96-897���� '' i �
1� E ,�i f
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Council File # ��
6rdinance #
Green Sheet # 3 S S ��
Presented By
Referred To
RESOLUTION
CITY OF SA{NT PAUL, MINiVESOTA
Committee: Date
�
1 RESOLVED: That application (ID #71341) for a Restaurant B and On Sale Malt (3.2)
2 License by the Taste o£ Thailand Restaurant, Inc. DBA Taste of Thailand
3 Restaurant (Lamphay Phetphrachanh, President) at 1671 Selby Avenue shall be
4 and the same is hereby approved.
5
6 Requested by Department of:
7 Ye s a s Absent
8 B a e�Ty �
9 Guerin Office oE License Ins,pections and
10 Harris �
11 Me a��� Environmental Protection
12 Re t� man
13 T un�
14 Bostrom /�
16 —� By: l iM � I ^'��s v
17 Adopted by Council: Date q
18
19 Adoption Certified by Council Secretary
20 Form Approved by City Attorney
21 l
22 Hy: l—, �- . � ,m !/
23 � @ sy:
24 Approved by Mayor: Date U�5(�4
25
26 � c �� e Approved by Mayor for Submiasion to
27 $ ��) Council
Y•
28
By:
al L —P'97
DEPAR7MENT/OFFICE/GOUNCIL DATEINITIqTED GREEN SHEET �O 35512 ��
LIEP/Licensing -
ir+mnuonre iNmnvon�
CONTACT PERSON ffi PHONE � pEPARTME1dT D7RE O GISY fAUNCII
Christine Rozek, 266-9108 ��C'N �CRYATTORNE7 OCT'CLERK
MUST BE ON COUNCIL AGENDA BY (DATE) NUYBER i0R ❑ BUDGET DIFECiOfl O FIN. & MGT. SERVICES DIR.
BOVfING
For hearing: 1(�b OflDER Op�pypq(ORASSISTAHn O
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Taste of Thailand Restaurant, Inc. DBA Taste of Thailand Restaurant requests Council approva
of its application for a Restaurant-B and On sale Malt (3.2) License at 1671 Selby Avenue
(ID I171341).
RECOMMENDA710NS: approve (A) m Rejact (R) pERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING �UES710NS:
_ PLANNING CqMMISSION _ CIVIL SEFVICE COMMISSION �- Has Mis person/firm ever worketl under a contract for this departmen[?
_ CIB COMMITTEE _ YES NO
_ S7AFP 2. Has this personHirm ever been a aty employee?
— YES NO
_ D�s7qICi COUR7 — 3. Does this person/firm possess a skill not normally possessetl by any curtent c'ity employee?
SUPPORT$ WHICH COUNCIL O&IEC�IVE? YES NO
Explaln all yas answars on seperate sheet antl attec6 to green sheet
INITIATING PROBLEM. tSSUE, OPPEIRTUNITY (Who, What. When, Where, Why):
' d',C"r $a agr.a�
; g y .�
j ,g�
JU�1 1 1 19�6
�€ i�a�� �
ADVANTAGES IFAPPROVED:
DISADVANTAGES IFAPPROVED:
�uanc� a�ch Center
Sl1L,15 i9��
� .
DISADVANTAGES IF NOTAPPROVED: � ' l
TOTAL AMOUNT OF 7flANSACTION $ COST/qEVENUE BUDGE7ED (CIRCLE ONE) VES NO
FUNOIIdG SOURCE ACTIVITY NUMBER
FINANC�AL INFOflMATION: (EXPLAIN)
Greensheet# 35512 L.I.E.P. REVIEW CHECKLIST Date: 6/5/96 ���- b'q�
In TfaCkBt?_��Ty�� /+PP'n Received / APP'n Processed
License ID # 71341 License Type: Restaurant-B and On Sale Malt (3.2)
Company Name: Taste of Thailand Restaurant, Inc. DBA: Taste of Thailand Restaurant
Business Addresss: 1671 Selby Avenue Business Phone: 645-8818
Coniact Name/Address: Lamphay Phetphrachanh, _ 718 Elizabeth Home Phone: 522-1085
Date to Council Research: Lane, Mpls 55411
Pu61ic Hea�ing Date: 8 �' � �o
Notice Sent to Appiicant:.
