96-1412 Council File # -` ' �
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Ordinance #
n� �Green Sheet ,� � �
RESOLUTION
CITY OF SAINT AUL, MINNES A �
Presented By
Referred To Committee: Date
� RESOLVED: That application(ID#30893)for an On Sale Ma1t (3.2)License by Commodore Condo
2 Corp. DBA Commodore Squash Club (Mchael O'Brien,President) at 79 Western
3 Avenue North be and the same is hereby approved.
4
6 a s Absent Requested by Department of:
7 B a e,y
9 Giarr�s Office of License, Insrections and
10 Me � Environmental Protection
12 Re _�
13 Bostrom �
15 ���C/`/
16 Adopted by Council: Date � By'
17 �
18 Adoption Certified by Council Secretary
19 Form Approved by City Attorney
20 ,I� / �
21 By: _� c�- . Y�� .r B •-�
22 y:
23 Approved by Mayor: Date l� �4
24
Approved by Mayor for Submission to
26 Bys �jJa,� _��r�;'^�"'C� Council
� ��
a� .
By:
�����t�
� � ���N � �REEN SHEET N_ 3 5 4 6 5
LIEP/Licensin - - - - -
a �DEPARTMENT DIRECTOR�m��� �CITY COUNCIL INITIAUDATE
Christine Rozek 266-9108 "�dN ❑ciTV�rroawEV �c�rc�r�c
K a� � re) NuMSEw Ron
����p �BUDOET DIRECTOR �FlN.3 MOT.8ERVICE3 DIR.
For hearin : �� �3 �� o�oEn ❑"""'"°a�°a"�ssisr"rrr� ❑
TOTAL�OF SK3NATURE PAGES (CUP ALL LOCATION8 FOR S14NATURE)
�cr�or�REOU�sreo:
Commodore Condo Corp DBA Commodore Squash Club requests Council approval of its appl3.cation
for an On Sale Malt (3.2) License located at 79 Grestern Avenue North (ID i�30893) .
RECOMI�NDATIONB:Appiow(A)a Re�ect(R) PERSONAL 8ERVICE CONTRACTS MUBT ANdWER THE FOI.LOWING GUESTIONS:
_PLArM�IMO COIdAA18S�1 _,CIViI SERVICE WhIMI8310N 1. H�thfs persoMirm ever worked ur�der a cAMrect for thie dspartrt�ent4 -
_CIB�NMAITTEE _ YES NO
2. Has tliis psrsonRirm e�rer been a city em�oyeeT
—�� — YES NO
_DISTRICT COURT _ 3. DOes thie{�rson/firm Poses.s a sictn rat rwrmeiN a��enr�+��r�reo?
SUPPOR78 wMK�Fi�UNCIL OBJECI7vE7 YES NO
Ezplaln all ya answ�ra on s�p�►�b�hNt and att�ch to�n�n il»�t
���,.�.��N�,,,�.�,.,�.,�..�►: �f CE I V��
SEP �g �g�
����' Al�'ORHEY
ADVANTi�EB tF APPFiOVED:
DISADI/ANTAdES IF APPRONED:
� Counc� ��v�arch Center
OCT 2 21996
DISADV/�WTAGES IF NOf APPFIOVED: ___�_��--.-------._ _.
TOTAL AMOUNT OF TRANSACTION = COST/REVHNUE BUDGETED(CIRCLE ONE) YES , NO
FUNDINd SOURCH ACTIVITY NUM6ER
FINAWCIAL INF�iMAT10N:(EXPL.AIN)
Greensheet # 35465 L.I.E.P. REVIEW CHECKLIST Date: 9/13/96 /
In Tracker? npp'n Received / npp�n arocessea
9`-iy� �
License ID # 30893 License Type: � Sale Malt (3.2)
Company Name: Commodore Condo Corp DBA: Commodore Squash Club
Business Addresss: �9 Western Ave N, 55102 Business Phone: 224-0043
Contact Name/Add�ess: Michael 0'Brien, Home Phone:
Date to Council Research: 55104
Public Hearing Date: Labels Ordered: 7 7 �
Notice Sent to Applicant: �� � District Council #:
0
Notice Sent to Public: �� �"'7 � Ward #: /
Department/ Date Inspections Comments
,
City Attorney
� n15 f�� � .
Environmental
Health
� `4,,�� --- �J t'114 �. �t�'�' .
Fire
� D IS �,,b P�. � .
