88-571 WH17E - CITV CIERK
PINK - FINANCE COUQCII
CANARV - DEPARTMENT I TY O SA I NT PA U L File NO. ��� ( ��/
BLUE - MAVOR
Cou ' e ution
�
Presented By
Referred To Committee: Date
Out of Committee Date
RESOLVED: That Application (I.D. #21728) for a City of St. Paul Gambling
Permit (Tipboards and ulltabs) applied for by the Church of
St. Andrew at 1028 Van Slyke Avenue on April 30, 1988, between
the hours of 8:00 P.M. and 12:00 A.M, be and the same is hereby
approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
� in Fav r
Goswitz
Rettman
sche;n�i � _ Agains BY
�:�..:�...
��
APR 2 � 1 � Form Appr ed by City tt ney
Adopted hy Council: Date �
Certified Pas e cil Se BY— �
By -
t�pprov y Nlavor: Date `�� Approved by Mayor for Submission to Council
gy � BY
PUBLISHEO �r'� F�� � 1 88
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oorrr No. ' 2 CJQ�11C],1 F�'1
��e & �t. 298-SQSb �p�
Z, crtv�no�r
Applicatiai for a City of Saint Paul Day �a�nbl�,ncj P�nnit (Tip�boards & Pulltabs c�,ly) .
N�l.'�'I iGN:IaA3�: 4/12/88 DiATE: 4/2+�f88
' II@��taA tMWae(A)a Fiyect(R)) RE�EI4RCN REPOitT: �
. . PLAMIINC��1NA�IOM � GVIL SERVICE COA�MAI9SION . �' �-'/ . I �� � ., /L''D . � .� P110NE N0.� , � ..
. DOfM10 CAMRlYIQ17. . . t�625 3CNOOL BOARU . � •° . / . / � � . . . .
� . $TAFF.� -�. ChUFTER OOM�M8pI0N - . � , LEIE AS IS � �-ADD'L NFO.�ADbFD* . RETD TO COKM�T . pON87TTE1Blf � � . .
. . _FOR ADD11WF0. . _FEEqBAdI ADOED•
O�TWt.T COUNCL � w. � . . ... . . .
TION:
� � BUPPORTB YM�Kx100UNCL CBJEC'fIVE7 . � � � . . . � . � � � ..
N11A7�IG/IIOiLiY.lSMI�.O�PDRTIN�fY(VNa.YN19L WIIl11�VVFIMH.Why): . _
Father Joseph Wajda, on behalf of the ch of St. P�dr�v, rec,}uests �uycil appr�val of
. their app3ication for a City o� Saint P C�ne � G�bling PeYmit fTip�o�ds & �ltabs
c�il.Y). The 5a�ling sessioal:will be hel April 3�, 1988 between �he h�rs of 8:QO p.m. �cl
].,�:DO a.m. a� St. Andrew's s�nc3oi xa�.i, oas van ss�ke Av�ae. The ga�].ii�g se�si� wili be :
held in c�anjunctian with the St. �lndrew' Youth Athlet�.cs � Night% Frooeeds wii3 be:�sed
for educatior�al ar�d religio�s acti.vities �
rus�noM t�.ue.�.��.�.o...w.�r. . : . _ ,
Ali applicaticans and fees � been s tted. Tf C)oaaxlcil ap�aro�val � grant�ed, the C�.tt�ch
- of St. Ar�drew, vvhi.ch has been in exis for 9l years, will be abl.e to sell tipbo�ards and
pullfia�ds at tY1�ir event.
�rar�wn.�-.na ra+n�,om1: ,
If Caaicil app�val is r�t given, t.he of St. A�drew will be unable t� lx>Yd a ga�nb�lirig
session at theiar Fun Night.
