96-596Council File � �� � S��
: �-
; � _ ':` i; t i} i
RESOLUTION
SAINT PAUL, MINNESOTA
Ordinance #
Green Sheet # ����v'
T7
Presented By
Referred To
Committee: Date
1 RESOLVED: That application (ID #12693) for a Pazking LotlRamp License by Pasking
2 Services, Inc. DBA Embassy Surface Parking Lot (DOUglas Hoskin, President) at
3 168 lOth Street East be and the same is hereby approved.
4
5 Requeated by Department of:
6 Yeas Na�s Absent
7 B ak� � �
8 Guerin Of ice o£ License Insoections and
9 Harris
10 � �ard � Enviroamenta� Protection
11 Re�tman
12 Thune
13 Bostrom ✓
�5 �;�,�,�: � �2,��
16 Adopted by Council: Date � C�9` By
17
18 Adoption Certified by Council Secretary
19 Form Approved by City Attorney
20 ` /�
21 By: a_��n^'a�.���'�"''�-- Y: `'1� � 1-� //
22 B ChOA��-GLL- 1'.-YY/�
23 Approved by Mayor: Date ��i
24
25 ��/J� , Approved by Mayor for Submission to -
26 By: � �G �y27,�vx��� Council . .
27
sy:
q�-sqc ,/
DEPARTMENT/OFFICFJCOUNqL DATEINITIATED GREEN SHEE N_ � 3 5 29 2
LIEP/Licensin INITIAWATE INff1AVDATE
CON7ACT PERSON & PHONE O OEPAqTMENT �IqECiOR � CffY COUNCIL
Christine Rozek 266- 1 ^�'�" OCIiVATTOflNEV �CRYCLEHK
MUST BE ON COUNCIL AGENDA BV (OAT� N�YeER C-0R O BUDGET DIflECiOR � FlN. & MGT. SEflVICES Olfl.
ROUTING
r'OI hearing: J �d,YIQ, S f SS� ONOER �MpypR(ORASSISTANn �
TOTAL # OF SIGNATUpE PAGES (CLIP ALL LOCATIONS POR SIGNATUR�
ACTON REQUE5TED:
Parking Seroices, Inc. DBA Embassy Surface Parking Lot requests Council approval of its
application for a Parking Lot/Ramp License at 168 lOth Street East (ID ��12693).
AECOMMENDA7IONS: Approva (A) w Reject (H) PERSONAL SERVICE CONTiiACTS MUST ANSWER TNE FOLI.OWING QUESTIONS:
_ PLANNING COMMISSION _ CIVIL SEPVICE COMMISSION �� Has this perso�rm ever vrorkeii under a coMrect for this tlepartrnent? -
_ C�8 COMM(TfEE YES NO
_ STAFF 2. Has ihis perso�rtn ever been a city employee?
— YES NO
_ DIS7FiICT CAUR7 _ � 3. Does this person/firm po55ess a skill not normally possessetl by any curreM city emplqree?
SUPPORTSWHICXCOUNCILO&IEGTIVEI YES NO
Explain all yes enswers on separate sheet antl atteeh to green sheet
INRIATING PROBLEM, ISSUE.OPPaRTUN17Y(Who, What�/dhen, Where. Why): ��� y •. �,re
S e°m�
APR 1 � 1996
C� �� �` �Y
ADVANTAGES IF APPROVED:
OlSAOVANTAGES lP APPROVED:
��1L'�� ��9�(�'! �ir 1��
l�i�t? �. v s�;�b
��
DISADVANTAGES IF NOTAPPROVED'
MAY 1 � ?��S
TOTAL AMOUNT OF TRANSACTfON S COSTlREVENUE BUDGETED (CIRCIE ONE) YES NO
FUNDIIdG SOUHCE ACTIVITY NUMBER
FWANCIAL WFORIaAT1�N: (EXPlA1N) �
Greensheet # 35292
In Trackef?�
L.I.E.P. REVIEIN CHECKLIST oate: .}-��.` ��` J��
APP'n Received 1 APP�� Processed
License ID # 12693 License Type: Parking Lot/Ramp
Comp2ny Name: Parkine Services, Inc. DBA:Embassv Surface Parkinp Lot
Business Addresss: 168 lOth St E. Business Phone: 222-7002
Contact Name/Address: Doue Hoskin. 3640 Birch_Pond Rd Home Phone: 687-0463
Date to Council Research:
Public Hearing Date:
Notice Sent to Applicani: �
Labels Ordered: /�°/79
District Council #: ��
�� � ��� .��
Notice Sent to Public: �//-��c Ward #: �
Department/ Date Inspections Comments
City Attorney � . 3 p O �
Environmental M ' � � � � � '
Health
Fire '� . { � • N . �'1 '
License Si�e P�an Fleceived:�•
Lease peCeived: G"�
Police y , 2 � • 1 � �� . ^
Zoning y• 2 � ' � � � � �'—�
19HF' ll�c�� FF.'I_II9
�
! 1 I r UF S I PF1UL L I EP TO
CLASS III
LICENSE APl'LTCA7�ON
'�ac'c�c'��' P. 19l i�•
___-' _"_ _.'��_ _
CITY OF SA1N7 PACIL
0(Yce of Licen<e. [t�cpections
and Em�ironr.�nlal Protection
tt[ $� Pder c4 Snne abJ
SvimPaW.?tinasea <S�C2
(612) 264R"AO fai (fii:) l(! 912d
fa��
7'HiS APPLICA�ION IS SLBJECf TO RE_V[EW BY_7HE FLBLIC
PLEASE TYPE OR FRI� 7T I\' CdK
Tvpe of License(s} being applied foe: C�,r.n f'-tZ '. t�_ QVa�✓ Lo�Q.�� __�__-��_ .