License Site Plan Received:
Lease Received:
Ia�a� � g � C��.
Police
i ° ,5 ,� �, ,
Zoning
�° 1 S �� �• � .
Q� _ 1 11 � w
'"°�' CLASS III CITY OF SAINT PAUL
LICENSE APPLICATION orr�or��en�,����on5
and Em�ironmenul Protection
3�0 S�Pnu S�Sui�e:�0
SaimPaul.ltinnesoca!!102
(61n?b64090 fu(61:):C6•9121
��� •
THIS APPLICATIO:�IS SUBJECT TO REVIE�'V BY'fHE PL'BLIC
PLEASE TYPE OR PRIT'T L'J L\'K
T��pe of License(s)being applied for: M f�' L T �-3• 2 J" � N S0.�C �� e l_.K S L.r
COIT1�3[ly i�SII]C: l.a^!'YH�1td.0 e�O K� �O K c�o lu e K � v/,u `',�Q (r'170/'0.�D IV
Corpontion/Partnership/Sole Proprietorship
If business is incorporated. give date of incorporation: � ��� �y' �
Doing Business.As: c�o � Business Phone: ��'�—d "lb :�
BusinessAddress: 79 N�' • ��STLsp-N /�-v�T' �'d-. �.¢-LGL /�1U S cS-�0 Z_
Sveet Address City State Zip
Betv��een w�hat cross sueeu is the business located? �d�-L`f /4 V�- ��lA r�� V�'hich side of the street? W 2s �
Are tbe premises now occupied? e S �'hat T��pe of Business? S�i v E1-S � G L w b
'v1ai1 To Address: �7 9 No . (��s�-e a N � v� S�', PA-u� /'? N S S!a�-
Sveet Address Ciry S�ate Zip
Applicant Information: � '
\arneandTide: MlG� /F�� SO � 1� v ��/gN ���S'
First �Siddie (Aiaiden) Last Title
Home Address: -��� ��: /�
Sveet Address Ciry State Zip !
Date of Birth: Place of Birth: S�% P�"�'", /`�Iv Home Phone:
Have you ever been convicted of any felony,crime or��iolavoa of any city ordinance other than traffic? YES_ NO X
Date of arrest: V�'here? �
C6azge:
� � Con��icvon: Sentence:
List the names and residences of three persons of good moral character, li�•ing w�ithin the?win Cities Metro Area, not related to the
applicant or financially interested in the premises or business,w�ho may be referred to as to the applicant's ebaracter:
NAME ADDRESS � PHONE
!>
List licenses which you currendy ho]d,formerly held,or may have an interest' �
A- N 1 n �o�c� 1.i -1-y �r A�.�!� �SQ�v'�- L�-�-�
Have any of the ab ve named licenses ever been revoked? YES �,I�O If yes,list the dates and reasons for revocation:
Are you going to opente this business personally?�,YES TO If not,w�ho will operate it?
Fint Name Middle Initid (Maiden) Last Date ot Binh
Home Addreu: Saeu f�ame Ciry Sute tip Phone Number
._. :�-F .--�._� _ ,.�.�.��.,,�oJ�ool��: ..J�_.,;,�,.. J�:,�do
� .. . . ... . . , . � , 7 .,rar '.k +?.:.
Are pou eoing to have a manager or�sistant in this busines�? 'TM '�YES ,�\O lf the manage,�., �- �s, �,r ' G
complete the follow•ing information: �J,�� �o�A��'o,,• �';�, ��p
�4s:,10�, ol�o T fv �f
' � � d
Frst A'ame T.Siddle Initial (liaiden) I.ast n� `� D'
..� „ �w
�.r
Home Addras: Sc*eet�'ame Ci�� Sute Zip Phone Numbet
Please list your emplo��ment history for the previous five(5);�ear period: '
Business/Emplo��nent ddres
CI�Y o t N�� �a�� �f' EL� �Q.,K�to-r-t Sc1�ooL ���}-Ch�/ . �-S. �b /9'/�D-/94z
_�o��►�.v��r� s4���. CL�. ��. P�a--uz �9p�_�d�-fE
List all other officers of the corporation:
OFFICER �/ TITLE HOME HOA� BUSII�ESS DATE OF
\A.'�'lE V (Office Held) ADDRESS PHOKE PHO\'E BIRTH i
T�,aw�oN� /�. OBI2/E�v �l��P►�S. 9ay-abs� 3
If business is a parmership,ple��e include the following info;znation for each partner(use additional pages if necessar�•):
First I�ame :�iiddle Inicial (Maiden) Lut Date of Birth
Home Address: Saeu�ame Ciry Scue Zip Phone Number
First Kame Middle Inival (Maiden) Lut �Date of Birth
Home Address: Street I�ame Ciry State Zip Phone Numbu
MII�T'ESOTA TAX IDEI`''I�ICATI01'h�IMBER-pursuant to the Laws of Ntinnesota, 1984,Chapter 502,Article 8,Section 2(270.72)
(Taz Clearance;Issuance of Licenses),licensing authorities arc required to pro��ide to the State of Minnesota Commissioner of Revenue.
