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HomeMy WebLinkAboutCC - December 6, 20221685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Regular City Council Meeting — Tuesday, December 6, 2022 Call to Order — 7:00 p.m. Pledge of Allegiance Resident Forum Agenda Approval 1. Approval of Minutes (11/15/22 Regular) Consent Items 2. Approve Payment of Claims —Finance 3. Accept Feasibility Report/Order Public Hearing/21-39/16155 Ave. NW & Tulip St. NW/Street Reconstruction — Engineering 4. Approve Change Order #1/22-18, Pine Hills North & South Parking Lot Paving and 22-22, Dog Park Parking Lot & Trail Paving — Engineering 5. Approve Lease Agreement Summary -Connexus Energy —Administration 6. Accept Contribution/Andover Lions Club Inc./Andover Community Center — Community Center 7. Approve City Administrator Review—Administration 8. Approve 2023 Tobacco Licenses —Administration 9. Approve 2023 Liquor Licenses —Administration 10. Approve 2023 Kennel Licenses —Administration 11. Approve 2023 Massage Therapy Licenses —Administration 12. Approve 2023 Used Vehicle Sale Licenses —Administration 13. Approve 2023 Contract/TimeSaver Secretarial Service —Administration 14. Approve Application for Exempt Permit — Administration Discussion Items 15. Public Hearing — 2023 Property Tax Levy and 2023 Budget —Administration 16. Review/Adopt 2023 Debt Service Levy Changes - Finance 17. Consider/Resolution of the City of Andover in Support of Anoka County Joint Law Enforcement Council's Renewal of Legislation for Future Public Safety Projects - Administration 18. Discuss/Review Tobacco Ordinance — Administration Staff Items 19. Administrator's Report —Administration Mayor/Council Input Adjournment AC I T Y 0 1 �- 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV - TO: Mayor and City Council CC: Jim Dickinson, City Administr: FROM: Michelle Harmer, Deputy City SUBJECT: Approval of Minutes DATE: December 6, 2022 INTRODUCTION The following minutes were provided by TimeSaver, reviewed by Administration, and submitted for City Council approval: November 15, 2022 Regular DISCUSSION The minutes are attached for your review. ACTION REQUIRED The City Council is requested to approve the above minutes. Respectfully submitted, I Michelle Hartner Deputy City Clerk Attach: Minutes 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 REGULAR ANDOVER CITY COUNCIL MEETING —NOVEMBER I5, 2022 MINUTES The Regular Bi -Monthly Meeting of the Andover City Council was called to order by Mayor Sheri Bukkila, November 15, 2022, 7:00 p.m., at the Andover City Hall, 1685 Crosstown Boulevard NW, Andover, Minnesota. Councilmembers present: Jamie Barthel, Ted Butler, and Randy Councilmembers absent: Also present: PLEDGE OF Valerie Holthus Public City A Dave Berkowitz 25 26 Rhonda Ganske, 2159153' Lane NW, came forward stating she sent an email to the City Council 27 on November 6, 2022 regarding water draining onto her property from Nightingale Villas. She 28 referenced City Code that indicates water from a development needs to drain into a public drainage 29 system. Ms. Ganske has been told that water has probably never left her property. She is concerned 30 about damage to her new privacy fence. Ms. Ganske offered a solution to make the stormwater 31 pond deeper to divert more water to the stormwater pond. She asked that her email be entered into 32 the record. Ms. Ganske stated the City Council has not discussed the matter nor responded to her 33 request. She asked if the Council received the email and if they are going to respond to her request 34 to remove the outflow culvert and emergency overflow. 35 36 Public Works Director/City Engineer Berkowitz stated the item has been added to the City Council 37 workshop on Tuesday, November 22, 2022. He stated staff will be preparing the item this week 38 and will send a copy of the agenda item to Ms. Ganske. Mayor Bukkila confirmed the email was 39 received. 40 Regular Andover City Council Meeting Minutes —November 15, 2022 Page 2 1 AGENDA APPROVAL 2 3 Mayor Bukkila announced the addition of Item 6a Approve Demolition Quote/2543 Bunker Lake 4 Boulevard NW/2621 Bunker Lake Boulevard NW to the Consent Agenda and supplemental 5 information for item 8. 6 7 Motion by Nelson, Seconded by Barthel, to approve the Agenda as amended. Motion carries 4 8 ayes and 1 absent (Holthus). 9 10 APPROVAL OFMINUTES 11 12 October 25, 2022 Workshop Meeting Minutes 13 November 1, 2022 Regular Meeting Minutes 14 15 Motion by Barthel, Seconded by Nelson, to approve the October 25, 2022 Workshop Meeting 16 Minutes and the November 1, 2022 Regular Meeting minutes as presented. Motion carries 4 ayes 17 and 1 absent (Holthus). 18 19 CONSENT ITEMS 20 21 Item 2 Approve Payment of Claims 22 Item 3 Approve Declaration of Encroachment Easement/Lot 2, Block 2, Andover Crossing 23 Item 4 Declare Surplus Equipment 24 Item 5 Accept Resignation of Joe Kautzman Maintenance Worker 25 Item 6 Approve Change Order #2/21-21/ Coon Creek Trunk Lift Station #11 (See Resolution 26 R086-22) 27 Item 6a Approve Demolition Quote/2543 Bunker Lake Boulevard NW/2621 Bunker Lake 28 Boulevard NW 29 30 Motion by Nelson, Seconded by Butler, to approve the Consent Agenda as read. Motion carries 4 31 ayes and 1 absent (Holthus). 32 33 ANOKA COUNTYSHERIFF'S OFFICE MONTHLYREPORT 34 35 Commander Lenzmeier provided a monthly report for October stating the Department responded 36 to 1098 calls for service. He reported 16 thefts, 9 of which were from Walmart. He stated he and 37 the City Attorney will continue to meet with Walmart leadership. Commander Lenzmeier reported 38 5 felony arrests, 10 gross misdemeanor arrests, and 15 misdemeanor arrests. He stated there were 39 9 DUI arrests in the month of October, 4 of them in the afternoon. Commander Lenzmeier reported Regular Andover City Council Meeting Minutes —November 15, 2022 Page 3 1 62 traffic arrests and 269 traffic stops. He stated the Department is partnering with Hope for Youth 2 on a fundraiser in the Sheriff's Department parking lot on Thursday, November 17' from 4:00 — 3 8:00 p.m. 4 5 Councilmember Nelson asked if any of the DUIs were consuming alcohol at a bar in Andover. 6 Commander Lenzmeier stated he didn't read the reports that in depth to determine if there was a 7 location identified. 8 9 CAVASS RESULTS/GENERAL ELECTION 10 11 The City Council is requested to canvass the results of the General Election held on Tuesday, 12 November 8, 2022. Public Works Director/City Engineer Berkowitz stated there were 22,573 13 registered voters at 7:00 a.m. and 654 additional individuals registered on Election Day. He 14 reported 16,333 residents voted in the election. Mr. Berkowitz announced the results of the 15 election with Mayor Sheri Bukkila and Councilmember Barthel being re-elected. Rick Englehardt 16 was elected as a Councilmember. 17 18 Mayor Bukkila congratulated the Councilmembers and thanked staff for their work on Election 19 Day. 20 21 Motion: by Butler, Seconded by Nelson, to adopt Resolution No. R087-22 canvassing the returns 22 of the Municipal Election held on the 8'n day of November 2022 in the City of Andover, Anoka 23 County, Minnesota. Motion carries 4 ayes and 1 absent (Holthus). 24 25 ADMINISTRATOR'S REPORT 26 27 City Staff updated the Council on the administration and city department activities, legislative 28 updates, updates on development/CIP projects, and meeting reminders/community events. 29 30 (Public Works/City Engineer) Mr. Berkowitz announced the City has 96 new single home permits 31 with 6 additional permits waiting to be picked up. He updated the Council on construction projects. 32 Public Works were able to complete the pothole patching list for the first time in several years. He 33 reminded the public that there is no overnight parking on City streets November 1" to April 15tH 34 from 1:00 a.m. to 6:00 a.m. or when there is 2 inches of snow or more. Mr. Berkowitz stated staff 35 hope to open ice rinks by mid-December, depending on weather. 36 37 MAYOR/COUNCIL INPUT 38 39 (Election Results) Councilmember Butler congratulated the newly elected Councilmembers and Regular Andover City Council Meeting Minutes — November 15, 2022 Page 4 1 thanked candidates for running. He congratulated Mayor Bukkila on her re-election. 2 Councilmember Butler stated staff and election judges did a good job. Mayor Bukkila commended 3 the Community Center staff for turning over the Community Center to a polling location after the 4 large event the evening before. 5 6 (Election Integrity) Councilmember Nelson received emails from the community regarding 7 election integrity and highly recommended those individuals become election judges. He stated 8 there are opportunities to be involved and view the results of the election. 9 10 ADJOURNMENT 11 12 Motion by Barthel, Seconded by Nelson, to adjourn. Motion carnes 4 ayes and 1 absent (Holthus). 13 The meeting adjourned at 7:23 p.m. 14 15 Respectfully submitted, 16 17 18 19 Shari Kunza, Recording Secretary 20 TimeSaver Off Site Secretarial, Inc. 21 Regular Andover City Council Meeting Minutes — November 15, 2022 Page 5 REGULAR ANDOVER CITY COUNCIL MEETING MINUTES — NOVEMBER 15, 2022 TABLE OF CONTENTS PLEDGE OF ALLEGIANCE......................................................................................................... 1 RESIDENT FORUM...................................................................................................................... 