96-903Council File # � V �
t�RIG����
Presented By
Referred To
ordinance #
Green Sheet # ����
RESOLUTION
SAiNT PAUL, MINNESOTA SS
Committee: Date
1 RESOLVED: That application (ID #35317) for a Pazking Lot/Ramp License by Impe=ial
2 Parking Inc. DBA Imperial Parking Inc./Kitty Lot (Joan WebeT) at 261 7th
3 street East be and the same is hereby approved.
4
5 Requested by Department of:
6 Ye s Navs Absent
7 BZake„�
8 Guer�n Office of License Ins�ections and
9 Harris
10 Me ard `� Environmental Protection
11 � tm�
12 T unh e
1 4 Bostrom
15 � �(}
B '1'�� " �� �_
16 Adopted by Council: Date
17
18 Adoption Certified by Council Secretary
1 9 Form Approved by City Attorney
20 a
21 BY = �, c�- . � �.-�)�O/v�., �fI
22 � � B Y e `�� cis.�___—"—�` .�+.r.4
23 Approved by Mayor: Date (/ � �J
24
Z ��� Approved by Mayor for Submission to
26 By: �,jL !�Z'.�w'� Council
27
By:
9�-9 03
DEPARTMENT/OFFICFJCAUNCIL DATEINRIATE� GREEN SHEE NO 35507
LIEP/Licensing INITIAVDATE INITIAL/DATE
CONTACT PERSON 8 PHONE Q pEppplMEM DIqECiOA O CfiY CAUNCIL
Christine Rozek, 266-9108 A ���' N �CRYATfORNEV �CRYCLERK
MUSTBE ON CAUNCILAGENDA BV DAT� NUYBEN FON ❑ BUOGET DIRECfOR � FIN.B MGT. SEFVICES DIR.
flOUTiNG
r'OI hearin : ����q9lo OROEP OMpypp(ORASSISTANTJ O
TO7AL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS POR SIGNATUR�
ACTION REQUESfED:
Imperial Parking Inc. DBA Imperial Parking Znc./Ritty Lot requests Council approval of its
application for a Parking LotiRamp License at 261 7th St. E(ID �638317).
RECOMMENDnT7oNS: Approve (A) or Re�eet (R) PERSONAL SERYICE CONTRACTS MUST ANSWER THE FOILOWING DUESTIONS:
_ PLANNING COMMISSION _ CIVIL SEFVICE COMMISSION 1. Has Mis person/firtn ever worked under a coMrect for this departmen[? �
_ CIB COMMI7iEE YES NO
_ S7APF 2. Has this personRirtn ever been a ciry employee?
— YES NO
_ DIS7pICT COUR7 _ 3. Does this person/firm possess a skill not normally possessetl by any cunent ciry employee?
SUPPoRTS WHICH COUNCIL OBJECTIVE7 VES NO
Explain all yes anawers on separate sheet antl ettacM1 to grcen sheet
INITIATING PqOBLEM, ISSUE. OPPORTUNIN (Who, Whffi, When. Where, Why) �� p��� g
k a �Y
MAY 24 1996
�� �� ��� � ����Y
ADVANTAGESIFAPPqOVED.
DISADVANTAGE$ �FAPPROVED:
DISAOVANTAGES IF NOT APPROVED'
°�� L�9
s�� � z ���s
TOTAL AMOUNT OF TFiANSACTION S COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDIHG SOURCE ACTIVITY NUMBER
iINANCIAL INFORMATION� (EXPLAIN)
Greensheet # 35507 L.I.E.P. REVIEW CHECKUST Date: 5/16/96 /�_q0'�✓
In Tracken 7/(o� Apa'n aeceived / APP'n Frocessed
license iD # 38317 License Type: Parkine LotlRamv
Company Name: Imperial Parking Inc. DBA:IIDDerial Park�n� Iac/Kitt� T.nt
Business Addresss: 261 7th St E Business Phone: 341-8000
Contact Name/
Date to Council
Public Hearing
Notice Sent to ,
No Sent to
�����
-5`7.��
Home Phone: 341-5000
Labels Ordered: ��
District Council #: f /
Ward #:
Department/ Date Inspections Commenis
City Attomey
2 S
Environmental
Health
�.�>
Fire
N I ,�
License J� g�,� m u'v' a`� �=d Site Plan Received:_
( �J 5' �'f� � .HI"rw" '" ° - "- ^"'�` Lease Received:
Police
j�-25�y10 �.�C. .
Zoning
� . 2�S��b D. �. .
