HomeMy WebLinkAboutCCP 01-30-2006
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Arden Hills City Council
Mayor:
Beverly Aplikowski
Councilmembers:
David Grant
Brenda Holdeu
Gregg Larson
(vacant seal)
1245 W. Highway 96
Arden Hills, Minnesota
55112
651.634.5120
www.ci.arden-hills.mu.us
REGULAR MEETING
Monday
January 30, 2006
City Vision
A strong conununity that values our unique environment, our fiscal soundness,
and our tradition as a desirable ci in which to live, work, and la ,
Agenda
City Council Meeting Convenes 7:00 PM
Call to Order
PLEDGE OF ALLEGIANCE
1. APPROVAL OF AGENDA
2. APPROVAL OF MINUTES
A. January 9, 2006 City Council Meeting
B. January 9, 2006 Work Session Meeting
3. CONSENT CALENDAR
A. Claims and Payroll
B. Resolution No, 06-19: Approving
Minnesota USA Wrestling's Charitable
Gambling License Renewal Request
C. Reso]ution No, 06-20: Approving 621
Foundations Charitable Gambling License
Renewal Request
D. Reso]ution No, 06-2]: Approving Sf.
Mary's Romanian Orthodox Church
Charitable Gambling License Renewal
Request
E. Payment #6 to Amt Construction for the
2005 PMP Project in the amount of
$234,33 Ll7
F. Motion to Approve the PToposal
Submitted by Chuck Wagon Catering
Company in the amount of$4, 185.45 for
the Celebrating Arden Hills Annual
Catered Meal Event
Those items listed rmder the Consent Calendar are considered to be
routine by the City Cormci] and will be enacted by one motion rmder
a Consent Calendar format. There will be no separate discussion of
these items, unless a Council Member so requests, in which event,
the item will be removed from the general order of business and
considered separately in its nonnal sequence on the agenda.
Arden Hills City Council Agenda
January 30, 2006
Page 2
G. Motion to Approve the IRS Mileage
Reimbursement Rate/Policy Amendment
4. PUBLIC INQUIRIESIINFORMA TIONAL Public InquirieslInformational is an opportunity for citizens to
bring to the Council's attention any items not currently on the
agenda, In addressing the Council, please state your name aud
address for the record, and a brief summary of the specific item
being addressed to the Council. To allow adequate time for each
person wishing to address the Council, we ask that individuals limit
their commeuts to three (3) minutes. Written documents may be
distributed to the Council prior to the meeting, or as bench copies, to
allow a more timely presentation.
5. PUBLIC HEARINGS
6. NEW BUSINESS
A. Motion to Appoint Vincent Pellegrin as a City of Arden Hills
Councilmember for the remainder of the January 30, 2006 to
December 31, 2006 election term
-Swearing-In Ceremony for New Council Member Vincent Pellegrin
B. Resolution 06018: Recognizing Dave Scherbel as the 2005 Employee
of the Year recipient and Mike Schifsky for his twenty-five years of
service to the City of Arden Hills
e. Planning Case 05-22: 3988 Glenview Avenue Variance
Michelle Wolfe/Mayor
Aplikowski
Michelle WolfelSchawn Johnson
Karen Barton/James Lehnhoff
D Planning Case 05-23: Corporate Express 500 KW Standby GeneratoT
7. Unfinished Bnsiness
Karen Barton/James Lehnhoff
CITY COUNCIL REPORTS
A. Vacant
B. Councilmember Grant
e. Councilmember Holden
D. Councilmember Larson
E. Mayor Aplikowski
ADJOURN
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Message
Page 1 of 1
Jackie Freppert
From: Jackie Freppert
Sent: Wednesday, January 25,20063:32 PM
To: timesaver02@aol.com; bob,fletcher@co,ramsey,mn,us; bulletin@lillienews,com;
cwilson@ctv15,org; dprobst@mspmac,org; etopinka@pioneerpress,com; info@mnsunpub,com;
kgprophet@aol,com; kmaltman@msn,com; mlsmith@startribune,com; smccann@startribune,com;
ssch roeder@smithmicrotech,com
Subject: Agenda for Reg CC Mtg 1/30/06
Jackie Freppert, Office Support Specialist
City of Arden I.:!ills
Phone 651.634,5120
Fax 651,634,5137
www.ci.arden-hills.mn.us
1/26/2006
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~~HILLS
Approved:
CITY OF ARDEN HILLS, MINNESOTA
REGULAR CITY COUNCIL MEETING
JANUARY 9, 2006; 7:00 P.M.
ARDEN HILLS CITY COUNCIL CHAMBERS
PLEDGE OF ALLEGIANCE
,CALL TO ORDERlROLL CALL
Pursuant to due call and notice thereof, Mayor Beverly ApIikowski called to order the
regular City Council meeting at 7 :03 p.m.
Present:
Mayor Beverly Aplikowski, Councilmembers David Grant, and Brenda
Holden,
Absent:
Councilmember Gregg Larson.
Also present were City Administrator, Michelle Wolfe; Director of Operations &
Maintenance, Thomas Moore; Community Development Director, Karen Barton; City
Engineer, Kris Giga; Assistant to the City Administrator, Schawn Johnson; and
Recording Secretary, Kathleen Altman,
1.
APPROVAL OF MEETING AGENDA
MOTION: Councilmemher Grant moved and Councihnember Holden seconded a
motion to approve the meeting agenda as presented. The motion carried
unanimously (3-0).
2. APPROVAL OF MINUTES
A. December 5,2005 Truth-In-Taxation Meeting
B. December 5, 2005 City Council Meeting
C. December 12, 2005 City Council Meeting
D, December 19, 2005 City Council Meeting
E. December 19, 2005 City Council Work Session
MOTION: Councilmember Grant moved and Councilmember Holden seconded a
motion to approve the December 5, 2005 Truth-In-Taxation Meeting as
presented; December 5, 2005 City Council meeting as presented;
December 12, 2005 City Council Meeting as presented; December 19,
ARDEN HILLS CITY COUNCIL - January 9,2006
2
2005 City Council Meeting as presented; December 19,2005 City Council .
Work Session as presented, The motion carried unanimously (3-0).
3. CONSENT CALENDAR
a, Claims and Payroll
b. Resolution No, 06-01: Appointing Mayor Pro- Tem-
· Council Member Gregg Larson
c, Resolution No, 06-02: Designating Depositories and Corporate Authorization
. US Bank, St. Paul, N.A.
d, Resolution 06-03: Designating Brokerage Firms
. Dain Rausher Corp.
· Minnesota Municipal Money Market Fund (4M Liquid Asset and 4M Plus Funds)
. Wells Fargo Brokerage Services, LLC
. Salomon Smith Barney, Inc,
e, Resolution 06-04: Designating Money Market Depositories
. US Bank, S1. Paul, N.A
f.
Resolution No, 06-05: Telephonic Transferring of Funds
The following individuals are authorized to deposit or withdrawal funds on behalf of
the City of Arden Hills:
. Michelle A. Wolfe, City Administrator;
. Murtuza Siddiqui, Treasurer;
. Beverly Aplikowski, Mayor,
.
g. Resolution No. 06-06: Appointing City Engineer
. City of Roseville
h. Resolution No, 06-07: Appointing Civil and Criminal Attorney
· Peterson, Fram, and Bergman Law Firm
1. Resolution No, 06-08: Appointing Legal Newspaper
. Shoreview/Arden Hills Bulletin
J. Resolution No. 06-09: Appointing Auditor
. Abdo, Abdo, Eick, & Meyers Financial Auditing Firm
k.
Resolution No. 06-10: Appointing Planning Commission & Liaisons
. Chair, David Sand
· Vice-Chair, Clayton Zimmennan
.
ARDEN HILLS CITY COUNCIL - January 9, 2006
3
. . Ken Bezdicek
. Clayton Larson
. Elizabeth Modesette
. David McClung
. Roberta Thompson
. David Grant, Council Liaison
. Karen Barton, Staff Liaison
. James Lehnhoff, Staff Liaison
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I.
Resolution No. 06-1 I: Appointing Parks, Trails and Recreation Committee Members
and Liaisons
. Chair, Bill Henry
. Lanny Baumann
. Jim Crassweller
. Derek Hames
. David McClung
. Cynthia Wheeler
. Joani Werner
. Rich Straumann
. Roger Williams
. Steve Zillmer
. Gregg Larson, Council Liaison
. Tom Moore, Staff Liaison
. Michelle Olson, Staff Liaison
m, Resolution No, 06-12: Appointing Communications Committee Members & Liaisons
. Chair, Fran Holmes
. Lois Rem
. Mary Nosek
. Arlene Mitchell
. Evan Cordes
. Brenda Holden, Council Liaison
. Schawn Johnson, Staff Liaison
. Craig Wilson, Cable Commission Member
. Brenda Holden, Cable Commission Member (Alternate)
n, Resolution No. 06-13: Appointing Council Liaison to Lake Johanna Fire Department
. Gregg Larson
. David Grant (Alternate)
ARDEN HILLS CITY COUNCIL - January 9, 2006
0,
Resolution No. 06-14: Appointing Economic Development Committee Members &
Liaison
. Chair, Bruce Kunkel
. Chris Asbach
. Dale Beane
. Kevin Kelly
. Ray McGraw
. Jim Paulet
. Ed Werner
. Beverly Aplikowksi, Council Liaison
. Karen Barton, Staff Liaison
p, Resolution No, 06-15: Appointing Council Liaison to the Ramsey County League
. Beverly Aplikowski
. David Grant, (Alternate)
q, Resolution No, 06-16: Appointing City Council Liaison to the Minneapolis Metro
North Convention and Visitors Bureau
. Beverly Aplikowski
. Michelle Wolfe (Alternate)
r.
Resolution No. 06-17: Appointing City Council Liaison to the Northwest Youth and
Family Services Committee member
. Brenda Holden
. Beverly Aplikowski (Alternate)
s, Memorandum of Understanding between the City of Arden Hills and Presbyterian
Homes for Maintenance Costs Associated with Lift Station #7
t. Revised Special Use Permit for Presbyterian Homes
MOTION: Councilmember Grant moved and Councilmember Holden seconded a
motion to approve the Consent Calendar and to authorize execution of all
necessary documents contained therein, The motion carried unanimously
(3-0),
4. PUBLIC INQUIRIES/INFORMATIONAL
None,
5. PUBLIC HEARINGS
None,
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ARDEN HILLS CITY COUNCIL - January 9, 2006
5
6.
NEW BUSINESS
A.
Authorize the Preparation of Final Plans and Specifications for the 2006 Ridl!ewood
PMP Proiect
Mr. Moore stated the Ridgewood Neighborhood was identified for pavement reconstruction in
2006 as part of the ongoing City pavement management program. Neighborhood meetings were
held in January and March of2005 and meetings with the Lake Johanna Beach Club were held in
April and July of 2005, The Feasibility Report for the project was received by Council on
August 8, 2005 and a public hearing was conducted on August 29, 2005,
The Feasibility Report included a number of project options to be considered by the Council.
The report and options were presented at the public hearing in August, 2005 and discussed at the
December 19,2005 Council worksession,
He recommended the Council authorize the City Engineer to prepare final plans and
specifications for the reconstruction of the Ridgewood Neighborhood streets as outlined in the
Feasibility Report received August 8, 2005,
MOTION: Councilmember Grant moved and Councilmember Holden seconded a
motion to authorize the City Engineer to prepare final plans and
specifications for the reconstruction of the Ridgewood Neighborhood
streets. The motion carried unanimously (3-0),
B. Approval of Contract for Appraisal of Old City Hall Site
Ms. Barton stated the City received two responses for the request for proposals for an appraisal
of the old City Hall site at 1450 Highway 96, The lowest complete bid was received from
BRKW Appraisals, Inc,
She recommended Council approve the contract with BRKW Appraisals, Inc" for the appraisal
of Old City Hall site, specifying selection of one of the following options:
I, Base appraisal for limited business use; $2,400,00
2, Base appraisal for limited business use, plus townhome development valuation;
$3,150,00; or
3, Base appraisal for limited business use, plus townhome development valuation, and
analysis and estimate of a mixed use form ofland utilization; $3,400.00
She stated staff was also requesting direction from Council to further clarifY specifications to be
included in the appraisal.
Councilmcmber Holden stated this was zoned business and inquired how a townhome
development was being considered. Ms. Barton responded she based this on the specifications
from the previous appraisal.
ARDEN HILLS CITY COUNCIL - January 9,2006
6
Ms. Wolfe stated it was her understanding that they were going to focus on option one, but she .
wanted to show Council all of the options,
Mayor Aplikowski stated she was in favor of option one,
Councilmember Holden asked if the specifications included access off Hamline and 96. Ms.
Barton responded it did,
Councilmember Grant asked if the County was willing to put in a median cut. Ms. Wolfe
responded this had beeu brought up to the County previously and they indicated there would not
be a median cut, but they were open to looking at this in the future ifthere was a problem.
MOTION: Mayor Aplikowski moved and Councilmember Holden seconded a motion
to approve the contract with BRKW Appraisals, Inc, for the appraisal of
the Old City Hall site, using option one, The motion carried unanimously
(3-0),
7. UNFINISHED BUSINESS
None.
CITY COUNCIL REPORTS
.
Ms. Wolfe - Introduced Kris Giga, the new City Engineer.
Councilmember Holden - None,
Councilmember Grant - None,
Mayor Aplikowski - Thanked all of the residents who volunteered to be on the City
Committees. She noted they had received interest from several residents who were interested in
the open Councilmembcr position and the COlmcil would be conducting interviews in the next
couple of weeks,
Mayor Aplikowski adjourned the Regular City Council Meeting meeting at 7:25 p.m.
Beverly Aplikowski
Mayor
Michelle Wolfe
City Administrator
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ARDEN HILLS CITY COUNCIL - January 9,2006
7
NOTICE OF MEETINGS
The next Council Meeting will be held Monday, January 23,2006 at 5:00 p,m, at the Ardcn Hills
Council Chambers,
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~HILLS
Approved:
CITY OF ARDEN HILLS, MINNESOTA
CITY COUNCIL WORK SESSION
MONDAY, JANUARY 9, 2006, 7:37 p.m.
ARDEN HILLS CITY COUNCIL CHAMBERS, 1245 WEST HIGHWAY 96
CAU~ TO ORDER
Mayor Aplikowski called the meeting to order at 7:37 p,m,
Present:
Mayor Aplikowski, Councilmembers David Grant and Brenda Holden,
Absent:
None.
Staff Present: City Administrator, Michelle Wolfe; Director of Operations &
Maintenance, Thomas Moore; Community Development Director, Karen Barton; City
Engineer, Kris Giga; and Recording Secretary, Kathleen Altman,
Also in Attendance: Planning Commissioners Ken Bezdicek, Clayton Larson, Roberta
Thompson, and David McClung,
Proposed Redevelopment of Arden Plaza Corner (Verbal Presentation)
Mr. Wellington, Wellington Management, Ine" 1625 Energy Park Drive, Suite 100, St.
Paul, stated they were interested in possibly redeveloping Arden Plaza on the comer of
Lexington Avenue and County Road E. He indicated they were considering what the next steps
were going to be, He summarized what could occur on the site, such as a bank:, drug store, small
grocery store (i,e, Aldi Market), office building, etc, He noted the Frattalone Hardware building
would stay were it was. He asked the Council what the City's objectives were for this area,
Kori Dejong, Wellington Management, Inc., 1625 Energy Park Drive, St. Paul, was also in
attendance to answer any questions,
Ned Rukavina, United Properties, 3500 American Boulevard W., Suite 200, Minneapolis,
summarized the Aldi grocery store concept.
Councilmember Holden inquired if all of the groceries sold at Aldi had current expiration dates,
Mr. Rukavina replied they did,
Mayor Aplikowski asked if there were fresh cut meats carried by Aldi, Mr. Rukavina
responded they had fresh ground beef, but there was no butcher or bakery on site.
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ARDEN HILLS CITY COUNCIL - January 9,2006
2
\
Councilmember Holden asked if Aldi had a particular corporate look, Mr. Rukavina .
responded Aldi did have a corporate standard with an all brick building, but they were willing to
work with the community on this,
Mr. Wellington stated he was not SUTe where the Aldi building would be located on the site, He
indicated they would come back with some options and noted this was only a preliminary
proposal.
Mayor Aplikowski expressed concern with the increased traffic from the customers in this area
and noted this was a very busy corner in the City. Mr. Wellington stated he anticipated they
would need to do a traffic study of the area to determine where the best access points would be,
He noted a grocery store was a balanced use much like the existing office building, He indicated
they would probably also upgrade the exterior existing retail center to blend everything together.
He asked if the City would consider a drug store on this site also,
Councilmember Holdeu asked what the maximum height on the proposed office building would
be. Mr. Wellington responded a three-story office building would be 38-42 feet. He noted they
would work within the City's Ordinances.
Couucilmember Graut stated he assumed they needed an anchor tenant and would tbat anchor
tenant be Aldi, Mr. Wellington responded Aldi could be the anchor tenant, or a drug store could
be the anchor tenant, He noted it was possible a medical facility could also be an anchor tenant.
Councilmember Grant asked if it would be difficult to find an anchor tenant with today's
economy, Mr. Wellington responded they were confident they would find an anchor tenant.
.
Councilmember Grant stated he wanted to see some modernization of the existing Frattalone
building. He noted he was not opposed to redevelopment and he believed the space could be
better utilized.
Planning Commissioner Larson stated his initial impression was the two accesses were
problematic. He noted the intersection of Lexington and County Road E backed up during rush
hour and because of the lack of control on either access, he would recommended a traffic study,
Hc stated the Commissioners were in agreement that Aldi's was an excellent choice for this
corner instead of a drug store, He noted this area was somewhat outdated and the Commission
would not be opposed to redevelopment.
Planning Commissioner Thompson suggested they look at other ways to laying out the site to
make better use of the parking, She also noted the access turn was very tight as it was set up now
and suggested this be widened.
Planning Commissioner David McClung indicated redevelopment of this area was positive
considering this was a major intersection in the City. He agreed they needed to update the
existing hardware store building to blend it into the remainder of the site,
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ARDEN HILLS CITY COUNCIL - January 9, 2006
3
Ms. Wolfe asked if the new office would be a potential relocation for the existing office tenant
and if so, would there be a phasing for the construction. Mr. Wellington responded that was an
option. He noted them were a lot of smaller tenants on short-term leases in the existing building
and some might be incorporated into the new office building, but he did not believe all of them
would be willing to go into the new building,
Councilmember Grant stated they needed to remember this was a concept plan, but one thing
would remain the same, which was looking at incrcmental traffic, He indicated the tenant mix
was also important and noted certain retail and office buildings generated more traffic than
others. Mr. Wellington acknowledged his concern and noted they would need to prepare a
traffic study, which they have not done yet.
Councilmember Grant noted it appeared they would have fewer long-term tenants on this
property with the proposed redevelopment.
Councilmember Holden noted this area was a City gateway area and landscaping would be very
important. Mr. Wellington agreed this comer needed some thoughtful attention with Tespect to
landscaping and signage.
Mayor Aplikowski stated she would prefer the grocery store concept instead of the drug store
concept. She agreed the redevelopment of the comer was essential however. She suggested they
place the taller buildings more toward the back of the site also,
The meeting adjourned at 8;30 p.m.
Beverly Aplikowski
Mayor
Michelle Wolfe
City Administrator
~
.,\~ HILLS
City ot Arden Hills
Request for Council Action
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Prepared by: Murtuza Siddiqui ~
Dept,: Finance
Council Mtg, Date: January 30, 2005
Final Action Needed By: January 30, 2005
Agenda It~m ~!,'~~
Claims & Payroll
Budgeted Amount: Across City Budqet - All Funds
Actual Amount: See Financial Implications
Funding Source: Across City Budqet - All Funds
Council Action Request:
Review and Approve Consent Agenda Item 3A - Claims and Payroll
Staff Recommendation:
Approve Consent Agenda Item 3A - Claims and Payroll
Advisory Commission Action:
Commission
Planning
PTRC
Date
Supporting Documents (which are attached to this Action Form):
D Memo/Letter:
D Resolution (No, )
D Ordinance (No, )
D Engineering Recommendation:
D Attorney Recommendation:
DOther:
Payroll and Claims Reports
Financial Implications:
Payroll #1- $65,732,62
Accounts Payable Claims Since 1/9105 Council Meeting:
1, Paid Claims - Batch 005-01-2006:
2, Paid Claims - Batch 006-01-2006:
3, Paid Claims - Batch 007-01-2006:
4, Paid Claims - Batch 008-01-2006:
5, Paid Claims - Batch 010-01-2006:
6, Paid Claims - Batch 011-01-2006:
7. Unpaid Claims - Batch 009-01.2006:
8, Unpaid Claims - Batch 012-01-2006:
9. Unpaid Claims - Batch 013-01-2006:
Claims Total
. Administrator/Staff Comments:
$ 874,00
$ 4,938,97
$ 13,782,67
$ 12,160.73
$ 11,949,57
$ 8,850,17
$ 10,298.00
$ 62,144.94
$ 46,735,66
$171,734,71
Action
Not Applicable
Notl\pplicable
. Not applicable
Page 1 of 1
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Prepared by: SJ S~{
Dept: Admin
Council Mtg. Date: 1/30/2006
Final Action Needed By:
1/30/2006
~
'l'\~JIILLS
City of Arden HIlls
Request for Council Action
Agenda Item I~I~
Adopt Resolution 06-19: Approvinq the Charitable
Gamblinqlicense Renewal Request Submitted bv
Minnesota/USA Wrestlinq
Budgeted Amount: NA
Actual Amount: NA
Funding Source: NA
Council Action Request:
Adopt Resolution 06-19: Approving the Charitable Gambling License Renewal Request
Submitted by Minnesota/USA Wrestling
Staff Recommendation:
City staff is requesting a motion to Adopt Resolution No. 06-19: approving Minnesota/USA
Wrestling charitable gambling license renewal request
Advisory Commission Action:
Commission
Date
Action
",uMuuNojApplicable
Not Applicable
Not applicable.
uF'IClnni~g
PTRC
Supporting Documents (which are attached to this Action Form):
['8] Memo/Letter:
['8] Resolution (No. 06-19)
o Ordinance (No.
o Engineering Recommendation:
o Attorney Recommendation:
['8] Other:
. City of Arden Hills 2006 Charitable Gambling License Application and
Supplemental Information
Financial Implications:
Not Applicable
Administrator/Staff Comments:
City staff recommends approval of Resolution No. 06-19
\\J\.tetro-inet.us\ArdenHills\Admin\Assistant City AdministralOr\Requesls ror Council AClion\2006\Approve Resolution 06-19 MN-
USA Wrestling Charitable Gambling license Renewal.doc
.
.
.
~
/],\~HILLS
MEMORANDUM
DATE:
Agenda Item 3.B.
January 25,2006
TO:
Honorable Mayor and City Council Members
Michelle Wolfe, City Administrator
Schawn Johnson, Assistant to the City Administrato~
FROM:
SUBJECT:
Charitable Gambling License Renewal Request
ENCLOSURES:
Resolution No. 06-19
City of Arden Hills 2006 Charitable Gambling License Information
Backl!round
The City has received a charitable gambling license renewal application from Minnesota/USA
Wrestling for April 1, 2006 to March 31, 200S. At this time, staff is not aware of any issues
regarding the applicant and recommends approval of this resolution.
To the best of City staffs knowledge, the MN/USA Wrestling Organization is currently in
compliance with the City of Arden Hills 60% charitable gambling trade area requirement
Charitable gambling contributions are made on a monthly basis to the Iron Wrestling Club,
which is affiliated with the Mounds View and Irondale High School wrestling programs.
Recommendation
Staff is recommending City Council approval of Resolution No. 06-19, "Approving
MinnesotaJUSA Wrestling Charitable Gambling License Renewal Regues!."
\\Metro-inetus\ArdenHills\Admin\Assistant City Administrator'u\1emo's and Letters\2006\MN-USA Wrestling
Charitable Gambling License Renewal Memo.DOC
.
~
~~HILLS
CITY OF ARDEN HILLS
COUNTY OF RAMSEY
STATE OF MINNESOTA
RESOLUTION No. 06-19
RESOLUTION APPROVING CHARITABLE GAMBLING LICENSE RENEW AL
FOR MINNESOTA-USA WRESTLING, INC.
TO OPERATE AT THE BLUE FOX
NOW THEREFORE, BE IT RESOLVED by the City Council of the City of Arden
Hills, Minnesota, that the City agrees to approve a Charitable Gambling License Renewal
for the Minnesota-USA Wrestling, Inc. to operate at the Blue Fox Bar & Grill, 3833 .
North Lexington Avenue, Arden Hills, Minnesota.
ADOPTED BY THE CITY COUNCIL OF THE CITY OF ARDEN HILLS THIS
30th DAY OF JANUARY, 2006.
Beverly Aplikowski, MAYOR
ATTEST:
Michelle A. Wolfe, ADMINISTRATOR
.
%-
~~HILLS
.
City of Arden Hills
1245 West Highway 96
Arden Hills, Minnesota 55112
Phone: 651.634.5120
Fax: 651.634.5137
www.ci.arden-hills.mn.us
GAM06-00i
Jd30
1& roc,CO
100ft}
-[bJ ()()-~ '
License No,
Receipt No.
