96-44Council File # � � — � y
ordinance S
Green Sheet � �/���
RESOLUTION
4fNT PAll1�, MINNESOTA
.
Presented By
Referred To
Committee: Date
1 RESOLVED: That application (ID #21859) for a Cigarette, Restaurant-B, Entertainment-B,
2 Sunday On Sale Liquor and Liquor On Sale-A License applied foY by Rodan,
3 Incorporated DBA Champps (Alden Landreville, Owner) at 2401 7th Street West
4 be and the same is hereby approved subject to final Certificate of Occupancy
and food inspections.
�--��—�r r ---� Requested by Department of:
Office of License, Inspections and
Environmental Protection
gy; ��tw� �J � � �I ' _
Adopted by Council: Date
Adoption Certified by
By:
App�
By:
Secretary
Form Approved by City Attorney
s �,�p �. / /2-/3-95
�
Approved by Mayor for Submission to
Council
By:
/
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DEPARTMENT/OFFICFJCOl1NC11, pATE1NITIA7E0 GREEN SHEE �O 35503
lIEP jLicensing �µ{7�p�IpATE INffiAVDATE
GONTACTPERSON & PHONE Q tlEPARTMENTDIpECTOR � CT' CAUNCIL
Bill Gunther, 266-9132 "� �cmasroawEV �CiTYCLERK
NUYBERfOR
MUST 9E ON COUNCIL AGENDA BY (DA7E) pp�� O BUDGET DIRECTOR � FlN. & MGT. SERVICES DIR.
r^ 0I H23T1II : OROEq � MpyOR (OR ASSI5fANT) �
TOTAL # OF SIGNATURE PAGES (CL1P ALL LOCATIONS FOR SIGNATURE)
ACTION HEWESTED: '
Rodan, Inc. DBA Champps requests Council approval of its application for a Cigarette,
Restauzant-B, Entertainment-B, Sunday On Sala Liquoi and Liquor On Sale-A License at
2401 7th Street West (ID 21859).
RECOMMENDATONS:Iy�we(A)wReject(Ry pER50NALSERVICECONTRACTSMUS7ANSWERTHEFOLLOWING�UESTIONS:
_ PIANNING COMMISSf�N _ CNIL SERVICE COMMISSION �� H9S thfs perSONfilrtl eVEr wOrketl under 8 COntreC[ for this departryent? �
__ CIB COMMffTEE _ YES NO
_�� 2. Has this personKcm ever been a city emPloyee?
— YES NO
_ olSiPoCS GOURT _ 3. Does this person/firm possess a skill not normally possessetl by any cur�ent city employee?
SUPPORTS WHICH COUNCII O&IECTIYE7 YES NO
Explain all yes anawers on separate sheat anQ atteeh to grean sheet
INYf1ATING PROBLEM, tSSUE.OPPORTUNITY (Who, What. When. Whare, Why}.
AOVANTAGES IF APPROVED.
�ISADVANTAGES IF APPROVED.
�ISADVANTAGES IF NOTAPPROVED:
TOTAL AMOUNT OF TRANSACTION $ COSTlREVENUE BUDGETED (CIRCIE ONE) YES NO
FUNDIHG SOURCE ACTIYITY NUMBER
FINANCIAL WFORMATION: (EXPLAIN)
NOTE: COMPLETE DIRECTIONS ARE WCLUDED IN THEGREEN SHEET IASTRUCTIONAL
MANUAL AVAILABLE �N THE PURCHASING OFFICE (PHONE NO. 296-4225). �,
ROU7ING OFiDER:
Below are correct routings for the five mosi frequent types of documenls: '�
CONTRACTS {assumes authorized budget exists) � COUNCIL RESOLUTION (AmerW Budgetsl�Aceept. C,ranfs)
t. OutsideAgency_ " -
2. Department Diiectw
3. CiryAttomey
4. Mayor (tor oontracts over $75,000)
5. Human Ri9hts (for conVacts over $50,000)
6. Fnance and Management Services Director
7: Fnance Accou�ting
�t. Departrnent D'e�edor . . . . .
