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96-233Council File # � � - � 3 3 r��=��;���., � F.- s i r �✓ i�� � Sr i I�1 !. E.. Presented By Referred To Ordinance # Green Sheet #�/✓-��� RESOLUTION AINT PAUL, MINNESOTA / Committee: Date � 1 RESOLVED: That application (ID #10175) for a Paxking Lot/Ramp License applied for by 2 Grandpark LLC DBA Grandpark LLC (RObert Stolpestad) at 860 Grand Avenue be 3 and the same is hereby approved. 4 5 xequested by Department of: 6 Yea Navs Absent 7 BZa — � 8 Guerin Of£ice of License. Inspections and 9 Harris 10 Me ard Environmental Protection 11 Re tman 12 T un� �— 15 —,_�— � l.J�-MO �U-� 16 Adopted by Council: Date M �, \qq (� B y ° 17 F 18 Adoption Certified by Council Secretary 1 9 Form Approved by City Attorney 20 � � 21 BY: �.` �. By: '�/0,1� � l'li�,n.r/L 22 2� 23 Approved by M r: Date 4�� —� 24 25 ' Approved by Mayor for Submission to 26 By: - � Council 27 By: q � _�,33 DEPAATMENT/OFFICHCOU�NCIL DATEMRIATEp �REEN SHEET N _ _35268 LZEP/Licensin CONTACT PEflSpN & PHONE INITIAVOATE INRIAVDATE Bill Gunther, 266-9132 �� O C�� q E N�IRECfOR Q cm �K IL NUYBERFOR MUST BE ON COUNCIL AGENDA (D p �� O BUIX3ET DIREGTOR � FlN. & MGT. SERVICES DIR. Eor hearing: � � � �MAYOR(ORP,SSISTANT) � TOTAL � OF SIGNATUqE PACaES (CLIP ALL LOCATIONS FOR SIGNATUR� ACTION AEQUES7ED: randpark LLC DBA Grandpark LI.0 requests Council approval of its application for a Parking ot/Ramp License at 860 Grand Avenue (ZD �10175). RECOMMENDA710NS: Appmve (A) or Rejea (R) pERSONAL SERYICE CONTRACTS.MUSTANSWER TNE FOLLOWINGQUESTIONS: " __ PLANNING COMMISSION _ CML SERVICE COMMISSIpN �� Has Mis persoNfirtn ever worketl under a wnt2ct for this department? __ CIBCOMMffTEE _ �S NO 2 Has Mis person/firm ever been a city employee? — �� — YES NO — ��ST��T �AT — 3. Does this person/tirm possess a skill not normally possessed by any cunent city employee? SUPPOflTS WHICN COUNCIL O&IECfIVE7 YES NO Explain all yes answers on separate sheet and attach to green sheet INITIATING PROBLEM, ISSUE, OPPOflTUNITY (WM, What. When, Where, Why): ADVANTAGES iFAPPROVED: DISAWANTAGES IF APPHOVED: s .�.�:i gw� '�sa�d�gx° r'&���� � � �� e.,�y��i;.�ii �,�:�3�� �C � � ,. .,.� ; �t � � ���� ����� �= � OISA�VANTAGES IF NOT APPPOVEO' v 70TAL AMOUNT pF TRANSACTION $ COST/REVENUE BUDGETED (CIIiCLE ONE) YES NO FUNDINCa SOURCE ACTIVITY NUMBEN FINANC�AL INFORMATION: (EXPLAIN) - Greensheet # 35268 In Trackef?� License ID # 10175 L.I.E.P. REVIEW CHECKLIST Date: 1/17J96 ,9�-a�3 ApP'n Received / ApP'n Processed LicenseType: Parkine Lot/Ramn Company Name: Grandnark LLC DBA: same Business Addresss: 860 Grand Avenue Business Phone: 6960097 ContactNameJAddress: Stolnestad 2740 Hvmbnldt a�P Home Phone: Q�n_�gg.g Mpls, 55408 Date to Councii Research: Pubiic Hearing Date: — ' q Notice Sent to Applicant: �/ � Labels Ordered: {�' r � District Council #: Notice Sent to Public: � _i Ward #: ✓ Department/ Dffie Inspections Comments City Attorney �_ 3 p _ 9� 6� Environmental Health � _ � o _ � ��' Fire � _ � l � �_ � D License Site Qian Race��ed: a � � — �F� �j[� Lease ���ed: •�c� Police /- �30- `��, c5K �a �d �"cxJ.r�.b Zoning � Wi � C�o.c%bl�lan/S /^�0-�6 3 s�[xi PAVL � AAAA CLASS III LICENSE APPLICATION CITX OF SAINT PAUL Office of License, [nspections and Environmental Proteclion 350 Sc Pac St Suim i00 SaimPwt.rfinneov SiloZ (6i?)26b909p (a<<61+_):6G9124 THIS APPLICATION IS SUBIEGT TO REVIEW BY THE PUBLIC PLEASE TYPE OR PRINT IN INK Type of License(s) being applied for: ' Company Name: GrandPark LLC Corporation / Parinership / So1e Proprietorship ]f business is incorponted, �ive date of incorporation: October 13, 1995 Doing Business As: GXand�ark I,I,C �(�G �-a i'tLc��` , �X' • Business Phone: .612/696--0097 Susiness Address: 1080 Montreal A��enue, Suite 400 Saint Paul MN 116 Street Addre55 City State Zip Between what cross streets is the business located? Are the premises now oceupied?. Mail To Address: same as b� SVeet Address Which side of the street? What Type of Business? ParkinQ Lot Mana�ement City $tate Zip Applicant Information: Name and Title: Robert Wayne Stolnestad Ch' f M naper First Middle (Maiden) Last Title Home Address: 2740 Humboldt Avenue Minneanolis PiN 5540F Street Address Ciry State 2ip Date of Birth: 06/24/71 Place of Birth: Minneavolis Home Phone: 6�l�-1 h5(1 Have you ever been convicted of any fe]ony, crime or violation of any city ordinance other than traffic? YES ` NO �_ Date of arcest: Charge: _ Conviction: Where? Sentence: List the names and residences of three persons oF nood moral character, livin� within the Twin Cities 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 William P. Perron R9•-9711 Peter J. Quinn �q�_�H(�5 Ted Meyer ���_�Snt List licenses which you currently hoid, formerly he3d, or may have an interest in: None Have any of the above named licenses ever been revoked? _ YES ,� NO If