Amount Paid
Date Recvd.
Ins. CerL
Total Fee Paid
2006 Charitable Gambling Premise Permit-
Application Form
(Terms of the License: 2 Year Agreement)
Information (allfields are required)
':i 1 0 200S
t1inY\esot~ ~vesdL'Y)gJI/;1(,
lL~ 2 d.. Ei>'le:~o", AvQ.. (0, VY\rl) tnl\I
M_.___~Ldb ..,5f10.v-ts,
~V\ Chc..\'1.~I~__._
. (; J ~,8~~_Q%j.~1
Business Name:
Property Address:
Nature of Business:
Local Contact:
Business Phone:
EmailAddress: mO!AS(iWdc@c;f-lI,,,,k, CO......
.
Federal ID#:
t.ll-L;).I:J..~L~X__M__
Premise Permit and Investigation Fee
'l/O.eO
L_S~~_~~_n__._~_ -- ~~~~,~~~~
ss~
Business Fax: &,I?::_~_d;)
1030
Websitc Address mnt.lS"-(..<J(!:sJ/;",'J .Q.,:,
*700"i,Tnr.ome ano_J oss.Sfatcment__ /' ~..~~.__~~
'Projected 2006 Receipts/Prizes J/,"'~peii:>. DCJ
*Copy of Lease Agreement ~
(All organizations permitted to conduct lawful gambling within the City of Arden Hills shall contribute 10% (ten percent) of their
net profits derived from gambling activities within the City to a special fund to be administered by the City Council for lawful
purposes. Payments to the fund shall be calculated for quarterly periods ending on the last days of March, June, September and
December. Quarterly installment payments shall be submitted together with verifiable SUpportlllg documentation not (ater than
the t\ventieth day of the month following the end oftne qual1erly period.)
Authorized Signature.
WJL
.
Date! 2- 1../ - d-av';-
2005 City of Arden Hills-
10% Lawful Charitable Gambling Fund Contributions to the City
Date Received Organization
2/22/2005 MN USA Wrestling Contributions-January
3/18/2005 MN USA Wrestling Contributions-February
4/19/2005 MN USA Wrestling Contributions-March
5/23/2005 MN USA Wrestling Contributions-April
6/21/2005 MN USA Wrestling Contributions-May
7/13/2005 MN USA Wrestling Contributions-June
8/22/2005 MN USA Wrestling Contributions-July
9/16/2005 MN USA Wrestling Contributions-August
10/17/2005 MN USA Wrestling Contributions-September
11/16/2005 MN USA Wrestling Contributions-October
12/19/2005 MN USA Wrestling Contributions-November
1/13/2006 MN USA Wrestling Contributions-December
Totals
10% Contribution
$ 629.30
$ 1,12008
$ 301.92
$ 1,134,63
$ 778,01
$
$ 1,088,66
$ 947.93
$ 613,00
$ 677.43
$ 61306
$ 589.47
$ 8,493,49
.
2006 Projected Receipts/Prizes Income
2005 Cost for Prizes Paid at the Blue Fox
$1,050,000
$1,034,956
.
.
.
.
.
.
CITY OF ARDEN HILLS
CLASS B GAMBLING SITES
RECt::IV""'-,
FEB 2 2 2005
MN USA WRESTLING
LOCATION: BLUE FOX
CITY OF ARDEN HILLS
REPORT OF 10% REQUIREMENT
FOR JANUARY 2005
Ten percent (10%) of Net Profit Calculation
Net Receipts (Above)
25,100.00
Less:
Allowable Expenses (Lines 22 - 33)
1.7%-Pull Tab Tax Paid to Distributor
Unsold Ticket Refund
Combined Receipts Tax - % of total paid
8.5 % State Tax
Regulatory Fee (Line 12)
9,513.52
2,705,43
0.00
6,461.34
0.00
126.69
Total Deductions
d)
18,806.98
e) Net Profit
e)
6,293.02
10% Due with Tax Return
629.30
. ,MINNESOTA - REVENUE
Gambling Receipts and Expenses by Site
Premises name
License and Site permit number
The Blue Fox
B-03074 029
A
Gross receipts
Bingo _
1B
1A
2A
3A
2B
3B
.00 4B
2 Raffles.
3 Paddletickets
4 Add lines 1 through 3
4A
5 If line Be of last month's Form G1 is negative,
see instructions, pg. 9
5A
6A
.00
.00 6B
6 Subtract tine 5 from line 4 .
7 Income from interesl and dividends
(see instructions, pg. 9) .
7A
8A
8B
8 Tipboards .
9 Pulltabs _ .
9A
126,69300 9B
10 Add tines 6 through 9. Line 10C is
your gross profit for the month
10A
126,693.00 10B
There are no lines 11-17,
18 Beginning inventory (from line 21 of last month's Schedule A)
19 Cost of gambling product obtained during the month (include sales tax and
freight charges, but do not include the 1.7 percent tax listed on disMbulor's invoices)
20 Add lines 18 and 19
21 Ending inventory (dollar value on the last day of the month - - do not include sales tax,
freight charges or the 1.7 percent tax on distributors invoices)
22 Total value of gambling products sold (subtract line 21 from line 20)
23 Compensation and payroll taxes
24 Penalty and interest paid on taxes (including payroll taxes) on any
Form Gl or Form LG10iO, Schedule C/D since beginning gambling activities
25 Advertising expenses (see instructions, P9.9)
26 Accounting services for lawful gambling tax forms, annual financial audit or review
qualifying legal work
27 Bank service charges, office supplies; cost for authorized lawful gambling classes.
storage expenses and miscellaneous expenses
28 Purchase andlor repair expenses for office furnishings, office equipment
and devices used for gambling
29 Rent for conducting lawful gambling
30 Utilities and other related expenses
31 Theft insuranr--e and the amount permitted (or liability insurance
32 Local government invesligation fee, and costs for new or renewed gambling
manager's bond
33 Cash long or cash short (if cash long, put parentheses araund the amount)
34 Reimbursement for excess cash short (this is a negative amount; see instructions, pg. 8)
35 Reimbursement for negative expense calculation (this is a negative amount; see insL, pg. 9)
36 Total allowable expenses (add lines 22 through 35)
(Rev. 11/02)
B
Prizes
.00 4C
5C
.006C
7C
8C
101,593.00 9C
101,593.00 10C
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Schedule A
IIAonth/year
01/2005
.
C
Net receipts
1C
2C
3C
0,00
.00
0.00
00
,00
.00
.00
25,10000
25,10000
436.46
1,978.21
2,414.67
.
307.09
2,10758
5,142.49
214.50
281.95
1,750.00
50.00
(33,00)
9,51352
.
.
.
.
CITY OF ARDEN HILLS
CLASS B GAMBLING SITES
RECEIVf'=nl
MAR 2 2 2005 1
CITY OF ARDEN HILLS
MN USA WRESTLING
LOCATION: BLUE FOX
REPORT OF 10% REQUIREMENT
FOR FEBRUARY 2005
Ten percent (10%) of Net Profit Calculation
Net Receipts (Above)
23,282.00
Less:
Allowable Expenses (Lines 22 - 33)
1.7%-Pull Tab Tax Paid to Distributor
Unsold Ticket Refund
Combined Receipts Tax - % of total paid
8.5 % State Tax
Regulatory Fee (Line 12)
9,562.46
2,386.44
-5,636.24
5,657.63
0.00
110.93
Total Deductions
d)
12,081.22
e) Net Profit
e)
11,200.78
10% Due with Tax Return
1,120.08
MINNESOTA - REVENUE Schedule A
Gambling Receipts and Expenses by Site
Premises name license and Site permit number Monih/year
The Blue Fox B-03074 029 02/2005 .
A B C
Gross receipts Prizes Net receipts
Bingo. 1A 1B 1C 0,00
2 Raffles. 2A 28 2C .00
3 Paddletickets 3A 3B 3C 0,00
4 Add lines 1 through 3 . 4A .00 4B ,00 4C ,00
5 If line 6c of last month's Form G1 is negative,
see instructions, pg. 9 5A .00 5C .00
6 Subtract line 5 from line 4 _ 6A .00 6B .006C ,00
7 Income (rom interest and dividends
(see instructiDns, P9- 9) . 7A 7C
8 Tipboards 8A 8B 8C .00
9 Pulltabs. 9A 110,934.00 9B 87,652.00 9C 23,282,00
10 Add lines 6 through 9. Line 10C is 23,282.00
your gross profit for the month 10A 110,934.00 10B 87,652.00 10C
There are no lines 11-17.
1 B Beginning inventory (from Fine 21 of last month's Schedule A)
19 Cost of gambling product obtained during the month (include sales tax and
freight charges, but do not include the 1_7 percent tax listed on distributor's invoices)
20 Add fines 18 and 19
21 Ending inventory (dollar value on the last day of the month - - do not include sales tax,
freight charges or the 1. 7 percent tax on distributor's invoices)
22 Total value of gambling products sold (subtract line 21 from line 20)
23 Compensation and payroll taxes
24 Penalty and interest paid on taxes (including payroll taxes) on any
Fonn G1 or Fonn LG1010, Schedule C/O since beginning gambling activities
25 Advertising expenses (see instructions, pg.9)
26 Accounting services for lawful gambling tax forms, annual financial audit or review
qualifying legal work
27 Bank service charges, office supplies; cost for authorized la'vVtul gambling classes,
storage expenses and miscellaneous expenses
28 Purchase and/or repair expenses for office fumishings, office equipment
and devices used for gambling
29 Rent for conducting lawful gambling
30 Utilities and other related expenses
31 Theft insurance and the amount penniHed for liability jnsurance
32 Local government investigation fee, and costs for new or renewed gambling
manager's bond
33 Cash long or cash short (if cash long, put parentheses around the amount)
34 Reimbursement for excess cash short (this is a negative amount; see instructions, pg. 8)
35 Reimbursement for negative expense calculaHon (this is a negative amount; see inst., pg.
36 Total allowable expenses (add lines 22 through 35)
(Rev. 11102)
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
9)
36
.
307,09
1,869.70
2,176.79
346,86
1,829.93
5,353.97
33472
260,84
1,750.00
33,00
9,562.46
.
.
.
.
CITY OF ARDEN HILLS
CLASS B GAMBLING SITES
REC EN!:: '""
APR 1 9 2005
CITY OF ARDEN HILLS
MN USA WRESTLING
LOCATION: BLUE FOX
REPORT OF 10% REQUiREMENT
FOR MARCH 2005
Ten percent (10%) of Net Profit Calculation
Net Receipts (Above)
22,572.00
Less:
Allowable Expenses (Lines 22 - 33)
1, 7%-Pull Tab Tax Paid to Distributor
Unsold Ticket Refund
Combined Receipts Tax - % of total paid
8.5 % State Tax
Regulatory Fee (Line 12)
9,779.55
3,709.34
0.00
5,947.26
0.00
116.61
T olal Deductions
d)
19,552.76
e) Net Profit
e)
3,019.24
10% Due with Tax Return
301,92
A B C
Gross receipts Prizes Net receipts
1A 1B 1C 000
2A 28 2C ,00
3A 3B 3C 0.00
4A .00 4B ,00 4C .00
MINNESOTA - REVENUE
Gambling Receipts and Expenses by Site
Dremises name
The Blue Fox
Bingo _
2 Raffles _ .
3 Paddletickets
4 Add lines 1 through 3
5 if jine 6e of last month's Form Gi is negative,
see instructions, pg_ 9
.00
5A
6A
.00 6B
6 Subtract line 5 from line 4 _
7 Income from interest and dividends
(see instructions, pg. 9) _
7A
8A
8B
8 Tipboards
9 Pulltabs.
9A
116,613.00 9B
10 Add lines 6 through 9. Line lOC is
your gross profit for the month
10A
116,613.00 10B
There are no lines 11-17.
18 Beginning inventory (from line 21 of Jast month's Schedule A)
19 Cost of gambling product obtained during the month (include sales tax and
freight charges, but do not include the 1.7 percent tax listed on distributor's invoices)
20 Add lines 18 and 19
21 Ending inventory (dollar value on the last day of the month - - do not include sales tax,
freight charges or the 1_ 7 percent tax on distributor's invoices)
22 Total value of gambling products sold (subtract line 21 from line 20)
23 Compensation and payroll taxes
24 Penalty and interest paid on taxes (including payroll taxes) on any
Form 81 or Form LG101O, Schedule C/O since beginning gambling activities
25 Advertising expenses (see instructions, pg.9)
26 Accounting services for lawful gambling tax forms, annual financial audit or review
qualifying legal work
27 Bank service charges, office supplies; cost for authorized lawful gambling classes,
storage expenses and miscellaneous expenses
28 Purchase and/or repair expenses for office furnishings, office equipment
and devices used for gambling
29 Rent for conducting lawful gambling
30 Utilities and othe. related expenses
31 Theft insurance and the amount permitted for liability insurance
32 Local government investigation fee, and costs for new or renewed gambling
manager's bond
33 Cash long or cash short (if cash long, put parentheses around thFJ amount)
34 Reimbursement for excess cash short (this is a negative amount; see instructions, pg. 8)
35 Reimbursement for negative expense calculation (this is a negative amount; see inst, pg.
36 Total allowable expenses (add Jines 22 through 35)
(Rev. l1f02)
Schedule A
License and Site permit number
MuTTthtyear
.
B-030 7 4 029
03/2005
5C
.006C
.00
,00
7C
8C
.00
94,041.00 9C
22,572.00
94,041.00 10C
22,572.00
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
9)
36
.
34686
2,178,19
2,525.05
511.62
2,013.43
5,151.26
174.93
601,93
1,75000
88. 00
.
9,779,55
.
.
.
R-E-rF)\! r.o;c.;--i
,_, '-I' '~
CITY OF ARDEN HILLS
CLASS B GAMBLING SITES
MAY 2 3 Z005
CITY OF ARDEN HILLS
MN USA WRESTLING
LOCATION: BLUE FOX
Kt:POKT at- 10% Kt:QUiKI=MI=NT
FOR APRIL 2005
Ten percent (10%) of Net Profit Calculation
Net Receipts (Above)
24,38700
Less:
Allowable Expenses (Lines 22 - 33)
1.7%-Pull Tab Tax Paid to Distributor
Unsold Ticket Refund
Combined Receipts Tax - % of total paid
8.5 % State Tax
Regulatory Fee (Line 12)
9,584.48
915.57",
0.00
2,491.81'-"
0.00
48.86/
Total Deductions
d)
13,040.72
e) Net Profit
e)
11,346.28
10% Due with Tax Return
1,134.63
NllNNESOTA-REVENUE Schedule A
Gambling Receipts and Expenses by Site
Premises name license and Site permit number Month/year
The Blue Fox B-03074 029 04/2005 .
A B C
Gross receipts Prizes Net receipts
Bingo. 1A 1B 1C 0,00
2 Raffles 2A 2B 2C .00
3 Paddletickets 3A 3B 3C 0.00
4 Add Jines 1 through 3 . 4A .00 4B 00 4C 00
5 If line 6c of last month's Form G1 is negative,
see instructions, pg. 9 5A .00 5C ,00
6 Subtract line 5 from line 4 6A ,00 6B ,00 6C 00
7 Income from interest and dividends
(see instructions, P9- 9) _ 7A 7C
8 Tipboards . 8A 8B 8C .00
9 Pulltabs 9A 122,53900 9B 98,152.00 9C 24,387.00
10 Add lines 6 through 9. Line 10C is 24,387,00
your gross profit for the month 10A 122,53900 10B 98,152,00 10C
There are no lines 11-17,
18 Beginning inventory (from line 21 of last month's Schedule A)
19 Cost of gambling product obtained during the month (include sales tax and
freight charges, but do not include the 1_ 7 percent tax listed on distributors invoices)
20 Add rines 18 and 19
21 Ending inventory (dollar value on the last day of the month - - do not include safes tax,
freight charges or the 1.7 percent tax on distributor's invoices)
22 Total value of gambling products sold (subtract line 21 from line 20)
23 Compensation and payroll taxes
24 Penalty and interest paid on taxes (including payrolllaxes) on any
Form Gl or Form LG1010, Schedule e/D since beginning gambling activities
25 Advertising expenses (see instructions, pg.9)
26 Accounting services for lawful gambling tax tomlS, annual financial audit or review
qualifying legal work
27 Bank service charges, office supplies; cost tor authorized lawful gambling classes,
storage expenses and misceflaneous expenses
28 Purchase and/or repair expenses for office furnishings, office equipment
and devices used for gambling
29 Rent for conducting lawful gambling
30 Utilities and other related expenses
31 Theft insurance and the amount permitted for liability insurance
32 Local government investigation fee, and costs for new or renewed gambling
manager's bond
33 Cash long or cash short (if cash long, put parentheses around the amount)
34 Reimbursement for excess cash short (this is a negative amount; see instructions, pg. 8)
35 Reimbursement for negative expense calculation (this is a negative amount; see ins!., pg.
36 Total allowable expenses (add lines 22 through 35)
(Rev 1i(02)
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
9)
36
.
511.62
1,919,35
2,430.97
395.20
~~.-_.
2,035,77
5,137.56
100.00
337,15
1,75000
100,00
124.00
.
9,58448
,r'
.
CITY OF ARDEN HILLS
CLASS B GAMBLING SITES
v--....-_"~__~____"_._.__~"..
R,F_C:F~~\/'--'
J!J"J ') !1 ?005
' I "'.' V 1_
~.CITY qF /,.F<L2::!~__~:!S-L0.J
MN USA WRESTLING
LOCATION: BLUE FOX
Kt:PORT OJ- 10% Rt:QUiREMENT
FOR MAY 2005
Ten percent (10%) of Net Profit Ca/culation
Net Receipts (Above)
27,570.00
Less:
.
Allowable Expenses (Lines 22 - 33)
1.7%-Pull Tab Tax Paid to Distributor
Unsold Ticket Refund
Combined Receipts Tax - % of total paid
8.5 % State Tax
Regulatory Fee (Line 12)
10,326.51
2,809,73
0.00
6,525,70
0.00
127.96
Total Deductions
d)
19,789.90
e) Net Profit
e)
7,780.10
10% Due with Tax Return
778.01
.
M~SOTA-REVENUE Schedule A
Gambling Receipts and Expenses by Site
PH~mrses name Ucense and Site permit number Month/year .
The Blue Fox 8-03074 029 OS/2005
A B C
Gross receipts Prizes Net receipts
Bingo. 1A 18 1C 0.00
2 Raffles. 2A 2B 2C .00
3 Paddletickets 3A 3B 3C 0.00
4 Add lines 1 through 3 4A .00 4B .00 4C .00
5 If line Be of last month's Form Gl is negative,
see instructions, pg. 9 5A ,00 5C .00
6 Subtract line 5 from line 4 . 6A .00 6B .00 6C 00
7 Income from interest and dividends
(see instructions, pg. 9) 7A 7C
8 Tipboards. 8A 8B 8C .00
9 Pulltabs. 9A 127,955.00 9B 100,385.00 9C 27,570,00
10 Add lines 6 through 9. line 1 DC is 27,570,00
your gross profit for the month 10A 127,955,00 10B 100,385.00 10C
There are no lines 11-17.
18 Beginning inventory (from line 21 of Jast month's Schedule A)
19 Cost of gambling product obtained during the month (include sales tax and
freight charges, but do not include the 1_ 7 percenllax listed on distnbutor's invoices)
20 Add Hnes 18 and 19
21 Ending inventory (dollar value on the fast day of the month - - do not include sales tax,
freight charges or the 1. 7 percent tax on distributor's invoices)
22 Total value of gambling products sold (subtract line 21 from line 20)
23 Compensation and payroll taxes
24 Penalty and interest paid on taxes (including payroll taxes) on any
Fonn G1 or Form LG1010, Schedule C/O since beginning gambling activities
25 Advertising expenses (see instructions. pg.9)
26 Accounting services for lawful gambling lax forms, annual financial audit or review
qualifying legal work
27 Bank service charges, office supplies; cost for authorized lawful gambling classes,
storage expenses and miscellaneous expenses
28 Purchase and/or repair expenses for office furnishings, office equipment
and deVices used for gambling
29 Rent for conducting lawful gambling
30 UWities and other related expenses
31 Theft insurance and the amount permitted for liability insurance
32 Local government investigalion fee, and costs for new or renewed gambling
manager's bond
33 Cash long or cash short (if cash long, put parentheses around the amount)
34 Reimbursement for excess cash short (this is a negative amount; see instructions, pg. 8)
35 Reimbursement for negative expense calculation (this is a negarive amount; see insf., P9-
36 Total allowable expenses (add Jines 22 through 35)
(Rev_ 11/02)
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
91
36
.
39520
2,095.09
2,49029
398.77
2,091.52
5,630.82
193,69
46148
1,750,00
40.00
15900
.
10,32651
.
.
.
CITY OF ARDEN HILLS
CLASS B GAMBLING SITES
~--_.__.__._._-.
IFiEf~;=---
I
\ JUL 1 !) Z005
_ C!T"'( c;::: AY<DE~; H!LLS
MN USA WRESTLING
LOCATION: BLUE FOX
REPORT OF 10% REQUIREMENT
FOR JUNE 2005
Ten percent (10iJ,1,) of Net Profit Calculation
Net Receipts (Above)
15,166,00
Less:
Allowable Expenses (Lines 22 - 33)
1.7%-Pull Tab Tax Paid to Distributor
Unsold Ticket Refund
Combined Receipts Tax - % of total paid
8.5 % State Tax
Regulatory Fee (Line 12)
10,187.55
2,987.70
0.00
4,716.89
0.00
92.49
Total Deductions
d)
17,984.63
e) Net Profit
e)
-2,818.63
10% Due with Tax Return
-281,86
15 Dut=:"
MINNESOTA - REVENUE
Gambling Receipts and Expenses by Site
Premises name
license and Site permit number
The Blue Fox
Schedule A
Month/year
.
8-03074 029
A
Gross receipts
Bingo _
18
1A
2A
3A
2B
3B
,00 48
2 Raffles_
3 Paddletickets
4 Add lines 1 through 3
4A
5 If line 6c af 13St month's Form G1 is negative,
see instructions, pg. 9
5A
6A
00
.00 68
6 Subtract line 5 from line 4
7 Income from interest and dividends
(see instructions, pg. 9) .
7A
8A
88
8 Tipboards .
g. Pulltabs.
9A
92,488.00 9B
10 Add lines 6 through 9. Line 10C is
your gross profit for the month
10A
92,488.00 10B
There are no lines 11-17.
18 Beginning inventory (from line 21 of Jast month's Schedule A)
19 Cost of gambling product obtained during the month (include sales tax and
freight charges, but do not include the 1.7 percent tax listed on distributor's invoices)
20 Add lines 18 and 19
21 Ending inventory (dollar value on the last day of the month - - do not include sales tax,
freight charges or the 1.7 percent tax on distributor's invoices)
22 Total value of gambling products sold (subtract line 21 from line 20)
23 Compensation and payroll taxes
24 Penalty and interest paid on taxes (including payroll taxes) on any
Form Gl or Form LG1010, Schedule C/O since beginning gambliflg activities
25 Advertising expenses (see instructions, pg.9)
26 Accounting services for lawful gambling tax forms, annual financial audit or review
qualifying legal work
27 Bank service charges, office supplies; cost for authorized lawful gambling classes,
storage expenses and miscellaneous expenses
28 Purchase and/or repair expenses for office furnishings, office equipment
and devices used for gambling
29 Rent for conducting lawful gambling
30 Utilities and other related expenses
31 Theft insurance and the amount permitled for liability insurance
32 Local government investigation fee, and costs for new or renewed gambling
manager's bond
33 Cash long or cash short (if cash long, put parentheses around the amount)
34 Reimbursement for excess cash short (this is a negative amount; see instmctions. pg_ 8)
35 Reimbursement for negative expense calculation (this is a negative amount; see inst. pg. 9)
36 T utal allowable expenses (add Jines 22 through 35)
(Rev. 11/02)
06/2005
B C
Prizes Net receipts
1C 0.00
2C .00
3C 000
,00 4C .00
5C
.006C
,00
.00
7C
8C
.00
77,322.00 9C
15,166.00
77,322.00 10C
15,166.00
18
19
20
.
398.77
1,95140
2,350.17
21
22
23
24
25
26
27
28
29
30
31
32
33
34
592.99
1,75718
5,463.21
157.94
906.22
1,750.00
50,00
103,00
35
.
36
10,18755
RECEIve.....
AUG 1 9 2005
.
CITY OF ARDEN HILLS
CLASS B GAMBLING SITES
CITY OF ARDEN HILLS
MN USA WRESTLING
LOCATION: BLUE FOX
REPORT OF 10% REQUIREMENT
FOR JULY 2005
Ten percent (10%) of Net Profit Calculation
Net Receipts (Above)
22,743.00
.
Less:
Allowable Expenses (Lines 22 - 33)
1.7%-Pull Tab Tax Paid to Distributor
Unsold Ticket Refund
Combined Receipts Tax - % of total paid
8.5 % State Tax
Regulatory Fee (Line 12)
9,829.89
1,910.49
0.00
0.00
0.00
116.07
Total Deductions
d)
11,856.45
e) Net Profit
e)
10,886.55
10% Due with Tax Return
1,088.66
.