�c�vw: .. , _ �
�rroer�s:
t�ou ros�s: ,
,
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T�IVISION OF LICENSE AND PERMIT ADMINISTRATION DATE � � � p / ��LV o �
� INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn rocessed/Received by
Lic Enf Aud
� Home Address
App 1 i c an t '�" ��Q ��,,, 'a�'r1� (,�Q 1�p �,w.a..,,/
Rusiness Name � � �'t'. ,{� Home Phone � O � ^'(/7 Z�
Business Address �G a, �' �w.�jpe of License(s) ��s �p.e,� �q,�ri�,11�M1,
Business Phone TD���p 77 '��'1�'Y11� (T�i ��� ���p�OrL� d1'���
.
Public Hearing Date � L(� � License I.D. 4{ �. ) 7 Z g
at 9:00 a.m. in the Council Cham ers �i
3rd floor City Hall and Courthouse State Tax I.D. 41 �r'T
llate nTUtice Sent • �g� � Dealer 4f N ��"1
to Applicant
rederal Firearms 4� �
Public He�.iring
DATE INS ECTIUN
REVIEW VERFIED ( OMPUTER) CUMMENTS
A roved ot A roved
�
Bldg I & D � I� �
�
Health Divn. '
� �� �
�
Fire Dept. � � t� �
i
i ( �
Yolice Dept.
' Scnt � �����g
License Divn. O� �1�� I I G J
-r � a a
City Attorney �
Date Received:
Site Plan
To Council Research � ��
Lease or Letter Date
from Landlord
�' ,- � G�-5'//
�-f ` ` Minnesota Charitable Gambling Con ol Board LAWFUL GAMBLING EXEMPTION
Room N475 Griggs-Midway Building FOR BOARD USE ONLY
- 1821 University Avenue
'� ` - - St.Paul,MN 551043383
��<"' �.......:�' (612)642-0555
.�`�INSTRUCTIONS: 1. Submit request for exemption t least 30 days prior to the occasion.
2. When completing form, do not omplete shaded areas until after the activity.
3. Give the gold copy to the City r County. Send the remaining copies to the Board. The copies will be
returned with an exemption n ber added to the form. When your activity is concluded; complete
•�` PLEASE TYPE the financial information, sign nd date the form,and return to the Board within 30 days.
Or anization Name Number of Members License Number lif currently or previously
� �L7rC�1 Of ►S'f.. Andrew 17�� licensedl and/or permit number.
�� � Address ity State Zip County
�' ..
1051 Coao Avenue St. Paul i"w 55103 ��ttse;�
�"' Chief Executive Officer's Nam PF�one Mana er's Name PF�nne Nurr�b� �^,�
.::;. Father Joseph iti�.e. �012 � �oE- ;;5 �ichar: .�. �ie.�e�.a �::12� 4GE—u� i 5
''�'�
""�:" Type of Organization ,
If Other Nonprofit Organization ICheck One and attach proof of nonprofit statusl.
S: ❑ Fratemal ❑ Veterans ❑ IRS Designation
': � Religion ❑ Other Nonprofit Organization ❑ Incorporate with Secretary of State
,_;'' Attach proof of three years existence. ❑ Affiliate of Parent Nonprofit Organization
�` � Name of Premises Where Activity WII Occur Datels)ot Activity,drawingls)
� St. AddreW� School �.all �/��/38
�� PremisesAddress City State Z�p County
���. 1028 Van �lyke Anenue St. Paul L� ,51�3 .:�sey
� � �.� ��� ,� , w�,
. , ., v4 �. __. r.
� .._. - ° � ���`ir��
'� � � � �%Game Yes No ` , � �_ �-��-��:�
�-�_
�,.. .
'� Bingo ` I70
m... �.,
;;�`�. Raffles *�0
''�� Paddlewheels y�g
"'�� : Tipboards _�p
��.
�; ._Pull-Tabs r YES
?:;-- Use of Profit
To support St. An.drevs Youth Athletics
i
�G'4f, ;..,1�. .u,.S�
�,r.+
•,;
S.'�' .�� ... .. , .. ,.. . ,
r:-r l affirm all information submitted to the Board is true, a cor- �
;.s ate, d complete.
