been convicted of any felony, crime, or violation of any city
ordinance other than traffic? YES NO ✓
Date of arrest , 19 Where
Charge
Conviction Sentence
Date of arrest , 19 Where
Charge
Conviction Sentence
13) List the names and residences of three persons within the Metro Area of good
moral character, not related to the applicant or fiaancially interested ia the
premises or business, who may be referred to as to the applicant's character.
N� ADDRESS
�19 [l-2 ��r� S � � � J �. �f''�i '�'"� l�� S.P
J�err� v L+� �p c��r � 006 �MO � ��. Pr�►�
�r� � T'�-volr� 49y w. c'v� r ��►s sr P L
�
� �t
14) List licenses which you curreatly hold, or formerly held, or may have an interest
in.
��o��, p r�r,l PA c� ��� � N< 7 3 / �1�roV U��/P�
15) Hav� anq of the licenses Iisted by you in No. 14 ever been revoked? Yes No �
If answer is "yes", list the dates and reasons
16) Are you goiag to operate this business personally? �. If not, vho will
operate it?
Name Home Address Phone
. C��—����
17) Are qou going to have a manager or assistant in this business? ��
If answer is "yes", give aame, hame address, home phone, and date of birth.
Name Address
Phone DOB
18) Including your preseat business/employment, what business/employment have you
followed for the past five years?
Business/Employment Address
19) List all other officers of the corporation.
NAME TITLE HOME ADDRESS HOME BUSINESS
(Office Held) PHONE YHONE
L�rvG�Ja �'1 r�'�°v k 14 '11� {� � 3 a �'►�A r r� `� S� E��`I �
�� r S p � ,� �`�' , 13 o r, � • �S y o 9 �
f�u tR t-(�r W • �S K.�c►�!� 3� P`�. ►q��� `') S Y p �
S�<<�e rr►�a�Y.� k►� V• P �19 SPr��('� e.� � � �Sg (, .�� Z
20) If business is partnership list partner(s), address, home and business phone
number. .
Name Address
Home Phone Business Phone '
Name Address
Home Phone Business Phone
Z1) Liquor will be served in the following areas (rooms) �(��('��
22) Between what czoss streets is business located? R�(�_ � cat�� ��\�'Q►�
Which side of street? 1 � 1�,C\` ���
23) Are premises now occupied? ��C; What Tppe Busiaess? � -�.�V�,►���
How Long? 1e� l�('• �''�
. ���//aa��
24) Closest 3.2 Place��K�W� Church -�„��, h�C'�C�iS s�hoo� -t-r� hlm�s
25) Closest intoxicating liquor place. Oa Sale � � Off Sale � �
C���s + �S-N�e� qC..t'oS S�1-feQ.�
26) You will be required to obtain a Retail Liquor Dealers Tax Stamp. (See Attached)
ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL
SIIBMITTID WILL RESULT IN DENIAL OF THIS APPLICATION
I hereby state uader oath that I have answered all of the above questions, and that
the information contained herein is true and correct to the best of my lmowledge aad belief. I
hereby state further under oath that I have received no money or other consideration, by waq of
loan, gift, contribution, or otherwise, other than already disclosed in the application which I
herewith submitted.
State of Minnesota)
)
County of Ramsey )
Subscribed and sworn to before me this —��
Signat e of App cant / Date
� aayof Sz:or , 19Qi
j%%� � ��e�-�
Notary Public /�Eir�r�JC�/N Countq, rIId
My Commission expires -�°���,�
r MnnMnnni��nnnni��MAnnM.MnM/W�M a
���. Ia1CHAEL S. PETERSON
¢�(C� NqTAPY P�BLIC�MINNESOTA
� '°J�„'1°<.•�� HENNEFIN COUNTY '
� My Comrrr.Ez�IrEs Mar.Y7,1996
t VWVVVWV�vvV�VVVVv„v:V'.V•.'�"vVVYrv'W■
REV. 2/90
� �9������
CITY OF SAINT PAUL, MINNESOTA
APPLICATION FOR ON SALE INTORICATING LIQUOR LICENSE
SUNDAY ON SALE INTOXICATING LIQUOR LICENSE
INTOXICATING CLUB LIQUOR LICENSE
OFF SALE INTOXICATING LIQUOR LICENSE
ON SALE MALT BEVERAGE LICENSE
ON SALE WINE LICENSE
Directions: THIS �ORM M[1ST BE FILLED OUT WITH TYPEWRITER OR BY PRINTING IN INK BY THE SOLE
OWNER, BY EACEi PARTNER, BY EACH PERSON WHO HAS INTEREST IN ERCESS OF 5� IN THE
CORPORATION AND/OR ASSOCIATION IN WHICfl TIiE NAME OF THE LICENSE WILL BE ISSUED.
• THIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC
. 1) AFplication for (type of license) ��� � a� L�1(lU1('�t'
2) Located at (business address) 1�q� �\L� ��'CPE,1
STREET: Number Name Type Direction
3) Business Name ('��e. �
Corporation, Part ership or Sole Proprietorship
4) If business is incorporated, give date of incorporation _A��' . 19�_
5) Doing Business As 1 � \(1,� fa(��(� (-�� Business Phone � L�R`'1 '�y �
6) Mail to Address (if different than business address)
�l�C� (Y1r���p �U�..
STREET: Number Name Type Direction
��� � � �,�1�5 �� 5����
City State Zip Code
7) Your Name and Title � �► ' � 1 ' L� L ��-�1��`
(First) (Middle) (Ma den) (La t) (Title)
8) Home Address � J� 1 � �(���Q ���� Phone� � �� o
STREET: Number Name Type Direction
t`���c�c��a �,h�s ��1 ��il g
City State Zip Code
9) Date of Birth �(J � 'yD Place of Birth l�(/•�!/�l� �
(Month, Daq, and Year)
. �,�9i a�i�
10) Are you a citizen of the IInited States? C. Native Naturalized
11) Married? If answer is "yes", list name and address of spouse.
����1 ��e.��a �, `�� ��r�, ���
12) Have you ever been convicted of anq felony, crime, or violation of any citq
ordinance other than traffic? YES NO �_
Date of arrest , 19 Where
Charge __
Conviction Sentence
Date of arrest , 19 Where
Charge
Conviction Sentence
13) List the names and residences of three persons within the Metro Area of good
moral character, not related to the applicant or financially interested in the
premises or business, who may be referred to as to the applicant's character.
N� ADDRESS
�mn a. rn,�, a�.,,.�v ot°� �a y r.c� G.r,,�.�,�� �- P��
,� � �-u.v�.e ss���
�c�n-�.. -s.c�.��� n..�e�a.�� a3 5 w �v�r� �1 �r�a�.�,�-
14) List licenses which you currently hold, or formerly held, or may have an iaterest
in.
�'M�, r �A�. ,� � 'S SnC 731 Rurao�„b,,,
15) Have any of the licenses listed by you in No. 14 ever been revoked? Yes�No�
If answer is "yes", list the dates and reasons
� 16) Are you going to operate this business personally? C If not, who will
operate it?
Name Home Address Yhone
�i'-a°���
oin to have a manager or assistant in this business? 'n�
17) Are qou g S
If answer is "yes", give name, home address, home phone, and dat� of birth.
Name Address
Phone DOB
18) Includiag your present business/?mployment, what business/employment have you
followed for the past five years.
Business/Employment Address
19) List all other officers of the corporation. gOME BUSINESS
N� TITLE HOME ADDRESS p�0� PHONE
(Off e Held)
�1 �� ` �� ����C`e, ��� ���4 GG.�4 '
� -�� .� � ��'�-331 O
��('� , � � k C� ��7
' - ,, , erv 13o v�P :2 y5y ° 9�1a
��.0 Y`'�r -ky kR P e s
20) If business is partnership list partner(s) , address, home and business phone
number.
Name Address
Home Phone Business Phoae '
Name Address
Home Phone Business Phone
21) Liquor will be served in the following areas (rooms) �(1 C��1
\ Q�
22) Between what cross streets is business located? �\C� �� G �
Which side of street? m����,,..,,���
What T e Busiaess? � ���l��A�'
23) Are premises now occupied? ��� _ �
Sow Long? �Yl� �xl.�Q'�J '�`' `'a
�
�.q,�aair
24) Closest 3.2 Place r.�nK�?(,vt� Church -}�,�� h�C''CKS School -h�Y1 hY7`i�.�
25) Closest intoxicating liquor place. On Sale��n , �n Off Sale � �
C�C�.�S��h Q S-�r�e.-� C\��c��� �-fC.Q�
26) You will be required to obtain a Retail Liquor Dealers Tax Stamp. (See Attached)
ANY FALSIFICATION OF ANSWERS GIVEN OR MATERIAL
SUBMITTED WILL RESULT IN DENIAL OF THIS APPLICATION
I hereby state under oath that I have answered alI of the above questions, and that
the information contained herein is true and correct to the best of my knowledge and belief. I
hereby state further under oath that I have received no money or other consideration, by way of
loan, gift, contribution, or otherwise, other than already disclosed in the application which I
herewith submitted.
r AnnMMMAMAM/��MnA/�n/�,VV AAMAM■
State of Minnesota) �� i .� COLLEEN R. SLOSS
, ��� NOTARY PUBLIC-MIRNESOTA
� RAMSEY COUNTY
CiOtlIIty of Ramseq � � My Comm.Explres Mar.7,1996
� vvvvvvw.
Subscribed and sworn to before me this �� �
19 �� S gnature of Applic Date
�`�- day of ►
l.;�.�-e-�-�-
Notary Public County, I�1
My Commission expires �] l�n
REV. 2/90 .