1 AGENDA APPROVAL.................................................................................................................. 2 APPROVAL OF MINUTES........................................................................................................... 2 CONSENTITEMS......................................................................................................................... 2 Item 2 Approve Payment of Claims............................................................................................ 2 Item 3 Approve Declaration of Encroachment Easement/Lot 2, Block 2, Andover Crossing ... 2 Item 4 Declare Surplus Equipment............................................................................................. 2 Item 5 Accept Resignation of Joe Kautzman Maintenance Worker ........................................... 2 Item 6 Approve Change Order #2/21-21/ Coon Creek Trunk Lift Station #11 (R086-22) ........ 2 Item 6a Approve Demolition Quote/2543 Bunker Lake Boulevard NW/2621 Bunker Lake BoulevardNW................................................................................................................. 2 ANOKA COUNTY SHERIFF'S OFFICE MONTHLY REPORT ................................................ 2 CAVASS RESULTS/GENERAL ELECTION (R087-22)............................................................ 3 ADMINISTRATOR'S REPORT.................................................................................................... 3 (Public Works/City Engineer)......................................................................................................... 3 (Election Results)............................................................................................................................ 3 (Election Integrity).......................................................................................................................... 4 ADJOURNMENT........................................................................................................................... 4 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers '�z CC: Jim Dickinson, City Administral FROM: Lee Brezinka, Finance Manager SUBJECT: Payment of Claims DATE: December 6, 2022 INTRODUCTION Attached are disbursement edit lists for claims related to the on-going business of the City of Andover. Claims totaling $682,069.87 on disbursement edit list #1-6 from 11/09/2022 to 12/02/22 has been issued and released. Claims totaling $589,551.39 on disbursement edit list #7 dated 12/06/2022 will be issued and released upon approval. BUDGET IMPACT The edit lists consist of routine payments with expenses being charged to various department budgets and projects. ACTION REQUESTED The Andover City Council is requested to approve total claims in the amount of $1,271,621.26. Please note that Council Meeting minutes will be used as documented approval. Respectfully submitted, Lee Brezinka Attachments: Check Proof Lists Accounts Payable Computer Check Proof List by Vendor User: BrendaF Printed: 11/09/2022 - 2:58PM Batch: 00409.11.2022 Invoice No Description Amount Payment Date Acct Number Reference Vendor: AnkCo02 Anoka Co Property Tax Div Check Sequence: I ACH Enabled: False 333224140010 2503138th Ave NW 2,041.22 11/09/2022 4520-49300-62035 Check Total: 2,041.22 Vendor: TemoLLC Temo, LLC Check Sequence: 2 ACH Enabled: False Training Supplies - Sheetrock Installed on Ceilin 2,872.00 11/09/2022 0101-42200-61015 Check Total: 2,872.00 Vendor: WHSecuri WH Security Check Sequence: 3 ACH Enabled: False 150-1681-3487 Security System @ Sunshine Park 33.95 11/09/2022 0101-41970-63010 150-1682-7288 Security System @ Andover Station North 52.95 11/09/2022 0101-41980-63010 150-1693-9665 Security System @ Fire Station #1 67.90 11/09/2022 0101-41920-63010 150-1694-3764 Security System @ City Hall 67.90 11/09/2022 0101-41910-63010 150-1694-6826 Security System @ Public Works 67.90 11/09/2022 0101-41930-63010 150-1694-9717 Security System @ Vehicle Maintenance 67.90 11/09/2022 6100-48800-63010 150-1697-0765 Security System @ Fire Station #3 77.90 11/09/2022 0101-41920-63010 Check Total: 436.40 Vendor: YouthFir Youth First Check Sequence: 4 ACH Enabled: False Hall of Fame Game 6,340.00 11/09/2022 2130-00000-24201 Check Total: 6,340.00 Total for Check Run: 11,689.62 Total of Number of Checks: 4 AP -Computer Check Proof List by Vendor (11/09/2022 - 2:58 PM) Page I Accounts Payable Computer Check Proof List by Vendor User: BrendaF Printed: 11/10/2022- 9:26AM Batch: 00410.11.2022 Invoice No Description < . P Amount Payment Date Acct Number Vendor: MauerMai Mauer Main 2023 Chev Silverado 350OHD 52,615.00 Check Total: 52,615.00 Total for Check Run: 52,615.00 Total of Number of Checks: 1 Check Sequence:1 11/10/2022 4215-49300-65400 Reference ACH Enabled: False AP -Computer Check Proof List by Vendor (11/10/2022 - 9:26 AM) Page 1 Accounts Payable Computer Check Proof List by Vendor User: BrendaF Printed: 11/15/2022- 8:11AM Batch: 00414.11.2022 Invoice No Description C 7 T Y OF NDQVER� Amount Payment Date Acct Number Reference Vendor: ABCSign ABC Sign & Graphic, Inc. Check Sequence: I ACH Enabled: False 22210 Hockey Hall of Fame Game 100.00 11/14/2022 2130-44300-61020 Check Total: 100.00 Vendor: AceSolid Ace Solid Waste, Inc. Check Sequence: 2 ACH Enabled: False 3256649T067 11/22 Rental Property Garbage Service 142.18 11/14/2022 452049300-62020 8251662T067 November 2022 Commercial Waste 1,446.10 11/14/2022 2130-44000-62020 8255538T067 11/22 Rental Property Garbage Service 328.87 11/14/2022 452049300-62020 Check Total: 1,917.15 Vendor: AmazonBu Amazon Capital Services Check Sequence: 3 ACH Enabled: False 147D-V6PP-LHMP Encased Belt Clip Holster 16.56 11/14/2022 0101-41420-61225 Check Total: 16.56 Vendor: AspenMil Aspen Mills Check Sequence: 4 ACH Enabled: False 303375 Uniform for L. Wilson 87.99 11/14/2022 0101-42200-61305 Check Total: 87.99 Vendor: BlainBro Blaine Brothers Inc. Check Sequence: 5 ACH Enabled: False 080001816723 Parts to Repair Unit #16-209 2,909.01 11/14/2022 610048800-61115 080001816723 Labor to Repair Unit #16-209 1,770.75 11/14/2022 610048800-63135 Check Total: 4,679.76 Vendor: Bolton Bolton & Menk, Inc. Check Sequence: 6 ACH Enabled: False 0299332 Coon Creek Trunk Lift Station#11 752.50 11/14/2022 412049300-63005 Check Total: 752.50 Vendor: CentColl Century College Check Sequence: 7 ACH Enabled: False AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11 AM) Page 1 Invoice No Description Amount Payment Date Acct Number Reference 00762103 Thermal Imaging Camera Training 1,800.00 11/14/2022 010142200-61315 94358420 Check Total: 1,800.00 11/14/2022 222041600-62305 Vendor: CintasGK Cintas Corp 83.00 11/14/2022 Check Sequence: 8 ACH Enabled: False 4136471724 Floor Mat Rental 38.25 11/14/2022 0101-41930-62200 4136471770 Floor Mat Rental 40.08 11/14/2022 0101-41910-62200 4136471775 Uniform Cleaning & Shop Towels 96.58 11/14/2022 6100-48800-61020 4136471938 Uniform Cleaning 120.31 11/14/2022 0101-43100-61020 4136471938 Uniform Cleaning 17.19 11/14/2022 010143300-61020 4136471938 Uniform Cleaning 68.72 11/14/2022 0101-45000-61020 4136471938 Uniform Cleaning 17.20 11/14/2022 5100-48100-61020 4136471938 Uniform Cleaning 34.36 11/14/2022 5200-48200-61020 4137177812 Uniform Cleaning & Shop Towels 137.74 11/14/2022 6100-48800-61020 4137177982 Uniform Cleaning 120.31 11/14/2022 0101-43100-61020 4137177982 Uniform Cleaning 17.19 11/14/2022 0101-43300-61020 4137177982 Uniform Cleaning 68.72 11/14/2022 0101-45000-61020 4137177982 Uniform Cleaning 17.20 11/14/2022 5100-48100-61020 4137177982 Uniform Cleaning 34.36 11/14/2022 5200-48200-61020 Check Total: 828.21 Vendor: ECM ECM Publishers, Inc. Check Sequence: 9 ACH Enabled: False 919177 Monthly Recycling Program 265.00 11/14/2022 0101-46000-63025 Check Total: 265.00 Vendor: ESRI ESRI Check Sequence: 10 ACH Enabled: False 94358420 ArcGIS Software 104.00 11/14/2022 0101-41600-62305 94358420 ArcGIS Software 10.00 11/14/2022 222041600-62305 94358420 ArcGIS Software 83.00 11/14/2022 2250-41600-62305 94358420 AreGIS Software 83.00 11/14/2022 2210-41600-62305 94358420 ArcGIS Software 207.00 11/14/2022 5100-48100-62305 94358420 ArcGIS Software 207.00 11/14/2022 5200-48200-62305 94358420 ArcGIS Software 207.00 11/14/2022 5300-48300-62305 94358420 ArcGIS Software 52.00 11/14/2022 0101-43100-62305 94358420 ArcGIS Software 52.00 11/14/2022 0101-45000-62305 94358420 ArcGIS Software 10.00 11/14/2022 0101-42200-62305 94358420 ArcGIS Software 20.00 11/14/2022 010141600-62305 Check Total: 1,035.00 Vendor: EvergRec Evergreen Recycling LLC Check Sequence: l l ACH Enabled: False 2940B Mattress Recycling 840.00 11/14/2022 0101-46000-63010 AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11 AM) Page 2 Invoice No Description Amount Payment Date Acct Number Reference AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11 AM Page 3 Check Total: 840.00 Vendor: ExecTitl Executive Title Check Sequence: 12 ACH Enabled: False 00037484 Special Assessment - 15632 Eagle St. NW 172.86 11/14/2022 4140-49300-57100 Check Total: 172.86 Vendor: FossHarr Harrison Foss Check Sequence: 13 ACH Enabled: False 2022 Learn to Skate Coach 91.00 11/14/2022 2130-44300-63005 Check Total: 91.00 - Vendor: GiacomiI Isabella Giacomini Check Sequence: 14 ACH Enabled: False 2022 Learn to Skate Coach 351.00 11/14/2022 2130-44300-63005 