� � �'�1 ? �;J G
Chief E ec tive fficer Signature ! TM ✓ ate ' a�
'�'' ACKNOWLEDGEMENT OF OTICE BY LOCAL GOVERNING BODY
� I hereby acknowledge receipt of a copy of this applicatio .By acknowledging receipt,I admit having been served with notice
''. that this application will be reviewed by the Charitable ambling Control Board and will become effective 30 days from the
' '�'':` date of receipt(noted below)by the City or County,unle s a resolution of the local goveming body is passed which specifi-
�` cally disallows such activity and a copy of that resoluti n is received by the Charitable Gambling Control Board within 30
�.� days of the below noted date.
,,�, ., - ��` CITY OR COUNTY TOWNSHIP
�'�"�' Name of Local Goveming Body fCity or Cou�ty1 Township Name(Must be notified when County is the approving body)
�t yr, � j�
7: �i ; t�:1,�,.J
� A
�.,.; '
, $jgnature of Person Receivi�g Applicat�on , , Signamre of Person Receiving Application
,',.��. 1 ; rf `.� �,, l�l�',! �_.{_.t_�,. �...`� `�� _j =�
�' Titlq � , Date R 'ved Title Date
i 1
�A .. � �".� I ~ .. � .
���"
� CG-0�J020-01(6/871 White—Board Canary—Board returns to Organization to complete shaded areas.
-�'>_` Pink—Organization Gold—City or County
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'r • � ' City of Saint Paui �u V �/
Department of inance.and Management Services
Lice se and Permit Division
• 203 City Halt � `'�;�
St. Pa I, Minnesota 55102-298-5056
APPLI ATION FOR LiCENSE
CASH CHECK CLASSNO. New Renew w .'
0 � � 0 � 1 .
Date ^ " ?! 19 ��
Code No. Title of lice�se � (�
From ��� � 19�_� To ` �-�+ 19
�cl �-,���.,.,.-f� � �- �i �; `;- � r .�� �;7 � 1,, u
I �
`t 1 �,� R � � , ,..,.,� �;
� ` 100 ,. t , i- Uu�_ ,%
ApplicantlCompany Name
100 �1��
100 Busineaa Name
,
i� ,
yi n
,00 !(1 -;�( ��` •� i i. �; �' � �-iv - _
Business Address 1'j r PhoM N0.
100 , i /"��J� -�/� �\ .
1
�
,�� � � _r-- v-�--L--�, (;1, r�--��,' -
100 Mail to AddresE I� � Phon�No.
�. J ti
� / �
100 !r.�i�, '� �..�.�2-1-, ��...,J '
ManapsqOwnsr•Name
100 �' , �
�
I(��ri.l f'�l�% " , , -;� . �t • .
100 AlanageNGwner•Home Address Phons No.
4098 AppliCetion Fee 2, 50
Received the Sum of 100
i �
` , Y ;r =' I'"; A_ ,.,,..��, � �; ManayedOwner•City,State 6 Zip Codt
1 100 T tal 00
n
� < � � �, �j/�W
L
LiCense InspeCtOr ,� � � gy; � ' Siynature of ADpliCant
J '
Bond•
Company Name Policy No. Expiratlon Date
Insurance•
Company Name Policy No. Expiration Date
Mlnnesota State Identlfication No Social Security No.
Vehicle Information:
Sarfal Number late Number
Other.
THIS IS A RE EIPT FOR APPLICATION
THIS IS NOT A LICENSE TO OPERATE Your application for II �ense will either be granted o�rejected subject to the provisions of the zoning
ordinanCe and completion of the inspections by the Mealth, ire,Zoning and/or License Inspectora.