Labels Ordered:� ��7/O
District Council #: � �
���j �E {
Notice Sent to Pubiic: �� Ward #:
Department/ Date Inspections Comments
City Attomey
�-25- p. K .
Environmental
Health
�.zy•9b o,K. Cp.�.o.�
F��e
ro � (o D • k .
License ��� �`� �� � s�t��� ry��
St98„j'�T' "f� � � �P �ease aecerved: _�_
L1Q --�t�S � �,.I G —�
Police
(0•25• Ilo Z>• K .
Zoning
l� • 2� �. K ,
cLass zu
LICENSE APPLICATION
'3
��-a
CITY OF SAINT PAUL
O�ce of License, Ins(ucfio:is
and Envir.rnmental Pro[ection
?50 A Per. h Si:e �.^J
s P: �. l:a::yy 3
(6�2]'—�'�� fzz(612):bbS124
THIS APPLICATIO'�' IS SLB7ECI' TO REVIEW BY THE PUBLIC
PLEASE TYPE OR PRLVT I\i T II�K
T}Pe of License(s) being applied for: ��'
C �-�1s 4,,- S �� f�rs. �'� _
� t �/�
CompanyName: � a��lc Gt` �ti��c P a; � ��,�� .
Cotporation / Pzrme:ship / Sole Roprietonhip
If business is incorporated, �ive date of incarporatio : J � � �
DoingBusinessAs: �t T �a�� -,�-.± eS�An-+ BusinessPhone: 6�F5—S�BJ�
Business Address: ��� � SN ��>�: �R�'E- . � ��''� � 5 � 0 T
S¢eet Address
Between wbat cross streeu is the business located? P'ie rc e �c
Are tk�e premises now occupied? ) 25 What Type of Business?
Mail To Address: . � /�(`„�,-�.?- _
street Addrus
Applicant Information: �/
\ame and Tide: ��
Fust
xo� na�s5:
City State Zip
v' Wtuch side of the street? l ��--
°^ti2 S� --
City
�he f��
1 ��
��
State Zip
U, C �O�n !n �h
Tide
S eet ddress T J � - ty Sta[e Zip
Date of Birtfi: l� 1 6 Place of Bir[h: �� lG�.e� Home Phone: S�� —��� S
Have you ever been convicted of any felony, crime or violation of any city oidinance othec ffian 4�c? YES _ NO ,�
Date of arrest: FVhere?
Chazge:
Conviction: Sentence:
List the names and residences of three persons of good moral character, living wittrin tbe Twin Ciaes Metro Area, not related to the
applicant or financially interested in tbe premises or business, wfio may be referred tq as zo tl�e applicant's chazacter:
NAME °-- ADDRESS PHO;�TE
-- �.v o.,� .,.� C I.u.. 35 3 3 8Y-�'l. C t�- cQ.. �, l„Q�� ��I ,�-�S�E �F3 56 �-� 34.
S t h l-�-v �7 D � �T .�..� Cc�-.o . �� ��,. �5 �E � 3 Sa 1 9,F
�
v . LS�/7—Cl `f0�
List licenses whicfi you currendy hold, formerly field, or
have an interest in:
` C�2wy�
Have any of the above named licenses ever been revoked? _ YES
NO If yes, list the dates aod reasons for revocation:
Are you going to operate this business personally? � YFS _ NO If not, who will operate it?