Check Total: 351.00 Vendor: GiacomiJ Jordan Giacomini Check Sequence: 15 ACH Enabled: False 2022 Learn to Skate Helper 307.25 11/142022 2130-44300-63005 Check Total: 307.25 Vendor: GopherSt Gopher State One -Call Inc Check Sequence: 16 ACH Enabled: False 2100183 October 2022 Billable Locates 222.75 11/14/2022 5100-48100-63040 2100183 October 2022 Billable Locates 222.75 11/14/2022 5200-48200-63040 Check Total: 445.50 Vendor: Hawkins2 Hawkins Inc Check Sequence: 17 ACH Enabled: False 6322551 Chemicals for Water Treatment Plant 2,090.76 11/14/2022 5100-48100-61040 Check Total: 2,090.76 Vendor: HlthPDen Health Partners Check Sequence: 18 ACH Enabled: False 116737928 December 2022 Premium 237.50 11/14/2022 620048900-63005 116737928 December 2022 Premium 1,173.62 11/14/2022 7100-00000-21218 116737928 December 2022 Premium 4,547.19 11/142022 0101-00000-21208 116737928 December 2022 Premium 69,111.23 11/142022 0101-00000-21206 Check Total: 75,069.54 Vendor: HenderDy Dylan Hender Check Sequence: 19 ACH Enabled: False 2022 Learn to Skate Coach 61.50 11/14/2022 2130-44300-63005 AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11 AM Page 3 Invoice No Description Amount Payment Date Acct Number Reference AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11 AM) Page 4 Check Total: 61.50 Vendor: HighPtNw High Point Networks Check Sequence: 20 ACH Enabled: False 214818 Amba Central AP Fnd 3 Yr Sub E-STU 253.00 11/14/2022 0101-41420-62305 Check Total: 253.00 Vendor: InnovOff Innovative Office Solutions, LLC Check Sequence: 21 ACH Enabled: False IN3989578 Grafti Cleaner/Paper Towel/Liners/Cleaners 1,804.94 11/14/2022 2130-44000-61020 Check Total: 1,804.94 Vendor: Insight Insight Public Sector Check Sequence: 22 ACH Enabled: False 1100995828 Toner Cartridges @ Public Works 100.00 11/14/2022 010145000-61020 1100995828 Toner Cartridges @ Public Works 100.00 11/14/2022 0101-43100-61020 1100995828 Toner Cartridges @ Public Works 101.98 11/14/2022 0101-43200-61020 1100995828 Toner Cartridges @ Public Works 100.00 11/14/2022 5100-48100-61020 1100995828 Toner Cartridges @ Public Works 100.00 11/14/2022 5200-48200-61020 1100995828 Toner Cartridges @ Public Works 100.00 11/14/2022 530048300-61020 Check Total: 601.98 Vendor: JacksLoc Jack's Lock & Safe Check Sequence: 23 ACH Enabled: False 3375 Rekey & Master Key Women's Locker Room 265.00 11/14/2022 2130-44300-63105 Check Total: 265.00 Vendor: JohnJenn Jennifer Johnson Check Sequence: 24 ACH Enabled: False 2022 Learn to Skate Coach 293.00 11/14/2022 2130-44300-63005 Check Total: - 293.00 Vendor: OmelPer Jorge Omelas and Magdalena Perez Check Sequence: 25 ACH Enabled: False Damage Deposit@ 2542138th Ave NW#1 808.67 11/14/2022 4520-00000-24201 Rent Overpayment @ 2542 138th Ave NW #1 65.00 11/14/2022 452049300-58105 Check Total: 873.67 Vendor: KalmesAs Ashley Kalmes Check Sequence: 26 ACH Enabled: False 2022 Learn to Skate Coach 815.00 11/14/2022 2130-44300-63005 2022 Misc. Supplies 43.75 11/142022 2130-44300-61020 Check Total: 858.75 AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11 AM) Page 4 Invoice No Description Amount Payment Date Acct Number Reference Vendor: KastenAm Amanda Kasten Check Sequence: 27 ACH Enabled: False 2022 Lem to Skate Helper 66.50 11/14/2022 2130-44300-63005 Check Total: 66.50 Vendor: KleinRil Riley Klein Check Sequence: 28 ACH Enabled: False 2022 Learn to Skate Helper 253.75 11/14/2022 2130-44300-63005 Check Total: 253.75 Vendor: Kriss Kriss Premium Products Inc Check Sequence: 29 ACH Enabled: False 179715 CWT -595 & CWT -450 Cooling Water Treatmen 1,780.30 11/14/2022 2130-44300-61020 Check Total: 1,780.30 Vendor: LangsdoA Ally Langsdorf Check Sequence: 30 ACH Enabled: False 2022 Learn to Skate Helper 163.25 11/14/2022 2130-44300-63005 Check Total: 163.25 Vendor: LangsdoS Saddie Langsdorf Check Sequence: 31 ACH Enabled: False 2022 Lem to Skate Coach 260.00 11/14/2022 2130-44300-63005 Check Total: 260.00 Vendor: LegTitle Legacy Title Check Sequence: 32 ACH Enabled: False 00037330 Special Assessment - 15979 Xeon St. NW 172.86 11/14/2022 4140-49300-57100 Check Total 172.86 Vendor: Loes Lee's Oil Company Check Sequence: 33 ACH Enabled: False 89774 Oil Filters & Anti -Freeze Recycling 117.50 11/14/2022 0101-46000-63010 Check Total: 117.50 Vendor: LossingP Paige Lossing Check Sequence: 34 ACH Enabled: False 2022 Learn to Skate Coach 347.00 11/14/2022 2130-44300-63005 Check Total: 347.00 Vendor: LubrTech Lube -Tech Check Sequence: 35 ACH Enabled: False 3055871 Bluedef 555.86 11/14/2022 6100-48800-61020 Check Total: 555.86 AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11 AM) Page 5 Invoice No Description Amount Payment Date Acct Number Reference Vendor: LVCCom LVC Companies Check Sequence: 36 ACH Enabled: False 99544 Semi Annual Service Inspection 383.50 11/14/2022 010141910-63010 99913 New Fire Extinguisher for Public Works 152.00 11/14/2022 0101-41930-61120 Check Total: 535.50 Vendor: MacgEmer Macqueen Emergency Group Check Sequence: 37 ACH Enabled: False P07902 Pinnacle Class A Foam Agent 617.83 11/14/2022 0101-42200-61020 Check Total: 617.83 Vendor: MannChas Chase Maim Check Sequence: 38 ACH Enabled: False 2022 Lem to Skate Helper 91.00 11/14/2022 2130-44300-63005 Check Total: 91.00 Vendor: MartMCAI Martin -McAllister Check Sequence: 39 ACH Enabled: False 14924 Public Safety Assessment 2,400.00 11/14/2022 0101-42200-63005 Check Total: 2,400.00 Vendor: McNeffMi Michael McNeff Check Sequence: 40 ACH Enabled: False Driveway Apron 250.00 11/14/2022 4703-49300-63010 Check Total: 250.00 Vendor: MedComp Med Compass, Inc. Check Sequence: 41 ACH Enabled: False 42213 Hazmat Physical W/Hearing & Vision 585.00 11/14/2022 0101-42200-63005 Check Total: 585.00 Vendor: Menards Menards Inc Check Sequence: 42 ACH Enabled: False 81970 Training Supplies 49.73 11/14/2022 0101-42200-61015 82055 2" Stainless Steel Lock 18.99 11/14/2022 0101-41910-61120 82467 15A/125V Heavy Duty Cnctr 12.99 11/14/2022 0101-41920-61120 82593 Mise. Supplies 29.25 11/14/2022 0101-41910-61120 82603 Misc. Supplies 117.99 11/14/2022 0101-43100-61020 82704 Training Supplies 69.98 11/14/2022 0101-42200-61015 Check Total: 298.93 Vendor: MetCounw Metro Council Wastewater Check Sequence: 43 ACH Enabled: False 0001123418 Permit Fee for 2021 475.00 11/14/2022 5100-48100-63050 AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11 AM) Page 6 Invoice No Description Amount Payment Date Acct Number Reference AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11 AW Page 7 Check Total: 475.00 Vendor: MRCutEdg MR Cutting Edge Check Sequence: 44 ACH Enabled: False 4985 Ice Scraper Blade Sharpen 122.00 11/14/2022 2130-44300-61020 Check Total: 122.00 Vendor: MTIDist MTI Distributing Inc Check Sequence: 45 ACH Enabled: False 1368299-00 Kit -2WD Rear Axle 1,142.65 11/14/2022 610048800-61115 Check Total: 1,142.65 Vendor: ODPBus ODP Business Solutions, LLC Check Sequence: 46 ACH Enabled: False 275328429001 PW Office Depot Supplies 8.44 11/14/2022 0101-43100-61005 275328429001 PW Office Depot Supplies 5.62 11/14/2022 0101-43200-61005 275328429001 PW Office Depot Supplies 19.70 11/14/2022 0101-45000-61005 275328429001 PW Office Depot Supplies 3.94 11/14/2022 0101-46000-61005 275328429001 PW Office Depot Supplies 14.07 11/14/2022 5100-48100-61005 275328429001 PW Office Depot Supplies 27.01 11/14/2022 5200-48200-61005 Check Total: 78.78 Vendor: OReiAuto O'Reilly Auto Parts Check Sequence: 47 ACH Enabled: False 3253-290737 Air Filters for Unit#110 111.43 11/14/2022 6100-48800-61115 3253-290920 Mist N Shine, Shine Master & Silicone 79.89 11/14/2022 6100-48800-61020 Check Total: 191.32 Vendor: OSNation OS National Check Sequence: 48 ACH Enabled: False 00036737 Special Assessment- 1542153rd Lane NW 172.86 11/14/2022 4140-49300-57100 Check Total: 172.86 Vendor: OtisElev Otis Elevator Company Check Sequence: 49 ACH Enabled: False F10000022926 Elevator Service Contract 125.00 11/14/2022 2130-44000-63010 Check Total: 125.00 Vendor: PriceCus Price Custom Homes Check Sequence: 50 ACH Enabled: False 1200 -Escrow 1200167th Ave NW 7,050.00 11/14/2022 7200-00000-24204 1200 - Insp Fee 1200 167th Ave NW -50.00 11/14/2022 0101-41600-54180 Check Total: 7,000.00 AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11 AW Page 7 Invoice No Description Amount Payment Date Acct Number Reference Vendor: REALTech RealTech Title Check Sequence: 51 ACH Enabled: False 00037067 Special Assessment- 1360153rd Lane NW 172.86 11/14/2022 4140-49300-57100 Check Total: 172.86 Vendor: RockersL Lauren Rockers Check Sequence: 52 ACH Enabled: False 2022 Learn to Skate Helper 33.50 11/14/2022 2130-44300-63005 Check Total: 33.50 Vendor: SiteOneL SiteOne Landscape Supply Check Sequence: 53 ACH Enabled: False 124296398-001 Misc. Supplies 22.68 11/14/2022 510048100-61130 Check Total: 22.68 Vendor: SocolofF Emma Socolofsky Check Sequence: 54 ACH Enabled: False 2022 Learn to Skate Helper 283.50 11/14/2022 2130-44300-63005 Check Total: 283.50 Vendor: SOTAClea SOTA Clean LLC Check Sequence: 55 ACH Enabled: False 1153 Monthly Cleaning Service 1,548.37 11/14/2022 010141910-63010 1153 Monthly Cleaning Service 1,284.01 11/14/2022 0101-41930-63010 1153 Monthly Cleaning Service 566.47 11/14/2022 0101-41920-63010 1153 Monthly Cleaning Service 377.65 11/14/2022 6100-48800-63010 Check Total: 3,776.50 Vendor: StarTri2 Star Tribune Check Sequence: 56 ACH Enabled: False 796232 Newspaper -11/16/22-11/15/23 109.15 