RES 2002-1552 - After hours dance permit at Club Roxburylir,,j. 'it - I
AHA,
of °, 'i `' ' Planning Department
U;Iw``�-11041
1.-M+�+(;�> Omaha/Douglas Civic Center
�T � �� , 1819 Farnam Street,Suite 1100
® ' [ Ri Omaha,Nebraska 68183-0110
�,,�ro (402)444-5200
CITY 'CLERK (402)444-5150
Oq'r'D FEDI°. Telefax(402)444-6140
City of Omaha 0 M A li�`1, N E�'�E��$!�Y.
Robert C.Peters
Mike Fahey,Mayor Director
June 25, 2002
Honorable President •
and Members of the City Council,
i
RE: After-hours Dance Permit,— 10841 Q Street, Suite 120
Attached is a Resolution to establish an application by Fuglys DBA Club Roxbury to obtain the
issuance of an after-hours dance permit at 10841 Q Street, Suite 120, Omaha, Nebraska.
This application has been reviewed by the following City departments, who have made
recommendations as follows:
Planning Department—no objection
Police Department—no objection
Fire Department—no objection
Respectfully submitted, Refereed to 2ou cil for Consideration:
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Robert C. Peters �O Date Mayor's Offile Date
Planning Director
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Attach: Application
Written.Recommendation
c: 7 Councilmembers
Council Secretary
Police
Fire
File
0
DANCE PERMI ,-PP VC -TION
(REGULAR AFTER HOURS)
Investigation Fee $20.00 � a
Dance Permit Fee $60.90 0 00.0
Cash Receipt No. //
Application Date:
Establishment Name: Fu9lys dba &Lao Poxbic,iti
Location: 10Szl I Q sf r §te. la o Omaha, Ye.. /e$i 3 ?
Applicant's Name: -Terri L. LV,u4SOYI Phone: 402-49)-35 aD Or 339-9791
Applicant's Business Addres : , i 0b1 1 `i SF F . Ste: Ian D Yr� 1 (L ( C)?)7
Establishment Owner's Na e. 1lj.� 0 cud SO I'1 D.O.B.: 101 I q)(O5 Address: 15I4 StonytA St• 6311S'
Establishment Manager's Name: ' -, r" try) GianD•o.B.: (0/zo 1 b5 A ress: (5Qj tel .LUryi �_
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Hours of Operation: <I—I M t' i Rif ORX }\.1)ila Perm i f
Maximum Occupancy Allowed (#of people allowed on Assembly Permit): a Q' I
(Must provide copy of current Certificate of Occupancy)
Serving Liquor: Yes No_ Cover Charge: Yes Y No,Swtei eryis no CO(JPJL,
Describe security for both inside and outside the establishment: .r i antes
1 a 9� \fi e. � rOL P,i SPr ur i 9 -}h�rro Ugh (��t�C�h,�' �_t�n S ift t t I MP S f �'
tn5 1€-�,
List name, add ess, and date of birth of all security personnel (attach ad itional s eets if n essary): /1 40�-55/��Z9141
Cofcerf 5� itrt DeNIiceS 471 waxereyj _r-0Y132 -gi3/ P
Name Jefc(�aui� Name pPfLV r yL �' l 8"/lg
Address IQq '1 Usnip5f.,Qrr)I,F' 6/gin9 Address /Salo? f. &Y�ii� 681�17
D to f Birth �i-B- Date of Birth 03-Oa-lob 55 7(�7a -6g(a q
5,0 5-- to-6taz Le b i- 1i / 5 7
Name John� 0n Crh ( ,f7 i r,�,J, Name SD6
Address 441 3 Ili. t0 S L�Y'Y1 no_ lost �l i(- Address 51
Date 9f Birth II-17-6 7 Date of Birth 5 i 0(v—9 -
SS 506-17-5,33) 0.1. ab111oe57 Q 1,2/3
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Name YY0 S 1 Name
Address 411 to Ube. �t ,ifin i'1Q. Cam$)32 Address
Date of Birth 3-,A b�-571 SS 501p,'10-`11a 7 Date of Birth
J.�4,LC( O730 21 4/aa /ate
Applicant's Signature Date
BELOW FOR OFFICE USE ONLY
Police Department Recommendati Approve t;,/ Deny
A ' 0441it'j/ .1 CI'" ,�61-6i'Signt Date ç
Fir part nt Recommendation Approve Deny
Signature Date C
Plan;ing Department Recommendation Approve L. Deny
.---- 97'ill°--- 4 -zoo?.