SAINS
lAUL
�
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�
CLASS III
LICENSE APPLICATION
383/ 7
CITY OF SAINI' PAUL �
�CC OILiCCi15C,U15jIGC[i0f15
v,a &i�iro,vnenw Pto,ea;on
?SOS� Paa Sc Suite 300
e•;v Aui, N.inmma 35102
(61T1b69�D fu1611)2669123
THIS APPLICA7T0\ IS SLBJECI' TO REVIEW BY 7 f� PUB IC
PLEASE OR PRINT IN INK
a� �5 k'n�r laf °
T}Pe of License(s) being applied for. � Q V r �317 S
co��y r��:
If business is incorF
Doing Business As:
Business Addcess: �
1 ParmershiplSOle Proprietorship
dateof,incorporation_ la�q
0
G
Business Phone: �rO � Z) � f - (�.�i-
mr� 55��2
SveetAddras r7 � � q- � Ciry� State c,,, 2 '-
Between what cross streets is the business located� � I�" � W�-t�X- Which side of t6e street? �-�b'-�f ,
Are the premises now occupied? What Type of Business? _ �.f�Q.�� ��1-r��,UYY�- �
MailToAddiess: �� � �t� � S��•� {5 '� mR�_ . mn �S� a-
SVatAddress Ciry State Zip
Applicant Informadon:
Name and Tide: �� Q �v�
Fusc Nfiame
Home Address• `�
(Maiden)
last
Tit]e
StreetAddress Ciry State Zip
Datc of BirtU: Place of Birth: Home Phone:
Have you ever been convicted of any felony, crime or violatioa of any city ordinance other than traff"ic? YES _ NO _
Date of azrest —" Where?
C6arge: ��
Conviction: Sentence:
List the names and residences of three penons of good moral cLaracter, living within the Twin Cities Meffo Area, not related to t6e
applicant or financially interested in the premises oz business, who may be refermd to as to tbe appIicanPs chazacter:
NAMB ._ ADDRESS PHONE
•-�_
List licenses which you cumndy hold, for�rly held, or may have an interest in:
•----'
Fiave any of the above named licenses ever been revoked? ` YES _ NO If yes, lisi the dates and reazons for revocation:
Are you going to operate this business pecsonaYly? _YES _NO If not, w6o will operate it?
2:ame
Middle lnitial
Last
Home Addras: StreU T.'ame � Ciry Stam Zip
Da�e ot Binh
Yhone Numbct
A.t you going to have a manager or usistanc in this business? _ 1'ES
` complete the following informatioa:
�N�
HoanAddrus: Street
Ciry
Please list your employment history for t6e preti�ious £ve (5) pear period:
Business/Emplovment Address
r0 Sf the managei is not the same u the operator, please
l�
State yp
at,-`iG�
Dau of Bint�
Phone t�umber
List ail other officers of the coiporadon:
OFFICER - TITLE HOME
NAME (Office Held) ADDRESS
HOME BUSI:�'BSS pATEOF
PHOA�E , P�IOATE BIRTH
If business is a patmership, pleaze include the following information for eacL parmer (use additional pages if necessary):
Fi:stNatne Middle
Home Addras: Tame
'ame . MidNe
Home Addrat: Strea Naae
Last
(T4aiden)
Ciry
(Maiden)
Ciry
State
Phone Num6er
PLOne Nurobu
MINNESOTA TAX IDEP'TIt�7CATION A'UMBER - Pursuant to the I,aws of DTinnesota, 1984, Chapter SQ2, Article 8, Sxtion 2(270.72}
(I'aa Clearance; Issuance of Licenses), liansing authorities aze mqu'ued to provide to t6e Stau of IvTinnesota Co�issionu of Revenue,
the Minnesota business taz iden6ficafion number and the social security numbec of each license applicant
Undes ihe Minnesota Govemment Data Pruvices Act and the Federal Pricary Act of 197d, we aze required io advice you of the following
regarding the use of the'�nnesota Tu Identification 2�'umber:
- This information may be used to deny the issuance or renewal of your license in the event you owe Minnesota sales, employei s
withholding or motor vehicle excise tazes;
- Upon receiving this infozmation, the liceasing authority will supply it only to the Minnesota Department of Revenue. IIowever,
under ttx Federal Ezchange of Information Agreement, the Degartment of Revenue may suppty this information to the Intemal
Revenue Service.
Mianesota Tax Identification ATUmbers (Sales & Use Taz A'umber) may be obtained from t6e Stau of Minnesota, Business Records
Departmen� 10 River Pazk Plaza (612-296-6181).
Social Security Number:
Minnesota Taz Identification Number: 2-�� Q��'�' V
Last
Mddie Inival (tiiaidui)
_ If a Minnesota Tax Identification T'umber is not requaed for the business being opernted, indicate so by placing an "X" in the
boz.