--- -- f� L ix�T Sic� f� t� 1G�5� R�ilvi_] Si:�i-+�_ �,�s.r��,= ��-1_�_,--
COrty�any Namz; �'RiL�n1� SCR�csS �Tt.'�_
C�IporatienlPazmershiplSoleProprietorship �
If business is incorporated, gi�•e date of incorporation: „_,_„ �j?_.e�,���!J __.,_, _______,_�_,,. � _ ,�. _______^_____
Doing Business As: S(� Business Yhcne: o�o� a
Bucic�etc Addrecs: SS E . S�„ S'C. - �\3µ�-�---------5� �i�Jl . - -. -. .._ - -- -_� 1 —� ,- -------�
�(,�$ �- /O�t .�( -o-at Address City Sta�c Zip
8ehveen what cross stceets is thz 6usines5 located� G.t�nw �-_ _�t�aiy`,,-�t7�_.�. �4hich side of the stteet? t�A3��_ _
Arr th� premises now occupied? E�3 What T}ye uf Business? G�ivtP-�1ti�'����� -�/atz.a.�,��.L.__�
hfail To Address: `�.�I�av�'�"e-. �� `�':�
° St�eecAddress Ciry Sti9te Zip
Applicarit Tnfom�ation: ✓
td3me and Tiile: � ZJI� L�1AS 1—>'r1�G �0.�� ��'Dt
First RiidAie (Mai�ien) Last Title
xo,�naa��s5; s ��4o R�.a-c��a� R� �,���.? �_.�N_ ia2�.
St�xt Addrrss City Statc Zip
Date of Bicth: S ��o Place of Bnt6: I�(�.:NC�BS�'r fi Home Phone: �g�l-otl�o�
FTave y�ou ever been c v' t of any felony, crime or violation of any city ocrlinance other than trafficT YES � NO �,_
l7ate of anesC
Cbazge: _
Coo��iction:
w'�ere7
Seoteoce:
List the naraes and residences bf three persons of good moral chsracter, tiving wittun the Twin Cities Metro Area, not related to the
applieant or fmanciatly interested in the pcemis�s ot business, who nvzy be referred to as to the appi;cant's character:
:�A,'�� ADDRESS FHONE
+-i���s�.sza C�r.e,z��ir�3a.�__ crC-vr�:� t> l�i--�t-�� �� ZZ�. • l���i1
�u.�� ��; i S �► � ;�J�c�i-�.� ,_ y�i- t9�"rq
(�iL'r� �:H(LlTv'F' �.�P�-tiv: Ps�A-c,` __._.____�_.---��=T�
List licenses which you cunendy hold, formerly held, or may 6ave an interest in:
Have any of the above named Iicenses ever been reroked7 __,_._ YES �, NO If yes, list the dates and reasons for revocation:
Ate you going to operate thSs business personally? �_ 1'6S � NO If not, who wiU oper3te it't
S 1>+�,� �°� /� P.�_'y,
firstNeme MiddteTnitial � T._ (htsidcn) ..._J Last
- - � --- • ----° Dam or ainh
H4IneAddr�SS: SveetNanfG City SUtC Zfp Phone?.umbEr
-2?-19�6 ] 1� 2� FFOPi C I T'� �F ST FRLI� L I EF TLi 922cF^S� F. �J��
you going to have a mana€er or assistant in this business? � 1'FS __.__ NO If the matiager is not the same ac the operator, please
mplete d�e follow•ing infom�ation: �I
(�
First Na,ne btiddle iniGal (Maidm) Laat Date of Binh ^
Hnnx Addt.ss: SUeet lame City Sisie Zip Ptrone Numbec
Piease list your employ�nent his[ory Eor the previeus five (5) year period:
$usiness/E_pt 1_ov�ixnt «
���,�u�e��x.e�s,�c� -------SS e. S`'"ST#�3�o S,,l�-A�-,Me�SS1o�
List ail othet officers of the corpocatien:
CFFIC�12 - / TITLE .- fT0?vIfi TIOME BliSIh'ESS DA760P
\'A?vIE �� (Office Held) AADRESS PHO�'E PHO, �'� A�'�
E3=¢� `� �1-��tb3 �aa7OO�.__��8�
��z_l Sce�.c�a�--3t�.� -- _ PoNo R- --- 6 -- - `�
E�a.,, mN ss�aa ____
If business is a pazmership, ptease include the foltowing infornLauon for each parEaer (use additional pages if necessary):
Frsi Name
HomeAddress: Sveethame
Firtt
Home Addrrss: Strccl NamC
Middie Iniiiil
Middle lnitial
(Maiden)
Ciry
(MaiBen)
Ciry �
LASt
Sute�
[ast
State
DaR of BirtM1�
2ip � � Phune M1umNet
Uatzat Bvch
Zip � P6ont Numbet
AitNNESOTA TAX [DEN'TLFTCA`fCOh NUMBER - Pucsuant to the Laws of Minnesora, 1984, Chapter gp2, prticle $, Sudon 2(270.72)
(7ax Cleazance, Issuance of Licenses), licensing authorities aze required to provide to the SWte of Minnesota Camnilssioner of Reveuue,
�he b9innesota business t�vc identification number and the social security number of esch license applicant. ' '
