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91-2239 pRIG��IAL � ��— r�� �e ..-, j'; Council File # r� � ; , � t._/ Green Sheet #` 14489 RESOLUTION . CITY OF SAINT PAUL, MINNESOTA Presented By �. Referred To Committee: Date � /� RESOLVED: That Application (I.D. #60683) for a Health/Sports Club-A License applied for by YMCA of Greater Saint Paul (J.R. Shannon, V.P. Facility Management) at 1075 Arcade Street be and the same is hereby approved. Yeas Navs Absent Requested by Department of: imon �` oswi z � on i License & Permit Division acca ee .� ettman � / une � i son ,� BY� Adopted by Council: Date �-i �^ -5 � Form Approved by City Attorney Adoption ertified by Council ec etary � " ���� �/ By: � b�.Jr-� , By: � � 1 ` Approved by Mayor for Submission to Approved by Mayo : Date Council By: �^ I g Y� ,.,��..,.��� �;�C 21'91 . . .._....'.S�:nyd �,�p'�'�.?39 ,/ DEPARTMENT/OFFICFJCOUNCIL DATE INITIATED G R E E N S H E ET N°• _ 14 4 9 0 Fina�hce/L�cense CONTACT PERSON 8 PHONE INITIAL/DATE INITIAUDATE �DEPARTMENT DIRECTOR �CITY COUNCIL Kris Van Horn/298-5056 ASSIGN CITYATfORNEY �CITYCLERK NUMBERFOR MUST BE ON COUNCIL NDA BY(DATE) ROUTING BUDGET DIRECTOR �FIN.&M(3T.SERVICES DIR. For Hearing'����Gl . ` �' ORDER �MAYOR(ORASSISTANT) [� Council Research TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION HE�UESTED: Application (I.D. 4�60683) for a HeaYthJ�pa�ts"=Ctub.-A-Lieease RECOMMENDA710NS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWINO QUERTIONS: _ PLANNINCi COMMISSION _ CIVIL SEHVICE COMMISSION �• Has this person/firm ever worked under a contract for this departmentT _CIB COMMITTEE _ YES NO 2. Has this person/firm ever been a city employee? _S7AFF - YES NO _ DISTRICT COURT - 3. Does this ersonHirm p possess a skill not nortnally possessed by any current city employee? SUPPORTS WHICH COUNCIL OBJECTIVE7 YES NO Explain all yes answers on separate sheet and attach to gresn sheet INITIATINO PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why): YMCA of Greater St. Paul (J.R. Shannon - V.P. Facility Management) requests Council approval of its application for a Health/Sports Club-A License at 1075 Arcade Street. All application and fees have been submitted. All required departments have reviewed and approved this application. , ADVANTAGES IFAPPROVED: DISADVANTAGES IF APPROVED: DISADVANTAOES IF NOT APPROVED: RECEIVED �unci! R�s�ar�� ��:��� NOU 19 ��� NOV 1 ; �qg� �ITY CLERK TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO FUNDING SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) �� NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL ,. , MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225). ROUTING ORDER: Below are correct routings for the five most frequent rypes of documents: CONTRACTS(assumes authorized budget exists) COUNCIL RESOLUTION(Amend Budgets/Accept. Grants) 1. Outside Agency 1. Department Director 2. Department Director 2. City Attorney 3. City Attorney 3. Budget Director 4. Mayor(for contracts over$15,000) 4. Mayor/Assistant 5. Human Rights(for contracts over$50,000) 5. Ciry Council 6. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services 7. Finance Accounting ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION (all others,and Ordinances) 1. Activiry Manager 1. Department Director � 2. Department Accountant 2. Ciry Attorney 3. Department Director 3. Mayor Assistant 4. Budget Director 4. City Council 5. Ciry Clerk • 6. Chief Accountant, Finance and Management Services ADMINISTRATIVE ORDERS(all others) 1. Department Director 2. City Attorney 3. Finance and Management Services Director 4. City Clerk TOTAL NUMBER OF SIGNATURE PAGES Indicate the#of pages on which signatures are required and paperclip or flag each of these pages. ACTION REQUESTED Describe what the projecUrequest seeks to accomplish in either chronologi- cal order or order of importance,whichever is most appropriate for the issue. Do not write complete sentences.Begin each item in your list with a verb. RECOMMENDATIONS Complete if the issue in question has been presented before any