11/14/2022 010145000-61020 796232 Newspaper -11/16/22-11/15/23 109.15 11/14/2022 010143100-61020 Check Total: 218.30 Vendor: StoehGra Grace Stoehr Check Sequence: 57 ACH Enabled: False 2022 Learn to Skate Helper 253.75 11/14/2022 2130-44300-63005 Check Total: 253.75 Vendor: TheWilso The Wilson Bohannan Padlock Cc Check Sequence: 58 ACH Enabled: False 0194808-1N Number Lock/Key 312.40 11/14/2022 5200-48200-61140 Check Total: 312.40 Vendor: Therrnech Thermech Check Sequence: 59 ACH Enabled: False AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11 AM) Page 8 Invoice No Description Amount Payment Date Acct Number Reference 30-00161 Insulated 4" Water Line in Hallway 900.00 11/14/2022 5100-48100-63100 Check Total: 900.00 Vendor: Timesave Timesaver Check Sequence: 60 ACH Enabled: False M27706 Planning Commission Meeting 308.00 11/14/2022 0101-41500-63005 M27706 City Council Meeting 454.00 11/14/2022 0101-41100-63005 M27706 Park & Recreation Meeting 154.00 11/14/2022 010145000-63005 Check Total: 916.00 Vendor: TotalCon Total Control Systems, Inc Check Sequence: 61 ACH Enabled: False 10409 Connect Tower #2 to City Fiber Network 405.00 11/14/2022 5100-48100-63100 10409 Connect Tower#2 to City Fiber Network 1,154.50 11/14/2022 2510-46500-63010 Check Total: 1,559.50 Vendor: Trencher Trenchers Plus, Inc. Check Sequence: 62 ACH Enabled: False IT05662 Parts for Unit 496 147.98 11/14/2022 6100-48800-61115 Check Total: 147.98 Vendor: TmstInU Trust in Us Workplace Drug & Alcohol Testing Check Sequence: 63 ACH Enabled: False 96048 Fire Dept Non DOT Pre -Employment 110.00 11/14/2022 0101-41230-63005 Check Total: 110.00 Vendor: VoyantCo Voyant Communications Check Sequence: 64 ACH Enabled: False 0030943221101 Phone Service @ City Hall 661.66 11/14/2022 0101-41910-62030 0030943221101 Phone Service @ Fire Stations 103.00 11/14/2022 0101-41920-62030 0030943221101 Phone Service @ Public Works 212.00 11/14/2022 0101-41930-62030 0030943221101 Phone Service @ Comm Ctr 100.00 11/14/2022 2130-44000-62030 0030943221101 Phone Service @ WT? 43.00 11/14/2022 5100-48100-62030 Check Total: 1,119.66 Vendor: WaltcrRR Walters Recycling & Refuse Inc Check Sequence: 65 ACH Enabled: False 6536111 October 2022 Recycling Center 660.00 11/14/2022 010146000-63010 Check Total: 660.00 Vendor: WasMgmt2 Waste Management - Blaine Check Sequence: 66 ACH Enabled: False 9323579-0500-3 10/22 Garbage Service @ City Hall 179.40 11/14/2022 0101-41910-62020 9323583-0500-5 PW Garbage Disposal 245.65 11/14/2022 0101-41930-62020 9323583-0500-5 PW Garbage Disposal 193.93 11/14/2022 0101-45000-62020 AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11 AM) Page 9 Invoice No Description Amount Payment Date Acct Number Reference 9323583-0500-5 PW Garbage Disposal 853.29 11/14/2022 0101-46000-62020 9323586-0500-8 10/22 Garbage Service @ FS62 141.69 11/14/2022 0101-41920-62020 9323587-0500-6 10/22 Garbage Service @FS#1 130.85 11/14/2022 0101-41920-62020 9325737-0500-5 11/22 Garbage Service @ FS#3 237.55 11/14/2022 0101-41920-62020 Vendor: ZahlPct 0275409 -IN Check Total: Zahl-Petroleum Maintenance 400-10, 70015, 10 Micron Check Total: Total for Check Run: Total of Number of Checks: 9,104.25 Check Sequence: 68 73.59 11/14/2022 6100-48800-61115 73.59 135,311.64 68 ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11AM) Page 10 Check Total: 1,982.36 Vendor: WSB WSB & Associates, Inc. Check Sequence: 67 R-017448-000-17 AMI -Advanced Metering Infrastructure 360.50 11/14/2022 2510-46500-63005 R-020924-000-3 Biological Water Treatament Study 3,495.25 11/14/2022 5100-48100-63005 R-021090-000-2 LS#1- Piping & Valve Vault 5,248.50 11/14/2022 4120-49300-63005 Vendor: ZahlPct 0275409 -IN Check Total: Zahl-Petroleum Maintenance 400-10, 70015, 10 Micron Check Total: Total for Check Run: Total of Number of Checks: 9,104.25 Check Sequence: 68 73.59 11/14/2022 6100-48800-61115 73.59 135,311.64 68 ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/15/2022 - 8:11AM) Page 10 Accounts Payable Computer Check Proof List by Vendor User: BrendaF Printed: 11/18/2022- 8:10AM Batch: 00416.11.2022 Invoice No Description Amount Payment Date Acct Number ?CN]56WR*' jL Reference Vendor: 3M 3M Check Sequence: 1 ACH Enabled: False 9419760794 3M Clear Transfer Tape for Street Signs 202.50 11/18/2022 0101-43300-61030 9419760805 3M Protective Overlay Film for Street Signs 911.77 11/18/2022 0101-43300-61030 Check Total: 1,114.27 Vendor: AmazonBu Amazon Capital Services Check Sequence: 2 - ACH Enabled: False 1KJ6-HM4N-3YGJ Case for ]Phone 35.68 11/18/2022 2130-44000-61020 Check Total: 35.68 Vendor: AndFire Andover Firefighters Relief Association Check Sequence: 3 ACH Enabled: False 2022 2022 Fire Aid 219,668.68 11/18/2022 0101-42200-60540 Check Total: 219,668.68 Vendor: AnkCity City of Anoka Check Sequence: 4 ACH Enabled: False INV0I442 Traffic Signal - Bunker & 7th Ave 28.68 11/18/2022 0101-43400-62005 Check Total: 28.68 Vendor: BergDev Bergeron Developers LLC Check Sequence: 5 ACH Enabled: False Escrow The Estates of Cedar Ridge 2,500.00 11/18/2022 7200-00000-24209 Interest The Estates of Cedar Ridge 0.21 11/18/2022 7200-41400-56910 Check Total: 2,500.21 Vendor: ChalcoLu Lukas Chalco Check Sequence: 6 ACH Enabled: False 2022 Soccer Coach 102.00 11/18/2022 2130-44400-63005 2022 Soccer Coach 255.50 11/18/2022 2130-44400-63005 Check Total: 357.50 Vendor: ConradiP Patrick Conradi Check Sequence: 7 ACH Enabled: False AP -Computer Check Proof List by Vendor (11/18/2022 - 8:10 AM) Page 1 Invoice No Description Amount Payment Date Acct Number Reference Pool Escrow 1303 155th Lane NW - Pool Escrow 1,500.00 11/18/2022 OI01-00000-24217 - Check Total: 1,500.00 Vendor: CrowRive Crow River Farm Equipment Check Sequence: 8 ACH Enabled: False 205011 Parts for Unit#200 199.40 11/18/2022 6100-48800-61115 Check Total: 199.40 Vendor: DehnOil Dehn Oil Company - Check Sequence: 9 ACH Enabled: False 94930 Diesel Fuel 4,715.00 11/18/2022 6100-48800-61050 94931 Unleaded Fuel 3,195.00 11/18/2022 6100-48800-61045 Check Total: 7,910.00 Vendor: InstrRes Instrumental Research, Inc Check Sequence: 10 ACH Enabled: False 4498 September 2022 Total Coliform Testing 390.00 11/18/2022 5100-48100-63005 Check Total: 390.00 Vendor: JensonJN Jessamyn & Nathan Jenson Check Sequence: I I ACH Enabled: False Return Key & Damage Deposit 450.00 11/18/2022 0101-00000-24201 Check Total: 450.00 Vendor: KinectEG Kinect Energy Group Check Sequence: 12 ACH Enabled: False 351360/11171502 Community Center 14,972.23 11/18/2022 2130-44000-62015 351360/11171508 Public Works 1,048.97 11/18/2022 0101-41930-62015 Check Total: 16,021.20 Vendor: MacQueen MacQueen Equipment Inc. Check Sequence: 13 ACH Enabled: False P45717 Parts for Unit #17-99 16.67 11/18/2022 6100-48800-61115 Check Total: 16.67 Vendor: Menards Menards Inc Check Sequence: 14 ACH Enabled: False 81101 Misc. Supplies 6.52 11/18/2022 5100-48100-61005 81137 Misc. Supplies 29.18 11/18/2022 5100-48100-61005 82363 Paper Joint Tape 2.48 11/18/2022 0101-41910-61120 82363 Bulbs 21.84 11/18/2022 0101-41930-61120 82886 Misc. Supplies 50.81 11/18/2022 510048100-61005 Check Total: 110.83 AP -Computer Check Proof List by Vendor (11/18/2022 - 8:10 AM) Page 2 Invoice No Description Amount Payment Date Acct Number Reference Vendor: Mickman Mickman Brothers Inc. Check Sequence: 15 ACH Enabled: False 7240 Lawn Service @ Fire Station #1 547.58 11/18/2022 0101-01920-63010 7241 Lawn Service @ Fire Station #2 314.26 11/18/2022 010141920-63010 7242 Lawn Service @ City Hall 453.16 11/18/2022 0101-41910-63010 7243 Lawn Service @ Comm Ctr 638.16 11/18/2022 2130-44000-63010 7244 Lawn Service @ Fire Station #3 330.39 11/18/2022 0101-41920-63010 Check Total: 2,283.55 Vendor: MNLifeln Minnesota Life Insurance Company Check Sequence: 16 ACH Enabled: False 0034706/591720 December 2022 Premium 16.50 11/18/2022 0101-42200-60330 0034706/591720 December 2022 Premium 45.60 11/18/2022 0101-00000-21205 0034706/591720 December 2022 Premium 236.08 11/18/2022 7100-00000-21218 0034706/591720 December 2022 Premium 1,835.25 11/18/2022 0101-00000-21205 Check Total: 2,133.43 Vendor: MYHold MY Holdings, Inc. Check Sequence: 17 ACH Enabled: False 4545 Scrub & Disinfect Sunshine/ASN 724.00 11/18/2022 0101-45000-63010 Check Total: 724.00 Vendor: NoRoofIn Northern Roofing, Inc. Check Sequence: 18 ACH Enabled: False 8879 Caulking on Metal Walls Panels - 1/2 YMCA 9,825.00 11/18/2022 2130-44000-63105 8880 Caulking & Roof Maint on YMCA Side 3,505.00 11/18/2022 2130-44000-63105 8881 Roof Repair @ PW Truck Garage 465.00 11/18/2022 0101-41930-63105 Check Total: 13,795.00 Vendor: NoSafety Northern Safety Technology Check Sequence: 19 ACH Enabled: False 54801 LED Amber for Unit #4807 117.17 11/18/2022 610048800-61115 Check Total: 117.17 Vendor: NussTrck Nuss Truck & Equipment Check Sequence: 20 ACH Enabled: False 4726323P Parts for Unit #16-209 43.75 11/18/2022 6100-48800-61115 4728011P Parts for Unit #16-209 1,139.20 11/18/2022 610048800-61115 4728199P Fuel Filters for Unit 917-99 90.25 11/18/2022 6100-48800-61115 4728671P Parts for Unit #16-209 54.19 11/18/2022 6100-48800-61115 4728838P Parts for Unit #16-209 3.47 11/18/2022 6100-48800-61115 4729147P Parts for Unit #16-209 109.75 11/18/2022 6100-48800-61115 4729440P Parts for Unit #11-207 117.25 11/18/2022 6100-48800-61115 CM4720412P Credit for Core -172.80 11/18/2022 6100-48800-61115 CM4720687P Returned Idler Pulley -250.12 11/18/2022 6100-48800-61115 AP -Computer Check Proof List by Vendor (11/18/2022 - 8:10 AM) Page 3 Invoice No Description Amount Payment Date Acct Number Reference CM4720695P Returned Wrong Part -338.90 11/18/2022 6100-48800-61115 CM4728011P Returned Parts for Unit #16-209 -516.52 11/18/2022 6100-48800-61115 CM4728671PA Return V -Clamp -40.96 11/18/2022 6100-48800-61115 Check Total: 238.56 Vendor: ODP Bus ODP Business Solutions, LLC Check Sequence: 21 ACH Enabled: False 275275299001 CH Office Supplies 22.95 11/18/2022 0101-42300-61005 275275299001 CH Office Supplies 18.35 11/18/2022 0101-41500-61005 275275299001 CH Office Supplies 13.77 11/18/2022 0101-41600-61005 275275299001 CH Office Supplies 9.18 11/18/2022 0101-41230-61005 275275299001 CH Office Supplies 4.59 11/18/2022 0101-41300-61005 275275299001 CH Office Supplies 9.17 11/18/2022 0101-41400-61005 275275299001 CH Office Supplies 13.77 11/18/2022 010141200-61005 275275299001 CH Office Supplies 9.82 11/18/2022 0101-41310-61005 Check Total: 101.60 Vendor: PetersCo Peterson Companies, Inc Check Sequence: 22 ACH Enabled: False 50647 Kelsey RLP Boardwalk 4,900.00 11/18/2022 2510-46500-63005 Check Total: 4,900.00 Vendor: Pomps Pomp's Tire Service Inc Check Sequence: 23 ACH Enabled: False 150164162 Tires for Unit #4825 840.96 11/18/2022 6100-48800-61115 Check Total: 840.96 Vendor: Postmast Postmaster Check Sequence: 24 ACH Enabled: False 2023 Newletter Postage for Jan - April 2023 3,600.00 11/18/2022 0101-41210-61405 Check Total: 3,600.00 Vendor: RESPEC RESPEC Check Sequence: 25 ACH Enabled: False INV -1022-669 2021 On Site Support 14.00 11/18/2022 4140-49300-63005 INV -1022-669 2021 On Site Support 10.00 11/18/2022 2210-41600-63005 INV -1022-669 2021 On Site Support 2.00 11/182022 222041600-63005 INV -1022-669 2021 On Site Support 14.00 11/18/2022 2250-41600-63005 INV -1022-669 2021 On Site Support 14.00 11/18/2022 510048100-63005 INV -1022-669 2021 On Site Support 14.00 11/18/2022 5200-48200-63005 INV -1022-669 2021 On Site Support 7.00 11/18/2022 5300-48300-63005 Check Total: 75.00 AP -Computer Check Proof List by Vendor (11/18/2022 - 8:10 AM) Page 4 Invoice No Description Amount Payment Date Acct Number Reference Vendor: SnapOn Snap-On Industrial Check Sequence: 26 ACH Enabled: False ARV/55049337 Tools 23.44 11/18/2022 610048800-61205 Check Total: 23.44 Vendor: Theco Theco, Inc. Check Sequence: 27 ACH Enabled: False 22360 Rental Powerscreen CHIEFTAIN 1400 2 -Deck 6,300.00 11/18/2022 0101-43100-62200 Check Total: 6,300.00 Vendor: ToyotaLi Toyota -Lift of Minnesota Check Sequence: 28 ACH Enabled: False W315302 Parts to Repair Unit #303 229.36 11/18/2022 6100-48800-61115 W315302 Labor to Repair Unit #303 750.50 11/18/2022 6100-48800-63135 Check Total: 979.86 Vendor: Verizon Verizon Wireless Check Sequence: 29 ACH Enabled: False 9919560931 Storm Water Pump 25.02 11/18/2022 530048300-62030 9919560932 Park Trail Cams 50.04 11/18/2022 0101-45000-62030 Check Total: 75.06 Vendor: Viklndus Viking Industrial Center Check Sequence: 30 ACH Enabled: False 3253776 Nitrile Gloves 377.30 11/18/2022 5200-48200-61005 Check Total: 377.30 Vendor: WaterLog Waterlogic Americas LLC Check Sequence: 31 ACH Enabled: False 1844389 Water Cooler Rental @ City Hall 157.41 11/18/2022 010141910-62200 1844390 Water Cooler Rental @ Public Works 293.84 11/18/2022 0101-41930-62200 1844531 Water Cooler Rental @FS#I 136.43 11/18/2022 0101-41920-62200 Check Total: 587.68 Total for Check Run: 287,455.73 Total of Number of Checks: 31 AP -Computer Check Proof List by Vendor (11/18/2022 - 8:10 AM) Page 5 Accounts Payable Computer Check Proof List by Vendor User: BrendaF Printed: 11/18/2022- I:48PM Batch: 00418.11.2022 Invoice No Description Vendor: CIarFDIC CLARION/FDIC 2023 32186 FDIC Conference, Kristy W„ Tom F., Ashley H. Check Total: Total for Check Ran: Total of Number of Checks: Amount Payment Date Acct Number Check Sequence: 1 3,529.00 11/18/2022 0101-42200-61315 3,529.00 3,529.00 Reference ACH Enabled: False AP -Computer Check Proof List by Vendor (11/18/2022 - 1:48 PK Page 1 Accounts Payable Computer Check Proof List by Vendor C 1 Tr o f User: BrendaF NDbWR� Printed: 12/01/2022 - 8:24AM Batch: 00402.12.2022 Invoice No Description Amount Payment Date Acct Number Reference Vendor: AFLAC AFLAC Check Sequence: 1 ACH Enabled: False 920475 November 2022 Premium 397.08 12/02/2022 0101-00000-21209 Check Total: 397.08 Vendor: Aladtec Aladtec, Inc. Check Sequence: 2 ACH Enabled: False INVO0229535 2023 Alatec Maintenance Contract 4,359.00 12/02/2022 0101-42200-62305 Check Total: 4,359.00 Vendor: AmazonBu Amazon Capital Services Check Sequence: 3 ACH Enabled: False 17JN-GQWF-GH96 Foam Soap 166.52 12/02/2022 0101-45000-61020 1G33-YNCC-FJTH HP Prolliant DL360P 08 Server 436.00 12/02/2022 0101-41420-61225 Check Total: 602.52 Vendor: AnderEar Earl F. Andersen, Inc. Check Sequence: 4 ACH Enabled: False 0131494-rN Traffic Cones, Stop/Slow Flagger 597.66 12/02/2022 010143300-61020 Check Total: 597.66 Vendor: AnderEng Anderson Engineering Check Sequence: 5 ACH Enabled: False 19338 Kelsey RLP Boardwalk 682.80 12/02/2022 2510-46500-63005 19338 Crosstown Blvd Trail -Xeon to 159th 984.00 12/02/2022 4170-49300-63005 19338 161st fAve& Tulip Street Reconstruction 683.85 12/02/2022 4140-49300-63005 19338 Dalske Woodlands Pres PedXing 903.60 12/02/2022 4180-49300-63005 Check Total: 3,254.25 Vendor: And648-1 Andover 648-1 Land, LLC Check Sequence: 6 ACH Enabled: False Escrow Andover Village 121.76 12/02/2022 7200-00000-24215 Interest Andover Village 0.01 12/022022 7200-41400-56910 Check Total: 121.77 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 1 Invoice No Description Amount Payment Date Acct Number Reference Vendor: AHSchDis Anoka -Hennepin ISD #11 Check Sequence: 7 ACH Enabled: False Escrow High School Expan - Phase 2 1,186.58 12/02/2022 7200-00000-24207 Interest High School Expan- Phase 2 1.04 12/02/2022 7200-41400-56910 Check Total: 1,187.62 Vendor: AspenMil Aspen Mills Check Sequence: 8 ACH Enabled: False 303739 Uniform for Ryan Sahlberg 37.35 12/02/2022 0101-42200-61305 303760 Uniform for Tammy Dietzler 198.00 12/02/2022 0101-42200-61305 Check Total: 235.35 Vendor: AssurSec Assured Security Check Sequence: 9 ACH Enabled: False P224298 Install Cameras 3,326.22 12/02/2022 0101-41910-63105 Check Total: 3,326.22 Vendor: BamRealE BAM Real Estate Check Sequence: 10 ACH Enabled: False 10-2022 Andover Management for October 1,221.00 12/02/2022 4520-49300-63010 10-2022 October Maintenance & Supplies 83.95 12/02/2022 452049300-63105 Check Total: 1,304.95 Vendor: BanKoe Ban-Koe Companies, Inc Check Sequence: I1 ACH Enabled: False 5663 Monitoring Fire Alarm 270.00 12/02/2022 2130-44000-62300 Check Total: 270.00 Vendor: BouldCon Boulder Contracting LLC Check Sequence: 12 ACH Enabled: False 1332 - Escrow 1332 160th Lane NW 800.00 12/02/2022 7200-00000-24204 1332 - Insp Fee 1332 160th Lane NW -50.00 12/02/2022 0101-41600-54180 Check Total: 750.00 Vendor: Cap -Frac Capital One Trade Credit - Frattallone's Check Sequence: 13 ACH Enabled: False A80282 Training Supplies 14.67 12/02/2022 0101-42200-61015 A81700 Misc. Supplies 74.93 12/02/2022 0101-42200-61005 A82788 Tmfuel2 & 4 Cycle 143.91 12/02/2022 0101-42200-61020 A82789 Paper Towel 14.99 12/02/2022 0101-42200-61015 A83443 Fasteners for Unit #11-207 29.94 12/02/2022 610048800-61115 A84673 Ice Melt 135.96 12/02/2022 0101-43200-61125 A85665 Key Ring & Key Box 61.01 12/02/2022 2130-44000-61020 A86832 Training Supplies 20.98 12/02/2022 0101-42200-61015 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 2 Invoice No Description Amount Payment Date Acct Number Reference Check Total: 2,976.90 Vendor: CentColl Century College Check Sequence: 16 ACH Enabled: False AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 3 Check Total: 496.39 Vendor: CarrTree Carr's Tree Service Check Sequence: 14 ACH Enabled: False 29423 SC EAB Program 2022 - Tree Removal 2,199.90 12/02/2022 0101-45500-63005 Check Total: 2,199.90 Vendor: Centerpt CenterPoint Energy Check Sequence: 15 ACH Enabled: False 10809697-5 2543 Bunker Lk Blvd (4-plex) 13.38 12/022022 4520-49300-62015 10809697 11078651-4 Vehicle Maint Bldg 619.20 12/02/2022 6100-48800-62015 - 11078651-4 11078654-8 Cold Storage 24.83 12/02/2022 0101-41940-62015 11078654-8 11369721-3 2621 BunkerLkBlvd MAIN(4-plex) 35.51 12/02/2022 4520-49300-62015 11369721 11369722-1 2607 BunkerLkBlvd MA1N(4-plex) 72.02 12/02/2022 4520-49300-62015 11369722 11527322-9 2513 Bunker Lk Blvd (Duplex) 20.94 12/02/2022 452049300-62015 11527322 11530729-0 Lift Station #11 18.00 12/02/2022 5200-48200-62015 11530729 5825952-4 Equipment Building 32.56 12/02/2022 0101-41950-62015 5825952 5840270-2 Water Treatment Plant 1,249.79 12/02/2022 5100-48100-62015 5840270 5840341-1 Prairie Knoll Park 19.47 12/02/2022 0101-41990-62015 5840341 5841153-9 Fire Station #1 78.76 12/02/2022 0101-41920-62015 5841153 5841451-7 Fire Station #2 154.74 12/02/2022 0101-41920-62015 5841451 5852601-3 Fire Station#3 133.64 12/02/2022 0101-41920-62015 5852601 5864630-8 Pumphouse #4 16.80 12/022022 5100-48100-62015 5864630 5883191-8 Sunshine Park 16.80 12/02/2022 0101-41970-62015 5883191 5893307-8 Well #1 16.80 12/02/2022 5100-48100-62015 5893307 5907226-4 Pumphouse 46 35.57 12/02/2022 510048100-62015 5907226 5927939-8 Pumphouse #7 16.80 12/022022 5100-48100-62015 5927939 5945463-7 Well#3 26.21 12/02/2022 510048100-62015 5945463 5950580-0 City Hall/Senior Center 129.90 12/022022 