A B C
Gross receipts Prizes Net receipts
1A 18 1C 0.00
2A 2B 2C .00
3A 3B 3C 0.00
4A ,00 4B .00 4C .00
MINNESOTA - REVENUE
Gambling Receipts and Expenses by Site
Premises name
license and Site permit number
The Blue Fox
B-03074 029
Bingo _
2 Raffles _ _
3 Paddletickets
4 Add lines 1 through 3 .
5 If line 6c of last month's Form Gl is negative,
see instructions, pg. 9
5A
6A
.00
.00
5C
.006C
6 Subtract line 5 from line 4 .
6B
7 Income from interest and dividends
(see instructions, pg. 9) _. . . . . . . . _ n_
7A
8A
7C
8C
93,331.00 9C
8 Tipboards
8B
9 Pulltabs....
9A
116,074.00 9B
10 Add lines 6 through 9. Line 10C is
your gross profit for the month
10A
116,074.00 10B
93,331.00 10C
There are no lines 11-17,
18 Beginning inventory (from line 21 of last month's Schedule A)
18
19
20
19 Cost ofgambJing product obtained during the month (include sales tax Bnd
freight charges, but do not include the 1.7 perrent tax listed on distributors invoices)
20 Add lines 18 and 19
21 Ending inventory (doJ/ar value on the last day of the month - - do not include sales tax,
freight charges or the 1.7 percent tax on distributor's invoices)
22 Total value of gambling products sold (subtract line 21 from line 20)
21
22
23
24
25
26
27
28
29
30
31
32
33
34
23 Compensation and payroll taxes
24 Penalty and interest paid on taxes (including payroll taxes) on any
Form G1 or Form LG1010, Schedule C/O since beginning gambling activities
25 Advertising expenses (see instructions, pg.9)
26 Accounting services for lawful gambling tax forms, annual financial audit or review
qualifying legal work -
27 Bank service charges, office supplies; cost for authorized lawful gambling classes,
storage expenses and miscellaneous expenses
28 Purchase and/or repair expenses for office furnishings, office equipment
and devices used for gambling
29 Rent for conducting lawful gambling
30 Utilities and other related expenses
31 Theft insurance and the amount permitted tor lia,bility insurance
32 Local government investigalion fee, and costs for new or renewed gambling
manager's bond
33 Cash long or cash short (if cash long, put parentheses around the amount)
34 Reimbursement for excess cash short (this is a negative amount; see instructions, pg. 8)
35 Reimbursement for negative expense calculation (this is a negative amount; see inst., pg. 9)
35
36 Total allowable expenses (add lines 22 through 35)
36
(Rev. 111O?)
Schedule A
.
Month1year
07/2005
.00
.00
.00
22,743.00
22,743.00
592.99
2,12425
2,71724
.
669.64
2,047.60
5,037.76
21429
841.54
1,516.70
172.00
.
9,829.89
.
CITY OF ARDEN HILLS
CLASS B GAMBLING SITES
RECE!\!~"
SEP 1 6 2005
MN USA WRESTLING
LOCATION: BLUE FOX
CITY OF ARDEN HILLS,
RI:::PURT OF 10% REQUIREMENT
FOR AUGUST 2005
Ten percent (10%) of Net Profit Calcu/ation
Net Receipts (Above)
23,557.00
Less:
.
Allowable Expenses (Lines 22 - 33)
1.7%-Pull Tab Tax Paid to Distributor
Unsold Ticket Refund
Combined Receipts Tax - % of total paid
8.5 % State Tax
Regulatory Fee (Line 12)
10,583.05
2,659.47
0.00
720.86
0.00
114.30
Total Deductions
d)
14,077.68
e) Net Profit
e)
9,479.32
10% Due with Tax Return
947.93
.
MlNNESOT A - REVENUE Schedule A
Gambiing Receipts and Exp~nses by Site
Premises namG. License- and Site permit number Month/year
The Blue Fox B-03074 029 08/2005 .
A B C
Gross receipts Prizes Net receipts
Bingo. 1A 1B 1C 0,00
2 Raffles. 2A 2B 2C .00
3 Paddletickets 3A 3B 3C 0,00
4 Add lines 1 through 3 . 4A 00 4B ,00 4C .00
5 If line 6c of last month's Form 131 is r,egative,
see instructions, pg_ 9 5A ,00 5C .00
6 Subtract line 5 from tine 4 . 6A ,00 6B .00 6C .00
7 Income from interest and dividends
(see instructjons, pg. 9) . 7A 7C
8 Tipboards 8A 8B 8C ,00
9 Puiltabs 9A 114,299.00 9B 90,742.00 9C 23,557.00
i D Add Jines 6 through 9 Line 10C is
your gross profit for the month lOA 114,299,00 10B 90,742,00 10C 23,557.00
There are no lines 11-17.
18 Beginning inventory (from line 21 of last month's Schedule A)
18
19
20
669.64 .
2,31183
2,981.47
19 Cost of gambling product obtained during the month (include sales lax and
freight charges, but do not include the 1.7 percent lax listed on distributor's invoices)
20 Add lines 18 and 19
21 Ending inventory (dollar value on the last day of the month ~ - do not include sales tax,
freight charges or the 1.7 percent tax on distnbutor's invoices)
22 Total value of gambling producls sold (subtract line 21 from line 20)
21
22
23
24
25
26
27
28
29
30
31
32
33
34
882.01
2,099.46
6,368.52
23 Compensation and payrolllaxes
24 Penalty and interest paid on laxes (including payroll taxes) on any
Form G1 or Form LG1010, Schedule C/O since beginning gambling activities
25 Advertising expenses (see instructions, P9.9)
26 Accounting services for lawful gambling tax forms, annual financial audit or review
qualifying legal work
27 Bank service charges, office supplies; cost for authorized lawful gambling classes,
storage expenses and miscellaneous expenses
28 Purchase and/or repair expenses for office furnishings, office equipment
and devices used for gambling
29 Rent for conducting lawful gambling
64,66
221.41
1,750,00
30 Utilities and other related expenses
31 Theft insurance and the amount permitted for liability insurance
39,00
32 Local government investigation fee, and costs for new or renewed gambling
manager's bond
33 Cash long or cash short (If cash fang, put parentheses around the amount)
40,00
34 Reimbursement for excess cash shorl (this is a negative amouN: see instructions. pg. 8)
35
.
35 Reimbursement for negotive expense calculation (this is a negative amount; see ins!., pg. 9)
36 Total allowable expenses (add fines 22 through 35)
36
10,583.05
(Rev. 11/02)
.
CITY OF ARDEN HILLS
CLASS B GAMBLING SITES
'~"---".
i
I
I ("~ 1 ~ cpOS
t '.,,''-.l I I....
! .
~~.!": -!~^_:~._---_._.~-~~~.~=~j
MN USA WRESTLING
LOCATION: BLUE FOX
REPORT OF 10% REQUIREMENT
FOR SEPTEMBER 2005
Ten percent (10%) of Net Profit Calculation
Net Receipts (Above)
23,321.00
Less:
.
Allowable Expenses (Lines 22 - 33)
1.7%-Pull Tab Tax Paid 10 Distributor
Unsold Ticket Refund
Coml;>inecl ReGeipts T<'ix - % of total paid
8.5 % State Tax
Regulatory Fee (Line 12)
9,443.75
4,212.64
0,00
3,417.39
0.00
117.22
Total Deductions
d)
17,191,00
e) Net Profit
e)
6,130.00
10% Due with Tax Return
613.00
.
MINNESOTA - REVENUE Schedule A
Gambling Receipts and Expenses by Site
- ---- -------- -----
Premises n6me License and Site permit number Monthlyear
The Blue Fox B-03074 029 09/2005 .
~------ ----- _.
A B C
Gross receipts Prizes Net receipts
Bingo. 1A 1B 1C 0,00
2 Raffles. 2A 2B 2C .00
3 Paddlelickets 3A 3B 3C 0,00
4 Add lines 1 through 3 . . . . . . . . . . - . 4A 00 4B .00 4C .00
5 If line 6c of last month's Form G1 is negative,
see instructions, pg, 9 SA .00 SC ,00
6 Subtract line 5 from line 4 . . 6A ,00 6B .006C ,00
7 Income from interest and dividends
(see instructions, pg. 9)_ 7A 7C
8 Tipboards. 8A 8B 8C .00
9 Pulltabs. 9A 117,220,00 9B 93,899.00 9C 23,321,00
10 Add lines 6 through 9. LIne 1 DC is 23,321.00
your gross profit for the month 10A 117,220.00 10B 93,899.00 10C
There are no lines 11-17,
18 Beginning inventory (from line 21 of last month's Schedule A)
19 Cost of gambling product obtained during the month (include safes tax and
freight charges, but do not include the 1.7 percent tax listed on distributor's invoices)
20 Add lines 18 and 19
21 Ending inventory (dollar value on the last day of the month - - do not include sales tax,
freight charges or the 1.7 percent tax on distributor's invoices)
22 Total value of gambling products sold (subtract line 21 from line 20)
23 Compensation and payroll taxes
24 Penalty and interest paid on taxes (including payroll taxes) on any
Form G1 or Form LG101O, Schedule C/D since beginning gambling activities
25 Advertising expenses (see ;nstructions, pg.9)
26 Accounting services for lawful gambling tax forms, annual financial audit or review
qualifying legal work
27 Bank service charges, office supplies; cost for authorized !awful gambling classes,
storage expenses and miscellaneous expenses
28 Purchase and/or repair expenses for office furnishings, office equipment
and devices used for gambling
29 Rent for conducting lawful gambling
30 Utilities and other related expenses
31 Theft insurance and the amount permitted for liability insurance
32 Local government investigalion fee, and costs for new Dr renewed gambling
manager's bond
33 Cash long or cash short (if cash long, put parentheses around the amount)
34 Reimbursement for excess cash short (tNs is a negative amount; see instructions, pg. 8)
35 Reimbursement for negative expense calculation (this is a negative amount; see ins!., P9-
36 Total allowable expenses (add lines 22 through 35)
(Rev. 11102)
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
9)
36
.
882.01
2,023.S6
2,90S,S7
866.21
2,039.36
5,201,19
8S.80
305.40
1,750,00
62.00
9,443,7S
.
.
.
.
NUNNESOTA-REv}~UE
Gambiing Receipts and Expenses by Site
Schedule A
PremIses name
MonlhNear
License and Site permit nun-,ber
The Blue Fox
B-03074
10/2005
029
Bingo
A B C
Gross receipts Prizes Net receipts
1A 1B 1C 0.00
2A 2B 2C .00
3A 3B 3C 0,00
4A ,00 4B ,00 4C .00
2 Raffles.
3 Paddlelickets
4 Add lines 1 through 3_
5 if Hne 6e of iast t'rJonih's Form Gi is negaiive,
see instructions, pg. 9
,00
.00
5C
.006C
.00
5A
6A
.00 6B
6 Subtract fine 5 from line 4
7 Income from interest and dividends
(see instructions, pg. 9)
7C
8C
7A
8A
8B
.00
8 Tipboards_
9 Pulltabs.
100,143,00 9C
126,110.00 9B
9A
25,967.00
10 Add lines 6 through 9. Line i0e is
your gross profit for the month
100,143,00 10C
25,967.00
126,110.00 10B
10A
There are no lines 11-17.
18 Beginning inventory (from line 21 oflas! month's Schedule A)
18
19
20
866.21
2,380.42
3,246.63
19 Cost of gambling product obtained during the month (include sales tax and
freight charges, but do not include the 1.7 percent tax listed on distributor's invoices)
20 Add lines 18 and 19
21 Ending inventory (dol/ar value on the last day of the month ~ - do not include safes tax,
freight charges or the 1.7 percent tax on distributor's invoices)
22 Total value of gambling products sold (subtract line 21 from line 20)
24 Penalty and interest paid on taxes (including payrolllaxes) on any
Form G1 or Form LG1010, Schedure C/O since beginning gambling activities
25 Advertising expenses (see instructions, pg.9)
21
22
23
24
25
26
27
28
29
30
31
32
33
34
100,00
(12,00)
1,089.75
2,156.88
5,494.08
23 Compensation and payroll taxes
66.14
1,545.79
26 Accounting services for lawful gambling tax forms, annual financial audit or review
qualifying legal work
27 Bank service charges, office supplies; cost fOf authorized lawfur gambling classes,
storage expenses and miscellaneous expenses
28 Purchase and/or repair expenses for office furnishings, office equipment
and devices used for gambling
29 Rent for conducting lawful gambling
1,750,00
30 Utilities and other related expenses
31 Theft insurance and the amount permitted for lIabilily insurance
32 Local government investigation fee, and costs for new or renewed gambling
manager's bond
33 Cash long or cash short (if cash fong, put parentheses around the amount)
34 Reimbursement for excess cash short (this is a negative amount; see instructions, pg. 8)
35
35 Reimbursement for negative expense calculation (this is a negative amount; see inst, pg 9;
36 Total allowable expenses (add fines 22 through 35)
36
11,10089
(Rev 11/02)
CITY ()F ARnFN H!LLS
CLASS B GAMBLING SITES
G~_._---
'C,""'f" '~/:""'~-""'-" '''F~''-:::':-'-'I"
K!,~:,',"-r"'" ,
LEe 1 9 2005 _
I CITY OF i\elx~r\! HiLLS I
-------, ,
MN USA V\jRFSTL!N~
LOCATION: BLUE FOX
REPORT Of 10% RFOUIRFMFNT
f()R N()VEMRFR ?005
Ten percent (10%) of Net Profit Calculation
Net Receipts (Above)
26,300.00
Less:
Allowable Expenses (Lines 22 - 33)
1.7%-Pu!! Tab Tax Paid to Distributor
Unsold Ticket Refund
Combined Receipts Tax - % of total paid
8.5 % State Tax
Regulatory Fee (Line 12)
9,593.42
A 1?R ?':l
., .~......~.....
.
0.00
6,323,80
0.00
124.00
Total Deductions
d)
20,169.45
e) Net Profit
e)
6,130.55
10% Due with Tax Return
613.06
.
MINNESOTA - REVENUE
Gambling Receipts and Expenses by Site
License and Sile permit number
Premises name
B-03074 029
. "The Blue..F:ox ~__..____.
A
Gross receipts
1A 1B
2A 2B
3A 3B
4A ,00 4B
1 Bingo.
2 Raffles.
3 Paddletickets
4 Add lines 1 through 3
5 If line 6e of last month's Form G1 is negative,
see instructions. pg. 9
.00
5A
6A
.00 6B
6 Subtract line 5 from line 4 _
7 Income from interest and dividends
(see instruct;ons, pg. 9) .
7A
8A
8B
8 Tipboards.
9 Pulltabs .
9A
123,996,00 9B
10 Add lines 61hrough 9. Line 10C is
your gross profit for the month
10A
123,996.00 10B
There are no lines 11-17.
.
18 Beginning inventory (from line 21 of last month's Schedule A)
19 Cost of gambling product obtained during the month (include sales tax and
freight charges, but do not include the 1.7 percent tax fisted on distributor's invoices)
20 Add lines 18 and 19
21 Ending inventory (dollar yalue on the las! day of the month - - do not include sales tax,
freight charges or the 1.7 percent tax on distributor's invoices)
22 Total value of gambling products sold (subtract line 21 from line 20)
23 Compensation and payroll taxes
24 Penalty and interest paid on taxes (including payroll taxes) on any
Form G1 or Form lGl01O, Schedule C/D since beginning gambling activities
25 Advertising expenses (see instructions, pg.9)
26 Accounting services for lawful gambling tax forms, annual financial audit or review
qualifying legal work
27 Bank service charges, office supplies; cost for authorized laVlfful gambling classes,
storage expenses and miscellaneous expenses
28 Purchase and/or repair expenses for office furnishings. office equipment
and devices used for gambling
29 Rent for conducling lawful gambling
30 Utilities and other related expenses
31 Theft insurance and the amount permitted for liability insurance
32 local government investigation fee, and costs for new or renewed gambling
manager's bond
33 Cash long or cash short (if cash long, put parentheses around the amount}
34 Reimbursement for exces.s cash short (this is a negative amount; see instructions, pg. 8)
.
35 Reimbursement for negative expense calculation (this is a negative amount; see inst, pg. 9)
36 Total allowable expenses. (add lines 22 through 35)
(Rev 11102}
B
Prizes
.00 4C
5C
.006C
7C
8C
97,696,00 9C
97,696,00 10C
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Schedule A
Month/year
11/2005
C
Net receipts
1C
2C
3C
0.00
.00
0.00
,00
,00
,00
.00
26,300.00
26,300,00
1,089.75
1,819.99
2.909.74
1,037.03
1.872.71
5,486.68
166.11
284.94
1,750.00
(205.02)
238.00
9,593.42
Minnesota Lawful Gambling
GL 1010 - Schedule em
Rev. 08/02
Organization Name:
MN/USAW, INC,
11/2005 Page:
License Number
B-O_
Y {Nt
"-J
MonthfYear Reported:
1
of:
1
Is this an amended Schedule C/D:
Schedule C: Lawful Purpose Expenditures
Current Monthly For A-7
Mem bership Date of Check TRCA" co~e Code Only
Approval Date Check Number Check Made Out To: (check) Male ,I t-emale Amount
10/9/2005 11111/2005 6240 City of Arden Hills A-10 $677.43
10/9/2005 1111112005 6241 Iron WC A-7 $3,387.15
10/9/2005 11111/2005 6242 City of Excelsior A-4 $970.09
10/9/2005 1111112005 6243 Hi-Flyers WC A-7 $970.09
1019/2005 11/11/2005 6244 Rockford His! Socieiy A-1 $49.38
10/912005 11/11/2005 6245 Rockford Youth WC A-7 $123.45
10/9/2005 1111112005 6246 City of St Paul A-8 $21.03
10/9/2005 11111/2005 6247 Mpls Finance Office A-8 $245,61
11/13/2005 11/1612005 6250 Gladiators WC A-7 $180.43
11/13/2005 11/30/2005 5959 City of Arden Hills A-10 ($1,120.08)
11/13/2005 11/30/2005 6036 Como Park FB and Wrestlin ($45.80)
*NOTE: Check the TRC column if the expenditure is from the "Tax
Refund and Credit" (TRC) amount. Your organization may not
expend money from this amount for lawful purposes A-S, A-9, and
A-12 or for allowable expenses.
Total of all Schedule C La\oVful Purpose Expenditures:
Enter on line 41 of Monthly Lawful
Gambling Activity Summary & Tax Return.
$5,458.78
Schedule D: Board-Approved Expenditures
Current Monthly
Membership Date of Check
Approval Date Check Number Check Made Out To:
TRCA" B
(check) Code
Amount
Board
Approval
Date
~
Board-Approved Expenditures for Recreational. Community, &
Athletic Facilities Intended Primarily for Persons Under Age 21:
B3-A 7
Code
Current Monlhly Board
Membership Date of Check *TRC Approval Date
Approval Dale Check Number Check Made Out To: (check) M F Amount
=
T olal of all Schedule D Board-Approved Expenditures:
Enter on line 42 of &1 Monthly Lawful Gambling Activity Summary & Tax Return.
$0.00
Signatures
I declare that this Schedule C/D is correct and complete to the best of my knowledge and belief.
Chief Executive Officer (or designee) , (, ), :I t. D N:. ~
Gambling Manager (or designee) ~ ___
Dale: ~JJLI cJdll5
Date: JJ,,__.J~I oS
.
Mail to
Gambling Control Board
Suite 300 South
1711 West County R08d B
I Roseville, MN 55113
RECrl';!~~":
I
I JAN 18 2006 !
LQ!,!!~qt,,~i~gcN ~\LLS J
.
CITY OF ARDEN HILLS
CLASS B GAMBLING SITES
MN USA WRESTLING
LOCATION: BLUE FOX
KI:::PORT OF 10% REQUIREMENT
FOR DECEMBER 2005
Ten percent (10%) of Net Profit Calculation
Net Receipts (Above)
24,940.00
Less:
.
Allowable Expenses (Lines 22 - 33)
1.7%-Pull Tab Tax Paid to Distributor
Unsold Ticket Refund
Combined Receipts Tax - % of total paid
8.5 % State Tax
Regulatory Fee (Line 12)
11,005.76
1,845,07
0.00
6,075.63
0.00
119.13
Total Deductions
d)
19,045.59
e) Net Profit
e)
5,894.41
10% Due with Tax Return
589.44
.
---------...,------. -----..---""-
license and Site permit number Month/year
B-03074 029 12/2005 .
----- ------.-- -------------
A B C
Gross receipts Prizes Net receipts
1A 1B 1C 0,00
2A 2B 2C ,00
3A 3B 3C 0.00
4A ,00 4B ,00 4C ,00
MINNESOTA - REVENUE
Gambling Receipts and Expenses by Site
Premises name
The Blue Fox
Bingo.
2 Raffles.
3 Paddle tickets
4 Add lines 1 through 3 ..
5 if iine 6c of last month's Form G1 is negative,
see instructions, pg_ 9
.00
5A
6A
,00 6B
6 Subtract line 5 from line 4.
7 Income from interest and dividends
(see instructions, pg. 9) .
7A
8A
8B
3 Tipboards.
9 Pul!labs.
9A
119,130,00 98
10 Add fines 6 through 9. Une 10C is
your gross profit for the month
10A
119,130.00 10B
There are no lines 11-17.
18 Beginning inventory (from line 21 of last month's Schedule A)
19 Cost of gambling product obtained during the month (include sales tax and
freight charges, but do not include the 1.7 percent tax listed on distributor's invoices)
20 Add lines 18 and 19
21 Ending inventory (dollar value on the last day of the month - - do not include sales tax,
freight charges or the 1.7 percent tax on distributor's invoices)
22 Total value of gambllng products sold (subtract line 21 from line 20)
23 Compensation and payroll taxes
24 Penalty and interest paid on taxes (including payroll taxes) on any
Form G1 or Form LG1010, Schedule C/O since beginning gambling activities
25 Advertising expenses (see instructions, pg.9)
26 Accounting services for lawful gambling tax forms, annual financial audit or review
qualifying legal work
27 Bank service charges, office supplles; cost for authorized lawful gambling classes,
storage expenses and miscellaneous expenses
28 Purchase and/or repair expenses for office furnishings, office equipment
and devices used for gambling
29 Rent for conducting lawful gambling
30 Utilities and other related expenses
31 Theft insurance and the amount permitted for liability insurance
32 Local government investigation fee, and costs for new or renewed gambling
manager's bond
33 Cash long or cash short (if cash long, put parentheses around the amount)
34 Reimbursement for excess cash short (this is a negative amount; see instructions, pg. 8)
35 Reimbursement for negative expense calculation (this is a negative amount; see ins!., pg.
36 Total allowable expenses (add lines 22 through 35)
(Rev 11/02)
Schedule A
5C
.00 6C
.00
,00
7C
8C
,00
94,190.00 9C
24.940.00
94,190001OC
24,940.00
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
9)
36
.
1.037.03
2,087,38
3,124.41
1.04273
2,081.68
6,10610
93.32
774.66
1,750,00
200,00
.
11,005.76
Minnesota/USA
.
MINNESOTA/USA WRESTLING
1422 EMERSON AVENUE NORTH, MINNEAPOLIS MN 55411-3247
612/822-2298 Fax: 612/822-1030
EMAIL: mnusaw@citilink.com WV\fW.rnnusawrestling.org
WRESTLING
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.
12/30/2005 21:58
51282210300
MN USA WRESTLING
PAGE 03
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t;.ambijnt,! Con'1Vl6D;Jrd.
... Tne lessc~ !:ll':"~' r~m~i!y Ca' t$1'l'irmi:e ~ le<JSe ir: who!,;:: or :11 I
~rtdlJe?L::h1li' '~5. "'cl~t\M or the pr0V!$ion:; 1i:;m1111 it,~j;.
I",,", I
Al'bfrra6o.n PJ'OCeS$ -1'J,e lesoor o!I~rrees ~ ;rrl:lj[n11;ii;lr: when a I
y~Jaticn at' lrlEr~ lW~pro.\lii:!<)n!) :s~1f~l'!d. Thl! afbib<lll.or :;haJ: bt> !
lheCRG. I
A(:Qtss 'b;) p.ermlned prmnise$ - 'T11.@ at.ard ani;: l~ ~ent:st rhe. 1
(.wnrrdsslor(l)/"$ ofre.venuewd puD:Jic~~ty andlt~ ~\Jents, ~nd j
1<lWtP.r~met'!tperwnr..l:.'lr~~l2;)trle:p!l1'l1.'ti:Ed?f~ses I
et any Tei;l:iO:'lahi(!: tim~ dutit"l~ tM buslne;) hrn,I~ of the I~,
.
"
\ leiI$eTerm~ rt>~ttmiofthb'~'~g~~~!l ~
~ (onCUl1""=:l"It v.'it'\ ttJepr$nise;: PE!rITllt l~d'j; tf1e'oambling
i Control &;':~fd.(gOOttl).' ,', .