body, public or private. SUPPORTS WHICH COUNCIL OBJECTIVE? indicate which Council objective(s)your projecUrequest supports by listing the key word(s)(HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT, BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.) PERSONAL SERVICE CONTRACTS: This information will be used to determine the ciry's liability for workers compensation claims,taxes and proper civil service hiring rules. INITIATING PROBLEM, ISSUE,OPPORTUNITY Explain the situation or conditions that created a need for your project or request. ADVANTAGES IF APPROVED Indicate whether this is simply an annual budget procedure required by law/ charter or whether there are speci�ic ways in which the Ciry of Saint Paul and its citizens will benefit from this project/action. DISADVANTAGES IF APPROVED What negative effects or major changes to existing or past processes might this projecVrequest produce if it is passed(e.g.,traffic delays, noise, tax increases or assessments)?To Whom?When?For how long? DISADVANTAGES IF NOT APPROVED What will be the negative consequences if the promised action is not approved? Inabiliry to deliver service?Continued high traffic, noise, accident rate?Loss of revenue? FINANCIAL IMPACT Although you must tailor the information you provide here to the issue you are addressing, in general you must answer two questions: How much is it going to cost?Who is going to pay? ��a.�q . �DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE / INTERDEPARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud ��. ���� Applicant � ��Home Address � �-'� ��. �p��,. ��A,�.,,��,;�--�5 U Business Name ��1�,,,� � Home Phone � � a, - �(q� Business Address ��'�� �y(�� Type of License(s) �p�� (�(�S ���� tt Business Phone �� � — �� Public Hearing Date �� , ,� ��� License I.D. � Lp��p�� at 9:00 a.m. in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �� �3 ��C� Date Notice Sent; Dealer � ,/��(� to Applicant j���� , �( � `1 � � Federal Firearms � n Public Hearing �,�, , �� _ � � � DATE INSPECTION REVIEW VERFIED (COMPUTER) CONa�ENTS A roved Not A roved Bldg I & D �pl � lQ � Health Divn. � ( Fire Dept. I �� � � o� � O �� �,�, � C9��� Ic� t �� �� Pol�ce Dept. I 'DI -� � License Divn. i �/�� I � City Attorney ��� � i d � Date Received: Site Plan ` To Council Research Lease or Letter Date from Landlord a1n ��9%���9 , � ✓ . CITY OF SAZNT PAUL DEPARTMENT OF FINANCE AND ,*iANAGEMENT SERVICES LICENSE AND PERMIT DIVISION These statement forms are issued in duplicate. Please answer all questions fully and com— pletely. This application is thoroughly checked. Any falsification zrill be cause for denial. Health/Sports Club 1) Application for (type of Iicense) 1075 Arcade Street Paved N-S 2) Located at (business address) ---�----- Number Street Name Street Type Direction J R. Shannon 3) Name of applicant :+) App�icant's title l,corporate officer, sole owner, partner, other) V.P. Facility Management S) • Name under which this business will be conducted: YMCA of Greater Saint Paul Same Applicant / Company Name Doing Business As b) Business telephone number 292-4100 7) Mail to address (if different than business address) : 194 Six�'i St. , East Paved E-W Street Number Street Name Street Type Street Direction 8) If applicant is/has been a married female, list maiden name 9) Date of birth 8-4-38 Age S2 Place of birth 10) Are you a citizen of the United States? yes Native Yes Naturalized 11) Are you a registered voter? YeS �eLe? Columbia Heights, "RV 12) Home address 4717 NE Sixth Street, Columbia Heights MN g�e Phone 572-8600 13) Present business address 194 Sixth Street East, Box 44 Business Phone 292-4103 14) Including your present business/employment, what business/employment have you followed for the past five years? Busiaess/Emvloyment Address YMCA of Greater Saint Paul 194 Sixth Street East, Box 44, St. Paul 1�) Married? Ye5 If answer is "yes", Iist the name and address of spouse. Karen Shannon, 4717 ivE Sixth Street, Columbia Heights , �,��"��39 • No � �16) Have you ever been arrested for aa offense that