0101-41910-62015 5950580 6122874-8 Lift Station #4 16.80 12/02/2022 520048200-62015 6122874 6402167055-5 Lift Station #10 32.89 12/02/2022 520048200-62015 6402167055 6402417246-8 2527 BunkerLkBlvd MAIN(4-plex) 12.97 12/02/2022 452049300-62015 6402417246 6402418666-6 2527 Bunker LkBIvd #4 (4-plex) 14.32 12/022022 452049300-62015 6402418666 6402474382-1 2556 138th Ave MAIN (4-plex) 77.90 12/02/2022 452049300-62015 6402474382 6402630849-0 2542 138th Ave #3 (4-plex) 12.97 12/02/2022 4520-49300-62015 6402630849 6402901722-1 2503138th Ave (Duplex) 12.17 12/02/2022 452049300-62015 6402901722 7575198-2 ASN Ballfields 23.52 12/02/2022 010141980-62015 7575198 7725077-7 Lift Station #1 16.80 12/02/2022 520048200-62015 7725077 8743371-0 Warming House 24.84 12/02/2022 0101-45000-62015 8743371 Check Total: 2,976.90 Vendor: CentColl Century College Check Sequence: 16 ACH Enabled: False AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 3 Invoice No Description Amount Payment Date Acct Number Reference 1114587 Emergency Medical Technician 3,300.00 12/02/2022 0101-42200-61315 1114593 Emergency Medical Technician 1,650.00 12/02/2022 0101-42200-61315 Check Total: 4,950.00 Vendor: ChalcoLu Lukas Chalco Check Sequence: 17 ACH Enabled: False 2022 38.50 12/02/2022 2130-44400-63005 Check Total: 38.50 Vendor: ChetsSho Chefs Shoes, Inc. Check Sequence: 18 ACH Enabled: False LLC176035 Safety Boots for J. Baumunk 165.74 12/02/2022 0101-43100-61005 S17553 Safety Boots for A. Koester 200.00 12/02/2022 0101-41600-61005 Check Total: 365.74 Vendor: CintasGK Cintas Corp Check Sequence: 19 ACH Enabled: False 4137946074 Uniform Cleaning & Shop Towels 96.58 12/02/2022 6100-48800-61020 4137946088 Floor Mat Rental 38.25 12/02/2022 0101-41930-62200 4137946095 Floor Mat Rental 40.08 12/02/2022 010141910-62200 4137946224 Uniform Cleaning 120.31 12/02/2022 0101-43100-61020 4137946224 Uniform Cleaning 17.19 12/02/2022 0101-43300-61020 4137946224 Uniform Cleaning 68.72 12/02/2022 0101-45000-61020 4137946224 Uniform Cleaning 17.20 12/02/2022 5100-48100-61020 4137946224 Uniform Cleaning 34.36 12/02/2022 5200-48200-61020 Check Total: 432.69 Vendor: Colonial Colonial Life & Accident Check Sequence: 20 ACH Enabled: False 71567061201975 December 2022 Premium - B7156706 78.75 12/02/2022 0101-00000-21210 Check Total: 78.75 Vendor: CoonRapi City of Coon Rapids Check Sequence: 21 ACH Enabled: False 13793 Traffic Signal - Crosstown & 133rd 37.20 12/02/2022 010113400-62005 13793 Traffic Signal - Hanson & 133rd 28.66 12/02/2022 0101-43400-62005 13794 Traffic Signal- Crosstown & 133rd 35.90 12/02/2022 0101-43400-62005 13794 Traffic Signal - Hanson & 133rd 27.46 12/02/2022 0101-43400-62005 Check Total: 129.22 Vendor: CoreMain Core & Main LP Check Sequence: 22 ACH Enabled: False R398025 Meter 749.47 12/02/2022 510048100-61036 R818193 Meter 3,692.15 12/02/2022 0101-45000-61020 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 4 Invoice No Description Amount Payment Date Acct Number Reference R951761 Meter & Cast Iron Flange Kit 1,756.23 12/02/2022 5100-48100-61035 R996498 Meter Supplies 375.58 12/02/2022 5100118100-61035 Check Total: 6,573.43 Vendor: CreatFor Creative Forms & Concepts, Check Sequence: 23 ACH Enabled: False 119717 1099 Forms 111.68 12/02/2022 0101-41400-61005 Check Total: 111.68 Vendor: DehnOil Dehn Oil Company Check Sequence: 24 ACH Enabled: False 94966 Diesel Fuel 8,750.00 12/02/2022 610048800-61050 94967 Unleaded Fuel 3,075.00 12/02/2022 6100-48800-61045 Check Total: 11,825.00 Vendor: Divisil6 Division 16 Electric, LLC Check Sequence: 25 ACH Enabled: False 7035 Wire Water Meters 1,200.00 12/02/2022 5100-48100-63105 7036 Wire Wet Well Fans 3,770.00 12/02/2022 510048100-63105 7038 Remove Fixture & Replace 230.00 12/02/2022 0101-41910-63105 Check Total: 5,200.00 Vendor: ECM ECM Publishers, Inc. Check Sequence: 26 ACH Enabled: False 919953 Nov 22 PH Andover Station 2016 84.70 12/02/2022 0101-41500-63025 920236 Andover Advocate - November 149.00 12/02/2022 0101-46000-63025 921271 Anoka Area Chamber Resource 521.56 12/02/2022 2110-46500-63025 Check Total: 755.26 Vendor: EganSery Egan Service Check Sequence: 27 ACH Enabled: False MNT0000021715 Andover Blvd & Crosstown RR Maint 557.50 12/02/2022 0101-43400-62300 SVC0000122905 Repair Crosstown Wayside Horn 351.00 12/02/2022 0101-43400-63100 Check Total: 908.50 Vendor: ESSBmS ESS Brothers & Sons, Inc. Check Sequence: 28 ACH Enabled: False CC10217 28" ID Manhole Protection Ring 1,702.80 12/02/2022 5200-48200-61140 Check Total 1,702.80 Vendor: Ferguson Ferguson Waterworks #2518 Check Sequence: 29 ACH Enabled: False 0505320 Misc. Supplies 744.00 12/02/2022 5100-48100-61125 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 5 Invoice No Description Amount Payment Date Acct Number Reference Check Total: 744.00 Vendor: FhstSys First Systems Technology, Inc. Check Sequence: 30 ACH Enabled: False 22620 Annual Fall Verification of 8 Meters 2,600.00 12/02/2022 5100-48100-63120 Check Total: 2,600.00 Vendor: ForceAm Force America Distributing LLC Check Sequence: 31 ACH Enabled: False 001-1683736 Misc. Stock 291.20 12/02/2022 610OA8800-61115 Check Total: 291.20 Vendor: Grainger Grainger Check Sequence: 32 ACH Enabled: False 9512152381 90 Degree Elbow, 16" Duct Size 237.89 12/02/2022 5100-48100-61120 9513232083 Tools 103.13 12/02/2022 5100-48100-61205 9514126938 Hand Crank Hose Reel 404.78 12/02/2022 5100-48100-61120 9514670885 Cable Ties 104.88 12/02/2022 510048100-61150 9518342978 Inline Duct Fan Steel 460V, 1082W 3,111.49 12/022022 5100-48100-61120 Check Total: 3,962.17 Vendor: GttRvGm Great River Greening Check Sequence: 33 ACH Enabled: False 3598 Restoration Cu Strootman & Timber Rivers 2,000.00 12/02/2022 010145500-63005 Check Total: 2,000.00 Vendor: Greatlan Greatland Corporation Check Sequence: 34 ACH Enabled: False 8228363 W2's for 2022 396.49 12/02/2022 010141400-61005 Check Total: 396.49 Vendor: GriessMa Madison Griess Check Sequence: 35 ACH Enabled: False 2022 Soccer Coaches 38.50 12/02/2022 2130-44400-63005 Check Total: 38.50 Vendor: GriessTr Tracey Griess Check Sequence: 36 ACH Enabled: False 2022 Soccer Coach 670.00 12/02/2022 213044400-63005 Check Total: 670.00 Vendor: HachCo Hach Company Check Sequence: 37 ACH Enabled: False 13340398 Chemicals for Water Treatment Plant 115.91 12/022022 5100-48100-61040 13344327 Chemicals for Water Treatment Plant 133.20 12/02/2022 510048100-61040 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 6 Invoice No Description Amount Payment Date Acct Number Reference 13347584 Chemicals for Water Treatment Plant 280.89 12/02/2022 5100-48100-61040 13347876 Chemicals for Water Treatment Plant 51.88 12/02/2022 5100-48100-61040 13353809 Chemicals for Water Treatment Plant 86.45 12/02/2022 5100-48100-61040 Check Total: 668.33 Vendor: Hakanson Hakanson Anderson Assoc., Check Sequence: 38 ACH Enabled: False 49629 Crosstown Blvd Trail - Xeon to 159th 840.00 12/02/2022 4170-49300-63005 Check Total: 840.00 Vendor: Hawkins2 Hawkins Inc Check Sequence: 39 ACH Enabled: False 6333652 Chemicals for Water Treatment Plant 3,027.49 12/02/2022 5100-48100-61040 Check Total: 3,027.49 Vendor: HenSchei Henry Schein, Inc. Check Sequence: 40 ACH Enabled: False 28265849 Band Aids, ABD Pad, Nitril Gloves 169.55 12/02/2022 0101-42200-61020 Check Total: 169.55 Vendor: HotsyEqu Horsy Minnesota Check Sequence: 41 ACH Enabled: False 15007 Misc. Supplies 1,495.21 12/02/2022 6100-48800-61020 15007 Labor for Repair Ripper Tank 184.47 12/02/2022 6100-48800-63135 15114 Supplies for Pressure Washer Repair 31.82 12/02/2022 6100-48800-61020 15114 Labor to Repair Pressure Washer 68.37 12/02/2022 6100-48800-63135 280 Returned from Misc. Supplies -295.00 12/02/2022 6100-48800-61020 Check Total: 1,484.87 Vendor: HowiesHo Howies Hockey Tape Check Sequence: 42 ACH Enabled: False INV000141311 Puck -6oz Standard - Custom 478.85 12/02/2022 2130114300-61020 Check Total: 478.85 Vendor: HudsonBr Brenna Hudson Check Sequence: 43 ACH Enabled: False 2022 Soccer Coach 157.50 12/02/2022 2130-44400-63005 Check Total: 157.50 Vendor: Indelco Indelco Plastics Corp. Check Sequence: 44 ACH Enabled: False INV364531 Misc. Supplies 5,174.84 12/02/2022 5100-48100-61135 Check Total: 5,174.84 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 7 Invoice No Description Amount Payment Date Acct Number Reference Vendor: Insight Insight Public Sector Check Sequence: 45 ACH Enabled: False 1100999039 Address Labels 169.00 12/02/2022 0101-41420-61005 Check Total: 169.00 Vendor: JDAndHol JD Andover Holdings LLC Check Sequence: 46 ACH Enabled: False Escrow The Preserve @ Peterson Famts - 400.00 12/02/2022 7200-00000-24216 Escrow Meadows @ Petersen Famts 1,000.00 12/02/2022 7200-00000-24215 Interest The Preserve @ Peterson Farms 0.44 12/02/2022 720041400-56910 Interest Meadows @ Petersen Famis 0.51 12/02/2022 7200-41400-56910 Check Total: 1,400.95 Vendor: JRAdvanc JR's Advanced Recyclers Check Sequence: 47 ACH Enabled: False 108877 Recycling Appliances, Electronics & Bulbs 1%00 12/02/2022 0101-46000-63010 Check Total: 150.00 Vendor: KLMEngin KLM Engineering, Inc. Check Sequence: 48 ACH Enabled: False 9280 Verizon Modification - Tower #2 5,812.50 12/02/2022 7200-00000-24207 9310 Tower #2 Recond & Paint 2,240.00 12/02/2022 251046500-63005 Check Total: 8,052.50 Vendor: KowalchA Ava Kowalchyk Check Sequence: 49 ACH Enabled: False 2022 Soccer Coach 119.00 12/02/2022 2130-44400-63005 Check