~ M~r\3g~mer"tof'G.~jrl9Pt(l~i~ti-id:'"#t~~nltrotth~
I pJ~mise:!ii or ,n(! ~.Wil_lt'lOl~~~th~ ~"dl)f9al'J'1bj;~
It:t'tleprqqi~, " "
i ?artitipQrtJ<m ~3 rllrf.~~'PrO~f~~:~~'~(, thQ i~~':'i
Iln'lrr.@d~* f~n':;\y, and~rfY_~~or~!lgtfrr.p1~ of the
[. j~:oo~w;J: 110:;f'a.1i~,gpJaytllr!. \n.the~,~ Of lawtl.d
g/j!'(;tWr/9<Jt) tt,e PlOlmlSf.3. ,
.
; UlegalCJolmbllr1Q.
L . ":11a~ris_~oftj]ep~lt[tfOt"i:~I)~I~\)a:mtlif]g
. ::~Minnl!!5D~,st<i~e.O~);75"arJd~~~,'foJi~\
g;Jmbli1i9Yiol,Qtk.~ in~~tsOtaR*?BeLGO~( S~(t~.
i _ ,,:', '-,- '"-,',"'_ -:,'
i J iotl~~ ~:<;:;Q1'"jltl~s,~oWI_ed;e.,~,!~r:amrm!O~{
i l:nyl!!l/'ld Ell: 9aJ~Of:deiA~~t.e:J.O:n,twl~iSl;5Nr not
~ l)eirlglls-ed;M~are:oot~~IJf:~~::t.a.Tl".iIn"'5
';;I~'viclat~th, ~~,h\bi~~~~',~,'"j;f~,,~ ',"'," .lf1g.in
Mir.(le50ttJ~.~'.75";'.l!I'ld:rM::~Ii!::fut.U!egel
~~mblln(l 'Jlollt':1~1r1-Mrhh~-RI.keS-'Y86..hQe50; SUbpart 3,
, ", " '::"" ,:',
'. N:o'::WIrhsrnnditll;1 MIn~RUll"i>786~oso._Sub~ 3.;)n
CA'gank.!l:icr\must~~~~~:~,purs:u~l'It
~u 1her.errn~ d tht'1~e,.if-1he, ~u:hI~or,~ l>genlS"&e
"'''''dtobe''':;'Iy~fo<~l~~Ir(jOl!ld\'''~
"__\l>"J.prol)tbJt.ob\<~""RtIles7a&LOO50.
SI..ibJ>art J/QrMjn~~wq..1S;llril~ the
~).,,?~ni(~ticn's~ga:rit$~(Q(;:tne~_gM'lblin9
I' ad:i\f.t{ ~fe ,,1~~t$,dtiflmp~:Qf'~k'$ot; Rent~[l-intlU5ive r ~nts: D3llJ 88 rent try -d:e (:lrganizalion to
[ "'1'l1e:~Of$t1a.~I1~l~'Oi-~~,~)~'lolNttoleOr thelGSS-ora.feaIJ-inl:!\.!sh-e(exz;:eptblrl9O!1l:r,t)~ r~oottler$ervlC~
I :>1 partbeca~ the-'~~~o'~~''IO:<Ji''e"'otkxal pravid('(l(Jr co~ by the-Ies.o;or lPltVbepaid by tlJ::
tew~nr~m~t,~ty,Ot~~.~~~i'tthe Of9ariutian, Indl).d1ngb\Jlt}Jtlimimdb:)~~(}'V'(lI.~~
~orj~l98rriblir1g:S~~tn.wtliCtJ t'he:~zallOOdld r'(Jt andd~fI~ ~rYitt:5, snow femc:Nef, lawn ~IM-. E!fl!d21dCY,
I fklrl;iO:pcl:e. - , ::.: '-', "::. ' heat, seculi!)~ $6:W'lty ma:li':PriIlg, ~~or.19e,. 'Jtner 1,l:Jlldes oc
I . servfC85..dno:lnthccaseofbClro~r(l,tJoro,.Q;lmpenS300l)JcrCa6:1\ I
Q'i1lerlPnHubiti\:l",C . ',.'. "', '.',." , ~ho~~, ^,1yol;herexpti!J"tdjttJr5mad@by€l(H~r'9anjz:at.iofltl"::=.ti;) I
' .-:n~~rWilltrot:~~~-~:,'t!,~_dlaOon wtr;h n!di'ltt:d tQ" :~pH':mrsesmtl~ l)e ii1Pprwed))y the (Ii~"'!;f
i !>etPeQ:.~PrCvide, -fS'(l;fultrtb~,):9f~_~~~~prn€'11t t:heGamblin90'J~"DIBcero. Ren~p.)..yment:smaytl()tbe~tlet.::an
: ~nd~lces+'Jrll'\~eU'l:t"QfnttWi~:ror~plltposes.. irrlvir;2uaJ, (
. .. . ".' , i
r ~~~I~,~~~~~:.~.f=~~d><<J '""" 1<'5< t '''nn tt.t tho I~. ~..,.","~ ~ tho toto. ."d 0":' i
-(il~'~mel".t ~~ the ~ iJfTO U1e ~lZatWP, ~ 15 no otto<< .l)9te~ent:: and "0: IJ/:fref tOJ1Si~ reqt;tre(.t 1).Qt\VQfl.-' the I
. p~j"J~ ~$ tv lilt l~t oambling ~M lMh~~!; l\'!lnoo ~ tt.e least' PJry (~~9Q!;; 1(\ U~ Je;:lS(' irYln he subrnltkd t!:l d'ljJ Camblin? I
I' Cor1b'o1 ~.ifld ct'~_I"O~" . ,prlC(.l:O""',',""',','",,t.~lldQt. O'tl:'IeC'l<lI'\~e -r'(' (.. 0.;' OqL, t.~lo)
Other.Tf;:rmsoOriC;l) ~"': ,..". '-,:. ..' I~~~~~~
: _f'? M'~ filt}!;";,,. d'H<; "tIT CtJ"j"J ~a~b/llJl h,-"tL:
! r;:"io:(16'Sf~s"t 1-j'/~ f"'''1l06~('uhc_l/cj,,- bcf~7,tl:r/;cO'
1,x.1k' :d'",&~~J,? IJ-i{l'f.'!i ' 'L._~. a. ,/;<'/.:0'1
f $~!~'jre ()r less~' , ~: " ", . ';,::::: ",:' ';" :: O..l~, r .s:t:"~tuJl! 'Jf or{,l"'~1:Rt1on ~rncl:;J ilo$see) o.;.!IjI'
"" IZolf'~" Z; ,(-.f~4rk.tO~,-"",- y- I \)a" Ch~v<J\,- Ga,"~hn..) !'!:l6JL I
, P.r.,l Tlljlme and rl~ ~ 1l;l''3Or -', - '. - t- P(jjllf!.:l,ne 3rn,1 tl~e of l~~~
, ,
Theor-;~nl.J:at'lOlt ~:;-a~ t()l;h!!: ~ltt<<!pre1'nisesdu~ <.:\)1-
time~"atlll;!andWhl!l"l ~r'ffcrU1e{t)nductdfawfl,.l!
9ambliog on thep1"lmli~,
lt$$OJ' ~~ r l1'l\": ~ ~hal[ lrreintain a rero;d Of o'Ilt ...o~ev
r~ rromtj'l!! ~ir;ilicnr !:loa tI'la~ lf1e reo::m:5 ?IltZlllatlJeto
tflf: eoard atJd It:; ~e.r"\tI:i~ a>d l1Je<::omml$to~ af$.l€n\lean'!$
ptJbllr. ~etv end trIciregents l.lP\ln demand, The ~ s.heilf De
rriaintBined fOr a period of 2-1/1. years.
~(If)~ M ,thIia ~,~oiJI~ ',Wf,tIi.~.~~the.l.lcensmg: Soctlan :CJr tt1e GJlmo!hl!l CotItnll Bo:w\i (E:varC) at 6~~ 'G39~'fQC9,
TNs puI:tllOJI5,;,n-t(Ul be, ~,~. tN~",,~~~e fun'Mlt ~j. it lerge- prI[1t, Braille) ~Ofl. ~l.le-.o-t" If)lOU use a ny. )'00 c;;ilFl
call t'V: 50ard bY_"(4in'ii' ~ MJn~:~~ ~iclt !IfJjj ask ro pla~, a Ci!1l to ~in~S-3')-400Q, The 11'IfelT1Tabcn re-QL~ 00 I
tt.r~ f~ w,~ ~li,pl,t.~'~, .. ~Ql\:\\ti,'~t,~~~ tw the 6t;!;;rrd, ,)M will b~ lSCO to. d~rrnlnl!! Y~1lr com~jan-=e with ~
~_ .,_!"~fl~~bJtti'~drtilfl:!;.'g~~tliv:rulg~l~ ;xtI\ritJli'$- .~
.
.
.
.
Prepared by: SJ S. '<i:;'
DepL: Admin
Council Mtg. Date: 1/30/2006
Final Action Needed By:
1/30/2006
~
~JIILLS
City of Arden HIlls
Request for Council Action
Agendaltem ~l~~i~
'VP..,.",,;.'^__.,,,,_
Adopt Resolution 06-20: ADProvinQ the Charitable
GamblinQ License Renewal Request Submitted bv the 621
Foundation
Budgeted Amount: NA
Actual Amount: NA
Funding Source: NA
Council Action Request:
Adopt Resolution 06-20: Approving the Charitable Gambling License Renewal Request
Submitted by the 621 Foundation
Staff Recommendation:
City staff is requesting a motion to adopt Resolution No. 06-20: approving the 621 Foundation
charitable gambling license renewal request.
Advisory Commission Action:
Commission
,'pI"n_ning
PTRC
Date
Action
Notl\pplicable
Not Applicable
. i'J<>.t."ppli<;able_____
Supporting Documents (which are attached to this Action Form):
['8] Memo/Letter:
['8] Resolution (No. 06-20)
o Ordinance (No.
o Engineering Recommendation:
o Attorney Recommendation:
['8] Other:
. City of Arden Hills 2006 Charitable Gambling License Application and
Supplemental Information
Financial Implications:
Not Applicable
AdministratorlStaff Comments:
City staff recommends approval of Resolution No. 06-20
\\Metro-inctus\ArdenHilIs\Admin\Assislant City Administralor\Requesls fOf Council Action\2006\Approve Resolution 06-19 MN-
USA Wrestling Charitable Gambling License Renewatdoc
.
.
.
~
~HILLS
MEMORANDUM
DATE:
January 25,2006
Agenda Item 3.C.
TO:
Honorable Mayor and City Council Members
MicheIle Wolfc, City Administrator
Schawn Johnson, Assistant to thc City Administrator j,~
FROM:
SUBJECT:
Charitable Gambling License Renewal Request
ENCLOSURES:
Resolution No. 06-20
City of Arden Hills 2006 Charitablc Gambling License Information
Backl!round
The City has received a charitable gambling license renewal application from the 621
Foundation for April I, 2006 to MaTch 31, 200S. At this time, staff is not aware of any issues
regarding the applicant and recommends approval ofthis resolution.
To the best of City staffs knowlcdge, the 621 Foundation is currently in compliance with the
City of Arden Hills 60% charitable gambling trade area requirement.
Recommendation
Staff is recommending City Council approval of Resolution No. 06-20, "Approving the 621
Foundation's Charitable Gambhng License Renewal Request."
l\Metro-inetus\ArdenHills\Admin\Assistant City AdministratorlMemo's and Letters12006162I Foundation
Charitable Gambling License Renewal Memo.DOC
.
~
~~HILLS
CITY OF ARDEN HILLS
COUNTY OF RAMSEY
STATE OF MINNESOTA
RESOLUTION No. 06-20
RESOLUTION APPROVING CHARITABLE GAMBLING LICENSE RENEWAL
FOR 621 FOUNDATION
TO OPERATE AT THE POT-Of-GOLD BINGO HALL
NOW THEREFORE, BE IT RESOLVED by the City Council of the City of Arden
Hills, Minnesota, that the City agrees to approve a Charitable Gambling License Renewal
for the 621 Foundation to operate at the Pot-Of-Gold Bingo Hall, 3776 Connelly Avenue, .
Arden I-Illls, Minnesota.
ADOPTED BY THE CITY COUNCIL OF THE CITY OF ARDEN HILLS THIS
30th DAY OF JANUARY, 2006.
Beverly Aplikowski, MAYOR
ATTEST:
Michelle A. Wolfe, ADMINISTRATOR
.
~
~~ HILLS
.
City of Arden Hills
1245 West Highway 96
Arden Hills, Minnesota 55112
Phone: 651,634,5120
Fax: 651,634,5137
www.ci.arden-hills.mn.us
License No.
Receipt No.
Amount Paid
Date Recvd.
Ins. Cert
Total Fee Paid ib I CO. OJ
2006 Charitable Gambling Premise Permit-
Application Form
(Terms of the License: 2 Year Agreement)
Information (allfie/ds are required)
Business Name:
mlA
.
i~nll
31'1~ COn{)~lI'j/1llc,
Nature OfBusiness:EL\I}~o~t._t}A .LLiahs_____ ..__~_
SUS~.:DEokcs"", ,_._
t.d21::S<t3-'J3SLc2
Email Address Sy~~~'?it\OcdJt)\e:;LlQS.O:-,>n Websi!e Address:
,ZfL;.:-,3'2M'[jL222=:"_
Property Address:
A-rr}~ k~ QI s m VI 5131/ 'do
Local Contact:
Business Phone:
Business Fax:
Federal ID#:
Premise Permit and Investigation Fee
*2005 Income and Loss Statement
'Projected 2006 Receipts/Prizes
*Copy of Lease Agreement
...!ftQD. i.:X
v'"
../"
./
(All organizations permitted to conduct lawful gambling \vithin the City of Arden Hills shall contribute] 0% (ten percent) of their
TIel profits derived from gambling activities within the City to a special fund to be administered by the City Council for lawful
putVoses. Payments to the fund shall be calculated for quarterly periods ending on the last days of March, June, September and
December. Quarterly installment payments shall be submitted together with verifiable supporting documentation not later than
the t\vcnticth day of the month following the end of the quarterly period.)
Authorized Signature(~~,~
Datc)=!fc.-:l), ~
.
2005 City of Arden Hills
10% Lawful Gambling Fund Contributions
Date Received ' Organization 10% Contribution
_2/22/2.9.951621 Foundation-January , $___M_____', 417,63
_ ____ _ .il4/2005! 621_ Foundati?_n-February j$' 1,14643
_____4/20/2005j~.2.! Foundatio.'1:rv1arch - -, ,~::-_=:=:___l.L -- 462.33
,,_ ___5/23/20051621 Foundatio,,-April _______ ! $ 6,36~:17
61:1012005!621 Foundation-May 1 $ 688.99
JI20/200sl621 FOur1cJation-June---- - - _n___:').::___---
8/22~2005 '~21 Foundation.:July u_::=::'- _ _ '$
9/2.o/~()Q_()_!,21 F~ndation-Au.Qu~t _ ___.Ji__ _
10/24/2005! 621 Foundation-September $
1 i729/20051621 Foundation::-October ' u__________ M;-s;---------
-i2/27/20051621 Foundation-November ! $
m____- i 621-Foundation-December(Waitin-g for Report) '$
__~Totalsm_____== ---- '--------:::=----=:..:J1::..:=--_
,
1,319.02
------.--_.--_.
495.97
-- -----------
1,402,68
932.67
766.11
13,994.00
__________,
.
.
.
.
.
.
621 FOUNDATION
LAWFUL GAMBLING OPERATION
ASSETS & LIABILITIES
AS OF DECEMBER 31, 2005
(REGULATORY BASIS)
ASSETS
ASSETS
GAMBLING BANK ACCOUNT
GAME BANK
INVENTORY
PREPAID EXPENSE
$
36,135.85
10,250.00
1,821.49
95.00
TOTAL ASSETS
LIABILITIES AND FUND BALANCE
LIABILITIES
ACCRUED STATE GAMBLING TAX
DEFERRED INCOME
$
2,877.80
150.00
TOTAL LIABILITIES
FUND BALANCE
FUND BALANCE
CURRENT EARNINGS
LAWFUL PURPOSE EXPENDITURES
8,783.25
77,814.21
(41,322.92)
FUND BALANCE
TOTAL LIABILITIES AND FUND BALANCE
< SEE ACCOUNTANTS' COMPILATION REPORT>
$
48,302.34
$
3,027.80
45,274.54
$
48,302.34
PAGE 1
621 FOUNDATION
LAWFUL GAMBLING OPERATION
REVENUE, EXPENSE AND LAWFUL PURPOSE EXPENDITURES
FOR THE ONE AND SIX MONTHS ENDED DECEMBER 31, 2005
(REGULATORY BASIS)
.
+----PERIOD TO DATE----+ +-----YEAR TO DATE-----+
ACTUAL ACTUAL
:URRENT EARNINGS
$
10,434.17
fAXES AND LICENSES
8.5% STATE TAX
1.7% STATE TAX
REGULATORY FEE
LOCAL GOV'T TAXES
2,724.51
1,013.11
153.29
766.11
TOTAL TAXES/LICENSES
4,657.02
AVAILABLE FOR ORGANIZATION
5,777.15
30ARD APPROVED EXPENDITURES
rOTAL BOARD APPROVED EXPEND
.00
AVAILABLE FOR CONTRIBUTION
5,777.15
:P~RITABLE CONTRIBUTIONS
?RIOR MONTHS EXPENDITURES
.00
TOTAL CONTRIBUTIONS
.00
"ROFIT CARRYOVER
3EGINNING PROFIT CARRYOVER
5,777.15
.00
~NDING PROFIT CARRYOVER
$
5,777.15
24.51 % $
77,814.21
6.40
2.38
.36
1. 80
14,899.02
6,276.92
930.53
4,916.45
10.94
27,022.92
13 .57
50,791. 29
.00
13.57
50,791.29
.00
14,300.00
.00
14,300.00
13 .57
.00
36,491.29
8,783.25
13.57 % $
45,274.54
< SEE ACCOUNTANTS' COMPILATION REPORT>
.00
32.72 %
6.26
2.64
.39
2.07
11.36
21. 35
21.35
.00
6.01 .
6.01
15.34
3.69
19.04 %
PAGE 3
.
JRN-18-2005 11:38
CKSM, PLLP
(#?-I --rolA..~~Yi ""l
5514828737
P.02
~ATEMENT OF THE ORGANIZATION'S PROJECTION OF GROSS RECEIPTS AND TOTAL PRIZES FOR LAWFUL
MBLlNG ACTIVITIES TO BE CONDUCTED IN THE CITY DURING THE YEARS IN WHICH THE PERMIT RENEWAL
ILL BE EFFECTIVE
PROJECTION 2006
PROJECTION 2007
BINGO INCOME BINGO INCOME
BINGO RECEPITS $680,000 00 BINGO RECEPITS $680,000.00
BINGO PRIZES $506,000.00 BINGO PRIZES $508,000.00
NET BINGO INCOME $172.000.00 NET BINGO INCOME $172,000.00
PULLTAB INCOME PULLTAB INCOME
PULL TAB RECEIPTS $239,000.00 PULL TAB RECEIPTS $239,000.00
PULLTAB PRIZES $1n,000.00 PULL TAB PRIZES $177,000.00
NET PULL TAB INCOME $62,000,00 NET PULLTAB INCOME $62,000.00
PADDLEWHEEL INCOME $10,500.00 PADDLEWHEEL INCOME $10,500.00
. PADDLEWHEEL RECEIPTS $6,650.00 PADOLEWHEEL RECEIPTS $6,650.00
PADDLEWHEEL PRIZES PADDLEWHEEL PRIZES
NET PADDLEWHEEL INCOME $3,85000 NET PADOLEWHEEL INCOME $3,850.00
NET GAMING REVENUE $237,850.00 NET GAMING REVENUE $237,850.00
TREASURER SIGNATURE
.
TOTRL P.02
-,----
Minnesota Lawful Gambling
LG215 Lease for Lawful Gamblin
Organization name
;;)\ mVt\~~
Name of teased premises Street address
~O\ c\ f).
License number
8/05
Page 1 of 2
Daytime phone
.
A- OLi'~q I
City
i) ~ '7(P Lbmt'11
Business/street address
""" Ln n,~. Bla,yyt.
City
Name of legal owner of premises
0old:s S, ' ' ,
Name of lessor (if same as legal
owner, ~.i~C
J C-/
Check all activities that will be conducted:
_Pull-tabs _Pull-tabs with dispensing device _llpboards _Paddlewheef _Paddlewheel with table ~Bjngo _Bar bingo
Business/street address
A0l;,,\-j71ls
Stale
~I\ <I
State Zip
;;21
Pull-tab, Tipboard, and Paddlewheel Rent (No lease required for raffles.)
Booth operation - sales of gambling equipment by an employee
(or volunteer) of a licensed organization within a separate enclosure
that is distinct from areas where food and beverages are soh
Bar operation - sales of gambling equipment within a leased
premises by an emploYe€ of the lessor from a common area where
food and beverages are also sold.
r---------------_____________________j
Does your organization OR any other organization f;onduct gambling
from a booth operation at this location? _ Yes _ No
L~___________________________________~
If you answered yes to the question aooye, rent limits are If you answered no to the question above, rent limits are
based on the following combinations of operation: based on the following combinations of operation:
Booth operation Bar operation
Booth operation and pull-tab dispensing device Bar operation with pull-tab dispensing device
Booth operation and bar operation Pull-tab dispensing device only
Booth operation, bar operation, and pulHab dispensing device
The maximum rent allowed may not exceed $1,750 in total
per month for all organizations at this premises.
Complete one option:
Option A: 0 to 10% of the gross profits per month.
Percentage to be paid ~~ %
The maximum rent allowed may not exceed $2/500 in total
per month for all organizations at this premises.
.
Complete one option:
Option A: 0 to 20% of the gross profits per month.
Percentage to be paid %
Option B: When gross profits are $4,000 or less per month, $0 to Option B: When gross profits are $1,000 or less per- month, $0
$400 per month may be paid. Amount to be paid $ to $200 per month may be paid. Amount to be paid $
Option C: $0 to $400 per month may be paid on the first $4,000
of gross profit. Amount to be paid $ . Plus 0% to
10% of the gross profits may be paid per month on gross profits
over $4,000. Percentage to be paid %
Bingo Rent
Option 0: Oto 10% of the gross profits per month from all lawful
gambling activities held during bingo occasions, excluding bar bingo.
Percentage to be paid _%
Option E: A rate based on a cost per square foot not to exceed 110%
of a comparable cost per square foot for leased space, as approved by
the director of the Gambling Control Board. No rent may be paid for bar
bingo. Rate to be paid $ per square foot.
The lessor must attach documentation, verified by the organization, to
confirm the comparable rate and all applicable costs to be paid by the
organization to the lessor.
Option C: $0 to $200 per month may be paid on the first $1,000
of gross profits. Amount to be paid $ . Plus 0% to
20% of the gross profits may be paid per month on gross profits
over $1,000. Percentage to be paid %
Bar Bingo Rent
~ Option F: No rent may be paid for bingo
conducted in a bar.
r -- --- - ------ -~ r
For any new bingo activity not previously
I included in a Premises Permit Application, I
I attach a separate sheet of paper listing the I
days and hours that bingo will beconducted.
L--__________.J
Amended
Lease
Only
If this is an amended lease showing changes occurring during the term of the current premises permjt, both parties
that signed the lease must initial and date all manges. Changes must be submitted to the Gambling Control Board
at least 10 days prior to the change. Write in the date that the changes will be effective _J _~_.
.
lessor
Date
Organization
Date
./
o
,
, ./
1
,
/
,
,
,
.
.
.
LG215 Lease for Lawful Gambling Activity
8/05
Page 2 of 2
Lease Tenn - The tenn of this lease agreement wm be
concurrent with the premises pennit issued by the Gambling
COntrol Board (Board),
Management of Gambling Prohibited ~ The owner of the
premises or the lessor will not manage the conduct of gambling
at the premises.
Participation as Players Prohibited - The lessor, the lessor's
immediate famity, and any agents or gambling employees of the
lessor will not participate as players in tt1e conduct of la'Nful
gambling on the premises.
Illegal Gambling
. The lessor is aware of the prohibition against illegal gambling
in Minnesota Statutes 609.75/ and the penalties for illegal
gambling violations in Minnesota Rules 7861.0050, Subpart 3.
In addition, the Board may authorize the organization to withhold
rent for a period of up to 90 days if the Board determines that
illegal gambling occurred on the premises and that the lessor or
its employees partldpated in the illegal gambling or knew of the
gambling and did not take prompt action to stop the gambling.
Continued tenancy of the organization is authorized without the
payment of rent during' the tlme period determined by the Board
for violations of this provision.
. To the best of the lessor's knowledge, the lessor affirms that
any and an games or devices located on the premises are not
being used, and are not capable of being used, in a manner
that violates the prohibitions against illegal gambling in
Minnesota Statutes 609.75, and the penalties for illegal
gambling violations in Minnesota Rules 7861.0050, Subpart 3.
. Notv'lithstanding Minnesota Rules 7861.0050, SUbpart 3, an
organization must continue making rent payments, pursuant
to the terms of the lease, if the organization or its agents are
found to be solely responsible for any illegal gambling conducted
at that site that is prohibited by Minnesota Rules 7861.0050,
Subpart 1, or Minnesota Statutes 609.75, unless the
organization's agents reslXlnsible for the illegal gambling
activity are also agents or employees of the lessor.
