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96-1074 Council File # " �� � Ordinance # Green Sheet # �S RESOLUTION OF SAINT PAUL, MINNESOTA Presented By Referred To Committee: Date i RESOLVED: That application(ID#17479) for a Liquor On Sale-A, Entertainment-B, and a Restaurant-B License by the University Club of St. Paul DBA University Club 3 Downtown(John Rupp, President) at 340 Cedar Street be and the same is hereby 4 approved with the following conditions: 5 6 1. Building will not be open to the public for functions without a Certificate of � Occupancy. s 9 2. A payment schedule for Alarm Permit fines will be arranged with the Office of i o License, Inspections and Environmental Protection(LIEP). Failure to make 11 payments according to the payment schedule will result in adverse action. ia __________________________________________________________________________________________ 13 ______________—_______-______-________= Requested by Department of: 14 Yeas Nays Abs n 15 B a e,y 16 Guerin Office of License. Inspections and 17 H r is � 18 Mecrar Environmental Protection 19 R tman ' � 2� Bos trom �� �', 2 3 ________________u-=--__-�_--=�-_-____�___ � � ' � � 24 Adop��d by Council: Date ` �' l�(o By: 25 26 Adoption Certified by Council Secretary 2� Form Approved by City Attorney 28 29 By: 3 0 /� B�'' 31 Approved by Mayor: Date � �(� 32 33 ��1 �� � Approved by Mayor for Submission to 34 By; Council 35 By: . . r�ci� arrE iNnu�o o � �- (O�� LIEP/Licensing GREEN SHEET N_ 3 5 4 97 l E �OEPARTMENT DIRECT�OR NITIAUDATE a CITY COl1NCIL INITIAUDATE Christine Rozek, 266-9108 ��� �cm��aNer �CITYCLERK OPI NCIL (DA pp�Np �BUD�ET DIRECTOR �FlN.i MGT.SERVICE8 DIR. For hearing: °�" ❑""��+��+"�'� ❑ TOTAL#►OF SKiNATtlRE PAOE8 (CLIP ALL LOCATIONS FOR SKiNATURE) ACTION REOUESTED: The University Club of St. Paul DBA University Club Downtown requeats Council approval of its application for a Liquor On Sale-A, Entertainment-B, and Restaurant-B License located at 340 Cedar Street (ID ��17479). :Approw(A)a ReJsct(R) pEi1SONAL SERYICB CONTRACTS MUST ANdWBR TME FOLLOWINQ OUESTION�: _P�ANNMIO(�SSION �CIVN.8ERViCE CO�AM18810N 1. Hae tltis pereonlffrm evar worked under a ooMract fa ihb dapertmeM? - _C1B COMMITTEE _ YE3 NO 2. Has this penonRirm ever besn e city employeq? —�� � — YES NO _asrRicr cour�tt _ a. Does this psroon/flrm poaeess a skin rwt rwrmdlr voee�sd by anr current dtY smplayse4 BUPPORTB WNIChI C01HiCIL OBJECTIVE? YES NO E:plain all yeo an�wKS on t�p�nb�M�t�nd�ah to Sn�n sM�i INITYATIN(i PROBLEM.I&SUE.OPPORTUNITY(YVIw�VVlrt�1Nhsn.Whsro.YVhY): ��CEIV�� AUG 19 1996 CI�'� A�'TORNEY ADYANTA(#E8�APPROVED: , DIBADVMIU�OE81F APPROVED: WBADNMITAdE81F NOT AP�IEO: TOTAL AMOUNT OF TRANSACTION = COSTlREVENUE BUDOETED(CIRCLE ONE) YES NO FUNDINQ 80URCE ACTIVITY NUAASER FlNANCIAL INFORMATION:(EXPLAIN) . Greensheet # 35496 L.I.E.P. REVIEW CHECKLIST �ate: 8/14/96 / � �— �O`�� In Tracke►? �p�n Received / npp'n Processed UCense ID # 17479 License Type: Liquor On Sale.A Entertainment-B, Restaurant-B Company Name: Universitv Club of St. Paul DBA: University ,1„h Dnwntnwn Business Addresss: 340 Cedar Street Business Phone: 224-5845 Contact Name/Address: John Rupp, 366 Summit Avenue, 102 Home Phone: 291-8623 Date to Council Research: .� Public Hearing Date: Labels Ordered: Notice Sent to Applicant: District Council #: Notice Sent to Public: Ward #: Department/ Date Inspections Comments , City Attorney � � Environmental Health g• � •9!0 0. }� , Fire �1 Q.e-� �� � --�--� n �v License � , n � � s��e������ � ,(.C..dG � Lease Received:�_ � ��� �e�=.J�.