Total: 119.00 Vendor: KraabeBr Brian Kmabel Check Sequence: 50 ACH Enabled: False Nov 2022 2022 Medical Reimbursement 170.10 12/02/2022 7100-00000-21218 Check Total: 170.10 Vendor: Kriss Kriss Premium Products Inc. Check Sequence: 51 ACH Enabled: False 180974 CWT450 & 595 Cooling Water Treatment 1,780.30 12/02/2022 213044300-61020 Check Total: 1,780.30 Vendor: LARSEN Larson Engineering of MN Check Sequence: 52 ACH Enabled: False Escrow Sheriffs Office Parking Lot Expan 1,830.44 12/02/2022 720041400-56910 Interest Sheriffs Office Parking Lot Expan 0.24 12/02/2022 720041400-56910 Check Total: 1,830.68 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 8 Invoice No Description Amount Payment Date Acct Number Reference Vendor: LennarBu Lennar Corporation Check Sequence: 53 ACH Enabled: False 1070 -Escrow 1070151st Ave NW 7,250.00 12/02/2022 7200-00000-24204 1070-Insp Fee 1070151st Ave NW -50.00 12/02/2022 0101-41600-54180 Check Total: 7,200.00 Vendor: LifeLine LifeLine Incorporated Check Sequence: 54 ACH Enabled: False LL -17186 Zoll Pedi-padz II Pediatric Electrodes 231.98 12/02/2022 0101-42200-61020 Check Total: 231.98 Vendor: LittleFa Little Falls Machine, Inc. Check Sequence: 55 ACH Enabled: False 365521 Rubber Deflector Kit for Unit #202 549.88 12/02/2022 6100-48800-61115 Check Total: 549.88 Vendor: MacgEmer Macqueen Emergency Group Check Sequence: 56 ACH Enabled: False P08007 U -Tab Smartdok 176.91 12/02/2022 0101-42200-61020 P08016 U -Tab Smartdok 145.03 12/02/2022 0101-42200-61020 P08340 MSA GI Charging D3 & Station 9,371.10 12/02/2022 4180-49300-65600 Check Total: 9,693.04 Vendor: MadNatlL Madison National Life Ins Co, Inc Check Sequence: 57 ACH Enabled: False 1527894 December 2022 LTD Premium 875.88 12/02/2022 0101-00000-21216 Check Total: 875.88 Vendor: Marco Marco Technologies LLC Check Sequence: 58 ACH Enabled: False 487923633 HP T2600 Wide Format Copier 205.20 12/02/2022 0101-41500-62200 487923633 HP T2600 Wide Format Copier 205.20 12/02/2022 0101-41600-62200 487923633 HP T2600 Wide Format Copier 205.20 12/02/2022 0101-42300-62200 487923633 HP T2600 Wide Format Copier 524.40 12/02/2022 2210-41600-62200 Check Total: 1,140.00 Vendor: MarkExce Mark of Excellence Homes Inc Check Sequence: 59 ACH Enabled: False Escrow Catcher's Creek West 280.72 12/02/2022 7200-00000-24206 Interest Catcher's Creek West 0.37 12/02/2022 7200-41400-56910 Check Total: 281.09 Vendor: MauerMai Mauer Main Check Sequence: 60 ACH Enabled: False 5012336 SL -N -Handle for Unit #16 58.62 12/02/2022 6100-48800-61115 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 9 Invoice No Description Amount Payment Date Acct Number Reference AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 10 Check Total: 58.62 Vendor: MeadCrDe Meadow Creek Developers Check Sequence: 61 ACH Enabled: False Escrow Villas @ Crosstown Woods 2nd 2,500.00 12/02/2022 7200-00000-24209 Interest Villas @ Crosstown Woods 2nd 0.25 12/02/2022 7200-41400-56910 Check Total: 2,500.25 Vendor: Menards Menards Inc Check Sequence: 62 ACH Enabled: False 82828 Misc. Supplies 77.84 12/02/2022 0101-43100-61020 82853 Misc. Supplies 24.49 12/02/2022 0101-42200-61020 83018 Misc. Supplies 72.05 12/02/2022 0101-45000-61020 83043 Misc. Supplies 199.67 12/02/2022 2130-44000-61020 Check Total: 374.05 Vendor: MNEquipn Minnesota Equipment Check Sequence: 63 ACH Enabled: False P40408 Knob & Chain 143.11 12/02/2022 0101-43200-61020 Check Total: 143.11 Vendor: NCPERS NCPERS Group Life Ins Check Sequence: 64 ACH Enabled: False 312000122022 December 2022 Premium 176.00 12/02/2022 0101-00000-21205 Check Total: 176.00 Vendor: NordquiL Lydia Nordquist Check Sequence: 65 ACH Enabled: False 2022 Soccer Coach 234.50 12/02/2022 2130-44400-63005 Check Total: 234.50 Vendor: NoSanSup Northern Sanitary Supply Check Sequence: 66 ACH Enabled: False 205747 Liners 2,677.32 12/02/2022 0101-45000-61025 Check Total: 2,677.32 Vendor: ODP Bus ODP Business Solutions, LLC Check Sequence: 67 ACH Enabled: False 275759052001 CH Office Supplies 1.84 12/02/2022 0101-42300-61005 275759052001 CH Office Supplies 1.47 12/02/2022 0101-41500-61005 275759052001 CH Office Supplies 1.10 12/02/2022 0101-41600-61005 275759052001 CH Office Supplies 0.74 12/02/2022 0101-41230-61005 275759052001 CH Office Supplies 0.36 12/02/2022 0101-41300-61005 275759052001 CH Office Supplies 0.74 12/02/2022 0101-41400-61005 275759052001 CH Office Supplies 1.10 12/02/2022 0101-41200-61005 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 10 Invoice No Description Amount Payment Date Acct Number Reference 275762214001 CH Office Supplies 49.48 12/02/2022 0101-42300-61005 275762214001 CH Office Supplies 39.58 12/02/2022 0101-41500-61005 275762214001 CH Office Supplies 29.68 12/02/2022 0101-41600-61005 275762214001 CH Office Supplies 19.79 12/02/2022 0101-41230-61005 275762214001 CH Office Supplies 9.90 12/02/2022 0101-41300-61005 275762214001 CH Office Supplies 19.79 12/022022 0101A1400-61005 275762214001 CH Office Supplies 29.68 12/022022 0101-41200-61005 276754467001 Office Supplies 66.32 12/02/2022 0101-42200-61005 277180860001 Office Supplies 33.69 12/02/2022 0101-42200-61005 277182035001 Office Supplies 38.39 12/022022 0101-42200-61005 Check Total: 343.65 Vendor: OneCall One Call Contracting Inc Check Sequence: 68 ACH Enabled: False 3284 City Side Service Line Repair 5,940.00 12/02/2022 5100-48100-63010 3285 Valve Bolt Replacement 7,150.00 12/02/2022 510048100-63010 Check Total: 13,090.00 Vendor: Optum Opium Financial Inc Check Sequence: 69 ACH Enabled: False 0001366020 2022 3rd Qtr HSA Fees 371.25 12/02/2022 620048900-63005 Check Total: 371.25 Vendor: OPUS21 OPUS 21 Check Sequence: 70 ACH Enabled: False 221063 October 2022 Utility Billing 3,514.89 12/02/2022 510048100-63010 221063 October 2022 Utility Billing 3,944.12 12/02/2022 520048200-63010 221063 October 2022 Utility Billing 3,838.69 12/02/2022 0101-43600-63010 221063 October 2022 Utility Billing 5,528.18 12/02/2022 5300-48300-63010 Check Total: 16,825.88 Vendor: OReiAuto O'Reilly Auto Parts Check Sequence: 71 ACH Enabled: False 3253-290993 Remmed Parts -31.98 12/02/2022 6100-48800-61115 3253-292187 Misc. Supplies 283.10 12/02/2022 610048800-61020 3253-292201 Oil & Fuel Filter for Stock 18.62 12/02/2022 6100-48800-61115 3253-292667 Rocker Switch 13.76 12/02/2022 6100-48800-61020 3253-292975 Battery for Unit #525 158.45 12/022022 6100-48800-61115 3253-293031 Alternator for Unit #525 243.99 12/02/2022 6100-48800-61115 3253-293751 2 -Pk -Keyless 9.99 12/02/2022 610048800-61020 3253-293764 Flasher for Unit 409-589 15.19 12/02/2022 6100-48800-61115 Check Total: 711.12 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24W Page 11 Invoice No Description Amount Payment Date Acct Number Reference Vendor: OTlinc OTI Inc. 1,129.05 Check Sequence: 72 ACH Enabled: False 22-10217 Yard Waste 1,176.00 PreCise MRM LLC 12/02/2022 0101-43100-63010 Check Sequence: 74 Check Total: 1,176.00 False 200-1039792 5MB Flat Data Plan US with NAF Vendor: Plunkett Plunkett's Pest Control, Inc. 0101-43100-61320 Check Sequence: 73 ACH Enabled: False 7808723 Pest Control @ Fire Station #1 131.79 12/02/2022 12/02/2022 010141920-63010 7808724 Pest Control @ Fire Station 92 131.79 5MB Flat Data Plan US with NAF 12/02/2022 0101-41920-63010 7808758 Pest Control @ Fire Station #3 131.79 12/02/2022 0101-41920-63010 7810029 Pest Control @ Community Center 74.52 12/02/2022 2130-44000-63010 7812495 Pest Control @ City Hall 131.79 12/02/2022 0101-41910-63010 7812496 Pest Control @ Public Works 131.79 Price Custom Homes 12/02/2022 0101-41930-63010 7813050 Pest Control @ Vehicle Maint 131.79 False 12/02/2022 6100-48800-63010 7813051 Pest Control @ Cold Storage 131.79 12/02/2022 0101-41940-63010 7813054 Pest Control @ WTP 132.00 12/02/2022 12/02/2022 5100-48100-63010 Check Total: 1,129.05 Vendor: PreCise PreCise MRM LLC Check Sequence: 74 ACH Enabled: False 200-1039792 5MB Flat Data Plan US with NAF 84.00 12/02/2022 0101-43100-61320 200-1039792 5MB Flat Data Plan US with NAF 252.00 12/02/2022 0101-43200-61320 200-1039792 5MB Flat Data Plan US with NAF 112.00 12/02/2022 5100-48100-61320 200-1039792 5M6 Flat Data Plan US with NAF 112.00 12/02/2022 5200-48200-61320 Check Total: 560.00 Vendor: PriceCus Price Custom Homes Check Sequence: 75 ACH Enabled: False 1371 -Escrow 1371167th AveNW 6,550.00 12/02/2022 7200-00000-24204 1371-Insp Fee 1371167th AveNW -50.00 12/02/2022 0101-41600-54180 Check Total: 6,500.00 Vendor: PrintCen Print Central Check Sequence: 76 ACH Enabled: False 147402 Window Envelopes 696.03 12/02/2022 0101-41400-61005 Check Total: 696.03 Vendor: PriorCou Priority Courier Experts Check Sequence: 77 ACH Enabled: False 1514076 Chipotle 57.24 12/02/2022 7200-00000-24207 Check Total: 57.24 Vendor: SamCarbi Sam CARBIS Services, LLC Check Sequence: 78 ACH Enabled: False CI -049279 6' Pumper Wall Ladder 634.33 12/02/2022 0101-42200-61015 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 12 Invoice No Description Amount Payment Date Acct Number Reference Check Total Vendor: SchmidtE Elizabeth Schmidt 2022 - Soccer Coach 12/02/2022 2130-44400-63005 Check Total: Vendor: SchroedB Bella Schroeder 2022 Soccer Coach Check Total: Vendor: StarTri2 Star Tribune 10962115 2130-44400-63005 12/4/22 - 01/01/23 IPad Subscription 234.50 Check Total: Vendor: SterlTro Sterling Trophy 30522 SoccerAll Star Trophy ACH Enabled: False Check Total: Vendor: StockeDa Dayna Stocke 2022 26.42 Soccer