. The lessor shall not mooify or terminate the lease in whole or
in part because. the organization reported to a state or local
law enforcement authority or the Board the occurrence at the
site of megal gambling activity in whim the organization did not
partidpate.
Other Prohibitions
. The lesSor will not impose restrictions on the organization with
respect to providers (distributors) of gambling-related equipment
and services or in the use of net profits for lawful purposes. 1
. The lessor, person residing in the same household as the lessor, I
the lessor's immediate family, and any agents or employees of the
lessor will not require the organization to perform any action that :
would violate statute or rule. If there is a dispute as to whether I'
a violation of this provision occurred, the lease will remain in
effect pending a fInal determination by the Compliance Review
Group (eRG) of the Gambling Control Board. The lessor agrees. I
to arbitration when a violation of this provision is alleged. The I
arbitrator shall be the eRG.
. The lessor shall not modify or terminate this lease in whole or in
part due to the lessor's violatlon of the provisions listed in this \
lease.
Access to permitted premises - The Board and its agents, the
commissioners of revenue and public safety and their agents, and
law enforcement personnel have access to the permitted premises
at any reasonable time during the business hours of the lessor. The
organization has access to the pennitted premises during any time
reasonable and when necessary for the conduct of lawful gambling
on the premises.
lessor records ~ The lessor shall maintain a record of all money
received from the organization, and make the record available to
the Board and its agents, and the commissioners of revenue and
publiC safety and their agents upon demand. The record shall be
maintained for a period of 3-1/2 years.
Rent all-inclusive ~ Amounts paid as rent by the organization to
the lessor are all-inclusive. No other services or expenses provided
or contracted by the lessor may be paid by the organization,
induding but not limited to trash removal, janitorial and cleaning
services, snow removal, lawn services, electricity, heat, security,
security monitoring, storage, other utilities or services, and in the
case of bar operations, cash shortages. Any other expenditures
made by an organization that is related to a leased premises must
be approved by the director of the Gambling Control Board. Rent
payments may not be made to an individual.
Acknowledgment of Lease Terms All obligations and agreements are contained in or attached to this lease and are subject
to the approval of the director of the Gambling Control Board. I affirm that the lease information is the total and only agreement
beh^leen the lessor and the organization. There is no other agreement and no other consideration required between the parties as to
the lawful gambling and other matters related to the lease. Any changes in this lease will be s.ubmitted to the Gambling Control Board at
least 10 days prior to the effective date of the change. If a renegotiated lease is made due to a change in ownership, the new lease will
be submitted within 10 days after the new lessor has assumed ownership.
list or attall;::h other terms or conditions (must be approved by director of Gambling Control Board)
,;!:. " 1- ."
~/-O
Date
.
G- old I~ ~51t~.J. n (J)
Print name and title ot lessor
I
!
I
,
I
------i
,
I In I/)~
. Gate
" ~~ ')Yv.dl;!.{
Signature of organization official (lessee)
D:1v "'; <., fY\ i1c k<l(
Print name and title of lessee
Questions on this form should be directed to the Licensing Section of the Gambling Control Board (Board) at 651 639-4000. This publication
will be made available in alternative format (i.e. large print, Braille) upon request. If you use a lTY, you can call the Board by using the
Minnesota Relay Service and ask to place a call to 651-639-4000. TIle information requested on this form will become public information
when received by tlle Board, and will be used to determine your compliance with Minnesota statutes and rules governing lawful gambling
activities.
BINGO HALL SCHEDULE
10TH January 2006
.
621 Foundation, Inc.:
Mondays 10:00 am to noon
Mondays 7:15 pm to 9:00 pm
Mondays 9: 15 pm to II :00 pm
Fridays
Fridays
Fridays
Fridays
2:00 pm to 4:00 pm
7:15 pm to 9:00 pm
9:] 5 pm to 11:00 pm
11: 15 pm to 1 :00 am
St. Mary Romanian Orthodox Church:
Wednesdays
Wednesdays
Wednesdays
Saturdays
Saturdays
Saturdays
Saturdays
10:00 am to noon
7:15 pm to 9:00 pm
9:15 pm to 11:00 pm
.
2:00 pm to 4:00 pm
7:15 pm to 9:00 pm
9: 15 pm to 11 :00 pm
11 : 15 pm to 1:00 am
St. Katherine Ukrainian Orthodox Church
Sundays
Sundays
Sundays
Tuesdays
Tuesdays
2:00 pm to 4:00 pm
7:15 pm to 9:00 pm
9: 15 pm to 11 :00 pm
7:15 pm to 9:00 pm
9:15 pm to II :00 pm
Thursdays 7: 15 pm to 9:00 pm
Thursdays 9: 15 pm to 11 :00 pm
.
4
.
.
.
Prepared by: SJ ~
Dept.: Admin
Council Mtg. Date: 1/30/2006
Final Aclion Needed By:
1/30/2006
~
~HlLLS
City of Arden HIlls
Request for Council Action
Agenda Item ~A.~
Adopt Resolution 06-21: ApprovinQ the Charitable
GamblinQ License Renewal Request Submitted bv the St.
Mary's Romanian Orthodox Church
Budgeted Amount: NA
Actual Amount: NA
Funding Source: NA
-- --
Council Action Request:
Adopt Resolution 06-21: Approving the Charitable Gambling License Renewal Request
Submitted by the St Mary's Romanian Orthodox Church
Staff Recommendation:
City staff is requesting a motion to adopt Resolution No. 06-21: approving the St. Mary's
Romanian Orthodox Church charitable gambling license renewal request.
Advisory Commission Action:
Commission
Date
Action
Planning
PTRC
, ,un. ,NolApplicable
Not Applicable
.. nl\l()! applicabl",
Supporting Documents (which are attached to this Action Form):
['8] Memo/Letter:
['8] Resolution (No. 06-21)
o Ordinance (No.
o Engineering Recommendation:
o Attorney Recommendation:
['8] Other:
. City of Arden Hills 2006 Charitable Gambling License Application and
Supplemental Information
Financial Implications:
Not Applicable
AdministratorlStaff Comments:
City staff recommends approval of Resolution No. 06-21
\\\M:etro-inet.usw"denHills\Admin"Assistant City Administralor\Requcsts for Council Action\2006\Approve Resolution 06-21 St
Mmy's Charitable Gambling license Renewal.doc
.
.
.
~
~~HILLS
MEMORANDUM
DATE:
January 25,2006
Agenda Item 3.D.
TO:
Honorablc Mayor and City Council Members
Michelle Wolfe, City Administrator
Schawn Johnson, Assistant to the City Administrator 6~
FROM:
SUBJECT:
Charitable Gambling License Renewal Request
ENCLOSURES:
Resolution No. 06-21
City of Arden Hills 2006 Charitable Gambling License Information
Backl!round
The City has received a charitable gambling license renewal application from St Mary's
Romanian Orthodox Church for April I, 2006 to March 31, 2008. At this time, staff is not aware
of any issues regarding the applicant and recommends approval of this resolution.
The City also has an on-going agreement with St Mary's Romanian Orthodox Church that
regular contributions are made throughout the year from there charitable gambling funds to
Northwest Youth and Family Services (NWYFS). The following is an overview of St Mary's
contributions to Northwest Youth and Family Services over the past two years:
. 2004-$19,000 in contributions to NWYFS;
. 2005-$20,000 in contributions to NWYFS.
To the best of City staffs knowledge, St Mary's Romanian Orthodox Church is currently in
compliancc with the City of Arden Hills 60% charitable gambling trade area requirement.
Recommendation
Staff is recommending City Council approval of Resolution No. 06-21, "Approving St. Mary's
Romanian Orthodox Church Charitable Gambling License Renewal Request."
l\Mctro-inetuslArdenHillsIAdminlAssistant City Administrator\Memo's and Letters\2006ISt, Mary's Charitable
Gambling License Renewal Memo.DOC
~
~~HILLS
CITY OF ARDEN HILLS
COUNTY OF RAMSEY
STATE OF MINNESOTA
RESOLUTION No. 06-21
RESOLUTION APPROVING CHARITABLE GAMBLING LICENSE RENEWAL
FOR ST. MARY'S ROMANIAN ORTHODOX CHURCH
TO OPERATE AT THE POT-OF-GOLD BINGO HALL
NOW THEREFORE, BE IT RESOLVED by the City Council ofthe City of Arden
Hills, Minnesota, that the City agrces to approve a Charitable Gambling License
Renewal for St. Mary's Romanian Orthodox Church to operate at the Pot-Of-Gold Bingo
Hall, 3776 Connelly Avenue, Arden Hills, Minnesota.
ADOPTED BY THE CITY COUNCIL OF THE CITY OF ARDEN HILLS THIS
30th DAY OF JANUARY, 2006.
Beverly Aplikowski, MAYOR
ATTEST:
Michelle A. Wolfe, ADMINISTRATOR
.
.
.
~
/],\~HILLS
.
City of Arden Hills
1245 West Highway 96
Arden Hills, Minnesota 55112
Phone: 651.634.5120
Fax: 651.634.5137
www.ci.arden-hills.mn.us
License No.
Receipt No. .
Amount Paid
Date Recvd.
Ins. Cert.
Total Fee Paid 1t>(QD.OO
2006 Charitable Gambling Premise Permit-
Application Form
(Terms of the License: 2 Year Agreement)
Information (allfields are reqaired)
Business Name:
~ f1.4-I2-'(--- (41'1.+-,(.// A-AJ
If 'f'l (. -7:; v :JeU;/ .4--VL.
4vJ.,~ H--, (I> ,MY' <;,",1 ('>-
,
JleN ~'-':uH.LlicL"__'Mn n
c.Huf'c. ff
&. R:.ffA> /h. y
'JI1"__~'-~_
Property Address:
Nature of Business:
Local Contact:
Business Phone:
'II. _.JIL=LZ.l_i-
Business Fax:
Email Address:
W cbsite Address:
.
. Lf.1::,.,.l'i'i.L'il/
Federal ID#:
Premise Permit and Investigation Fee Jt jCO-"--C'
*2005 Income and Loss Statement
'Projected 2006 Receipts/Prizes
'Copy of Lease Agreement
I
V"
7/
(All organizations pel111ittcd to conduct lawful gambling within the City of Arden Hills shall contribute] 0% (ten percent) of their
net profits derived from gambling activities within the City to a special fund to be admimstered by the City Council for lawful
purposes. Payments to the fund shall be calculated for quarterly periods ending on the last days of March, June, September and
December. Quarterly installment payments shall be submitted together with verifiable supporting documentation not later than
the t\;vcMlcth day of the i"cnth f0llo\ving the end (. ':' ti,e quarterly period.)
Authorized Signature ,cJigCLJq~~1:n4flY
Date I-J'-j~Qk>
.
2005 City of Arden Hills
10% Lawful Gambling Fund Contributions
Date Received Organization
.1/24/2005: St Mary's Romanian Orthodox Church-Jan
,,~..2.121.1?2.0~LS~. Ma..rI"."Romanian Orthodox Church~FE)b..
. .:fI25/2005,St Mary's Romanian OrtJ1o.dc>"Church-Mar
5/31/2005,St Mary's Romanian~()rt.h()~())( C.burch-Apr
,. _~/28/2005! St Mary's Romanian Orthodox Church-May
.._.~I~W2005'St Mary's Romanian Orthodox Church-June
..___ 8/221~0()5~StM_ary'sRomanian Orthodox Church-July
9/28/2005~t,M.alis Romaf1iilf1 Orthodox Churcl1~f\ugn
10/2712005: St Mary's Romanian ()rtf:1.<!.d--")(~~lJ~h-S.ept
~ 'ti.1!!.2005 St Mary~ Romaniar1.9rthodox Church-()ct.
J2J2.1/2005St Mary's Romanian OrthodoxC.b_LJ~ch-Nov
1I14/20()6_Stc.M_a.ry's Romanian Orthodox Church-Dec
Totals
$
$
$
$
$
$
$
.....---------- --- ...
$
$
$
$
$
$
10% Contribution
703.92
,_ ~n_ 1,1:;'8.70
2,;12.6.30
1 ,530~92
1,212.37
un _~ 1 , ~~~c5()
710.30
- -..-----.-.-
865.65
376.61
1,B~3,B5
1,790.31
634.00
14,3~8.49
.
.
.
MINNESOTA REVENUE
LAWFUL GAMBLING MONTHLY SUMMARY and TAX RETURN
Gl
Organization Name
.ST. MARY ROM. ORTH. CHURCH
Address
854 WOODBRIDGE ST
City
ST PAUL
Number of games reported
on Schedule B2s: I 71
This return includes
[ ] Schedule A ( pages)
I Check any
that apply
State Zip Code
~ 55117
[ ] Amended return
[ ] No gambling activity this month
[x] Schedule B2 (12 pages)
[x] Schedule F
pages)
(A) Gross receipts
I Bingo . . . . . , . . . . . . . . . . . . . . , , , . . I 1402691.00
2 Raffles [ ] check if tax exempt, attach Schedule-ER, 2 0,00
3 Paddletickets . . . . , . . . . . .
. , 3
0.00
4 Sub-Total (add lines I through 3)
. . 4
1402691.00
5 Last month line 6C, if it was negative . . . 5
[ J check when ending 10s5 reporting
6 Adjusted Sub-Total (line 4 minus line 5). . . . 6
0,00
1402691.00
7 Interest, dividends and other income.
. . 7
0.00
8 Tipboards. . , . . ; . , . . .
.
9 Pulltabs. , . . . . . . , . , .
8
0.00
9
380008.00
10 Totals (add lines 6, 7,8,9).
,10
1782699.00
II a. Gambling tax on Bingo, Raffles and Paddletickets (8.5% of line 6C) . . . a.
b. Combined-receipts tax (Schedule E, line 9), . b.
Add lines llaand lib. . . . . . , , . .
12 Control Board fee (effective 07/03) multiply line lOA by 0.1% (.001),
13 Pay This Amount (line II plus line 12) Check payable to Minnesota Revenue. .
14 Gambling tax paid through distributors for Pulltabs & Tipboards .
15 Total gambling taxes and fees (add lines 13 and 14). . , , . . . .
] 6 Gross profit after taxes and fees (line 1 DC minus line 15) and to line 17 on page 2 .
License Number
00489
MonthN ear reported
Januarv 2005 for 12 months
Number of Sites
I
[ ] Filing extension request
[ ] Final return
[ ] Barcode sheets (
(B) Prizes
1006503.00
0.00
0.00
1006503.00
1006503.00
0.00
274553.00
1281056.00
33675.98
0.00
II
12
13
14
15
]6
1 declare that all information on this summary and tax return is true, correct and complete.
Signature Date Signature
Chief Gambling
Executive PHILLIP TOCONIT A Manager KELLY ROBINSON
Signature Firm Name
or
Preparer fRANK BELGEA
.ail with attachments to: Minnesota Revenue, Mail Station 3350, St.Paul, ~ 55146 - 3350
(e) Net
396188.00
0.00
0.00
396188.00
0.00
396188.00
0.00
0.00
105455.00
501643.00
33675.98
1782.70
35458.68
8626,76
44085.44
457557.56
Date
Phone: 651.778-9440
Date
Phone: 651/470-7096
MINNESOTA REVENUE
LAWFUL GAMBLING MONTHLY SUMMARY and TAX RETURN
GI
Page 2
.
17 457557.56
18 2163.03
19 38129.46
20 40292.49
21 1740.52
22 38551.97
23 156635.27
24 0.00
25 1005.50
26 0.00
27 9407.51
28 0.00
29 109200.00
30 4300.00
31 0.00
32 285.00 .
33 J 246.00
34 0.00
35 0.00
36 32063 1.25
37 136926.31
38 38937.23
39 0.00
40 175863.54
41 145914.49
42 0.00
43 145914.49
44 29949.05
0.00
142099.00
.
Organization License
00489
Month and Year
From January 2005 for 12 months
17 Gross profit aftertaxes and fees from line 16 of page L
18 Beginning inventory (last month's line 2]). . . .
19 Cost of gambling product received with sales tax.
20 Gambling product available and sales tax (line 18 plus line 19).
21 Ending inventory (excludes sales taxes, etc.). . . . . . . . . . .
22 Cost of gambling product sold and sales tax (line 20 minus line 21).
23 Compensation and payroll taxes . . , , . .
24 Penalty or interest on taxes, paid during the month.
25 Advertising expenses . . . . .
26 Accounting and legal services.
27 Miscellaneous expenses, supplies, bank charges, classes, etc.
28 Purchase/repair of furnishings or devices for gambling.
29 Rent for the purpose of conducting gambling.
30 Utilities related to the conduct of gambling.
31 Theft and liability insurance, . . .
32 Manager's bond or local government fees.
33 Cash Long(-) or Cash Short(+) on games played.
34 Reimbursement for excess cash short (as credit) .
35 Reimbursement for excess expense calculation (as credit) :
36 Total allowable expenses (add lines 22 through 35) .
37 Net profit after taxes and fees (line 17 minus line 36)
38 Prior month Profit Carryover (line 44 from last month) .
39 Approved adjustments (attach letter) also add, as positive, line 5C loss adjustment..
40 Balance sub-total (add lines 37, 38 and 39) . . , . .
41 Lawful purposes expenditures (from Schedule C/D).
42 Board-approved expenditures (from Schedule Cm).
43 Total expenditures (add lines 41 and 42).
44 Profit Carryover (line 40 minus line 43) .
(Line 45 has been eliminated from Form G])
46 Funds balance difference; from Schedule F, line 24 . . . . . . , . . . . . .. 46
47 Unsold ticket value from Pulltab and Tipboard games this month. . . . . . 47
Gss 11/03
Gleason's Software & Services Lawful Expenditures Report (e)
Gambling Records and Reports Based on All Purpose Codes
ST. MARY ROM. ORTH. CHURCH (00489) January 2005 for 12 months
. Page I
Program
Date Check# Pay-To Amount Approved ICode
1115/2005 6376 St Mary 5000.00 12/21/2004 000
Donation a(ll)
1115/2005 6378 City of Arden Hills 703.92 12/21/2004 000
Donation: 10% fund a( 8)
2/9/2005 6389 St Mary 5000.00 1/18/2005 000
donation: operating expenses a(ll)
2/9/2005 6390 lrondale High School 5000.00 1118/2005 000
donation: Girls softball -- a( 7)
2/28/2005 0 Unsold Pull tab Tax Credit 2063.12 2/28/2005 000
Schedule C entry a( 8)
3/1/2005 6401 Moundsview High School 200.00 2/1 5/2005 000
Chalkboard Capers .- a( 4)
3/9/2005 6404 St Mary 5000.00 2/15/2005 000
donation; operating expenses a(ll )
3116/2005 6407 City of Arden Hills 1178.70 2115/2005 000
. 4/20/2005 10% fund a( 8)
6419 St Mary 5000.00 3115/2005 000
donation: operating expenses a(1l)
4/20/2005 6420 St John the Baptist School 5000.00 3115/2005 000
donation: operating expenses ---- a( 4)
4/20/2005 6421 City of Arden Hills 222630 311512005 000
donation: 10% fund a( 8)
4/22/2005 6423 State of Minnesota 600.00 3/I 5/2005 000
additional license fee a(19)
5/14/2005 6434 St Mary 5000.00 4119/2005 000
donation: operating expense a(1l)
5/14/2005 6435 St Odilia School 5000,00 4/19/2005 000
donation; operating expenses ~ a( 4)
5114/2005 6437 City of Arden Hills 1530.92 4119/2005 000
donation: 10% fund ~ a( 8)
Gss 08102 Subtotal: 44376.72
.
G]eason's Software & Services Lawful Expenditures Report (C)
Gambling Records and Reports Based on All Purpose Codes
ST. MARY ROM. ORTIL CHURCH (00489) January 2005 for 12 months .
Page 2
Program
Date Check# Pay-To Amount Approved /Code
6/1/2005 6444 Metro Center for Ind. Living 2350.00 5/17/2005 000
donation: wheelchair ramp a( I)
6/112005 6445 St Mary 5000.00 5/17/2005 000
donation a(ll)
6/16/2005 6450 City of Arden Hills 12]2.37 5/17/2005 000
donation: 10% fund a( 8)
6/27/2005 6452 J R Pangerl, Lid 3000.00 5/17/2005 000
a(]2)
7116/2005 6460 St. Mary Rom. Orth. Church 5000.00 6/2 I/2005 000
donation a(ll)
7116/2005 6461 Ramsey County Schoo] Patrol 1000.00 _ 6/2I/2005 000
donation a( I)
7119/2005 6463 City of Arden Hil]s 1345.56 6/2 I/2005 000
donation: 10% fund a( 8)
81712005 6473 St. Odilia School 3000.00 7/19/2005 000
-- .
Donation: soccer a( 4)
8/7/2005 6474 St Mary 5000,00 7119/2005 000
Donation: Operating expense a(ll)
8/9/2005 6476 City of Arden Hills 710.30 7/19/2005 000
Donation: 10% fund ~ a( 8)
9/I/2005 6488 St. Mary Rom. Orth. Church 5000.00 8/16/2005 000
Donation: Operating expense a(ll)
9/17/2005 6492 City of Arden Hills 865,6~ 8/16/2005 000
Donation: 10% fund a( 8)
10/5/2005 6502 St. Mary Rom. Orth. Church 5000.00 9/20/2005 000
donation: operating expenses a(ll)
10/5/2005 6503 St. Mary Rom. Orth. Church 2063.12 9/20/2005 000
donation: operating expense a(1l)
10/5/2005 6504 Friends of Ramsey Co. Library 2000.00 9/20/2005 000
donation: Shoreview branch a( 1)
Gss 08/02 Subtotal: 86923.72
.
Gleason's Software & Services Lawful Expenditures Report (C)
Gambling Records and Reports Based on All Purpose Codes
ST. MARY ROM. ORTH. CHURCH (00489) January 2005 for 12 months
. Page 3
Program
Date Check# Pay-To Amount Approved ICode
10/1 7/2005 6508 City of Arden Hills 376.61 9/20/2005 000
donation; 10% fund - a( 8)
1119/2005 6519 St Mary 5000.00 lOll 8/2005 000
donation; operating expense a(ll)
11/9/2005 6520 NW Youth & Family Services 5000.00 10/18/2005 000
donation a( 1)
11/9/2005 6522 City of Arden Hills 1823.!!.i-- lOll 8/2005 000
donation: 10% fund a( 8)
1214/2005 6532 St. Mary Rom. Orth. Churcb 10000.00 11/]5/2005 000
donation: operating expense a(ll)
12/4/2005 6533 NW Youth & Family Services I~ 11115/2005 000
donation a( I)
12/4/2005 6534 St. Odilia School 5000.00 11/15/2005 000
donation a( 4)
12/4/2005 6535 St John the Baptist School 5000.00 11115/2005 000
-
. donation a( 4)
12/4/2005 6536 City of Arden Hills 5000.00 IlII5/2005 000
donation: park fund a(lO)
12/4/2005 6537 Ralph Reeder Foodshelf 5000.00 11/15/2005 000
donation ------ a( I)
12/1712005 6541 City of Arden Hills 1~ II 1l5/2005 000
donation: 10% fund a( 8)
Total: 145914.49
.---
I I 1 \.
(
Gss 08/02
.
ST. MARY ROMANIAN ORTHODOX CHURCH
854 Woodbridge Street St. Paul, MN 55117
.
TREASURER'S REPORT
Projected gross receipts I prizes 2006 ($) at Arden Hills Bingo Hall:
Gross Receipts
Prizes
Net Receipts
Bingo
1,400,000
1.000,000
400,000
PuUtabs
380,000
270,000
110,000
Totals
1,780,000
1,270,000
510,000
This projection assumes no adverse conditions such as smoking bans.
.
Ed Teisanu, Treasurer
.
.
.
.
8{05
Page 1 of 2
Minnesota Lawful Gambling
LG215 Lease for Lawful Gambling Activity
Organization name License number Daytime phone
>t MM:-f f?<>Mj-1./I.4-~&~1HoO"'~ cHuRdl ."'~_n~t 4.rr.:)"'-"f I
Nameo!leas doremlses Street address Crty Slale Zip Daytime phone I
I \1' I
p~-r c (; old kil7"o ---1J7I- C~II~I(<I_k~__J:LdjL___-,,--~,-,-----,-r'--il~~
IName olle~al owner of premises BUSiness/street addr~~ Crty . State Zip Daytime phone I
LG-~ 1~L3~~.l1.I<" C"~J1'---~-"'--JtdiL -"YJ ~r{I'-_ --- J
Name of lessor (if same as legal Business/street address City State Zip Daytime phone I
owner, write In "SAME")
SI<Mf'_
Check all activities that will be conducted:
__PUll-tabs __ Pull-tabs with dispensing device _Tipboards
Paddlewhecl
Paddlewheel with table -X-Bingo __Bar blngo
Pull-tab, Tipboard, and Paddlewheel Rent (No lease requ"ed for caffles,)
Booth operation. Sdles of gambling equipment by an employee
(or volunteer) 01 a licensed organilation within a separate 'V"'l!osure
that is distinct from areas Wflere food ;:lnd beverages iJre sord.
Bar operation soles at gambling equl[)ment within a leased
premisl'S by on employee or the lessor frOrTI a common area where
toad and beveruge,> are iJlSO sukJ.