Signature Date
Ir-.23-02 01 : 14P Office Depot #80 4026970366 P .01
INSECT :'J T�IILi,-,a:'!_
CITY OF OMAHA ANL _r !-FL Ii.!,��
1 a5S_1 PERMITS&INSPECTION DN.
• 1819 Parham Rm.
rL'JR fig_=:BUF: . ROXB'URY SLUAr._ ..;trL -r
NE 68183 •
Omaha, LOT i.rc ii 2�j<is - - - - -
-EX W 51 FT-
a "-`; - ST F: F:F:: EU:-E _r -
ELL' F'E`iMIT NO UEE OF BUILDING`- "CNF
COCKTAIL LOUNGE Cr
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':r'Ji'iE-r'Y' '_E JtaG-i .0 • - PH:FF'S CDSTAN.'_J i.!NNEDY Wk I H1
_- %.1 _ _ THIS GTF: :T'2-,E 1'1r:•• ':EE_USED ONL r FOR: i':h;: F_C -: ' D I._
r' —'•aia:`' AE STATED A5O`'E. FtC__1 v'n_ I 1-.5 C =T
`.r.;l- ' _t 4 ..ry. 4- •.L :{'s : : f:,*T'''1,r;j ' Ili ttil, t. ,r gym- _ ter':' _ . ' =5 /CCr r'"
TIJYC 5Ca Acc,. l,�t i,, 1:
A TEMPORARY-.CERT If Y „fialr, ^', #o
-- - 7 -Cc.T7r-•✓ THf.,T THE -'- E-IT,UCTICN •JF THE AB;=,'F LESCF:TrtEG
==- rIEEt �yJ 'P;EEN L'l_`. `f 1r•IS•!='ErCT_P .AND FOUND !;TO ^MF.Lv .4:TH :_,Li
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License and Permit Bond RLI 544285
KNOW ALL MEN BY THESE PRESENTS: That Fugl y's dba: Club Roxbury
•
as principal,and Old Republic Surety Company
as surety,are held and firmly bound
unto the City of Omaha,Nebraska,in the penal and full sum of Five
Thousand Dollars,(S 5.000.00 ).for the payment of which well and truly to be made we do hereby jointly and severally bind
ourselves,our heirs,executors,administrators,personal representatives,successors and assigns.
The conditions of the above obligation are such that, whereas the above bounden principal has applied for a license,permit, or
certificate to engage in the business or occupation of After Hour Permit For Dancing At Fugl_y's dba:
dba: Club Roxbury
in Omaha,Nebraska,which license,permit,or certificate must be obtained or renewed yearly or periodically hereafter,
NOW,THEREFORE,in consideration of any said license.permit,or certificate now or hereafter being granted,issued or renewed.
said principal shall:
1) Indemnify and save harmless the City of Omaha,its officials,employees,and any members of any applicable Examining or License
Board,and their successors,from and on account of any and all judgments,claims,demands,losses,costs,etpenecs,or liabilities or any kind
whatsoever which said City and any or all of the persons above enumerated may sustain or which may be recovered from it or them,from or
by reason of the issuance of each such license,permit,or certificate,or any reason of any act,neglect or thing done under or by virtue of the
authority given in any such license,permit,or cenificate,or in any way connected with,relating to,or growing out of any work performed by
said principal,his or its agents and employees,or any sub-contractor or anyone in any way under his or its supervision and direction.
2) In all respecs be bound hereby to any and all applicable requirements and provisions required to be in this bond by existing and
hereafter existing ordinances,rules and regulations of the City of Omaha,and other laws,the same as though such requirements and provisions
were fully set forth in this bond,and by reference such requirements and provisions are made a part hereof.
3) Comply with and faithfully observe and obey all applicable rules, regulations, and ordinances of the City of Omaha now or
hereafter existing and all other applicable laws row or hereafter existing affecting or relating to the carrying on of such business or occupation.