� ��--r� o'�-� `� 1 ' ` � � Police g • tR •°�b o,� . Zoning r�'Iq 'g(o p• � • . 1 � y7 �� - � �� CLASS III CITY OF SAINT P t7�. LICENSE APPLICATION orr,«orL��,�tio� ana Enviconrnensal Protection • 350 St Pdcr St Suite 300 Saiot Paul,Minneaaa 55102 (612)2669090 fu(612)266-912� � ' - 'I'HIS APPLICATION IS SUBJECT TO REVIEW BY'T�PUBLIC PLEASE TYPE OR PRINT IN INK Type of License(s)being applied for: LlC?U0�2.- t��l SAI.�E LICE SE � �o��YN�: u�N�vERS�Ty �uu�3 oF s���- ��� . Corporation/Parmuship/Sole Propriuocship If business is incorporated,give date of incorporation: 9-7- i994 Doing Business As: LI N1VE'R.S I?'�I C�b Business Phone: �'��"�S Business Address: � ���►2- QJrn�I e�'�r���- MN ��� Street Address City State Zip " Betw�een what cross streets is t6e business located? 4� �`�'�� Which side of the street? �7� Are the premises now occupied? YES What Type of Business? Cw8 Mail To Address: �OCpMMON WE�L17'� ��n�7 '1+��4�'► �J��r���— �� �J�) StreEt Address City State Zip Applicant Information: � �, :�'ame and Tide: �0� �• ��f �/1��� Fust Middle (1.4aiden) Last Tide Home Address: ?J� S(,lM�"1 I 1 �V�la�. '�klNf P/�(,�L �''�� p�c�� Street Address City State Zip Date of Birth: �'�•�q 4-g Place of Birth: ��Nr PA�� Home Phone: �0�.'��'��� Have you ever been convicted of any felony,crime or violation of any ciry ordinance other than tr�c? YES_ NO� Date of arrest: Where? Charge: Conviction: Sentence: List the names and residences of three persons of good moral character, living within the Twin Cides Metro Area, not related to the applicant or financially interested in the premises or business,who may be referred to as to the applicant's character. NAME ADDRESS "— PHONE List licenses which you cnrrendy hold,formerly held,or may have an interest in: ►vEas� i r � zc NM i T��1� W. . o — 37b S+tWTP t Have any of the above named licenses ever been revoke . N If yes, st the dates and reasons for revocation: Are you going to operate this business personally? YES �NO If not,who will operate it? �a���' � � �ERN rto� r���y ��.•a g �s'3- First Name Mddle Initiai (Maiden) Lut D�� ��i 9 4��OL�f- ht/� S'�-1�f7' f��l� 1�f�1( JcS��OS �27-�� Horr�Addross: Street Name City State T�p Phone Number . ....t .._ _. ..__ , _ ., _ � Are you�going to have a manager or assistant in this business? �YES NO If the manager is not the san�e as tt�e operator,p]ease complete the following infocmation: _ SA YK�i � ���y Frst Name Middle Initial (Maiden) I.�t Date of Birth Home Address: StreU Name Ciry. State Zip Phone!:umber Please list your employment history for the previous five(5)year period: . Business/Emplovment Address ' l�N►vEZS�r`I ew e �►Wr Pau� �2U SCtMM�i ��t�U� �-�l iJ� �1� �1J J���Z List all ather officers of the corporation: OFFICER TITLE HOME HO?�� BUSINESS DATE OF NAME (Office Held) ADDRESS PHONE PHONE BIRTH �� 2UP4' P�r��' 3�6 SuMK�r� 2Rl- 8b�.3 ?�y��y�� 5'��0�� � If business is a parmership,plea�e include the following information for each partner(use additional pages if necessary): First Tame Middle Initial ('�4aiden) Iast Date of Binh Home Address: Sueet Name Ciry State Zip Phone Number First Tame Middle Initial ('.4aiden) Last Dau of Birth Home Address: StreU Name City State Zip Phone Number � MINI�'ESOTA TAX IDEI�'TfFICATION NUMBER-Pursuant to the Laws of Minnesota, 1984,Chapter 502,Article 8,Section 2(270.