------------ --
-------""1
-------'
If you answered yes to the qucStlon above, rcnt limits are
based on the followtng combinations of operation:
Bootll operation
Booth operation and pull-tab dispensing device
BOOUl operation and bar operation
! _ Booth operation, bar operation, and pull-tab dispensing device
If you answered no to the question above, rent limits are
based on tlle following combinations of operation.
Bar operdtion
Bar operation with pull-tab dispensing deVice
Puli-tab dispensing device only
The maximum rent allowed may not exceed $1,750 in total
per month for all organizations at this premises.
fhe miJXimum rent allowed may not exceed $2,500 in total
per month for all organizations dt this prcmlses.
Complete one option:
Option A: 0 to 10% of the gross profits per month.
Percentage to be paid _ %
Complete one option:
Option A: 0 to 20% of the gross profits per month.
Percentage to bc paid_ _____ U/a
Option B: When gross profits are $4,000 or less per month, $0 to Option B: When gross profits are $1,000 or less per month, $0
1 $400 per month may be paid. Amount to be paid $___. to $200 per month may be paid. Amount to be paid t.__.
Option C: $0 to $400 per month may be paid on the first $'1,000
uf gross profit. Amount to be paid $_ ~ Plus 0% to
10%, of tile gross profits may be paid per month on gross profits
over $4,000 f'ercentage to be paid ___ %
Option C: $0 to $200 per rnonnl may be paid on the first $1,000
of gross proflts_ Amount to be paid $__ ___. Plus 0% to
20% of the gross profits may be paid per month on gross profits
over $1,000 Pel-cent;-)geto be paid ________%
Bingo Rent
Option 0: 0 to 10% of the gross profits per rnonth from all lawful
gambling activities held during bingo occasions, excluding bar bingo.
Percentagc to be paid _ %
Bar Bingo Rent
_ _ Option F: No rent may be paid for bingo
conductl-'d 111 a bar
Option E: A rate based on a cost per square foot not to exceed 110%
of a comparable cost per squJTe foot for leased spacc, as approved by
the director of the Gambling Control Board. No rent may be paid for bar
bingo. Rate to be paid $____ per square foot.
The lessor must attach documentation, verified by the organization, to
confnm the comparClble rate and all applicable costs to be paid by the
j orgcmization to the lessor
- _.- - - - --- - - - -
For any new bingo activity flat previously
I included in a Premises Permit Application, I
I attach a separate ",Ileet of paper listing the I
days and hours that bingo ,"'-1111 be com1ucted
L_____ ___________.J
Amended
Lease
Only
Jf thiS is an amended lease shov...ing changes occurnng dunn<:J the term of Ule current pr-emlse5 permit, both parties
that signed the lease rnustlnitial and date all changes. Changes rnust be submitted to the Gambling Control Board
at least 10 days prior to the change Nnte In the date that the changes Will be effectlVf' j ----- --.l_______
Lessor
Date
Organl1ation
D,Jte
,
--.-
~---_._-_._._--_._-_..._-_._---_..__..-
8/05
Page 2 of 2
LG215 Lease for Lawful Gambling Activity
.
Lease Tenn - The term of this lease agreement will be
concurrent Wltn the premises permit issued by the Gambling
Control Board (Board).
Management of Gambling Prohibited - The owner of the
premises or the Ies..sor will not manage Lhc conduct of gambling
at the premises
Participation as Players Prohibited - The iessor, the lessor's
immediate family, and any agents or gambling employees of the
lessor will not participate as players in the conduct of lay.,rful
gambling on me premises
Illegal Gambling
. The lessor is aware of the prohibition against Illegal gambling
in Minnesota Statutes 609.75, and tlle j)enalties for illegal
gambling violations in Minnesota Rules 7861.0050, Subpalt 3.
[n addition, the Board may authorize the organization to withhold
rent for a period of up to 90 days if the Board determines that
illegal gambling OCQ.mN on the premises and that the lessor or
its employees participated in the illegal gambling or knew of the
gambling (lnej diej not take prompt action to stop the gambling.
Contlflued tenancy of the organization is authorized without the
payment of rent during the time period determ~ned by the Board
for violations of this provision.
. To the best of ttle lessor's knowledge, the lessor affirms that
any and all games or devices located on the premises are not
being used, and are not capable of being used, in a manner
that violates the prohibitions against illegal gambling in
Minnesota Statutes 609.75, and the penalties for illegal
gambling vlolationslf1 Mlnncsata Rules 7861.0050, Subpart 3.
Not........ithstanding Minnesota Rules 7861.0050, Subpart 3, an
organization must continue making rent payments, pursuant
tc the terms of the lease, if the organization or its agents are
found to be solely responsible for any illegal gambling conducted
at th,:.Jt site that IS prohibited by Minnesota Rules 7861,0050,
Subpart I, or Minnesota Statutes 609.75, unless the
organization's agents responsible for the ilkc-gal gambling
activity are also agents or employees of the lessor.
fhc lessor shall not modify or terminate the lease in whole or
in part because the organizat~on reported to a state or local
law enforcement autl10rily or the Board the occurrence at the
site of illegal gambling activity in which the organization did not
p<Hticipate.
Other prohibitions
. The lesSor will not impose restrictions on the organization with
respect to providers (distnbutors) of gambling-related equipment
and services or in the use of net profits for la'NFul purposes.
. The lessor, person reSiding in the same household as the lessor,
the lessor's Immediate family, and any agents or employees of the
lessor will not requii-e the orgar1iZJtion to perform any action that
would violate statute or rule. [f there is a dispute as to whether
a violation of this prOVISion occurred, dle lease will remain in
effect pending a final determination by the Compliance ReView
Group (CRG) of the Gambling Control Board. The lessor agrees
to arbitration when a violation of this provision is alleged. The
arbitrator shall be the eRG
. TIle lessor shall not modify or terminate thiS lease in whole or In
part due to the lessor's Violation ot tile provisions listed in this
lease.
Access to permitted premises - The Board and its agents, the
commissioners of revenue and publrc safety and their agents, and
law enforcement personnel have access to the permitted premises
at any reasor\dble time dunng the business hours of the lessor. The
organizatiorl 11as access to the permitted premises dUring any time
reasonable and when rl('( cssary for the conduct of lavvful gambling
on the premises
Lessor records - The lessor shall maintain a record of all money
received from the organization, and make the record available to
the Board and its agents, and the commissioners of revenue and
public 'Xlfery and their dgents upon demand. The record shall be
maintained for a penod of 3-1/2 'r'cars.
Rent all-inclusive - Amounts paId as rent by the organIzation to
the lessor are alHncfusive. No other services or expenses proVided
or contrclctcd by the lessor may be paid by the organization,
including but not limited to trash removal, janitorial and cleaning
serv~ces, snow removal, lawn services, electricity, heat, security,
security monltorrng, storage, other utilities or services, and in the
case of bar operations, cclsh sllortages. Any other expenditures
made by an orgarlizatlon that is rel,lted to a leased premises must
be approw__>d by the director of the Gambling Control Board. Rent
payments may not be made to an individual.
.
Acknowledgment of Lease Terms All obligations and agreements are contained in or dttached to thiS lease and are subjed
to the approval of the director of tile Gambling Control Board. [affirm that U,e lease InforrrEltiotl IS the totClI and only agreement
between the lessor and the organization. There is no other agreement and no ottler consideration reqUired between the parties as to
the lawful gambling and other matters related to the lease. Any changes in this lease will be submitted to the Gambling Control Board at
least] 0 days prior to the effective date of the change. If a renegotiated lease is made due to a change In ownership, the new lease will
be submitted within 10 days after the new lessor has assumed ownersnlp.
List or attach other terms or conditions (must be <tpproved by director ot Gambling Control Board)
.l.=Jh=Qi.c_
Dale
1-/10 ,- U t., , ' , ..it ~~i'JL'ITI~
Date Slgnalure of Jg8nIZ<JIIOII OffICI;)1 [lessee)
dst'J;Ai-u-,d~t'~ I;
Sl(jnalure 01 iessor
_GQLILL__Si~ .inq)
Print name and title of lessol
~~e ILil.(Qb.i1j,\,cD, l-lt\mblo1''' D1i\11J(Ji{CL
Print narY18 and title of lessee ) J
Questions or this form should be directed to the Licensing Set."tion of the Gambling Control Board (Board) at 651-639-4000. This publication
will be made a'.,tailable III alternative format (Il". large print, Braille) upon request If yOU use a TTY, you can call the Board by uSing the
Minneso:a Relay Service and ask to place a (ill! to 651-639-4000. The IflfNmJtion requested on thiS form wiil become pubhe Inforlnatlon
when received by the tIoard, and will be used to determine your compliance With Minnesota Sl3tures and rules governrllg lawtui gambling
cKUVltl('';
.
.
.
.
BINGO HALL SCHEDULE
HI
10 January 2006
621 Foundation, Inc.:
Mondays 10:00 am to nool1
Mondays 7,15 pm to 9:00 pm
Mondays 9: 15 pm to II :00 pm
Fridays
rridays
Fridays
Fridays
?OO pm to 4:00 pm
7,15 pm to 9:00 pm
9:15 pm to 1100 pm
11:15 pm to IUU am
51. Mary Romanian Orthodox Church:
Wednesdays
Wednesdays
Wednesdays
Saturdavs
Saturdays
Saturdays
Saturdays
10:00 am to noon
715 pm to 9:00 pm
9:15 pm to 1100 pm
?:OO pm to 400 pm
7,15 pm to 900 pm
9:15pmto II:OOpm
II: 15 pm 10 100 am
SI. Katherine Ukrainian Orthodox Church
Sundays
Sundavs
Sundays
luesdays
"j'uesdays
? 00 pm to 400 pm
7 15 pm to 900 pm
915 pili tu 1100 pili
7' I 5 pm to 9 :00 pm
') I 5 pm 10 I I 00 pm
Thursdays 7'15 pm to 900 pm
Thursdays 915 pm to II :00 pm
4
4
~
~HILLS
. Prepared by: GSB
Dept: O&M
Council Mtg. Date: 1/30/06
Final Action Needed By: 1/30/06
City of Arden Hills
Request for Council Action
Agenda Item 3.E
2005 PMP- Pavment #6
Budgeted Amount: $1,680,000
Actual Amount: $1,680,000
Funding Source: Multiple
Council Action Request:
Motion to approve Payment #6 for the 2005 Pavement Management Program to Arnt Construction
Company, Inc. in the amount of $234,331.17. A retainage of 5% is being held for this project
Staff Recommendation:
City Staff recommends the Council approve Pay Estimate #6 for Arnt Construction Company, Inc of Hugo.
Advisory Commission Action:
Commission
Planning
PTRC
Date
Action
Not Applicable
__)>lot Applicable
Not applicable
Supporting Documents (which are attached to this Action Form):
. 0 Memo/Letter:
o Resolution (No.)
o Ordinance (No. )
[8J Engineering Recommendation: See Attachment
o Attorney Recommendation:
['8] Other: Application for Payment #6
Financial Implications:
Administrator/Staff Comments:
.
Page 1 of 1
I
.
.
.
URS
AGENDA ITEM 3.E
Thresher Square
700 Third Street South
Minneapolis, MN 55415
Phone: (612) 370-0700
Fax: (612) 370-1378
To:
File: 31809691
Cc:
Murtuza Siddiqui I Arden Hills
Financc Director
Michelle Wolfe I Arden Hills
Tom Moore I Arden Hills
From: Gregory S, Brown
Arden Hills City Engineer
Date: January 25, 2006
Subject: Pay Estimate #6
2005 Pavement Management Program
Background
The City of Arden Hills awarded Amt Construction Company, Inc. of Hugo, MN the 2005
Pavement Managcment Program on August 8, 2005 for a total contract amount of
$1,375,247.66.
Project Status
The Contractor has now fully completed the utility, roadway, and drainage portions of the
project. Landscaping and restoration items will be reviewed once again in the spring for
adherence to Contract Specifications. All signs on the project have been placed as specified on
the plans. Pavement markings have not been placed due to weather problems but are on the
Contractor's schedule for first thing in the spring.
A final walk-through will be organized with City staff, the Contractor, and the Engineer in the
spring to create a punchlist in order to finalize the work and create a final payment.
Recommendation
The Arden Hills City Engineer recommends the Council approve Pay Estimate #6 for Amt
Construction Company, Inc, of Hugo, MN in the amount of $234,331.17.
\
APPLICATION FOR PAYMENT
PAYMENT NO.6
URS Copy
vt."
,:v l..,-'/,'i,!
..., '-. .(-',;
Gcnir8ctcit' Copy
.
Project:
2005 Pavement Management Program
Owner:
Owner No.:
Contractor:
URS Job No.:
Application Date:
For Period Ending:
City of Arden Hills
ARNT CONSTRUCTION COMPANY, INC.
31809691.00301
1/17/2006
12/31/2005
Original Contract Amount:
Contract Amendments:
Contract Amount To Date:
Total Amount of Work Complete To Date:
Material Suitably Stored On-Site but not
Incorporated Into Work:
Gross Amount Due To Date:
Less 5.00% Retainage:
Amount Due To Date:
Less Previous Payments:
Total Due This Application:
$1,375,247.66
$0.00
$1,375,247.66
$1,344,458,31
$0.00
$1,344,458.31
$67,222.92
$1,277,235.39
$1,042,904.22
$234,331.17
I hereby certify that all items and amounts shown are correct for the work completed
to date. II I(L
C'""'''''''71f c,'"",,4 em,,",
By: L L--..-/ Date: J -) 9 - 6&
'-.---)
.
The work shown on this project and the application for payment have been reviewed
and the amount shown is recommended for payment.
By:
Date: )-/8.06
APPROVED FOR PAYMENT
Owner: City of Arden Hills
By:
Date:
.
Page 1 of 5
. Payment History
Payment
Payment Payment Application
Number End Date Date Amount
1 9/9/2005 9/12/2005 $289,021.88
2 9/17/2005 9/21/2005 $130,046.20
3 10/1/2005 10/512005 $155,987.63
4 11/3/2005 11/1412005 $338,891.85
5 121412005 121912005 $128,956.66
Total Payments: $1,042,904.22
.
.
Page2of5
Sch. Item No MnOOT No Descriplion
A
A
A
A
B
A
A
A
A
A
C
C
C
C
B
B
B
A
A
A
A
A
A
A
B
B
B
A
A
A
B
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
B
B
B
A
B
B
B
B
B
B
3
4
5
5
7
2021.501
2101.502
2101.507
2102.502
2104.501
2104.501
2104.501
2104.503
9
10
11
12
13
14
15
16
17
"
19
20
21
22
23
24
25
25
"
25
2104,505
2104.505
2104.509
2104.509
2104.509
2104.509
2104.509
2104.509
2105.509
2104,509
2104.511
2104.523
2104,513
2104.513
2104.523
2104.523
2104.523
2104.525
2104.525
2104,501
2105.50t
2105,507
2105.511
2105522
29
30
"
32
33
34
35
36
2105522
2105.607
2123,501
2123.501
2130.501
2123.510
2221.501
2211.503
2232.501
2301.529
2331.50B
37
38
39
40
41
42
43
44
2350.501
45
2350.502
2360.501
46
47
2360.50\
46
2350,604
2357.502
2501.602
2501.602
2501.602
2501602
2502.541
"
50
51
52
53
54
55
2503541
55
57
"
59
60
2503.541
2503541
2503541
2503.541
2503541
MOBILIZATION
CLEARING
GRUBBING
PAVEMENT MARKING REMOVAL
RErmVE SEWER PIPE (STORM)
REMOVE CONCRETE CURB AND GUTTER
REMOVE GUARD RAIL
REMOVE CONCRETE DRIVEWAY PAVEMENT
REMOVE BITUMINOUS PAVEMENT
REMOVE BITUMINOUS DRIVEWAY PAVEMENT
REMOVE HYDRANT AND VALVE
REMOVE GATE VALVE & BOX (B'}
REMOVE GATE VALVE & BOX (12")
REMOVE GATE VALVE & BOX {l6')
REMOVE FLAREO END SECTION (15' - 24")
REMOVE MANHOLE
REMOVE CATCHBASIN
REMOVE BOLLARD
SAWING CONCRETE PAVEMENT (FULL DEPTH)
SALVAGE SIGN TYPE 0
SAWING BIT PAVEMENT (FULL DEPTH)
SAWING BIT DRlVEWAY PAVEMENT
SALVAGE SIGN TYPE C
SALVAGE STREET SIGN
SALVAGE STORM SEWER FES
ABANDON PIPE SEWER (FILL WITH SAND)
ABANDON STORM MANHOLE
HAUL SALVAGED MATERIAL
COMMON EXCAVATION (EV) (P)
SUBGRADE EXCAVATION (EV)
COMMON CHANNEL EXCAVATION
SELECT GRANUlAR BORROW (CV) (P)
SELECT GRANULAR BORROW (CY)
EXCAVATION SPECIAL {EV}
COMMON LABORER
UNILOADED SKIDSTEER
WATER
STREET SWEEPER (WITH PICKUP BROOM)
AGGREGATE BASE, CLASS 5
AGGREGATE BASE (CV), CLASS 5 (P)
MILL BITUMINOUS SURFACE (P)
DQWELBAR (REINFORCEMENT FOA CONCRETE PAVEMENT)
BITUMINOUS DRIVEWAYS-T'fPE LV 3WEARING COURSE
TYPE LV 3 WEARING COURSE MIXTURE (Bi
TYPE LV 3 NON WEARING COURSE MIXTURE (C)
TYPE SP 125 WEARING COURSE MIX (3,B)
TYPE SP 12.5 NON.WEAR COURSE MIX (3,6)
BITUMINOUS PAVEMENT PATCHING
BITUMINOUS MATERIAL FOR TACK COAT
TRASH GUARD FOR 4B" PIPE APRON
48" FIG PIPE APRON
24" Re PIPE APRON
lS" RC PIPE APRON
4" PERF PVC PIPE DRAIN
lS" RC PIPE SEWER DES 3006CL V
1 S" RC PIPE SEWER DES 3006 CL V
21" RC PIPE SEWER DES 3006 CL III
24" RG PIPE SEWER DES 3006 CL II
27" RG PIPE SEWER DES 3006 CL 111
42" FIG PIPE SEWER OES 3006 Cl V
lO
TREE
TREE
LF
IF
IF
Sy
SY
SY
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
IF
EACH
LF
IF
EACH
EACH
EACH
IF
EACH
LS
CY
Cy
Cy
Cy
Cy
CY
HOUR
HOUR
MGAC
HOUR
TON
CY
SY
LBS
TON
TON
TON
TON
TON
SY
GAL
EACH
EACH
EACH
E,",CH
IF
IF
LF
IF
LF
LF
LF
Unit
Contmct
Quantity
AppliealiOlllor Payment: nemizalion
Contract
Amoun!
IF
15,00
15.00
55000
279.00
1,381.00
150.00
100.00
11,186,00
1.730.00
lB.OO
5,00
6,00
2,00
7.00
1.00
1.00
3,00
100.00
1.00
~7300
B7500
53.00
3.00
2,00
5B3.00
1,00
1,00
10,290.00
100.00
10,750.00
3,344.00
600.00
!i0000
20.00
20.00
500.00
60.00
60000
2,27000
22.246.00
100.00
255.00
4,895.00
1,257.00
7600
38.00
2,BOOOO
3,465.00
'00
100
1,00
200
2,792.00
1,132.00
647.00
882,00
\ O~i. 00
20,00
275.00
UnilPrice
1,00
$54,000.00
$135.00
$135.00
$0,50
$24.00
$1.50
$3.80
$4_00
.$1.50
$3.00
$930.00
$520.00
$520.00
$520.00
$154.00
$206.00
$154.00
$25.00
$400
$75.00
$2.00
$2.00
$25.00
$25.00
$715,40
$15,40
$105.00
$500.00
$9.46
$9.46
$7.24
$12.00
$1200
$946
$5500
$94.00
$Om
$0.01
$10.18
$24.46
$1.22
$4,72
$55.20
$34,00
$4000
$82.00
$83,00
$22.00
$1.90
$1,500.00
$1,600.00
$1,130.00
$824,00
$3.00
$26.00
$2700
$3600
S3BOO
$4600
$11800
$54,000.00
$2,025.00
$2,025.00
$275.00
$6,696.00
$2,071.50
$570.00
$400.00
$16,779.00
$5,190,00
$16,74000
$2,800.00
$3,120.00
$1,04000
$1.Q76.00
$206,00
$154.00
$75.00
$400,00
$75.00
$1,946.00
$1,750.00
$1,325.00
$75.00
$1,430,BO
$8,97820
$105_00
$500.00
$97,3434{)
$946.00
$77,830.00
$40,128.00
$7,200.00
$4,730.00
$1,100.00
$1,86000
$500
$060
$6,10600
$55.52420
$27,140-.12
$472.00
$14,076.00
$166,430.00
$50,280.00
$6,232,00
$3,15400
$61,600.00
$6,58350
$1,50000
$1.800,00
$1,130.00
$l,64B.OO
$8,376.00
$29,432.00
$17,46900
$31.752.00
$4,02800
$92000
$32,45000
To date
Quantity
1,00
51.00
51.00
542.00
469.00
1,227.00
150.00
33,00
12,035_00
1,061.00
19.00
2,00
100
2,00
7,00
2,00
300
300
000
100
4,094.00
456,00
46.00
0_00
000
""""
000
1,00
10,290,00
50.00
22.76160
3,344.00
0,0(}
100,00
0,00
0,00
0,00
0,00
360.00
2,679.00
22,2-46.00
100.00
210.00
1,086.00
-4,052,00
225.00
136.00
526.86
1,685.00
0,00
2,10
000
3.89
2,770,00
1,357_87
612.00
819.00
666.65
166.20
0.00
To dale
Amount
$54,000.00
$6,685.00
$6,885.00
$271.00
$11,256.00
$1,840.50
$570.00
$132.00
$18,052.50
$3,1a.J.00
$17,670.00
$1,040.00
$520.00
$1,040.00
$1,078.00
$412.00
$462.00
$75.00
$000
$75,00-
$8,188.00
$912.00
$-1,150.00
$0,00
$0,00
$12,814.03
$0.00
$-500.00
$97,343.40
$473.00
$164,793.9B
$40,128.00
$000
$M6.DO
$0.00
$0.00
SO.OO
$0.00
$3,664.&1
$65,528.34
$27,140.12
$472.00
$11,592.00
$36,924.00
$162,080.00
$18,450.00
$11,288.00
$11,590.92
$3,201.50
$0.00
$3,700.00
$000
$3,205,36
$8,31000
$35,304.62
$15,524.00
$29,484.00
$25,332.70
$7,645.20
$0.00
.
.
.
3015
.
.
.
B
B
B
C
C
C
C
C
C
C
B
B
B
B
B
B
B
B
B
A
A
B
B
B
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
A
A
B
B
B
A
B
B
B
B
61
62
63
64
2503.541
2503.602
2503.602
2504602
2504.602
2504.602
2504.602
65
66
62
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2506.522
2506.522
2506.601
2506.602
2511.501
2531501
2531.501
2531.501
2531.503
2531.503
2531.507
2554.523
2554.603
2563.601
2564.531
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2564.531
2564.552
2564552
2564.602
2563.602
2554.602
2564,503
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48' FlC PIPE SEWER DES 3005 CL V
CONNECT TO EXISTING STORM SEWER
CONSTRLlCT TEMPORARY BULKHEAD
F&t HYDRANT AND VALVE
6' GATE VALVE AND BOX
12" BUTTERFLY VALVE AND BOX
16. BUTTERFLY VALVE AND BOX
6' WATER MAIN DUCTILE IRON Cl52
B" WATER MAIN DUCTILE IRON CL 52
WATER MAIN FITTINGS
CaNST DRAINAGE STRUCTURE DESIGN SPEC 2 (4B")
CaNST DRAINAGE STAUCTURE DESIGN SPEC 2 {66")
CONST DRAINAGE STRUCTURE DESIGN SPEC 2 (72')
CaNST DRAINAGE STRUCTURE DESIGN SPEC 2 (108.)