Under che Minnesota Govemrnent Dafa Pracdces Act and tbe Federa2 Privacy Aet of ]97a, we aze required to advise you of the fottowing
regazding the use of the Minnesota Tax IdeatificaGon Number:
- Tbis ic�forma6vn may be used to deny the issuance or renewat of your license in the ec�ent }rou owe Minnesota sail�s, emptoyei s
withholding or motor valvcle excise taxes;
- Upon receiving tl�is inforn�adon, the licensing autLority will supply it onty to the MinnesoW Uepartment of Rei�enue. How'er•cr,
under the Federal Exchange of Information Agreement, the Departmeut of Revenue may supply this inforn�ation ro the [ntemat
Revenue Ser��ice.
Miuncsota Tax TdenGfication Numbers (Sales & Use Taa Number) may be obtained fmm the State of Minnesota, Ausincss Records
17ep;utment, 10 Rivex Pazk Plata (612•296-6181).
Social Securiry Number: 4 � �r �� �� � ._._.._
Minnesota Tar ldendCcation t�umber:,�`±��
_ If a Minnesota 7ac Ident�catiw Number is not requued fot the business being operated, indicate so by placing an "X" in tl�e
box.
19?6 11 �^c7 FFr! 1 r I T'r' nF ST FRi iL L t EP TO '�.:'�� ��S°;' F. l IC1=1
qG-SqG
.tTIFTCATION OF WORKERS' COMPENSATIOIV COVERAGE PURSUANT TQ �412�NESOTA STATUTE 176.i3?
nereby tettity that I, or my company, am in compliance with the workers compensaiion insurance covera�e requiremente of A4innesota
Statute 176.182, subdivision 2. I atco understand that provision of false informafion in this cettiFcation constitutes sufficicnt orovnds for
adcerce action against att licenses 4eId including revocation and suspension of said licenses.
Name of tnsurance Cempanp: _�ER �L`f ��Y`nzr��STR A�RS
Policyh'umher: O�}-cFS-151'-�-� -------_---_---- Coveragefrom SS-lb-�lS _to_� �-e
I hati�e no employeec covered under crorkecs' com�nsatian in,urance ,_
ANY FALSIFICATION OF ARS'44E1iS GTS�N OT2 hiATERIAL SUBMITTEA
WILL RES��i.T Th DENIAL OF 7FTIS APPLiCaTION
T heieby state that I have answered all of the preceding quesdons, and [hat the informativa contained henin is llve and concct to the f�est
o£ my know3edgc and belief. I 6ereby state funher that I ha�•e recei�ed no money �c ocher consideretion, by w�ay of loan, gift, contribmion,
or otherwisq other than atready diselosed in the application which I herewith cubmitted. I alco understand this pcemise may be inspected
by police, �re, health and other city officials at aoy and all bmcs whcn the busincss is in eperation.
*'NOte; [f this appticalion is PoodlLiquor related, please c.ontact a City of Saint Pau1 Health Inspector, Steve O(son (266-9139). to ce��iew
plans.
If any substantial changes to savcwre are anticipaw.d, please contact a City of Saint Paut Plan Ezaminer at 266-90D7 �a appiy for
building pemvts.
if tl�ere are any e6anges to t6e parking lot, floor spaee, or for new operations, pleue contact a City of Saint Paul Zoning Inspectot
at266-9003.
a
AddiGonai uppllcation requirements, ptease aftach:
A detai{ed descriptlon ot fhe design, location and square footage of the premices to be 14censed (site plan}.
The following data should be on the sife plan (preferably on an 8 I/2" x 11" or 8 Ii2" x 14" paAer):
. IVame, address, and phone number.
- The sc&le shoul8 be stated such as I" � 20`. ^N should be indlcated toward the top.
. Ylacement of slt pertinent feahues ot the intedor ot the licensed facility such as seating areas, lotchens, o#fices, repair
area, parldng, rest ro0ms, et�
- Tf a request Ls for an addltton or ezpanston of the llcensed tacility, 7ndicate both We current area and the proposed
ea�ansion.
A copy of your Iease agreemeret or proot of orsnership of the property.
FOT2 SPECIFIC APPLICATIQN 12EOUIREh1EN1'S. PLEASE SEF, REV�I2SE >>>�.
�_r�i�� - —