Ficst Name
Home Address: Strat Name
Middle Inival (Maiden) Iau
Middie
���� ��
�Ty
Staze Zip
Date of BiRh
Phone Numbet
Are you goin� to have a mwaaer or assistant in this business? _ YES �., NO If the mana�er is not the same as the operator,' please
complete the following infoimation: -
FirstNarae bS+dAelnifial (Maiden) Lxst DateofHirth •
Home Address: Street Name City State Zp Phone Number
Please list your emplo}�ent history for t6e previous five (� yeaz period:
Business/Eumlovment A ss
List all othei officers of the corporation:
OFFICER TITLE HOME
N 1 {� (O Aeld) ADDRESS �
lfivvi�Yln lY��'7r��,.., rl��� ��,7 �I[
S S�
�'' l�
HOME BtiSII��ESS
PHO;� PAO\'E
� �aa-1085 6 �S-��
If business is a partnership, please include the following information for each parmec (use additional paaes if necessary):
FiTSC I�xme
Mid�e Ioiriz.l
Home Address: Seeet Name
Fa[ Name
MidAe Initial
HomeAddress: S�mziNaa�
(!.;�3en)
City
(MziBen)
Ciry
Ias[
State
Iast
Stare
DATE OF
l 2 f�J'��
Date of Buth
Txp Phoae Number
Date of Binh
Zip Phone A'umber
MINNFSOTA TAX IDENTIFICATI0:1 NUMBER- Pux�uant to the Laws of Nfinnesota;1984, Chapter 502, Article S; Section 2(270.72)
(Tae Clearance; Issuance of Licenses), liceacing autfiorities aze required to provide to the State of Monesota Comrmssioner of Revenue,
the Minnesota business tac identification number and the social security number of each license applicant
Under the Mmnesota Crovemment Data Practices Act and the Federnl Privacy Act of 1974, we aze required to advise you of the following
regazding the use of the Minnesota Tac Identification I�'umber:
- This iafozmation may be used to c�eny the issuance or renewal of your license in the event you owe ?vTinnesota sales, employef s
withholding oi motot velricle excise t�es;
- Upon receiving this informatioa, the licensing authority will supply it only to the Minnesota Department of Revenue. Aowever,
under t6e Federal Exchange of Infozmation Agceement, the Department of Revenae may sapply rh4s iaformation to the Intemal
Revenue Service.
I�nnesota Tax Identification Numbers (Sales & Use Tat Number) may be obtained from the State of Minnesota, Business Records
Department, 10 River Pazk Plaza (612-296-6181).
social security Number: "1 73 � — 3 ��/
Minnesota Taz Identificafion Number: ` � J�
If a?vfinnesota Tax Identification'�'umber.is_not requued for the business bein� opented, indicate so by p]acing an "X" in the
boz.
-.-._>�- -_ .�r-,��ns ^ = =.. —�r€�:,.'�.�.� �..�._:._� ���..=a'��,.�.� - -`''�,:+'>-.'°'.....°` — ..
� ����-. -...,�x:� z'��x:�x>..,::-_.._:�",�`-.
CERTIFICATIO\ OF W ORKERS' CO'�4PENSATIO� COV"FRAGE PLI2SUA.\TI' TO �4L\\'ESOTA STATliTE 176.182 � r�° ��
I hereby cerrify that I, or my company, am in compliance witL che workers' compensation insurance coverage requirements of'�linnesota
Stamce 176.182, cubdicision 2. I aLo understand that pro��i<ios of false infoimation in this ce�cation consututes sufficient �ounds for
adverse action against all licenses field, includina revocatioa �d suspension of said licenses.
\'ame of Insur2nce Company:
Policy \umber: Co�'erage from to
I La��e no emplo��us covered under workers compensation �urance
ra
ANY FALSIFTCATION OF A\5�4`ERS GI�'El\ OR MATERIAL SL�i1ITTED
FYII,L RESULT II� DE\'L'�L OF TFIIS APPLICATIQ;�
I bereby stzie thaz I 6ave answered all of the preceding quesuons, and that the information contained herein is true and cosec[ to the best
of my knowiedge and belief. I hereby state fiuther thaz I have received no money or other coasideration, by way of loan, gift, contribution,
or othercci�e, other than already disc]osed in the application a�hich I herewith submitted. I also understand tYris premise may be inspected
by golice, fire, healch znd otbec city offici�ls at any and all ti::�s w6en the business is in operation.
for all applications)
**Note: If rhis applicadon is FoodlLiquoc related, Qleaze contac[ a Ciry of Saint Paut Health Inspector, Steve Olson (266-9139), to review
plans.