yes, list the dates and reasons for revocation: Are you going to operate this business personally? , YES ,�_ NO lf not, who will operate it? Fizst Name Middle Initia� (Maiden) i.ast Home Add¢s5: SVeet Name City $tate Zip Date of Binh Phone Number y ouu goin� to have a manager or assistant in this business? X YES _ NO If the mana�er is not the same as the operator, vplease compiete the following information: ��_��3 Fim Name (Afaiden) Last State Zip Address Date of Binh Home Address: Sveet Narne CiR' Please list your employment history for the previous five (5) year period: Business/Emolovment Robert Stolpestad Exeter Holdings LlC Phone Numbe� 1080 Montreal Avenue, Suite 400 Saint Paul, MN 55116 List all other o�cers of the corporation: OFF[C£R TITLE HOME HOME BUSINESS DATE OF NAME (Office Held) ADDRESS PHONE PHONE BIRTH James A. Stolpestad Member 1 Edgcumbe P1. 698—�999 690-1598 10(20j42 If business is a partnership, please include the following information for each partner (use additional pages if necessary): Firs[ Name Middle Initial Home Address: Street Name First Name Middie InitiaV Home Address: Sueet Name (Aiaidea) Ciry (Maiden) Ciry I.azt Stale Zip Last State Zip Date of Binh Phone Number Date of Birth Phone Number MINNESOTA TAX IDENTIFICATION NUMBER - Pursuant to the Laws of Minnesota, 1984, Chapter 502, Article 8, Section 2 (270.72) ('Cax Clearance; Issuance of Licenses), licensin� authorities are required to provide to the State of Minnesota Commissioner of Revenue, 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 followin� reaardin� the use of the Minnesota Tax Identification Number: - This information may be used to drny the issuance or renewal of your license in the event you owe Minnesota saies, employer's withholdin� or motor vehicle excise taxes; - Upon receiving this information, the licensing authority will supply it onty to the Minnesota Department of Revenue. However, under the Federal Exchange of Information Agreement, the Department of Revenue may supply this information to the Intema] Revenue Service. Minnesota Tax Identification Numbers (Sales & Use Tax Number) may be obtained from the State of Minnesota, Business IZecords Department, 10 River Park Plaza (612-296-6181). ��sia1-�+�Number: 41-1 R 7 7 07 S Minnesota Tax ]dentification Number: �45��Rt� V If a Minnesota Tax Identification Number is not required for the business being operated, indicate so by placing an "X" in the box. a� -s� .iFICATION OF WORKERS' COMPENSATION COVERAGE PURSUANT TO MINNESOTA STATUTE ll6.182 .�ereby certify that I, or my company, am in compliance with ihe workers' compensation insurance covera�e requirements of Minnesota Statute 176.182, subdivision 2. I also understandthat provision of false information in this certification constitutes sufficient grounds for adverse action against all Sicenses held, includin� revocation and suspension of said ]icenses. Name of Insurance Company: Policy Number: Coverage from to I have no employees covered under workers' compensation insurance X ANY FALSIFICATION OF ANSIVERS GIVEN OR MATERIAL SUBMITTED WILL RESULT IN DENIAL OF THIS APPLICATION I hereby state that I have answered all of the precedin� questions, and that the infacmation contained herein is true and coTrect to the best of my knowledge and belief. I hereby state further that I have received no money or other consideration, by way of loan, giR, contribution, oi otherwise, other chan already disc3osed in the application which I herewith submined. 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 operation. �� Signamre (REQUII�ED for all applications) Date *`Note: If this application is Food/Liquor related, please contact a City of Saint Paul Health Inspector, Steve Olson (266-9139), to review plans. If any substantial chan�es to structure are anticipated, please contact a City of Saint Paul Plan Examiner at 266-9007 to apply for building permits. If there are any chan�es to the parking ]ot, floor space, or for new operations, please contact a City of Saint Paul Zonin� Inspectorat 266-9008. Additiona! application requirements, please attach: A detaiied description of the design, location and square footage of the premises to be licensed (site plan). The follo�ving data should be on the site plan (preferably on an 8 1/2" x 11" or 8 1/2" x 14" paper): - Name, address, and phone number. - The scale shoutd be stated such as 1" = 20'. ^N shuuld be 'sndicated toward the top. - Placementof all pertinent features of the interior of the licensed facility such as seating areas, kitchens, offices, repair area, parking, rest rooms, etc. - If a request is for an addition or expansion ot the licensed facility, indicate both the current area and the proposed eapansion. A copy of your lease agreement or proof of ownership of the property. FOR SPECIFIC APPLICATION REQi3IREMENTS, PLEASE SEE REVERSE >>>>