91-1453 �RIGINAL ;� -_ r . :r . .j
• ' I � ouncil File # � �
Green Sheet # 14510
RESOWTION I
CITY OF SAINT PAUL, MINNESO�A
Presented By Z ��✓
Referred To ComR�ittee«,, Date '
I
RESOLVED: That application (ID #B-02178-013) for renewal of State Class B Gambling
Premise Permit by Trade Lake Camp, Inc. at B. V. P ppercorns, 1178 Arcade
Street, be and the same is hereby approved.
I
Yeas Navs Absent Requested by De�artment of:
zmon --
oswi z �-
on License �C Permit Division
acca ee
et man
une
i son � BY�
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Adopted by Council: Date �(; . �� Form Approved by� City Attorney
Adopti Certified by Council Secretary � '
By: �� �w�„��
By: � I
AUG 1 2 1 � Approved by Maydr for Submission to
Approved by Mayor: Date Council �
By: ���-C�/ ' g II
Y�
PU�USHED RUG 17'91
�
'� , /n �
�d'G��� /
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DEPARTMENT/OFFICE/COUNCII DATE INITIATED
Finance/License GREEN SH ET N° _14510
CONTACT PERSON&PHONE INITIA DATE INITIAL/DATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Christine Rozek-298-5056 ASSIGN Q CITYATTORNEY �CITYCLERK
NUMBER FOR
MUST BE ON COUNCIL AOENDA BY(DATE) City Clerk ROUTING �BUDGET DIRECTOR �FIN.&MGT.3ERVICES DIR.
H-8-91 ORDER MAYOR(OR ASSISTAN� �
earin B 8-1-91 ❑ ��
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Approval of an application for renewal of a State Class Gambling Premise Permit.
7-24-91 -8-91
RECOMMENDATIONS:Approve(A)or ReJect(R) PERSONAL SERVICE CONTRACTS MUST A WER TI1E FOLLOWING QUESTIONS:
_ PLANNINO COMMISSION _ CIVIL SERVICE COMMISSION 1• Has this person/firm ever worked under a co tract for this departmentl
_CIB COMMITTEE _ YES NO
2. Has this person/firm ever been a city employ e?
_STAFF
— YES NO
_DiSTRIC7 CouRT — 3. Does this personlfirm possess a skill not nor ally possessed by any current cily employee?
SUPPORTS WHICH COUNCIL OBJECTIVE7 YES NO
Explain all yes answers on separate sheet a d attach to green shest
INITIATINCi PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
Peggy Hjelseth on behalf of Trade Lake Camp, Inc. reques s Council approval of
their application for renewal of a State Class B Gamblin Premise Permit at
B. V. Peppercorns, 1178 Arcade Street. Proceeds from the pulltab sales are
used for youth activities.
ADVANTAQES IF APPROVED:
If Council approval is given, Trade Lake Camp, Inc. will ontinue to operate
a pulltab booth at B.V. Peppercorns, 1178 Arcade Street.
DISADVANTACiES IF APPROVED:
RE�E�vE�
v��g 1991
J
C�TY ��ERK
D13ADVANTAGES IF NOT APPROVED:
Counci� Research Center
JU!_ 261991
�
TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETEp( IRCLE ONE) VES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFOHMATION:(EXPLAIN)
�.
�� �� � .
;,,, . .
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225).
ROUTING ORDER:
Below are correct routings for the five most frequent types of documents:
CONTRACTS(assumes suthorized budget exists) COUNCIL RESOLUTION (Amend Budgets/Accept. Grants)
1. Outside Agency 1. Department Director
2. Department Director 2. City Attorney
3. City Attorney 3. Budget Director
4. Mayor(fior contracts over$15,000) 4. Mayor/Assistant
5. Hurrran Rights(for contracts over$50,000) 5. City Council
6. Finance Rnd Mana�ement Services Director 6. Chief Accountant, Finance and Management Services
7. FinB�',...Accounting
ADMINISI r3ATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION (all others,and Ordinances)
1. Activity Manager 1. Department Director
2. Department Accountant 2. City Attorney
3. Department Director 3. Mayor Assistant
4. Budget Director 4. City Council
5. City Clerk
6. Chief Accountant, Finance and Management Services
ADMINISTRATIVE ORDERS(all others)
1. Department Director
2. Cit� �ttorney
3. Finance and Management Services Director
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate Me#of pages on which signatures are required and paperclip or flag
each of tMs�pegss.
ACTION REQUESTED
Describe what the projecUrequest seeks to accomplish in either chronologi-
cal order or order of importance,whichever is most appropriate for the
issue.Do not write complete sentences. Begin each item in your list with
a verb.
RECOMMENDATIQNS
Complete if the issue in question has been presented before any body,public
or private.
�
SUP�RTS WHICH COl1NCIL OBJECTIVE?
Indicate which Council objective(s)your projecUrequest supports by listing
the key word(s) (HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACTS:
This information will be used to determine the citys liability for workers compensation claims,taxes and proper civil service hiring rules.
INITIATING PROBLEM, ISSUE,OPPORTUNITY
Explain the situation or conditions that created a need for your project
or request.
ADVANTAGES IF APPROVED
Indicate whether this is simply an annual budget procedure required by law/
charter or whether there are specific ways in which the City of Saint Paul
and its citizens will beneflt from this projecVaction.
DISADyANTAGES IF APPROVED
What negative effects or major changes to existing or past processes might
this projecUrequest produce'rf it Is passed(e.g.,traffic delays, noise,
tax increases or assessments)?To Whom?When?For how long?
DISADVANTACiE,$a{�N�O�APPROVED
What will be the negat nsequences if the promised action is not
approved? Inability to deliver service?Continued high traffic, noise,
accident rate?Loss of revenue?