If any substanfial changes to shvcture are_anticipated, please cootact a City of Saint Paul Plan Eeaminer az 2669007 to apply for
building peimits.
If there are any changes to the pazking lot, floor spaz, or for new operauons, please contact a City of Saint Paui Zoning Inspector
az 266-9008.
Additiona! application requirements, please attach:
A detailed description of the design, location and square footage of the premises to be licensed (site pian).
The following data should be on the site plan (preferably on an 8 L2" x 11" or S lI2" x 14" paper}:
- �'ame, address, and phone number.
- The uale shoutd be sfated such as 1" = 20'. ^PI should be indirafed towazd the top.
- Placement of all pertinent features of the interior of the licensed facility such as seating areas, Idtchens, offices, repair
azea, pazking, rest rooms, etc
- If a request is for an addition or espansion of the licensed fac�ity, indicate both the current area and the proposed
espansion.
A copy of your lease agreement or proof of ownership of the property.
FOR SPECIFTC APPLICATION REQUII2EMEIV'TS, PLEASE SEE REVERSE >>>>,
If appl}ing for,
Ca6azet adult, please attach H�ritten proof that each employee is at lezst 18 years old
Concersation/Rap parlor adul� please attach K•a�en proof that each employee is at least 18 yeazs old.
Eptertainment, please specify class A, B, oc C licence; obtain and attach si�atures of approvaI from 90% of youc neiefibors
within 350 feet of the esta6lishment This license mnst be applied fo= in conjunction with a Liquor, Wine, Mal[ On Sale or
RentaUDance Aall license.
Firearms, please attach a letter wirh the followins information_ state if selling oi only repairing, Federal Firearms License
Number. h� of Arcn�d Sen dischazge (Honorable, General, Bad Conduct, iindesirable, Dishonorable, or no m�litzry service.
(NOTE: Establishment must be commercially zoned) _ -
Game room, please provide the following infozmation: name of inachine and list price. (NOTE: A Pool Hall license is iequired
if there are any pooi tables in ttie establishment.)
HealtS�/Sportr club adult, please attach written proof that eacfi employee is at least 18 yeazs old
Liquor off/on sale, refer to attached liquor application.
Loci: opening su�ices, ple�e attach a list of all emplayees (with home address and telephone number) wbo �•ill be doin� the
lock epening service; attach 510,000 Surety Bond
?�ZaSSase center, please attach a detailed descripuon of the services being pro� ided.
37assage cenfer aduit, please attacfi written proof thst each employee is at leact 18 years old.
Massase practitioner, ple�e attach a copy of letter foz approvai from Health; pcoof of insurance coverage of 51 each
general liability and professionai liability with the Ciry of Saiot Pau1 nac,ed zs a�n additional insured, aod a 30 dzy notice of
cancellation; a letter from youc employer to verify employu�nt with a Iicense sassage center.
Motorcycle deaier, glease inctude Srate of D4innesota Dealer Number.
New motor �ehicle deater, please include Statc of `vlinnesota Dealer Number.
Pu6zng IoUramp, please include tUe number of pzrking spaces, and attach plans containing a general description of the securiry
provided at the lodrdcnp, a site plan showing driveways of rhe proposed lot and the legal description of the property <this
requirement necessazy only if no site plan is currendy on file). Artach a cover lettec describing your glans to comply with the
li�htin$ and painting requirements.
Pawubroker, pleue attach $5,000.00 Surery Bond.
Second hand deaier-motor �ehicle, please include State of ?vlinnesota Dealec \'umbec.
Second hand dealer-motor Fehicte parts, please avach $5,000.00 Surety Bond.
Steam room/battt honse aduit, please attach wricten pioof that each employee is az least 18 yea� old
Theater adutt, please attach writren proof that each employee is at least 18 years old