CEFcTIFICf TIO\ OF WORKERS' COMPE\SATION COVERAGE PL�RSUANT TO MII�TIQESOTA STATUTE 176.182
I hereby certify that I, or my company am in compliaoce u�ith tbe ��ozkers' compensation insurance coverage requ'uemenu of Nfinnesota
Statute 176.182, subdivision 2. I also unde:stand that provision of false information in this certification constiNtes sufficient gounds for
adverse action agaiost aIl licenses Leld, including mvocaUOn and suspension of said licenses. A Q �
�L����� �� � ,-� ,�
A'ame of Insurance Compan,
PolicyNumber: T�KU ��08��� 5 Z Co��eragefrom l �' �-� to � �— ��
I have no employees covered under workers compensation insurance �
A�Y FALSIFICATION OF A.\S�i'ERS GIVEN OR MATERIAL SLB?�IITTED
WII,L RESULT L'� DE\'IAL OF TffiS APPLICATION
I hereby state thaz I have answered all of the preceding questions, and that the information contained herein is uue and coirect to the best
of my lmowledge and belief. I dereby stafe furthe: thac I have received no money oc other considerazion, by way of ]oan, gift, conuibution,
or o[herwise, otber than already disclosed in the application a•Ivch I herewith submitted. T also understand this premise may be inspected
by police, fire, health and other city officials at any and all times wLen the busiaess is in operation.
�
Signature (RE UIRED �for �ap�plications) Date
C�,�,�D•�(.C,��it-r, �.i�� .
*"Note: If this applicatioa is FoodR.iquor 7elated please contact a Ciry of Saint Paul Health Inspecior. Steve Olson (266-9139), to review
ptans.
If any substantial changes to strucCUe are anticipated, pleaze contact a City of Saint Paul Plan Ezaminer at 26Cr9007 to apply for
building permiu.
If tt�ere are any changes to tl�e pazkine lo� floor space, or foi new operatioac, please contact a City of Saint Paui Zoning Inspector
at 266-9008. �
Additional application reqnirements, ptease attach:
A detailed description of t6e design, location and square footage of the premises to b2licensed (sile plan}•
The follo�cing data should be on the site plan (preferably on an 81/2" x 11" or 81/2" x 14" paper):
- I�'ame� address, and p6one number. .
- The scale should 6e stated such as 1" = 20'. ^i� should be indinted toward the top.
- PIacement of all pertinent features of the interior of the licensed facility such a5 seating areas, ldtchens, offices, repair
area, parldng, rest rooms, etc '
- If a request is for an addition or espansion o[ the licensed facitity, indicafe both the current azea and the proposed
exparssion
A copp of your lease agreement or proof of ownership of the property.
FOR SPECIFIC APPLICATION REQUIREMENTS, PLEASE SEE REVERSE >>>>
��-�o�
38317
RECEIPT City of Saint Paul
F�OR Office of License, Inspections
LICFSISE I�PPISCATI�T And Fhvirormiental ProteCtion
Applicant#: 38317
IMPERIAL PARKING INC
TMPF'RTAT. Pji�� jj�,`�q*j'Y jA'P
261 7TH ST E
ST. PAUI., MM[dI 55101 ph�e: (612) 341-8000
350 St. Peter St. Suite 300
Saint Paul, Miruiesota 55102
�;i;*� P,ddress:
606'IIiSTS715
NIIPII�ff'IiPOLIS MMP11 55402
Manager/ONmer:
J� �� Date of Application : 05/16/96
60 6TfI ST S 715 License effective fran 04j26/96 to 04j26/97
N�'APOLIS NIlV 55402 phone: 341-8000
License Units Fee
2435 PP.RKING SATJR7�MP 1 $317.00
Total Fee: $317.00
��� S36o9
�/�/�� -- 1�� r��� ��� �
State Tax ID#: 2605951 �
Paid by: CHECK ($15.00 charge for all returned checks)
Your license to cb business will be maile�3 upon receipt of required a�rovais.
If you have any questions regarding your license, please call
«�� t �, • • • ��• �, i• s� �. • �' - d � �• • �� i i . • � Y4_
I hereby certify that I, or my canpany, am in ccmpliance with the workers' c�npensation
inc urance coverage requiretmnts of Minnesota statute 176.182, subdivision 2.
I also �rstand that provision of false infoxmation in this cert:ificatian constitutes
sufficient gro�ds for adverse action aa�in�t all licenses held, including revocation
and suspension if said licenses.
N�ne of Insurance Canpany
Coverage fran :
fT
Policy Ntunber :
I have no �nployees covered Lmder �,vrkers' c�pensation insurance.
Signature of licensee Business N�ne Date