�2) - (Tax Clearance;Issuance of Licenses),licensing authorities are required to provide to the State of Minnesota Commissioner of Revenue, , the Minnesota business taz identification number and the social security number of each license applicant Under the Nrnnesota Govemment Data Practices Act and the Feckral Privacy Act of 1974,we are required to advise you of the following regarding the use of the Minnesota Tax Identification 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 taxes; -Upon receiving this information,the licensing authority w�ill supply it only to the Minnesota Department of Revenue. However, under the Federal Ezchange of Information Agreement,the Department of Revenue may supply this information to the Intemal Revenue Sentice. Minnesota Taz ldentification Numbers (Sales & Use Taz T'umber) may be obtained from the State of Minnesota, Business Records Department, 10 River Pazk Plaza(612-296-6181). Social Securiry Number: '��'1-52-`-�t� Minnesota Taz Identification Number: �{�'"�8�Zg'�� 4"'F��a' . �.�.. If a Minnesota Tax identification Number;is,not required for the business being operated,indicate so by placing an"X"in the boz. .t.�........,._.. ...:_,., ... _.. .. . ,. _. ,.. . _. ... . : , .,;:.�:, -.�,.. .. . . . CERTIFICATION OF V4'ORKERS'CONIPENSATION COVERAGE PURSUAI�T TO A�IIIJI�'ESOTA STATUTE 176.182 `�O l��� I hereby certify that I,or my company,am in compliance with tbe a�orkers'compensation insurance coverage requuements of Minnesota Statute 176.182,subdivision 2. I also understand that provision of false information in this certification constitutes su�cient grounds for adverse action against all licenses held,including revocation and suspension of said licenses. , Name of Insurance Company: �SC �'�r'JUQ� e���- Policy Number: .�T��3O���� Coverage from bl 3( _to � 3� 9 _ I have no employees covered under workers'compensation insurance ATY FALSIFICATION OF A1�SWERS GIREN OR rZATERIAL SUBMITTED VVILL RESULT IN DE\T�iL OF THIS APPLICATION I hereby state that I have answered all of the preceding questions,and that the information contained herein is true and correct to the best of my�owledge and belief. I hereby state fiutber that I have received no money or other consideration,by way of loan,gift,contribution, or otherwise,other than already disclosed in the apglication which I herewith submitted:-:I.also u.nderstand this premise may be inspected by police,fire,health and other city officials at any and all times a�hen the business is in operation. I / -� � i , ,f—_ .- ��� _�;�", � � ��L� �j . Si ure(RE D or all lica ) � Date ,��,;�'�//� **T'ote: If this application is Food/I.iquor related,please contact a City 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 Ezaminer at 266-9007 to apply for building permits. If there are any changes to the pazking lot,floor space,or for new operations,please contact a Ciry of Saint Paul Zoning Inspector , at 266-9008. Additional application requirements,please attach: A detailed description of the desigq location and squsre footage of the premises to be licensed(site plan). The following data should be on the site plan(preferably on an 8 U2"x 11"or 81R"x 14"paper): -Name,�dress,and phone number. . -The scale should be stated such as 1'•=20'.^N shoutd be indicated toward the top. • -Placement of all pertinent features of the interior of the licensed facility such as seatfng areas,tdtchens,offices,repair area,parking,rest rooms,etc. - If a request fs for an addition or expansion of the l�censed facility, fndicate both the current area and the proposed expansioa 1 w . � A copy of your lease agreement or proof of ownership of the property. FOR SPECIFIC APPLICATION REQUIREMENTS,PLEASE SEE REVERSE >>>>, �