G•�
� $15.00 CHARGE FO ALL RETURNED CHECKS �
�kla`°
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,. , . � CITY OF SAINT PAUL � �'S��
� . � � DEPARTMENT OF FI�i CE AND MANAGEMENT SERVICES
DIVISION OF LICEN E A1�D PERMIT ADMINISTRATION
'INFORMATION RE UIRID WITH APPLICATION F R PERMIT TO CONDUCT GAI�LING SESSION IN SAINT PAUL
Four seasions are a7lowed per qear, wi h each session being a maximum of fouz consecutive
hours. This application and aIl requi ed attachments must be filed with the License
V Inspector at least thirty days prior t the requested date of the gambling event.
1) Name of organization Church of S . Andrew
2) Address where organization's regul r meetings are held 1051 Como Avenue
3) Day and time of ineetings 2nd Mond y oY the month at 7:30PN1
4) Address where gambling session wil be held 1028 Van Slyke Avenue, St. Paul, hIP1
5) Is applicant owner of property whe e gambliag session will be held? X Yes No
6) If leased, who is tne owner of pro rtq where gambliag session wi11 be held?
7) Name of officer making application Father Joseph L. Wa�da
8) Address of officer 1051 Como Aven e, St. Paul, A•�T Date of birth 2/9/�+7
9) Name of manager who will conduct g bling session Richard Zieman jj�i3�`S/
10) Address of manager 106�+ P�Iontana enue 47. , St. Paul, P�1N
11) In connection with what event is th s gambling session being held?
St. Andrews Youth Athletics Fun .T1i t
12) What:type of gambling device(s) wil be used? Paddlewhesl X Tipboard
Ra fle Pulltabs �— Bingo
13) Specify when gambling session(s) wi 1 take place:
HOtTRS:
Day(s) Saturday Date(s) /30/88 Fr�: 8:OOPP�: To; 12:00
(Maximum of four hours)
14) Will prizes be paid in money or mer handise? Both
� � Yes
15) Is the applicant association organi ed under the Iaws of the State of Minnesota.
16) How long has the organization been existence? 91 years
17) What is the purpose of the organiza ion? Education - Religious
I8) Officers of the orgaaization: �
Name-Title Address Date of birth
Arch Bishop John Roach President 226 Summit Ave, St. Paul 55102
'.N�j A.
Father Joseph 4�a, V. President 105 Como Avenue, St. Paul 55103 2/9/�+7
Jim Warner, Secretary 111 Argyle, St. Paul, 55103 11/9/28
19) Give n�.=.es of officers or any other person paid for services to the orgaaization. _
Naae-Tit1e Address Date of �Rirth�
Pd/A
20) In whose custody will records of organization's gambliag sessions be kept?
Name Father Joseph Lla,jda Address 1051 Como Avenue, St. Paul
21) Attach a cover letter defining the event for which you are requesting this license.
22) Attach a letter of permission to conduct the gambliag session at the requested address.
23) Attach a copy of your organization's membership roster and date each member joined.
24) Attach a copy of the Department of the Treasury, Internal Revenue Service "Retum of
Organization Exempt from Income Tax", Form 990. [Chapter 419.04 (1)]
25) Attach a copy or Department of the Treasury, Internal Revenue Service, "Exemgt Organi-
zation Business Income Ta::", Form 990T. [Chapter 419.04 (2) ]
PJon Profit Religious Tax Exempt.
26) Attach the annual report required of charitable organizations by Minnesota Statutes,
Section 309.53. [Cha.pter 4I9.04 (3) ]
27) Have you read and do you thoroughly understand the provisions of all laws, ordinances,
and regulations goveming the operation of gambling sessions? YpG
28) Any changes desired by the applicant association may be made only with the consent of
the License Committee. �
29) Has aay person(s) participating in the operation of any of the gambling sessions
covered by this license ever been convicted of a felonq in the State of Minnesota or
in any other State or Federal Court? Yes No X If answer is "yes", provide
names, addresses, and birth dates.
j Organization: �'1 (?' 4't�
By: (Officer-Title) y � -�
and
State of Minnesota) ( anager in char of gambliag session)
) ss
Countq of Ramsey ) _ s
� ` /
...��Se �1 �.• �A � and �!CGt�d �- Z%C��N
being duly sworn sap that t y are the petitioners in the above application; that theq have
read the foregoing petition and know the contents thereof; that the same is true of their
own knowledge.