� , tbe Minnesota business taz identification number and the social security number of each license applicant
Under the Minnesota Govemment Data Practices Act and tbe Federal Privacy Act of 1974,we aze required to advise you of the following
regarding the use of the Minnesota Taz Identification Number:
-This information tnay be used to deny the issuance or renewal of your license in the event you owe Ttinnesota sales,employer s
withholding or motor vehicle excise tazes;
-Upon receiving this information,the licensing autLority w�ill supply it only to the Minnesota Department of Revenue. However,
under the Federal Ezchange of Information Agreement,the Department of Reveoue may supply this information to the Intemal
Revenue Service.
Minnesota Taz Identification Numbers (Sales & Use Taz :�'umber) may be obtained from the State of Minnesota, Business Records
Department, 10 Ri��er Park Plaza(612-296-6181).
Social Security T'umber•
Minnesota Ta�c IdentificaGon T'umber:_. �
If a Minnesota Taz Identification T�'umber is not required for the business being operated,indicate so by placing an"X" in the
box.
,� cy -:� ` RS COA'IP. .,, . .
�, ,., .a s•
ENSATION CO��ERAGE PURSUA.\?TO MII�'NESOTA STATUTE 176.182
' r my company,am in compliance v�•ith t6e w•orkers'compensation insurance co�•erage requuemenu of r4innesota
oa� ,subdi��ision 2. I also understand that pro��ision of false inforn�ation in this certification constitutes sufficient groands for
.'s ection against all licenses held,includiag revocation and suspension of said licenses. �
�c ��ame of Insurance Company: ��' ��� � �
� Policy Number: Co��erage from ro
I ha��e no employees co��ered under w�orkers'compensation insurance�_
A�Y FALSffICATION OF A:�S«�RS GI�'EN OR�1ATERIAL SUB:�IITTED
�'�'ILL RESULT I\DE\IAL OF THIS APPLICATION
I hereby siate that I have answ�ered all of the preceding quesaoas,and that the information contained herein is we and coaect to the best
of my knou�ledge and belief. I hereby state fiutber that I ha�•e received no money or otber consideration,by w�ay of loan,gift,contribution,
or otherw�ise,other than already disclosed in tbe application a•hic6 I berewith submitted. I also understand this premise may be inspected
b�•police,fue,health and other city officials at any and all dmes v�•hen the business is in operation.
� �� ; ��>> �6
ignature(REQliIRED for all applications) Date
"*'�ote: If this application is Food/Liquor related,please conta;,t a Ciq�of Saint Paul Health Inspector,Steve Olson(266-9139),to review
plans.
lf any substantial c6anges to structure are anticipated,please contact a Ciry of Saint Paul Plan Ezaminer at 266-9007 to apply for
building permits.
If there are any changes lo tbe parking lot,floor spa:e,or for new operations,please contact a Ciry of Saint Paul Zoning Inspector
at 2b6-9008.
AddiNonal application requirements,please attach:
A detailed description of the design,location and square footage of the premises to be licensed(site plan).
The follo.�-Ing data should be on the site plan(preferably on an 81/l"a 11"or 81l1"x 14"paper):
-Tame,addtess,and phone number.
-The scale should be stated such as 1"=20'.^:�shonld be indlcated toward the top.
-Placement of all pertinent features of the interior o[the licensed facility such as seating areas,ldtchens,offices,repair
area,parl:ing,rest rooms,etc.
- It a request is for an addition or expansion of the licensed facilitp, indlcate both the current area and the proposed
ea�pansion
A cop}•o[3�our lease agreement or proof of ow-nership of the property.
FOR SPECIFIC APPLICATION REQUIREAiE;v'TS,PLEASE SEE REVERSE >>>>