2 Budget Direcior �
3. City Atromey
4. Mayor/Assistant
5. Ciry Council
6. Chief Accountant, Finance and. Management Services _ _ _
ADMINISTRATIVE ORDERS{Budget Fievision)
1. Activity Manager
2. DepaNmentAccountant
3. Department Director
4. 8udget Director
5. Ciry Clerk
6. Chiet Accountant, Finance and Management Services
ADMINISTRATIVE ORDERS (ali olhers)
1. �epartment Director
2. Cily Attomey
3. Finance and Management Services Direcior
4. City Clerk
COUNCII RESOLUTION (all otkers, and Ordinences)
1. Department Diredot
2 City Attomey
3. MayorRSSistant'
4. City Courn:il
TOTAL NUMBER OF S16NA7URE PAGES
Indicate the #at pages on which signatures are required and paperelip or fleg
eaeh ottAese pages.
ACTION REQUESTED
Desuibe what the prqecVrequest seeks to accompiish in ei[her chronologi-
caI order or order of importance, whichever is most appropriate for the
issue. Do not write wmplete sentences. Begin eacb item in your Iist witN
a verb.
RECOMMENDATIONS
Complete if the issae in ques[ion has been presented before any body, public
or private.
SUPPORTS WHICH COUNCII O&IECTIVE?
InCicate which Councit objective(s) your projacUrequesi supports by Iisting
the kay word{s) (HOUSING, RECREATION, NEIGHBORHOODS. ECONOMIC DEVELOPMENT,
BUDGES; SEWER SEPARATIpN). (SEE COMPLETE LIST IN INS7RUCTIONAL MANUAL)
PERSONAL SERVICE CONTRACTS: , -
7his intormation will be used to determirre the cityk liabiliry for workers compe�ation claims, taxes and proper civit secvice hiring rules.
INITiATMG PROBLEM, (SSUE, OPPOATUNITY �
Explain the situation or conditions that created a need tor your project
or request, �
ADVANTAGES IF APPROVED '
Indicate wbether this is simply an annual budget procedure required 6y Iaw! ,
cAarier nr wbetber there are specific ways in whicb the City of Saint Paul ,
and its ciNzens will benefit from this projectlaciion. �
DISADVAIVTAGES IFAPPROVED
What negative effects or major changes to existing or past processes might
this projectlrequest produce if it is passed (e,g., traffic delays, noise,
tax increases or assessments)? To Whom? When? For how Iong?
DISADVAN7AGES IF NOT APPROVED
What wili be the negative Cansequences if the promised action is not
approved? Inability to deliver service? Continued Aigh tranc, noise,
accident rate? loss of revenue? �
FINANCIAt fMPACT �
Aithough you must taito� the infortnation you provide here to the issue you
are,addressing, in general you must answer two questions: How much is ii ' �"
going to cost? Who is going to pay? ,
Greensheet # 35503
In Tracker?__ L �
� � �' y `�
L.I.E.P. REVIEW CHECKLIST Date: 12/01/95 i
APP'n Received 1 APP�n Processed
License ID # 21859 Ucense Type: CiQ. , Rest.-B. Entertainment-B. s„nda�, n„ sa7 A a,,.� n„
Sale-A
Company Name: Rodan. Incor�orated DBA: Champps
Business Addresss: 2401 7th Street we�r Business Phone: 698-5050
Coritact Name{Address: A1den Landreville, 1010 Sibley Home Phone: 891-5608
Date to CoUncil ResearCh Memorial Hwy, Mendota Hts, MN 55118
Public Hearing Date: �- /- �� Labels Ordered: ���„1
Notice Sent to Applicant: District Council #:
��"'/� 33��7 .3� I �
Notice Sent to Public: Ward #: �
Department/ Date inspections Commerrts
Ciry Attorney
t2-z/- qs �K
Environmental
H�itn �. Z!- YS O� �"8� ro f-�n�� i.0
dY ��
Fire � Z_ Zl _ c� d� P�N,b✓✓.�/C �i.v.aG. C a� o
/N 5�'. A�'� 'S . �`1,
License 6� / E'n.da�Tl� l��7Z� /�� si�e Pi�
l z. L/ - Ys�i*T eLD uc 1✓JGL, �es� a�e��ad:
b'� /�B6.v�o,vF,1� - r°E.�/�n/� Tjav�
, aP�'ruB.s/S
Police
1 z- Z� - QS O� /t/2? /e�Cp'.,,� �OUX-f
Zoning �
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q�-y`�
243'1 WESSc'V�'V'iH S�E' • $7. PPL•L ` MINNESQTA $5116 � PHCNE (612) 658-5447
L:@C:C(5i� __ . _ ='S'O
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Tillb 1.°.�i.c( 1`a �.O ...Jil?_�fiQ �.Iict, w:: `.Vi�_ .�� �_'J.o::�."�.'! .....J..