has resulted in a conviction? If answer is "yes", list dates of arrests, where, charges, coavictions, and sentences. Date of arrest , 19 Where Charge Not Applicable - NA Convictioa Sentence Date of arrest , 19 Where Charge Conviction Sentence I7) Attach a copy hereto of a lease agreement or proof of ownership for the premises at which a license will be held. 18) Attach to this application a detailed description of the design, location, and square footage of the premises to be licensed (site plan) . East Branch - 45,057 sq ft 19) Give names and addresses of two persons who are local residents who can give infor�ation concerning you. �Iame Address Phone Rev. Glenn Wiberg 2655 NW Fifth St, New Brighton 633-9615 Ron Anderson 7207 Riverdale Rd, Brooklyn Center 566-2605 , 20) Ad�ress ot premises for which application is made 1075 Arcade Street Zor.e Classification B3 Phoae 771-8881 Magnolia f, Cook West Z1) 3etween what cross streets? Which side of street? 22) �re premises new occupied? yes Nonprofit Charitable Organization Since 1856 What business? How long? 23) List license(s) , business name(s) , and location(s) which you currently hald, formerly held, or may have aa interest in, and locations of said license(s) . Occupancy Certificate, Health/Food, Child Care-State, Child Care-City, Boiler 24) Have any of the licenses listed by you in No. 23 ever been revoked? Yes No X If answer is "yes", list the dates and reasons: 25) Do you have an interest of any type in any other business or busiaess premises not listed in No. 23? Yes Yo X If answer is "yes", list business, business address, and telephone namber. �ay6 19�$Sisra��ache�PY dated V ' 26) ' If business is incorporated, give date of incorporation , I9 aad attach a copy of Articles of Incorporation and minutes of first meeting. 27) List alI officers of the corporation, giving their names, office held, home address, date of birth, and home and business telephone numbers. See attached. 28) If the business is a partnership, list partner(s) address, telephone, and date of birth. NA 29) Are you going to operate this business personally? NA If not, who will operate it? Give their name, home address, date of birth, and telephone number 30) Are you going to have a manager or assistant in this business? NA If answer is "yes", give name, home address, date of birth, and telephone number. 31) Has anyone you have named in questions No. 25 through No. 28 ever been arrested? If answer is "yes", list name of person, dates of arrest, where, charges, convictions, and sentence. 32) I J R. Shannon understand this premises may be inspected by the PoZice, Fire, Health, ar_d other city officials at any and a11 times when the business is in operation. State of Minnesota ) ��.Z.� f�('� I ) �'� �� l County of Ramsey ) ignature of Applicant / Date being duly sworn, deposes� and says upon oath that he has read the foregoing statement bearing this signature and knows the contents thereof, and that the same is true of his owa knowledge except as to those matters threin stated upon information and belief and as to those matters he believes them to be true. Subscribed and sworn to before me this c�Nb day of 19 � `���. LEANN !C LqSURE � : NOIAFY DUBUC_M�NN � otary Public, msey C unty Minnesota ��. WASHING7 �o'� My co�ission expires r — ,� ��' MY commissioneOxp f���19 95 Rev. +/90 ����a�39 Saint Paul Cit Council Public v _ Hearing Notice License Application Dear Property Owners: FILE N0. L60683 Purpose Application for a HealthfSports Club License. �2ECEIVEC� Nov 131991 ��TY CL�R�f Applicant YMCA of Greater St. Paul - J.R. Shannon Location 1075 Arcade St. Hearing December 10, 1991 City Council Chambers, 3rd floor City Hall-Court House 9:00 a.m. Questions Notice sent by License and Permit Division, Department of Finance and Management Services, Room 203 City Hall-Court House, St. Paul, Minnesota 298-5056 Thi� date may be changed without the consent and/or knowledge of the License and Permit Division. It is suggested that you call the City Clerk's Office at 298-4231 if you wish confirmation.