FINANCIAL IMPACT
Although you must tailor the information you provide here to the issue you
are addressing, in general you must answer two questions: How much is it
going to cost?Who is going to pay?
, � �.� .
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE 6��.�! `9 , /
INTERDEPARTMENTAL REVIEW CHECKLIST A pn Processed/Received by
�J� // � 9y �J�se-� nf Aud
Applicant����KP� (�f,C.1���'f�, Home Address p? i r
Bus ine s s Name ��/'yj� Home Phone � ��� y�/� f ,
�`l�� �h�S�= �, :
Business Address �7Dlo Type of License( ) �,� :�.�Ky��� �
Business Phone ���" 8��,b r /� ` /�yjj"f -- �'
>"
Public Hearing Date � $ �1� License I.D. fl � oZl�� 'd��.
at 9:00 a.m. in the Council C ambers, -'�
3rd floor City Hall and Courthouse State Tax I.D. 4� �I �
Date Notice Sent; Dealer � N /�' ,�
to Applicant '� a,yL� ,
' Federal Firearms # � � "
Public Hearing / •qv<
�� V
DATE INSPECTION
REVIEW VERFIED (COMPUTER) CO�II�ENTS
A roved Not A roved
Bldg I & D ! ,
��.�
Health Divn. �
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Fire Dept. I
l��.. I -
Police Dept. � ( ���I91 .
License Divn. (
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City Attorney ' �
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Date Received:
Site Plan fp//3/9� � _��,G,
To Council Resea ch � <<
Lease or Letter Date
f rom Landlord (� I�3 I��'
�v
1 • � � ' ��..i�' �!rl�
�LG214 FOA BOARD USE ONLY
�'v"'°°� FEE
cHECx
INITiAL3
Mirtnesota Lawful Gambling �� DATE
Prenuse Permit Application - Pa�'t 1
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TRADE LAKE CAMP, INC.
8uainess Addresa of O�anizadon-SO�wc or P,O 8ox(Do not use addross of gambling manayer)
127 E. Count Road C, Unit #3
Gry o� sa pKant nwnber
St. Paul I'�1 � 17 u�s Y �12� 481-8036
Name of chief execudvs offker(cannot be�ambGng manaqerl Titls 9uaine:a phans number
Pe Hjelseth President i �12� 481-8036
AdcY�ss of��execuuve officx-Straet w P.O.Box
2347 Tophill Circle Roseville, MN 55113
'ry cate
Roseville MN 55113 Rams�y
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Class of Premise Permit ' Fee II
❑ Claas A— Bingo, Rafflas.Paddlewheois�Tipboards.Pull-tabs $200 ::: -��--- . ...... .:
tiQ C1ass 8— Raffies. Paddlawheals,Tipboards. pull-tabs $,25 rne crass ot prem�se permn i
❑ Claas C— 8ingo o�ly $��� :< mu !be reflected by c/ass ot
Q Ctaas D— Raftles o�ly ��s `: the rganlza!!on/Icense.
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singo Occaaioaa ,�
If class A or C. flll in days and begianing and endiag hours of bingo��occaaions:
No more thaa seven biago occasioas aiay be coaducted by aa per�veek.
Day 9egiru�tn6/Endiag Houn Day 8eguuun6/Ending Hours paY Heg�fr�6/Ending Hotu�
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Statns of Preuiisa Permit - check ons: !
❑,..,�aw premise—Fil in�organization promise permit numbe� I
Lid' Renewal of existing premisa permit—FII in�pjg�premisa permit number B-0 217 -013
❑ Previously expired premisa permit—F�ll in��,premise permit number
.
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LQ2�4 _
7Ktnnesota Lawfut Gamblfng ;
Premise Permit Application - P 2
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Nams of astablishment wfwre pambAng will be oo�ducpad SOre�t qddress do t u�e a post oMa box rwmt�j
Peppercorn ' s 1178 Arcade St. St. Pa 1, MN 55106
Is tM premises located wittdn dry�mia? y� ❑�
City and Counry where pamblinq premiaes is bcatsd OR Tormahip and Counry whsro parnblin9 is locmd�wtsid�of ary qmits
St. Paul — Ramsey County
Nartw and Addn:s of Leq�l Ow�er of Premi�os Ciry �» �p�
Marty Bertcyk 1178 Arcade St. St. aul, MN 55106
Do�s th�arp�nizatbn own IM buddinq whero Ihe qamblinq wiN be conducoed? ❑YES �NO
NOTE:Organizations may not pay themselves rent'rf they own the buitdi�g or have a hokii g aompany. A letter must be sub-
mitted showing rent payments as zero f�om gambting fu�ds ii the organization's holdi�g oo psny ovrns tha pramisos. Tha
lettar must ba signed by tha chie(executive off'�r.) '
Ii NO, attach ihe fotlowing:
* a copy of the lease with terms for one year.
* a copy of a sfcetch of the floor plan with dimensions,showing w t poction is being leased.
A lease and sketch are not required for Cfass D appiicarnions.
Rent:
For gambling with bingo $ Toial square foo ge leased
For gambli�witF�ut bingo $ 4 0 0. 00 Totai square foo ge leased 6 ' x 6 '
Addrass of storaga spaoe af gambling equipme�t , •
2210 - 7th�Ave. E. Nor�th St. PaulStat�N 551��° '
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Bank Name Bank A000unt Nwn
Norwest Bank #63-23-52
Addnas ty taa
875 E. Minehaha St. Paul, MN 55106
Nairte,addraaa,and oNe ol persons authaized ro sign checJcs and meke dsposit and wid�drawal�
ame SS � o
Pat Knitt 183 E. Little Canada Rd. St. Paul, MN Secretary
Richard Hjelseth 2347 Tophill Circle Roseville, MN Hoarc��o�` D�.rectors