��..i'lv 1GCd'`..iQii ai. G-'3��� ... i.'J.: J�?':.:�... . �.._ ,.:..
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�;.('3:'1Si��� �^C ,`.f';c ,.1QUQ: i1C::lS° L:i �`,i'?2 IIu�PJ �.rr..�,.�..��.
`Jer�i �ruiv v�urs. ( �
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A:u2n E. Landr�vi112
CLASS III
LICENSE APFLICATION
T}Pe of License(sj bein� applied for.
Company \ame: �o � � r.t
Corporation � Parmership / Sole Propribtonbip - . .
If business is incorporated, n give date of incorporation: ��i !'� `
Doing Business As: l.f? R M�> s., � Business Phone: �o �/ �' .^ �� c
��
Business Address z �{ o / 'Y� � �t � � �F -i i l'�N 5 ,> 11 �
Sueet Address Cip� State Zip
� ^ �
Benveen what cross streets is the business located? S �A.t �� °r- ii i1 1P n nt Which side of the street? 1%cr ;
Are the premises now occupied? /`�n What T�pe of Business? � c � �. :
Mai] To Address: � ;fD ,' V1�, �J �E S� S� �A ✓ � l �;�J - -
Sveet Address � � Cip• '� State Zip
Applicant Information:
Name and Title: f
First
Home Address:
% f—,' i! _',
(Maiden)
�;
r:
�
Last Titie
1
'1 ;�r- J��• /�l " � r �
Svee address ' � " Ciry � S[ate ` Zip
Date of Birth: :11.2`t �h� 2. Place of Birth: ��1: E ni .�n! . Home Phone: �.h 2. ' 1. �.� i'
, ,
Have you ever been convicted of any felony, crime or violation of any city ordinance other than tra�c? YES � NO X
Date of arrest: Where?
Charge:
Conviction: Sentence:
List the names and residences of three persons of good morai character, living within the Twin Cities Metro Area, noc related to the
` applicant or financia]ly interested in the premises or business, who may be referred to as to the applicant's character:
` �,, t
NAME ADDRESS ' PHONE
VI C_t'6R Ri° � t
.�,M Qmm '`�r_ �_ � � crJ�' ��!'_f %' l - !� I; .,
ra a — � —Iri �iS V �r�l��<' - ��nu;c C
1
Have any o the above named licenses ever been revoked? � YES Y� NO Jf yes, list the dates and reasons for revocation:
Are you �oing to operate this business personally? � YES
Fmt Name
Home Address: Svee2 Name
Middle Initiai
��-4�}
CITY OF SATNT PAUL
OCce of LicenSe. InspscGou>
and Em�ironmrntaS Protettion
i50 h Pnc 5�. Suim SN
Sain� PmL �frnnesou 3510.
(612) ]66-909D Iu (6l' 2aG912i
THIS APPLICATION IS SUBJECT TO REVIEW BY THE PUBLIC
PLEASE TYPE OR PRINT IN II3IC
(Maiden)
Ciry
NO If not, who will operate it?
Last
Statc Zip
Date of Birth
P6one Number
List ]icenses which you currently hold, formerly held, or may have an interest in:
� . �c�—��t
u goin� 2o have a manager or assistant in this business? X YES _ NO If the manager is not the same as the operator. ,
complete the foVlowing informafion: �
fitst tQame � Middle Initial
13/n� �ini�{, 1�f/n�
Home Address: Sveet T'arne
(�faide
,�P V,
City
Please list your emp]oyment history for the previous five (>) year period:
Business/Emn lo�7n ent
- l�`'
� _ r . . n 'rI- <,.