CONST DRAINAGE STRUCTURE DESIGN SPEC 2 (2 X 3}
CASTlNG ASSEMBLY (3067-V)
CASTING ASSEMBLY (R-2561-A)
CASTING ASSEM9L Y (MH GAATE) - POND OUTLET
CASTING ASSEMBLY lR-1733)
ADJUST SANITARY MANHOLE
ADJUST STORM STRUCTURE
MODIFY STRUCTURE
CONSTRUCT WOODEN SKIMMER STRUCTURE
RANDOM RIP RAP CLASS III (INCLUDES GEOTEXTILE FABRIC)
CONCRETE CURB & GUTTER DESIGN 8618
CONCRETE CURB & GUTTER DESIGNB618 (SPOT REPAIRS)
CONCRETE CURB & GUTTER DESIGN 0418
Il" CONCRETE PAVEMENT
3" CONCRETE WALK
7" CONCRETE DRIVEWAY PAVEMENT APRON
END TREATMENT" FLARED TERMINAL
PLATE BEAM GUARD RAIL
TRAFFIC CONTROL
SIGN PANELS TYPE C
SIGN PANELS TYPE D
INSTALL SPECIAL SIGNS (TEMPORARY}
HAZARD MARKER X4.2
HAZARD MARKER X4-11
INSTALL SIGN
PAVEMENT MESSAGE (RR CROSSING) EPOXY
PAVEMENT MESSAGE (RTIL T ARAOW) EPOXY
4' SOLID LINE WHITE-EPOXY
4' SOliD LINE YELLOW-EPOXY
4" BROKEN LINE WHITE-EPOXY
4" BROKEN LINE YELLOW-EPOXY
12" STOP LINE WHITE-EPOXY
ZEBRA CROSSWALK-WHITE
SILT FENCE, TYPE HEAVY DUTY
HAY8ALE
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SEEDING (WITH 4- TOPSOIl)
SEEO MIXTURE 350 (WITH 4. TOPSOIL)
SEED MIXTURE 31 0 (WITH 4" TOPSOIL)
SODDING -SALT RESISTANT TYPE WITH 4" TOPSOIL
MULCH MATERIAL TYPE 3
DISK ANCHORING
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19.30
22.80
19.20
12.00
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1.00
5,00
8,00
24.00
100
100
37.00
4,581.00
2,445.00
250.00
35.00
480.00
735.00
1,00
800.00
1,00
239.10
32.00
50.00
100
4,00
300
2.00
5.00
4,591.00
10,360,00
200.00
315.00
60.00
630.00
1,250.00
25.00
4,00
3,00
225.00
41.00
10,258,00
4,00
2,00
300.00
1,000.00
$134.00
$1,55000
$515.00
$4,120.00
$2,600.00
$3,100.00
$4,620.00
$26.00
$26,00
$3,50
$230.00
$36000
$310.00
$900,00
$180.00
$400,00
$480.00
$900.00
$550.00
$450.00
$400.00
$1,050,00
$3,100.00
$100.00
$8.50
$2200
$920
$46.00
$2.80
$44.00
$2,100.00
$16.40
$4.500.00
$25.00
$27,00
$13.00
$47.00
$47.00
S1l8.00
$560.00
$128.00
$0.24
$0.45
$0.12
$0,12
$6.20
$1.04
$0.01
$600
$1.00
$980.00
$6.00
$8.00
$3.00
$140.00
$95.00
$0,60
$1.80
$59,630.00
$15,500.00
$515.00
$74,16000
$13,00000
$18,600.00
$9,240.00
$4,47200
$2,600,00
$1,750,00
$13,385,00
$6.624.00
$5,963.00
$20,520.00
$3,456.00
$4,600.00
$480,00
$90000
$2,75000
$3,600.00
$9,600,00
$1,050,00
$3,10000
$3,70000
$38,938.50
$53,790.00
$2,300.00
$1.610.00
$1,344.00
$32,34000
$2.100.00
$13.120.00
$4,50000
$5,977.50
$864.00
$650.00
$47.00
$lall.OO
$264.00
$1,120.00
$640.00
$1,10184
$4,66200
$2400-
$3780
$372.00
$655.20
$12.50
$150.00
$4.00
$2,940,00
$1,350.00
$32800
$30.77400
$560.00
$190,00
$160.00
$1,80000
$1,375,247.66
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4.00
172,00
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96.72
7.17
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19.33
17.89
100
100
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5.83
12.1l8
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0.91
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3,024.00
235.00
79.00
1,556.79
269.00
1.00
750,00
2.53
279.39
32.00
50.00
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$515.00
$85,531.20
$2,132_00
$6,200.00
$18,41l0.00
$4,472.00-
$2,059.46
$4,896.71
$22,245.60
$2,581.20
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$3,479.40
$7,156,00
$480.00
$900.00
$4,950.00
$2,62350
$5,152.00
$1,050.00
$2,821.00
$3,750.00
$31,628.50
$66,526-00
$2,16200
$3,634.00
$4,359.01
$11,83600
$2,100,00
$12,300,00
$11,385.00
$6,984.75
$864.00
$650.00
$9400
$168.00
$176.00
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~
.--A~HILLS
City of Arden HIlls
Request for Council Action
Prepared by: SJ
Dept: Admin
Council Mtg. Date: 1/30/2006
Final Action Needed By:
1/30/2006
Agenda Item ;~I~
Motion to Approve the Proposal Submitted bv Chuck WaQon
CaterinQ in the Amount of $4,185.45 for the CelebratinQ
Arden Hills Annual Catered Meal Event
Budgeted Amount: $40,000.OO-Whole Event
Actual Amount: $4,185.45
Funding Source: Administration
Council Action Request:
City staff is requesting a motion by the City Council to approve the proposal submitted by Chuck
Wagon Catering Company in the amount of $4,185.45 for the Celebrating Arden Hills annual
catered meal event
Staff Recommendation:
City Council motion to accept the proposal submitted by Chuck Wagon Catering Company, and
authorizes City staff to enter into an agreement in the amount of $4,185.45 for the Celebrating
Arden Hills annual catered meal event
Advisory Commission Action:
Commission
Date
Action
Not Applicable
Not Applicable
Not applicable
Plan~ing
Supporting Documents (which are attached to this Action Form):
['8] Memo/Letter:
o Resolution ( )
o Ordinance (No.
o Engineering Recommendation:
o Attorney Recommendation:
['8] Other: Proposal Submitted by Chuck Wagon Catering on December 8, 2005
Financial Implications:
$40,000 is budgeled for this year's event which includes the BBQ dinner. Last year's
BBQ dinner cost $5,533.00 (Including Sales Tax).
AdministratorlStaff Comments:
\\t\1etro-inet.us\ArdenHills\Admin\Assistant City Administrator\Requesls for Council Action\2006\Motion to Approve Chuck
Wagon's Catering Proposal-Celebrating AH.doc
.
.
.
~
~ILLS
MEMORANDUM
DATE:
Agenda Item 3.F.
January 25, 2006
TO:
Honorable Mayor and City Council Members
.FROM:
Schawn Johnson, Assistant to the City Administrator
SUBJECT:
Approval of the Chuck Wagon Catering Company Bid Proposal for the
Celebrating Arden Hills Annual Catered Meal Event
Backl!round
On Novcmber 22nd, City staff mailed out ten requests for proposals to catering service companies
throughout the metropolitan area. The deadline for the request for proposals was Deecmber 16th.
City staff received two proposals to provide the catered mcal for the Celebrating Arden Hills
event City staff did receive a number of inquiries about the City's annual event, but a few ofthc
catering companies had already scheduled to work other events on June 24th. A second concern
that was raised by one of the catering company's was that the event was too small and that it may
not be profitable for their organization.
The two companies that submitted proposals were Chuck Wagon Catering and Twin City
Catering. For your review, City staff has attached copies of the bid proposals and a cost
breakdown of the two proposals.
The proposal submitted by Chuck Wagon Catering Company was $4,185.45 for the catered
meal, staff, and license fees. Chuck Wagon Catering Company is offering the City two options
to choose from:
Option A-Hamburgers, Hot Dogs, or Chicken Breasts
Option B-Roasted Pig and Carved Turkey-On Site
Thc first proposal submitted by Twin City Catering is $7,379.1 7 for the catered meal, staff, and
license fees. Twin City Catering is offering the following food options:
-Italian Marinated Chicken Breasts
-Hamburgers
-Brats
-Hot Dogs
IIMetro-inetuslArdcnHillslAdminlAssistant City AdministratOl'lMemo's and Lcttersl2006lCc1cbrating Arden Hills-
Catering Proposals.DOC
Thc sccond proposal submitted by Twin City Catering is $7,496.87 for the catered mcal, staff,
and license fees. Twin City Catering is offering the following food options: .
-Italian Marinated Chicken Breasts
-Pulled Pork Sandwiches
-Brats
-Hot Dogs
On January 4th, Michelle Olson and I met with Byron Korns, Owner of Chuck Wagon Catering,
to discuss the Celebrating Arden Hills event. He mentioned that he has workcd a number of
events similar to Celebrating Arden Hills and would enjoy the opportunity to work with the City.
City staff has completed a background check on the Chuck Wagon Company and the feed back
from the organizations that he has workcd with in the past has been very positive.
At the January 23rd work session meeting, members of the City Council reviewed the two
proposals that were submitted by Chuck Wagon Catering and the Twin City Catering Company.
After rcvicwing the two proposals that wcre submitted, members of the City Council agreed to
pursue option B of the proposal submitted by Chuck Wagon Catering. Option B of the proposal
submitted by Chuck Wagon Catering includes: whole roasted pig, carved turkey, com on the
cob, fried potatoes, baked beans, salads, and dessert.
Recommendation
City staff is requesting a motion by the City Council to approve the proposal submitted by Chuck
Wagon Catering for option B (Whole Roasted Pig and Carved Turkey) in the amount of
$4,185.45 for the June 24,2006, Celebrating Arden Hills catered meal event. .
\\Metro-inetus\ArdenHills\Admin\Assistant City Administratorll\1emo's and Letters\2006\Cclebrating Arden Hills-
Catering Proposals,DOC
.
.
.
.
Chuck Wagon Catering Company
Byron Korus, owner
3425 Highway 169
Plymouth, Mn, 55441
December 8, 2005 Phone ~2-473-7041 www.mncatering.com
~!-
Schawn P. Johnson
City of Arden Hills
1245 West Highway 96
Arden Hills, Mn. 55112.5743
Dear Schawn,
This proposal is for the "Celebrating Arden Hills" annual cvent on June 24th, 2006 with
service from 5:00 pm to 7:00 pm, We will providc our own staff as requested for setup to
the cleanup of the entire event. I understand that we can arrive at 12:00 PM., however, we
will not need that much time, but we will be responsible for servicc and cooking of all
products,
Celebrating Arden Hills, custom menu:
Hamburgers
Hot Dogs
Chicken Breasts
Fresh fruit Display (Watermelon and seasonal fruit), Cole Slaw and Potato Salad,
A display of:
Lettuce, Tomato, Onions, Pickles and Sauerkraut
Mustards, Catsup, Horseradish and Barbecue Sauce
Chocolate Brownies
Beverages will include: Soda (in cans), iced tea, lemonade, bottles water, and coffee with
all appropriate cups and condiments.
$7.95+
We will also provide some garden burgers for vcgetarian individuals while thcy last.
Or
A Party with the Pig (and a few turkeys)
Whole Roasted Pig and Turkeys Carved on Site, Served with Sliced Sandwich Buns,
Fresh Cole Slaw, Western Pasta Salad, and Fresh Fruit Salad
Corn on the Cob, Barbecucd Baked Beans,
Cowboy Fricd Potatoes
And a station of condiments:
Assorted Barbecue Sauces, Honey Mustard Sauce, Chopped Onion, Sliccd Jalapeno,
Pickles,
Assorted Mustards, Horseradish, and other condiments
Chocolate Brownies
Beverages will include: Soda (in cans), iced tea, lemonade, bottles water, and coffee with
all appropriate cups and condiments.
Pricing for either of the above mcnus $7.95
M2M
December 9, 2005
The above menus 400 $7.95 $3180.00
Staff for the event 6 $125.00 $750.00
Sub total $3930,00
Minnesota sales tax 65% $255.450
Total for the event. $4185.450
This proposal includes all buffet tables, and all of our food functions are cookcd on sight
with oven fresh sandwich buns for the hamburgers, hot dogs and chicken breasts. This
pricing is based on two sandwich portions per person. We provide all heavy duty utensils
and tableware; will prepare the sandwiches as the guests request them for freshness; and
comply with all health codes of the County and State; our staff is ScrvSafe trained. We
will havc two double lines for ease and quickness of service. We will also, as requested,
provide and service the table cloths for the serving tables.
We are a licensed caterer, and will obtain all permits necessary to complete the function
without any additional costs to Arden Hills. We will forward a certificate of insurance to
the City of Arden Hills upon request In addition, we arc an approved caterer by the City
ofSt. Paul Division of Parks and Recreations.
Sincerely,
Byron Korus, owner
.
.
.
.
~
~HILLS
City ot Arden Hills
Request for Council Action
Prepared by: Murluza Siddiqui
Dept: Finance
Council Mtg. Date: 1/30/2006
Final Action Needed By:
1/30/2006
""5
Agenda Item ISI
MileaQe Rates/Policv Amendment
Budgeted Amount: $0.00
Actual Amount: $0.00
Funding Source: GF
Council Action Request:
1. Approve change in the mileage reimbursement rate for 2006 to 44.5 cents per mile.
2, Amend the City's existing policy to read "City will use the official IRS mileage reimbursement rate for
the use of private automobile for business purposes.
Staff Recommendation:
1. Approve change in the mileage reimbursement rate for 2006 to 44.5 cents per mile.
2. Amend the City's existing policy to read "City will use the official IRS mileage reimbursement rate for
the use of private automobile for business purposes.
Advisory Commission Action:
Commission
Date
Action
Planning
PTRC
. Supporting Documents (which are attached to this Action Form):
['8] Memo/Letter:
o Resolution (No. )
o Ordinance (No. )
o Engineering Recommendation:
o Attorney Recommendation:
o Other:
Financial Implications:
This change will have a minimal impact on the budget, as mileage reimbursement is a very insignificant
part of the City's budget An impact of this small magnitude can be easily absorbed into the existing
budget
AdministratorlStaff Comments:
.
Page 1 of 1
~
~~HILLS
MEMORANDUM
.
DATE:
January 24, 2006
Agenda Item 3.G
TO: Mayor and City Council Members
FROM: Murtuza Siddiqui, Finance Director/Treasurer ""s
SUBJECT: Mileage Reimbursement Rate/Policy Amendment
BACKGROUND:
Each December, the IRS reviews mileage reimbursement rates for private automobiles that are
used for business purposes for the next calendar year. On occasion, they might even review the
reasonableness of rates during the middle of the year. For the year 2006, IRS has established a
reimbursement rate of 44.5 cents per mile, Currently, the City reimburses staff at a 2004 rate of .
37.5 cents per mile. Between 2004 and December 2005, per mile rate had risen up to 48.5 cents.
The 48.5 cents was a temporary rate for the last quarter of2005, due to increased fuel costs.
Now thaI the fuel costs have dropped to around $2.25 per gallon as opposed to $3.00 last
summer and fall, IRS has determined 44.5 per mile is a reasonable rate for 2006.
DISCUSSION:
According to our existing travel policy, the mileage reimbursement rate is detcrmined by the
City Council. Most cities and other governmental organizations have a policy that ties the IRS
reimbursement rate to their policy so that it minimizes formal action cach time a change takes
effect.
RECOMMENDED ACTION:
Staff recommends that the City Council approve the following:
I. Approve change in the mileage reimbursement rate for 2006 to 44.5 cents per mile.
2. Amend the City's existing policy to read "City will use the official IRS mileage
reimbursement rate for the use of private automobile for business purposes".
.
,
.
.
.
~
~HILLS
City ot Arden HIlls
Request for Council Action
Prepared by: SJ
Dept: Admin
Council Mtg. Date: 1/30/2006
Final Action Needed By:
1/30/2006
~.
Agenda Item I~: :~
Motion to Appoint Vincent PelleQrin as a Citv of Arden Hills
Councilmember to Complete the Remainder of the Januarv 30.
2006 to December 31. 2006 Election Term
Budgeted Amount: NA
Actual Amount: NA
Funding Source: NA
Council Action Request:
Motion to Appoint Vincent Pellegrin as a City of Arden Hills Councilmember to Complete the Remainder
of the January 30, 2006 to December 31,2006 Election Term
Staff Recommendation:
Approve the Appointment of Mr. Vincent Pellegrin to the Arden Hills City Council
Advisory Commission Action:
Commission
Date
Action
_____ _f\J9.ti'Jl..Elicab~ __,
NotAppliG1li)l~_", """,.
. ...____No.taj>plicabl\3...____!
Planning
---------------...-- ---------..--
PTRC
Supporting Documents (which are attached to this Action Form):
['8] Memo/Letter:
o Resolution
o Ordinance (No.
o Engineering Recommendation:
o Attorney Recommendation:
['8] Other:
Resume and Application Materials for Mr. Vincent Pellegrin
Financial Implications:
AdministratorlStaff Comments:
,
.
.
.
~
~~HILLS
MEMORANDUM
DATE:
TO:
Agenda Item 6.A.
January 25, 2006
Honorable Mayor and City Council Members
FROM:
Michelle A. Wolfe, City Administrator
Schawn P. Johnson, Assistant to the City Administrator
SUBJECT:
1. Motion to Appoint Vinccnt Pellegrin as a City of Arden Hills Councilmember to
complete the remainder of the January 30, 2006 to Dccember 31, 2006 election term.
2. Swearing-in of Vincent Pellegrin as a City Council Membcr
BACKGROUND
On November 28, 2005, City Council Mcmbcr Lois Rem announced her resignation from the
Arden Hills City Council effective December 31,2005. On December 1,2005, City Staff began
recruitment efforts to fill the vacant seat The vacant City Council seat was advertised in the
local newspapers, on the City's website, and through the local access cable chatmel. The City
Council received six applications for the open seal. On January 20'\ six applicants participated
in the formal interview process. The interviews were conducted by Mayor Bevcrly Aplikowksi,
COllDcil Member Brenda Holden, and Council Member David GranL
After careful thought and deliberation, the recommcnded candidate for the vacant City Council
seat is Mr. Vincent Pellegrin. Mr. Pellegrin is currently thc Chief Operating Officer for Metro
Transit He is also a volunteer fire fighter for the City of New Brighton. He is currently the
President of the North Suburban Hazardous Materials Team, which is comprised of the Lake
Johanna, New Brighton, Vadnais Heights, and Falcon Heights fire departments. Mr. Pellegrin
has twenty-six years of experience in the public sector field and is looking forward to assuming a
more active role in the public policy making process for the City of Arden Hills.
All members of the City Council have commented on the quality of the candidates for the vacant
Council seat, and the difficulty of choosing only one. The City is very gratcful to all residents
who took the time to apply for this very importatlt position in our City.
RECOMMENDATION
Motion to Appoint Vinccnt Pellcgrin as a City of Arden Hills Councilmember to complete the
remainder of the January 30, 2006 to Decembcr 31, 2006 election term.
Upon approval of the motion, the Mayor and City Council should proceed with the "Swearing-
in" ofMr. Pellegrin.
".~'.,.
~~HlLLS
City Council Application Form
Date J;)-~6JOS-
,. r
General Information
Name
iI;";C(!A! t
First
D.
M.I.
Email Address
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Personal Information-
List your work experience.
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Wby do you want to be on the City Council? ~ l _ . I '
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City Council Application Form
Page I of2
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Please list any additional comments.
References. R~/~M/ IJc/mlnsh~R
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Name Address Phone No_
Please return this form along with a letter of interest and your current resume to:
City of Arden Hills
1245 West Highway 96
Arden Hills, MN 55112
Altn: Michelle Wolfe, City Administrator
Phone: 651.634.5120
Fax: 651.634.5137
City Council Application Form
Page 2 of2
,
PERSONAL RESUME
Vincent D. Pellcgrin
1977 Thorn Drive
Arden Hills, MN 55112
Home (651) 636-80l5! Office (612) 341-5612
.
EMPLOYMENT
2000 - Present
Metro Transit, Minneapolis!St. Paul - Chief Operating Officer
. Leads the Bus Service Operation, 2100 employees.
. Leads the Rail Service Operation, 150 employees
. Responsible for the 24 car Light Rail Vehicle Fleet
. Responsible for a fleet of950 buses.
. Responsible for Bus and Rail Transportation Operations.
. Responsible for Bus and Rail Service Planning and Scheduling.
. Responsible for Facility Maintenance, Engineering, and Capital
Improvement Program management.
1998 - 2000
Metro Transit, Minneapolis!St. Paul-Director of Equipment Maintenance
. Directs maintenance policy and activitics for 950 bus fleet and 300
non-revenue vehicles.
. Directs the preparation and development of technical specifications
for new buses and non-revenue vehicles.
. Develops fleet replacement plans in cooperation with service planning
needs.
. Develops, negotiates, and implements solutions to labor union
bargaining unit contracts and issues.
.
1994- 1998
MTA, NYC Transit, Surface Transit-Chief Officer Research aud
Development
. Direct and approve technical specification development for all new
and remanufactured buses.
. Manage new bus procurement contTacts manufacturing, plant
inspection and new bus delivery.
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Develop and direct the accelerated Bus Manufacturer Qualification
Program including qualification of articulated and low-floor buses.
Personal Resume
Page 2
.
Implemented the innovative use of Finite Element Analysis and
accelerated road simulation stress testing of bus structures,
Direct the Hybrid-Electric Bus Development Program with Orion and
GE, resulting in an operational low-floor bus.
Principal responsibility for the compressed natural gas (CNG) bus
evaluation and demonstration program.
Implement several ongoing R&D programs including Battery
Powered Bus Project with the New York Power Authority and Hybrid
Electric Retrofit project with General Motors and the New York
Power Authority.
Research in the field of advanced technology for buses including
serving at NYCT representative on several national advisory
committees, c.g., fuel cell propulsion, and the Federal Transit
Administration's Advanced Technology Transit Bus Project.
Advise the Senior Vice President on all technical matters including;
bus technical specifications, bus engine emissions, American
Disabilities Act, national Energy Policy Act, Clean Air Act, NY State
Implementation Plan, equipment safety, and dynamometer-brake
testing.
Direct the testing and qualification of all new bus components and
sub-systems, including; engines, transmissions, A/C systems,
electrical systems, air systems, and structural durability.
Develop and update the fleet procurement plan for the Capital
Program.
Chief technical representative for bus procurement negotiations.
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1981 ~ 1994
Los Angeles County Metropolitan Transportation Authority, Senior
EDl:!ineer.
. Managed the introduction of the nation's largest alternative fuel bus
program including; CNG buses, methanol buses, and diesel particulate
trap programs.
.
Developed original or new specifications for CNG buses, fueling
equipment and maintenance facilities.
.
Personal Resume
Page 3
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Specified, constructed and operated the California Air Resources
Board Heavy Duty Vehicle Emission Test Facility, This test facility
documented the exhaust emission level of buses and trucks powered
by alternative fuels.
Developed specifications for and designed the Federal Transit
Administration's Advanced Technology Transit Bus Program with
Northrop Grumman.
Directed and developed bus technical specifications and bus
procurement activity, both diesel and alternative fuel powered.
Advised senior management and conducted analytical evaluations on
the implications of alternative fuels both environmentally and
operationally.
Directed testing of, and qualified for purchase, new components for
buses and additional sources of supply.
Prepared all of the technical specifications for the fuels and lubricants
uscd in the bus fleet These include diesel, CNG, methanol, engine
and transmission lubricating oil, and gear oils.
Supervised the bus Maintenance Quality Assurance department and
State of California bus safety inspections.
Managed support for 1984 Olympic Garnes bus service task force.
Conducted instructional classes in all arcas of bus maintcnance.
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PUBLICATIONS
. Society of Automotive Engineers Technical Paper Series
(I) "Retrofitting a Catalytic Trap Oxidizer to a Metropolitan Transit
Bus."
(2) "Correlation of Lubricating Oil Solids with Engine Smoke Levels."
(3) "Methanol Engines Research and Development to Operational
Reality."
. Various articles in transportation periodicals on hybrid electric buses
and structural testing of buses.
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Personal Resume
Page 4
EDUCATION
Bachelor of Science - Public Administration-University of Southern
California.
COMMUNITY SERVICE
Member, New Brighton Fire Department
Minnesota State Hazardous Materials Technician
New York State Certified Emergency Medical Technician
Mirmesota State Certified Emergency Medical Technician
President, North Suburban Hazardous Material Response Team
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~
~HILLS
City otArden HIlls
Request for Council Action
Prepared by: SJ
DepL: Admin
Council Mtg. Date: 1/30/2006
Final Action Needed By:
1/30/2006
R""'~"tii
Agenda Item Sift.
Adopt Resolution 06-18: RecoQnizinQ BuildinQ Official Dave
Scherbel for BeinQ Named the 2005 Emplovee of the Year and
Operations and Maintenance Emplovee Mike Schifskv for his 25
Years of Service to the City
Budgeted Amount: NA
Actual Amount: NA
Funding Source: NA
Council Action Request:
City staff is requesting that City Council adopt Resolution No. 06-18:
. Recognizing Building Official Dave Scherbel for being named the 2005 Employee of the Year;
. Recognizing Operations and Maintenance Employee Mike Schifsky for his 25 Years of Service to
the City.
Staff Recommendation:
Adopt Resolution No. 06-18
Advisory Commission Action:
Commission
Action
Date
Not
Supporting Documents (which are attached to this Action Form):
['8] Memo/Letter:
['8] Resolution (No. 06-18)
o Ordinance (No.
o Engineering Recommendation:
o Attorney Recommendation:
o Other:
Financial Implications:
Not Applicable
Administrator/Staff Comments:
\\Metro-inet.us\ArdenHilh;\Admin\Asslstant City Administrator\Requests for Council Action\2006\2005 Approve Resolution 06-18 Recognizing
the 2005 Employee of the Year and Employee Year's of Service. doc
.
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~~HILLS
MEMORANDUM
DATE;
Agenda Item 6.B.