Subscrib d aad sworn befor/� me this
� daq of ����C 19 �-d' e�nnnn�/v�/,�s�tiv�nnnnnnnn�nnnnnnnntiO
,,���:. F+fILl1APA RA.MiLLE�
�i�. �'"" � t�f0'ARY PUBUC—MINNESOTA
/� ��; R�uti1SEY CGUAJTY
otary Public, Couaty, Minnesota � h1Y CbMM.E7CPIRB FEB•20.1991
My Commission Espires " �
Building Department Approved Disapproved by
Fire Department Approved Disapproved by
Police Department Approved Disapproved by
�, � ��s��
';�.__.. C1TY OF SAINT PAUL
�"� '� DEPA TMENT OF FINANCE AND MANAGEMENT SERVICES
� ' �t ' DIVISION OF LICENSE AND PERMIT ADMINISTRATION
•� �O
,�,. Room 203, City Hall
Saint Paui,Minnesota 55102
George Latimer
�Ya
4/11/88
To: Virginia Baisley
From: Christine Rozek�,.�
Re: Record Check
In connection with an applicati n for a City of St. Paul One Qay
Gambling Permit (Tipboards & Pu ltabs), at 1028 Van Slyke Avenue,
a record check is requested on he following:
�loseph Wajda Jim Warner
1051 Como Avenue 1110 Argyle
St. Paul St. Paul
Birthdate: 2/9/47 Birthdate: 11/9/28 � �
Richard Zieman
1064 Montana Avenue W
St. Paul
Birthdate: 11/1�/51
CAR/cr
cc: Lt. 0. Winger
. ����
� ,�._•., CITY OF SAINT PAUL
;`� '; DEPA TMENT OF FINANCE AND MANAGEMENT SERVICES
� � ' DIVISION OF LICENSE AND PERMIT ADMINISTRATION
.� �.
,��� Room 203,City Hall
Saint Paul,Minnesota 55102
George Latimer
Msyor
April 12, 1988
Father Joseph Wajda
1051 Como Avenue
St. Paul, MN 55103
Dear Father Wajda:
� Your application for a City Gambling Permit has been received in this
office.
A hearing on your applicati for Tipboards aad Pulltabs ID �(s) 21728
� will be held before the St. aul City Council on April 26, 1988 at 9:00
A.M., Third Floor of the Ci aad County Court House. This date may be
changed without the License Permit Divisfon's consent and/or
kaowledge. Therefore, it is suggested that qou call the City Clerk�s
Office at 298-4231 to confi this hearing date.
� You are hereby notified that your attendance is required at this
meeting. Failure to appear y result in denial of your application.
Ve truly you
�
seph F. Carchedi
License Inspector
JFC/lk
� : � � ��=�� J
� ` . CHURCH OF ST. ANDREW
1 1 A
05 C MO V N
O E UE
A
SAINT P INN
UL M E TA 1
_.. .,:. -.
_ ,
SO 55 03
. ..:
:::<:::.:::: :: .: . :..
.. , : :. .. ->� Phone 488-6775
. . pril 14, 1988
f'#' oseph F. Carchedi
'7 : icense Inspector
ity of St. Paul
� .: t. Paul, Mn. 55102
ear Mr. Carchedi,
St. Andrew' s Youth Athletics (SAYA) is
. � � parish organization that raises funds
_. . for the athletic program of our parish
� s hool. This group is sponsoring an
_ . � A ril 30th event in our school hall. An
a plication for a city gambling permit
� h s been made for typboards and pull-tabs.
T ey have permission from the parish to
c nduct this event. The monies raised
w' ll be used to pay for coaches, entry
f es and equipment for our students.
S nce y yours, `
. 0'" `'
p� �
- T e v rend Joseph L. Wajda
P sto
J W:mm