i-r�/ ✓J. i � f
i�'J%
�n ,. n /. . rf C
:J tas[
f h�
State
Address
�l,�l_,
Da[c of Birth
S •� %i'-� � l -�; lo d �
� Zip Phone \umber
/�/��' .'./i.�o
if� ��'t/ i
List a3] other offrcers of the corporation:
OFFICER 7'1TLE HOME HOME BUSINESS DATE OF
NAME (Office Held) ADDRESS PHONE PHONE BIRTH
If business is a partnership, please include Yhe folio���in� information for each partner (use additional pa�es if necessary):
Fim Name
Initial
Home Address: Svret \eme
First I:ame
Middle Iniiial
Home Address: Svee[ 7vame
(\4aiden)
cn
(Maiden)
City
I.a�t
State Zip
Lut
Statt Zip
Date of Binh
Phone ]vumber
Date oF Binh
Phone Number
MINI3ESOTA TAX IDENTIFICATION NUMBER - Pursuant to the Laws of Minnesota, 1984, Chapter 502, Article 8, Section 2
(270.72) (Tax 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
fo3lowing re�arding the use of the Minnesota Tax Identification Number:
- This information may be used to deny the issuance or rene.+�al of your license in the event you owe Minnesota sales,
employer's withholdin� or motor vehicle excise taxes;
- i3pon receiving this information, the licensin� authority will supply it only to the Minnesota DeparUnent of Ravenue.
However, under the Federal Exchan�e of Informauon A�eement, the Depar[ment of Revenue may supply this information
to the Intetnal Revenue Service.
Minnesota Tax Identification Numbers (Sales & Use Tax Number) may be obtained from the State of Micmesota, Business Records
Department, 7� River Park Plaza (612-296-6181).
Social Security Number: '7'7 / — 't g ' '�'T i �
Minnesota Tax Identification Number: 2'{2. c l d�l� �
_ If a Minnesota Tax Identification Number is not required for the business being operated, indicate so by placing an "X" in
the box.
� - . , c t�—y�
,�tIFICATIODi QF WORKERS' COMPENSATION COVERAGE PURSUANi' TO MINNESOTA STATUTE 176.182
; hereby certify that ], or my company, am in compliance �vith the workers' compersation insunnce co�-erage requirements of
Minnesota Stamte 176.182, subdivision 2. I also understandthat provision of false information in this certificationconstimtes sufficient
'----r grounds for adverse action a�ainst all licenses held, includino revocation and suspension of said licenses.
Name of Insurance Company: �FiPm �F 5 %✓ � �F�w �
Policy Number. N7_ 7- n4 - o 3- i� 9.5 Cocera�e from :� ° � to 9�4�
�
1 have no employees covered under worken' compensation insurance
ANY FALSIFICATION OF ANS�3'ERS GIVEN OR MATERIAL SUBMITTED
W1LL RESULT IN DE\IAL OF THIS APPLICATION
I hereby state that I ha��e ans�vered all of the precedin� questions, and that the information contained herein is true and correct to the
best of my knowled�e and belief. I hereby state further that I have received no money or other consideration, by way of loan, gifr,
contribution, or othenvise, other than already disclosed in the app]ication which I herewith submitted. I also understand this premise
may be inspected by police, fire, health and other city officiafs at any and all times when the business is in operation.
���'�'o �'���� �� � �� / //-.�
Signarure (REQUIRED for a applications) Date
**Note: If this appiication is Food/Liquor related, please contact a City of Saint Paul Healch inspector, Steve Olson (266-91i9), to
review pians.
If any substantial changes to structure are anticipated, pleaze contact a City of Saint Pau] Plan Examiner at 266-9007 to appl;•
for buildin� permits.
If there are any chan�es to the parking lot, floor space, or for new operations, please contact a City of Saint Paui Zonina
inspector at 266-90�8.
Additional application requirements, please attach:
A detailed description of the design, location and square 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 I1" or 8 112" x 14" paper):
- Name, address, and phone number.
- The scale should be stated such as 1" = 20'. ^N should be indicated toward the top.
- Placement of al] pertinent features of the interior ot the licensed facility such as seating areas, kitchens, offices, repair
area, parking, rest rooms, etc.
- If a request is for an addition or expansion of the licensed facility, indicate both the current area and the proposed
expansion.
A copy of your lease agreement or proot of ownership of the properYy.
ROIt SPECIFIC APPLICATION REQUIREMENTS, PLEASE SEE REVERSE >>>>