4) Pay all damages or loss that may occur from any act,neglect,or carelessness of said principal,his or its agents or employees,
anyone under his or its supervision or direction,or any subcontractor,from such work pertaining to said business or occupation,or from poor
or defective work or material.
5) Neve ly pc:fot rn and execute and fully protect any and all work of such business or occupation undertaken by principal or under
his or its direction and supervision,or by any agent or employee,or by any subcontractor.
6) Pay any penalties that may be imposed during the period of any such present and future permit,license or certificate.
7) In the case of an after-hours dance permit,not have its after-hours dance perm)t revoked or suspended.
Compliance with all and several at the above enweerated items shall make this bond void. Otherwise,it shall remain in full force and
effect within the City of Omaha,Nebraska. This bond is and shall be given effect as a yearly or periodic bond in the above stated amount for
each yearly or periodic license,permit,or certificate,now or hereafter issued to principal,the same as though a separate bond for each such
present and future license,permit,or certificate year or period had been executed notwithstanding this is a continuing bond until cancelled by
notice. The surety shall have the right to cancel this bond for future liability upon 60 days notice to the City of Omaha,in writing.
IN WITNESS WHEREOF,we have hereunto set our hands this 8th
day of Agri 1 , 1a2002
In Presence of Fugly's dba: Club Roxbury
0?eet4141
Pnncioal
Address of Witness .3if 9 .-J 7( Old Republic Surety Copiany
�� Street (/� Surety
(4,, 4
City r --- $tAW M. 8i ttner Attorney-In-Fact
(,-Restdent Agent
APPROVED AS TO FORM:
_
Assistrnt City Ar,omey „ 'ft'-
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IIII*
II* OLD REPUBLIC
CI III** ** Surety Company' POWER OF ATTORNEY
ore *
KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation,
does make, constitute and appoint:
M. BITTNER, C. SCHIERNBECK,. J. GAGLE, J. C. WHITLOCK,; K. HASTIE, C. BRANNAN,
OF DES MOINES, IA
•
its true and lawful Attomey(s)-in-Fact,with full power and authority for and on behalf of the company as surety, to execute and deliver and affix the seal of the
company thereto(if a seal is required).bonds.undertakings. recognizances or other written obligations in the nature thereof,(other than bail bonds,bank depository
bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation
bonds guaranteeing payment of benefits.asbestos abatement contract bonds,waste management bonds,hazardous waste remediation bonds or black lung bonds),
as follows:
ALL WRITTEN INSTRUMENTS
and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys-in-Fact, pursuant to these presents, are
ratified and confirmed. This document is not valid unless printed on colored background and is multi-colored. This appointment is made
under and by authority of the board of directors at a special meeting held on February 18, 1982.This Power of Attorney is signed and sealed
by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY
COMPANY on February 18, 1982.
• RESOLVED that,the president, any vice-president, or assistant vice president in conjunction with the secretary or any assistant
secretary, may appoint attorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment
in each case, for and on and behalf of the company to execute and deliver and affix the seal of the company to bonds,undertakings,
recognizances, and suretyship obligations of all kinds; and said officers may remove any such attorney-in-fact or agent and revoke
any Power of Attorney previously granted to such person.
RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company
(i) when signed by the president,any vice president or assistant vice president,and attested and sealed(if a seal be required)by any secretaryor ssistant
secretary;or
(ii) when signed by the president,any vice president or assistant vice president,secretary or assistant secretary,and countersigned and sealed(if a seal
be required)by a duly authorized attorney-in-fact or agent;or
(iii) when duly executed and sealed(if a seal be required)by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority
evidenced by the Power of Attorney issued by the company to such person or persons.
RESOLVED FURTHER,thatthe signature of any authorized officer and the seal of the company may be affixed by facsimile to,any Power of Attorney or
certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance,or other suretyship obligations of the company,and such
signature and seal when so used shall have the same force and effect as though manually affixed.