January 25, 2006
TO;
Honorable Mayor and City Council Members
Michelle Wolfe, City Administrator
FROM:
Schawn Johnson, Assistant to the City Administrator
SUBJECT;
Recognizing Dave Scherbel for Being Named the 2005 Arden Hills
Employee of the Year and Mike Schifsky for 25 Years of Service to the
City of Arden Hills
Backl!:round
On January 12th, the City of Arden Hills held its first annual employee recognition luncheon. At
the employee recognition luncheon the following awards and honors were given to City of Arden
Hills staff members:
. Building Official Dave Scherbal was named the City of Arden Hills 2005 Employee of
the Year;
. Operations and Maintenance Worker Mike Schifsky was rccognized for his 25 years of
service to the City of Arden Hills.
Recommendation
City Staff is requesting Council approval of Resolution #06-18 recognizing Dave Scherbal and
Mike Schifsky for their recent accomplishments.
IIMetro-inet.uslArdenHillsIAdminlAssistant City AdministratorIMemo's and Lettersl20061Employee Recognition
Awards-2005.DOC
~
~~HlLLS
.
RESOLUTION NO. 06-18
CITY OF ARDEN HILLS
COUNTY OF RAMSEY
STATE OF MINNESOTA
RESOLUTION RECOGNIZING DAVE SCHERBEL FOR BEING NAMED THE
2005 EMPLOYEE OF THE YEAR AND TO MIKE SCHIFSKY FOR HIS
TWENTY FIVE YEARS OF SERVICE TO THE CITY OF ARDEN HILLS
WHEREAS, the City Council wishes to recognize and acknowledge employees for
their fme service and dedication to the residents of Arden Hills;
NOW, THEREFORE, BE IT RESOLVED, that the Mayor and City Council of
Arden Hills hereby recognizes and thanks:
. Building Official, Dave Scherbel for being named the 2005
Employee of the Y car; and
. Operations & Maintenance Employee, Mike Schifsky for his 25
Y cars of Service to the City of Arden Hills
.
ADOPTED BY THE CITY COUNCIL OF THE CITY OF ARDEN lIILLS
THIS 30th DAY OF JANUARY, 2006.
Beverly Aplikowski, Mayor
ATTEST:
Michelle A. 'Volfe, Administrator
.
~
. ..-A~HILLS .
CIty otArden HIlls
Request for Council Action
. Prepared by: JL
Dept: Com. Dev
Council Mtg. Date: 1/30/2006
Final Action Needed By:
2/13/2006
Agenda Item .~~.~
PC #05-22: Kennedv Variance - 3988 Glenview Ave.
Budgeted Amount: $0.00
Actual Amount: $0.00
Funding Source: n/a
Council Action Request:
Consider the requested front yard setback variance to rebuild a non-conforming structure that encroaches
on the front yard setback but does not exceed the footprint of the original structure.
Staff Recommendation:
Approve the request to rebuild the non-conforming structure on the footprint of the previous structure
subject to two conditions as stated in the report
Advisory Commission Action:
Commission
Date
1/4/2006
Action
Not Applicable
Not applicable
Supporting Documents (which are attached to this Action Form):
.
['8] Memo/Letter:
Staff Report to the Planning Commission - January 4, 2006
o Resolution (No. )
o Ordinance (No. )
o Engineering Recommendation:
o Attorney Recommendation:
o Other:
Financial Implications:
AdministratorlStaff Comments:
.
Page 1 of 1
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~~HILLS
MEMORANDUM
DATE:
6.C
January 18, 2006
Agenda Item
TO: Mayor and City Council
FROM: James Lehnhoff, City Planner
SUBJECT: PC #05-22
Sandra Kemledy
3988 Glenview Avenue
Variance
Backl!round
The applicant, Sandra Kennedy, submitted a variance application to rebuilt a home on her
property at 3988 Glenview Avenue that was destroyed by fire and is not habitable. The applicant
plans to demolish most of the structure and rebuilt a new home that utilizes the existing footprint
a small portion of the existing foundation. This proposal requires a variance to reduce the
required 40-foot structure setback from the Lake Valentine Road and Glenview Avenue rights-
of-way. The new structure will be set back 25.81 feet from the Lake Valentine right-of-way and
33.42 feet from the Glenview Avenue right-of-way, which is the same as the previous structurc.
Planninl! Commission Recommendation
Recommendation and Conditions of Approval
At their January 4,2006, meeting the Planning Commission reviewed Planning Case #05-22 and
unanimously recommend cd approval of the Variance subject to the following conditions:
L The project must be completed in accordance with the plans submitted as part of the
Variance application. Any significant changes to thesc plans, as detennined by the City
Planner, will requirc review and approval by the Planning Commission.
2. The variance shall automatically expire and become void one (1) year from and after the
date on which the Council grantcd such approval if work on the projcct has not begun
within that time period.
\ 'IMelro-inel.llsinrdenhi!Is\Planning\Planning Cmu\2005W5-22 Sandra Kennedy Non.conjorming rebuild (Pf}./D1NG) 101-17-06 CC Kennedy
Variance Report 05-22.doc
Page 1 of2
Deadline for Al!ency Actions
The City of Arden Hills reccived the completed application for this request on December 13,
2005. Pursuant to Minnesota State Statue, the City must act on this request by February 13, 2006
(60 days), unless the city provides the petitioner with written reasons for and additional 60 day
review period. The City may, with the petitioners' consent, extend the review period beyond the
120 days.
Options
I. Recommend approval as submitted.
2. Recommend approval with conditions.
3. Rccommend denial with reasons for denial. If the City denies the petitioners request,
". H it must state in writing the reasons for the denial at the time it denies the request."
4. Table for additional information.
Attachments
6C-1
Staff Report to the Planning Commission - January 4, 2006
\\AIetm-iI1PI.lIs\ardenhills'Plallning\Planning Cases';2005\05-22 Smulrn Kennedy Non-conforming rebuild (PEND/NG)lOJ-J7-06 CC Kennedy
Variance Repon 05-22.duc
Page 1 ofl
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.
TO:
Planning Commission
FROM: Kathleen Nordine, City Planner
DATE: December 20,2005
SUBJECT: Variance - Sandra Kennedy, 3988 Glenview Avenue
INTRODUCTION
Sandra Kennedy submitted a variance application to re-build a home on her property at
3988 Glenview Avenue. The existing home was recently damaged by a fire and is not
habitable. The home will be demolished and a new home will be constructed in its placc,
utilizing the same footprint. This proposal requires a variance to reduce thc rcquired 40-
foot structure setback from the Lake Valentine Road and Glenview Avenue street rights-
of-way to 25.81 feet and 33.42 feet respectively
PROJECT DESCRIPTION
Thc subject property is located in the Rl - Single Family Residential District, west of
Lake Valentine. Thc property is a comer lot with frontage on Lake Valentinc Road and
Glenview Avenuc. The lot is approximately 20,133 square feet in sizc and varies in
width due to its frontage on the two streets. The property had bcen developed with a two
story singlc- family home that was recently destroyed in a fire. The applicant is proposing
to reconstruct a single family home on the property, utilizing the existing building
footprint
Ms. Kelmedy is proposing to construct a one-story home with a lower level walkout and
attachcd garage. Again, the proposed home is located in the same place and using thc
same footprint as the previous home. The first floor area of the home is 2,224 square
fcet Access to the home would remain the same utilizing two existing driveways. The
home would be setback 25.81 feet from Lake Valentine Road and 33.42 feet from
Glenview Avenue. These setbacks are less than thc minimum 40-feet required, therefore,
a variance is needed.
DEVELOPMENT CODE REQUIREMENTS
In the R-I District, the Zoning Ordinance specifics that a minimum front setback of 40-
feet is required from a street right-of-way. The proposed home is setback 25.81 feet from
Lake Valentine Road and 33.42 feet from Glenview Avenue. A variance to reduce this
setback is necessary for the project to proceed as proposed.
I
V ARJANCE
.
Variance Criteria
When considering a Variance, the Commission must dcterminc whether the conditions
required for a variance are present Adherence to the provisions of the ordinance is
required except for special cases, which arise because of the configuration of a particular
parcel. Thc condition shall not have been created by the landowner. A variance or
variances may be granted from specific provisions of this ordinance because such land
factors as length of a side of a lot, the shapc of the lot or the unusual terrain prohibit
reasonable development equivalent to that which would be permitted without variance on
a similar size lot located in the same district, but which lot has no unusual configuration.
Economic conditions alone shall not be grounds for a variance. In no case shall the
granting of a variance impair the health, safety, comfort and general welfare of the
public, nor will it be contrary to the intent and purpose of the Comprehensive Plan, the
official map, or this or any other ordinance ofthc city.
Applicant's Statement
The applicant states that hardship is present due to the unique circumstances created by
the fire, lot characteristics and character of neighborhood. The existing home was
severely damaged by an accidental fire that started in an enelosed patio. The property is
adjacent to roadways on three sides causing the buildable area of the parcel to be limited.
The property also has an irregular shape that contributes to the limited buildable area.
Granting of the variance would permit the construction of a new home utilizing the
footprint of the existing home. The proposed home would not impedc visibility at the
street intersection and would complimcnt the neighborhood.
.
STAFF REVIEW
The staff has reviewed this proposal in accordance with the variance criteria and believes
hardship is present. The applicant's proposal is reasonable due to the property's
characteristics and character of the neighborhood. The reconstruction of a home on the
property utilizing the same footprint area is reasonable. The property's frontage on three
roadways does limit the buildability of the parcel when the minimum street setbacks are
proposed. The property also has a unique shape, which limits the buildable area. The
proposed encroachment on these setbacks will not have a negative impact on the
neighborhood because this condition was "pre-existing" and the home has been designed
to be in scale with the existing homc and other homes in the neighborhood. Visibility on
the roadways will not be affected since the home is setback approximately 97 feet from
the intersection.
PUBLIC COMMENT
Property owners within ncighborhood wcre notified of the request. One comment in
support has been received.
.
2
.
.
.
STAFF RECOMMENDATION
The Staff has reviewed this proposal in accordance with the variance criteria and believes
hardship is present. The proposal to reconstruct a home on the property is reasonable due
to the lot characteristics and surrounding neighborhood. The situation is unique due to
the lot's frontage on three roadways, odd shape, location of the existing home and
character of the neighborhood. Staff recommcnds that the Planning Commission
recommend approval of the variance to the City Council subject to the following:
L The project must be completed in accordance with thc plans submittcd as part of
the Variance application. Any significant changes to these plans, as detem1ined
by the City Planner, will require review and approval by the Planning
Commission.
2. The variance shall automatically expire and become void one (I) year from and
after the date on which the Council granted such approval if work on the project
has not bcgun within that time period.
OPTIONS
1. Rccommend approval as submitted.
2. Recommend approval with conditions.
3. Recommend denial with reasons for deniaL If the City denies the petitioners
request, "it must statc in writing the reasons for the denial at the time it
denies the rcqucst".
4. Table for additional information.
DEADLINE FOR AGENCY ACTION: Febmary 13, 2006
The City of Arden Hills received the completed application for this request on December
13, 2005. Pursuant to Minnesota State Statute, the City must act on this rcquest by
February 13,2006 (60 days), unless the City provides thc petitioner with written reasons
for an additional 60-day review period, The City may with the petitioner's consent
extcnd the review period beyond the 120 days.
Attachments
I) Location Map
2) Statement of request submitted by applicant
3) Submitted plans
4) Request for Comment
Attachments:
I. Applicant's statement and submitted plans
2. Comments
3
EVIDENCE OF HARDSHIP
.
The following paragraphs outline why the City should approve the request and how the
application meets the hardship criteria as defined by the City.
The circumstances pertaining to this property are indeed very lmique. The irregular
shape, size, and positioning of the property are unlike any other. Bordered by public
streets on three sides, the buildable area of the property is severely limited and would
likely sit vacant should the variance not be granted.
Granting ofthe variance would promote the character of tbe neighborhood and preserve
and enhance [he values of the surrounding properties. Granting of the variance would
also ensure that the property continued to be used as intended. Thc proposed structure
would not cause harm or danger to the land, the environment or surrounding properties
and residents, Visibility at intersections of the adjacent streets will not be hampered,
providing safe traffic flow as before.
In our opinion, without granting of a variance, the property could not be put to reasonable
use as a residential site. Due to the irregular shape ofthe property and the minimum
required setbacks as sel by the City code, no reasonably sized structure could be erected
within the confines of the setbacks. Therefore, the property, currently zoned as R- I,
would likely sit vacant within an otherwise nicely developed neighborhood.
The hardship in question was created by an accidental fire which started outside of the
existing structure. The fire department was able to extinguish the fire, but the structure
suffered more than 50% damage, and it has been deemed a total loss. At the time of
original construction, the structure complied with local codes and ordinances. Since then,
City codcs have evolved and required setback distances have increased. Due to the
nature of the loss, the pre-existing conditions may not be "grand fathered" into
compliance under the current code, and the structure would need to be entirely brought
up to current codes.
.
Granting of the variance will allow the property owner to construcl a new home, roughly
the same size and shape ofthe existing in the same location as the existing. The
architecturally designed home will complement the surrounding structures and enhance
the neighborhood. The home will be clearly visible from three sides and care has been
taken in Ihe desif,'11 to ensure the proposed home is aesthetically pleasing and not
overpowenng m any way.
.
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CITY OF SHOREVIEW
CITY COUNCIL
Sandy Martin. Mayor
B take Huffman
Larry Morrisette
Terry Quigley
Ady Wickstrom
.
4600 Victoria Street North. Shoreview. MN 55126
(651)490-4600 Fax (651) 490-4699
(651) 490-4750 Voice!ITY
y.lww_ci.shorevi~~ITm_us
December 14,2005
REQUEST FOR COMMENT
Dear Arden Hills Property Owner:
Please be advised that on Wednesday, January 4, 2005 at 7:00 p.m., the Arden Hills Planning
Commission ",ill review a variance application submitted by Sandra Kennedy to re-build a
home on her property at 3988 Glenview Avenue. '1be existing home was recently damaged by a
fire and is not habitable. The borne will be demolished and a new home will be constructed in its
place, utilizing the same footprint This proposal requires a variance to reduce the required 40-
foot structure sctback from the Lake Valentine Road and Glenview A venuc street rights-of.way
to 25.81 feet and 33.42 fcet respectively. Please see the attached plans.
You are encouraged to fill out the bottom portion of this form and return it if you have any
comments or concerns. Comments received by Dccember 27, 2005 will be distributed to the
Planning Commission with the Planning Commission agenda packet Comments received after
that date but before the meeting will be distributed to the Commission that night You are also
welcome to attend the meeting, The meeting is held in the City Council Chambers at Arden Hills
City Hall, 1245 West Highway 96.
If you would like more information or have any questions, please call me at 651-490-4682
between 8:00 a.m. and 4:30 p,m" Monday through Friday. You may leave a voice mail message
at any time. I can also be reached via e-mail atknordine0Jci.shor<:.vjew.mn.us.
.
Sincerely, .
~~
Kathleen Nordine
City Planner
On behalfofthe City of Arden Hills
-------------------------------------------------------------------------------------~-------------------------------
Comments:
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3'388 ",LENVIELU AVENUE
ARDEN HILLS, MN 55112
. Prepared by: JL
Dept.: Com. Dev
Council Mtg. Date: 1/30/2006
Final Action Needed By:
2/12/2006
~
~HILLS
City ot Arden Hills
Request for Council Action
Agenda Item 6.0
PC #05-23: Corporate Express Site Plan Review - 1233 West Countv
Road E.
Budgeted Amount: $0.00
Actual Amount: $0.00
Funding Source: nla
Council Action Request:
Consider a request to install an emergency generator for their facility at 1233 West County Road E.
Staff Recommendation:
Approve the request to install the emergency generator subject to three conditions.
Advisory Commission Action:
Commission
Planning.
PTRC
Date
Action
Approved
. NotApplicable
Not applicable
Supporting Documents (which are attached to this Action Form):
.
['8] Memo/Letter:
Staff Report to the Planning Commission - January 4, 2006
o Resolution (No. )
o Ordinance (No, )
o Engineering Recommendation:
o Attorney Recommendation:
OOlher:
Financial Implications:
AdministratorlStaff Comments:
.
Page 1 of 1
.
.
.
~
~~HILLS
MEMORANDUM
DATE:
Agenda Item 6.D
January 18, 2006
TO: Mayor and City Council
FROM: James Lehnhoff, City Planner
SUBJECT: PC #05-23
Corporate Express
1233 West County Road E.
Site Plan Review
Back!!round
The applicant, Corporate Express, has submitted a Site Plan Review application to install an
emergency generator for thcir facility at 1233 West County Road E. Corporate Express is a
distributor of office supplies and equipment for businesses and organizations. This facility
contains office and warehouse space and serves as a distribution centcr. The proposed generator
will provide power to the facility in emergency situations when the primary power to the
building is interrupted.
Plaunin!! Commission Recommendation
Recommendation and Conditions of Approval
At their January 4,2006, meeting the Planning Commission reviewed Planning Case #05-23 and
unanimously recommended approval of the Site Plan Review subject to the following conditions:
L Approval is for the installation of an emergency generator, Caterpillar 3412DIT 500 KW
unit, as identified in the submitted plans and specifications. Said unit shall be installed in
accordance with the plans submitted. Minor modifications may be made to the plans
subject to approval by the City Planner. Significant changes to the plans require review
and approval through the Site Plan Review Process.
2. Use of the generator is for emergency purposes and testing as required by the
manufacturer. Said generator may be us cd only when the primary source of electricity
for the otIicc/warehouse is disrupted and for testing as required by the manufacturer.
3. Corporate Express is required to submit a noise mitigation plan that will meet the 65
decibel limit at the property line as required by MPCA (Minnesota Pollution Control
Agency) and adopted by the City of Arden Hills.
\\Mctro-inet.us\ardenhills\Planning\PJanning Cases\200.5\05-23 Corporate Express Site Plan Review (PEND1N(i)\OI-17-06 CC Corporate
Express site plan Report 05-23.dol:
Page 1 of2
Deadline for Al!encv Actions
The City of Arden Hills received the completed application for this request on December 12,
2005, Pursuant to Minnesota State Statue, the City must act on this request by February 12, 2006
(60 days), unless the city provides the petitioner witb written reasons for and additional 60 day
review period. The City may, with the petitioners' consent, extend the review period beyond the
120 days.
Options
L Recommend approval as submitted.
2. Recommcnd approval with conditions.
3. Recommend denial with reasons for denial. If the City denies the petitioners request,
". ..it must state in writing the reasons for the denial at the time it denies the request"
4. Table for additional information.
Attachments
60-1
Staff Report to the Planning Commission - January 4, 2006
\\Metro-inet.us\ardenhills\Planning\Planning Cases\2005\OS-23 Corporate Express Sile Plan Review (PENDING)\OI-17-06 CC Corporate
Express site plan Rep011 05-2J.doc
Page 2 of2
.
.
.
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.
.
TO:
Planning Commission
FROM:
Kathleen Nordine, City Planner
DATE: December 21,2005
SUBJECT: Site Plan Review: Corporate Express, 1233 West County Road E
INTRODUCTION
Corporate Express submitted a Site Plan Review application to install an emergency
generator for their facility at 1233 West County Road E. Corporate Express is a
distributor of office supplies and equipment for businesses and organizations. This
facility contains office and warehouse space and serves as a distribution center. The
proposed generator will provide powcr to the facility in emergency situations when the
primary power to the building is intenupted.
PROJECT DESCRIPTION
The property is located on County Road E, west of Lexington Avenue in the B-2, General
Business District Property to thc south, east and west is also zoned B-2. Immediately to
the north is railroad tracks and across from the tracks the property is zoned I-FLEX.
Office and warehouse uses are a permitted use in B-2 district The property is
approximately 5 acres in size and is developed with a one-story 109,570 square foot
office/warehouse building. The property is also improved with an office street parking
lot, loading area and landscaping.
The proposed emergency generator is a Caterpillar 3412DIT 500-kilowatt unit that is
non-sound attenuated and fully enclosed. This unit would be located to the rear of the
building on the north side of the property. The generator unit is 25' long and 11'10"
wide and would be placed on a concrete slab. There is a fence adjacent to the railway.
Corporate Express has indicated that thc generated is needed to provide "back-up" power
to thcir facility in the event of an emergency. This past year, the facility lost power for a
period of time due to a severe storm. This loss of power disrupted the business's ability
to operate and meet their obligations.
STAFF REVIEW
Site and Bnilding Plan Review
The Site and Building Plan review process provides the City with the opportunity to
publicly review the detailed site development plans in accordance with the City's
regulations. Issues to consider in this case include the proposed location of thc
generator, aesthetics and environmental pollution,
Location
The proposed generator would be located behind the existing building adjacent to
the existing loading area. The generator would be setback 24'3" from the rear
property line, which is adjacent to the railroad right-of-way. As stated earlier, the
generator would be located on a concrete slab that would be setback 17' 11' from
the same property line. This exceeds the minimum 10-foot setback required for
accessory structures. The proposed location will not interfere with the loading
operations or traffic flow on the site.
.
Aesthetics
The proposed generator is located in a fully enclosed unit. This unit, which is
beige and black in color, would not be visible from the County Road E since it
would be located behind the building. Although the unit may be visible from the
adjacent properties to the north, the Staff does not believe this is an issue due to
the nature of those uses.
Environmental Pollntion
As stated earlier, the generator is fully enclosed in a unit that is non-sound
attenuated or contains a sound muffler device. According to the applicant, noise
generated [rom the unit is approximately 95 decibels that does exceed the
Minnesota Pollution Control Agency limits of 65 (L50) decibels and 70 (LlO)
decibels. Although this is a concern, Staff does not believe that this noise level
will be objectionable due to the emergency use of the generator and nature of the
sUlTounding land uses. To mitigate any noise issues that may arise in the future,
staff is recommending conditions be added to the approval restricting the use of
the generator for emergency purposes only and requiring a noise mitigation plan if
noise complaints are received and validated in the future.
.
REQUEST FOR COMMENT
Property owners within 350 feet were notified of this request. A comment was received
from Scott Rosenthal of Carroll Furniture, 1203 County Road E, who indicated that he is
fine with the proposal provided there is no charge to his company and does not infringe
on their property. The proposed unit will not be located on or encroach upon their
property.
RECOMMEND A nON
The Staff has reviewed the proposal in accordance with the requirements of the City's
Zoning Ordinance and has found that the proposed generator is consistent with the City's
regulations provided conditions are attached to address noise. Staff is recommending the
Plamling Commission recommend approval of the request to the City Council with the
following conditions attached.
.
2
.
.
.
1. Approval is for the installation of an emergency generator, Caterpillar 34l2DIT
500 KW unit, as identified in the submitted plans and specifications. Said unit
shall be installed in accordance with the plans submitted. Minor modifications
may be made to the plans subject to approval by the City Planner. Significant
changes to the plans require review and approval through the Site Plan Review
process.
2. Use ofthe generator is for emergency purposes only. Said generator may be llsed
only when the primary source of electricity for the office/warehouse building is
disrupted.
3. Corporate Express is required to submit a noise mitigation plan in the fllture if the
City receives complaints regarding noise generated by the unit and said
complaints are validated by City Staff.
OPTIONS
1. Recommend approval as submitted.
2. Recommend approval with conditions.
3. Recommend denial with reasons for denial. If the City denies the petitioners
request, "it must state in writing the reasons for the denial at the time it
denies the request".
4. Table for additional infonnation.
DEADLINE FOR AGENCY ACTION: February 2,2006
The City of Arden Hills received the completed application for this request on December12,
2005. Pursuant to Minnesota State Statllte, the City nlllst act on this request by February 12,
2006 (60 days), unless the City provides the petitioner with written reasons for an additional
60-day review period. The City may with the petitioner's consent extend the review period
beyond the 120 days.
Attachments
I) Location Map
2) Applicant's statement and submittcd plans
3) Request for Comment
3
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CITY OF SHOREVmW
CITY COUNCIL
Sandy Martin, Mayor
Blake Huffman
Larry Morrisette .
Terry Quigley
Ady Wickstrom
4600 VIctoria Slreet North. Shoreview. MN 55126
(651)490-4600 Fax (651) 490-4699
(65]) 490-4750 VoiceffTY
www.ci.shpreview.mn.us.
December 13,2005
REQUEST FOR COMMENT
Dear Arden Hilts Property Owner:
Please be advised that on Wednesday, January 4, 2005 at 7;00 p.ln., the Arden Hills Planning
Commission will review a Site Plan Review application submitted by Corporate Express to
install an emergency generator on their property at 1233 West County Road E. The generator
would be located on the north side of the building. Please see the altached plans.
You are encouraged to fill out the bottom portion of this form and relurn it if you have any
comments or concerns. Comments received by December 27, 2005 will be distributed to the
Planning Commission with the Planning Commission agenda packel. Comments received after
tllat date but before the meeting will be distributed to the Commission that night You are also
welcome to attend the meeting. The meeting is held in the City Council Chambers at Arden Hills
City Hall, 1245 West Highway 96.
If you would like more information or have any questions. please call me at 651-490-4682
between 8:00 a.m. and 4:30 p.m., Monday through Friday. You may leave a voice mail message
at any time. I can also be reached via e-mail atknordinefaJ.ci.shorcview.mn.us.
.
Sincerely, ,
~r~
Kalhleen Nordine
City Planner
On behalf of the City of Arden Hills
Conunents:
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