IN WITNESS WHEREOF, OLD REPUBLIC INSURANCE COMPANY has caused these presents to be signed by its proper officer,and its
corporate seal to be affixed this 2 6 TH day of MARCH 2002
,,,,�, •,.,,,,, OLD REPUBLIC SURETY COMPANY
• rne.7 • V 14 t coer000ro.0
SEAL •
Assistant - President
•
STATE OF WISCONSIN, COUNTY OF WAUKESHA - SS """"'°°""
On this 2 6 TH day of 'MARCH 2 0 0 2 , personally came before me, JAM ES E. LEE
and DAVID G. MENZEL to me known to be the individuals and officers of the OLD REPUBUC INSURANCE COMPANY who executed the
above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say;
that they are said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation,
and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority
of the board of directors of said corporation.
/die" •
NOTARY S? '/Notary Public
9r r: 02/13/2005
My commission expires:
CERTIFICATE
I, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation,CERTIFY that the
foregoing and attached power of attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board
of directors set forth in the Power of Attorney, are now in force.
ss°.. �;� �o= Signed and sealed at the City of Brookfield, Wi this day of 47/1"2/1
SEAL > E
a
OLD REPUBLtc,, SU tTY COMPANY
AssistantKcretary
THIS DOCUMENT IS NOT VALID UNLESS PRINTED ON,COLORED.BACKGROUND.AND IS MULTI-COLORED•.
ORSC 22262(1/97)
6 , j s
C-25A CITY OF OMAHA
LEGISLATIVE CHAMBER
Omaha,Nebr
RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA:
WHEREAS, Omaha Municipal Code Section 5-64(d) provides that after-hours
dance peiinits may be issued or renewed only after approval of the same by resolution of the City
Council; and,
WHEREAS, Fuglys DBA Club Roxbury has applied for the issuance of an after-
hours dance permit at 10841 Q St, Suite 120„ Omaha, Nebraska; and,
WHEREAS, the following City departments have reviewed the application and
have made the following recommendations:
Planning Department—no objection
Police Department—no objection
Fire Department—no objection
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF OMAHA:
THAT, the application of Fuglys DBA Club Roxbury for the issuance of an after-
hours dance permit at 10841 Q Street, Suite 120,be and hereby is approved.
APPRO S TO FORM:
CITY ATTO Y DATE
P:\PI\7168pjm.doc
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Councilmember
Adopted t'J�L - 2002
City Clerk
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Mayor
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"NOTICE TO PUBLIC"� 1 THE DAILY RECORD
"NOTICEUSOFN HEARING FOR N T- OF OMAHA
HOURS DANCE PERMIT LOCATED AT
10841 0
Application by Fugl s, 20dba "Club RONALD A. HENNINGSEN, Publisher
hours da' requesting issuance 1841 of an after- PROOF OF PUBLICATION
' hours dance permit at 10841 "O" Street,
Suite 120.
Public Hearing will be held before the City ' UNITED STATES OF AMERICA,
Council of the City of Omaha, Legislative j
Chambers, Omaha/Douglas Civic Center, ' The State of Nebraska,
1819 Farnam Street, on July 9, 2002 at District of Nebraska, ss.
2:00 o'clock p.m. County of Douglas,
BLISTER BROWN, City of Omaha.
City Clerk
6-28-02
______ JOHN P. EGLSAER
being duly sworn.deposes and says that he Is
ADVERTISING MANAGER
of THE DAILY RECORD,of Omaha,a legal newspaper,printed and
published daily in the English language, having a bona fide paid
circulation in Douglas County in excess of 300 copies, printed in
Omaha,in said County of Douglas,for more than fifty-two weeks last
past; that the printed notice hereto attached was published in THE
DAILY RECORD,of Omaha,on
June 28, 2002
Tha -z:aLe,A;kwspaper during that time was regularly published and
i aM . "L li ation in the County of Douglas, and State of
NER•••••••c�ip 1
Publisher's Fee $�•:L ll� 0
di t�Gbi41 .. .... i`1 ....
�:fy"t{: ` y Su 1 in ntly prase and sworn ,
utiEXPIRES 2. 0 before me this 2 h day of
Total-- $...67.. June
lifJT?.gy6. 20..0 °— p.
itN OF NEBCVs r�
.ter Notary c f 1 . • •
fate of N .raska