Coach Check Total: Vendor: SuperVis Superior Vision Insurance 000686288 December 2022 Premium 000686288 December 2022 Premium 2130-44400-61005 Check Total: Vendor: TahoSpl Taho Sportswear, Inc. 22TS4931 Pickleball Instructor Shirts Check Sequence: 83 Check Total: Vendor: Tand dDev Tamarack Land Development LLC Escrow Oakview Acres 157.50 Check Total: Vendor: TamLdNig Tamamck Land Nightingale Villas LLC 634.33 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 13 Check Sequence: 79 ACH Enabled: False 196.00 12/02/2022 2130-44400-63005 196.00 Check Sequence: 80 ACH Enabled: False 234.50 12/02/2022 2130-44400-63005 234.50 Check Sequence: 81 ACH Enabled: False 26.42 12/02/2022 0101-41200-61320 26.42 Check Sequence: 82 ACH Enabled: False 894.00 12/02/2022 2130-44400-61005 894.00 Check Sequence: 83 ACH Enabled: False 157.50 12/02/2022 2130-44400-63005 157.50 Check Sequence: 84 ACH Enabled: False 135.60 12/02/2022 0101-00000-21222 10.93 12/02/2022 7100-00000-21218 146.53 Check Sequence: 85 ACH Enabled: False 345.60 12/02/2022 2130-44400-61055 345.60 Check Sequence: 86 ACH Enabled: False 77.76 12/02/2022 7200-00000-24206 77.76 Check Sequence: 87 ACH Enabled: False AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 13 Invoice No Description Amount Payment Date Acct Number Reference Escrow Nightingale Villas 1,158.75 12/02/2022 7200-00000-24215 Interest Nightingale Villas 0.13 12/02/2022 720041400-56910 Check Total: 1,158.88 Vendor: TastyTac Tasty Taco Inc Check Sequence: 88 ACH Enabled: False Escrow Tasty Taco 676.04 12/02/2022 7200-00000-24214 Interest Tasty Taco 0.12 12/02/2022 720041400-56910 Check Total: 676.16 Vendor: Timesave Timesaver Check Sequence: 89 ACH Enabled: False M27746 City Council Meeting 231.63 12/02/2022 010141100-63005 Check Total: 231.63 Vendor: TotalCon Total Control Systems, Inc Check Sequence: 90 ACH Enabled: False 10472 Tower 42 Recond & Painting 4,092.10 12/02/2022 510048100-63115 Check Total: 4,092.10 Vendor: TCPropMt Twin Cities Property Maintenance Inc Check Sequence: 91 ACH Enabled: False 21984 Snow Plowing & Shoveling @ Rental Properties 2,464.00 12/02/2022 4520-49300-63010 Check Total: 2,464.00 Vendor: TCFab Twin City Fab Inc. Check Sequence: 92 ACH Enabled: False 31058 Pipe Rolled for Prairie Knoll Rink 1,275.00 12/02/2022 0101-45000-65300 Check Total: 1,275.00 Vendor: UhlCompa Uhl Company Check Sequence: 93 ACH Enabled: False 48025 Repair Furnace @ Andover Station North 873.62 12/02/2022 010141980-63105 70169 Public Works RTU 7,333.00 12/02/2022 4160-49300-63105 Check Total: 8,206.62 Vendor: UpMWAth Upper Midwest Athletic Construction Inc. Check Sequence: 94 ACH Enabled: False Escrow Upper MW Athletic Constr-Curb 729.56 12/02/2022 7200-00000-24214 Interest Upper MW Athletic Constr-Curb 0.66 12/02/2022 720041400-56910 Check Total: 730.22 Vendor: USBankEq US Bank Equipment Finance Check Sequence: 95 ACH Enabled: False 487412611 Tmkalfa 40031 Copier @ Public Works 186.79 12/02/2022 010141930-62200 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 14 Invoice No Description Amount Payment Date Acct Number Reference AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 15 Check Total: 186.79 Vendor: USABlue USA Blue Book Check Sequence: 96 ACH Enabled: False 172525 Chemicals for Water Treatment Plant 128.17 12/02/2022 5100-48100-61040 Check Total: 128.17 Vendor: Verizon Verizon Wireless Check Sequence: 97 ACH Enabled: False 9920445884 Monthly Cell Phone Service 62.55 12/02/2022 010141200-62030 9920445884 Monthly Cell Phone Service 162.32 12/02/2022 0101-42300-62030 9920445884 Monthly Cell Phone Service 213.00 12/02/2022 2130-44000-62030 9920445884 Monthly Cell Phone Service 76.61 12/02/2022 0101-41500-62030 9920445884 Monthly Cell Phone Service 320.37 12/02/2022 0101-41600-62030 9920445884 Monthly Cell Phone Service 57.55 12/02/2022 0101-41400-62030 9920445884 Monthly Cell Phone Service 387.13 12/02/2022 0101-42200-62030 9920445884 Monthly Cell Phone Service 75.37 12/02/2022 0101-41420-62030 9920445884 Monthly Cell Phone Service 491.10 12/02/2022 0101-45000-62030 9920445884 Monthly Cell Phone Service 204.61 12/02/2022 5200-48200-62030 9920445884 Monthly Cell Phone Service 81.16 12/02/2022 010143300-62030 9920445884 Monthly Cell Phone Service 376.39 12/02/2022 0101-43100-62030 9920445884 Monthly Cell Phone Service 130.70 12/022022 6100-48800-62030 9920445884 Monthly Cell Phone Service 310.97 12/02/2022 510048100-62030 9920445884 Monthly Cell Phone Service 46.15 12/02/2022 010141910-62030 Check Total: 2,995.98 Vendor: Vddndus Viking Industrial Center Check Sequence: 98 ACH Enabled: False 3255045 Sewer Supplies 53.90 12/02/2022 5200-48200-61140 Check Total: 53.90 Vendor: WLHal1Co W. L. Hall Company Check Sequence: 99 ACH Enabled: False 11316 Repairs Done in Community Room B & A 630.00 12/02/2022 2130-44000-63105 Check Total: 630.00 Vendor: WalterRR Walters Recycling & Refitse Inc Check Sequence: 100 ACH Enabled: False 6564366 11/22 Rental Property Garbage Service 340.35 12/02/2022 4520-49300-62020 Check Total: 340.35 Vendor: WrightLa Lauren Wright Check Sequence: 101 ACH Enabled: False 2022 Soccer Coach 157.50 12/02/2022 2130-44400-63005 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 15 Invoice No Description Amount Payment Date Acct Number Reference Total for Check Run: 191,468.88 Total of Number of Checks: 103 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 16 Check Total: 157.50 Vendor: ZahlPet Zahl-Petroleum Maintenance Check Sequence: 102 ACH Enabled: False 0275634 -IN Remove Liquid from Oil Tank 635.00 12/02/2022 0101-46000-63010 Check Total: 635.00 Vendor: Ziegler Ziegler, Inc. Check Sequence: 103 ACH Enabled: False PSIN000000714 Coon Creek Trunk Lift Station #11 - Final 5,670.50 12/02/2022 4120-49300-65600 Check Total: 5,670.50 Total for Check Run: 191,468.88 Total of Number of Checks: 103 AP -Computer Check Proof List by Vendor (12/01/2022 - 8:24 AM) Page 16 Accounts Payable Computer Check Proof List by Vendor c I�T Y 0 F User: BrendaF Printed: 12/01/2022- 9:04AM - Batch: 00406.12.2022 Invoice No Description Amount Payment Date Acct Number Reference Vendor: AlliedBI Allied Blacktop Co. Check Sequence: I ACH Enabled: False Final Payment 2022 Crack Sealing 3,817.90 12/06/2022 4140-49300-63010 Final Payment 2022 Parking Lot Maintenance 187.98 12/06/2022 4160-49300-63010 Check Total: 4,005.88 Vendor: ApexFac Apex Facility Solutions, LLC. Check Sequence: 2 ACH Enabled: False 1430001-1 Replace Dehum Unit (Ice Arena) 40,806.80 12/06/2022 2510-46500-63010 Check Total: 40,806.80 Vendor: BjorkCom Bjorklund Companies LLC Check Sequence: 3 ACH Enabled: False 40465 Class 5 Gravel 11,983.92 12/06/2022 4140-49300-63010 Check Total: 11,983.92 Vendor: CorMeLLC Core & Main, LLC Check Sequence: 4 ACH Enabled: False Final Payment AMI - Adv Metering Infrastructure 185,251.55 12/06/2022 251046500-63010 Check Total: 185,251.55 Vendor: Hakanson Hakanson Anderson Assoc., Check Sequence: 5 ACH Enabled: False 49541 Traffic Signal CSAH 7th & 143rd Ave 51,509.06 12/06/2022 4140-00000-24203 Check Total: 51,509.06 Vendor: LennatBu Lennar Corporation Check Sequence: 6 ACH Enabled: False Escrow Fields of Winslow Cove 941.52 12/06/2022 7200-00000-24215 Interest Fields of Winslow Cove 0.16 12/06/2022 7200-41400-56910 Check Total: 941.68 Vendor: MNDOH Minnesota Department of Health Check Sequence: 7 ACH Enabled: False 1020034 20224th Qtr Connection Fee 17,045.00 12/06/2022 510048100-63050 AP -Computer Check Proof List by Vendor (12/01/2022 - 9:04 AM) - Page 1 Invoice No Description Amount Payment Date Acct Number Reference AP -Computer Check Proof List by Vendor (12/01/2022 - 9:04 AM) Page 2 Check Total: 17,045.00 Vendor: NoValley North Valley, Inc. Check Sequence: 8 ACH Enabled: False Payment #3 Pine Hills N&S - Parking Lot Paving 2,640.53 12/06/2022 4180-49300-63010 Payment #3 Pine Hills N&S - Parking Lot Paving 1,131.66 12/06/2022 4150-49300-63010 Payment #3 Pine Hills N&S - Parking Lot Paving 672.60 12/06/2022 4150-49300-63010 Payment #3 Dog Park Parking Lot & Trail Paving 117,696.03 12/06/2022 4180-49300-63010 Payment #3 City Hall Parking Lot Reconstruction 35,255.09 12/06/2022 4160-49300-63010 Payment #3 Verterans Memorial Blvd Parking Area 8,832.38 12/06/2022 4303-49300-63010 Check Total: 166,228.29 Vendor: PemberCo Prather Companies, Inc. Check Sequence: 9 ACH Enabled: False Final Payment Coon Creek Trunk Lift Station #11 92,279.21 12/06/2022 4120-49300-63010 Check Total 92,279.21 Vendor: Tristate Tri State Bobcat, Inc. Check Sequence: 10 ACH Enabled: False 535054 2022 Wacker Neuson Tandem Roller 19,500.00 12/06/2022 4215-49300-65600 Check Total: 19,500.00 Total for Check Run: 589,551.39 Total of Number of Checks: 10 AP -Computer Check Proof List by Vendor (12/01/2022 - 9:04 AM) Page 2 AN156W -0 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN_GOV TO: Mayor and Council Members CC: Jim Dickinson, City Administrato David Berkowitz, Director of P lic Wo s City Engineer FROM: Jason Law, Assistant City Engineer SUBJECT: Accept Feasibility Report / Order Public Hearing / 21-39 — Tulip Street NW & 161st Avenue NW Reconstruction - Engineering DATE: December 6, 2022 INTRODUCTION The City Council is requested to accept the feasibility report and order the public hearing for Project 21-39, Tulip Street NW & 161St Avenue NW Reconstruction. DISCUSSION Identified in the City's 2023-2027 Capital Improvement Plan is the reconstruction of Tulip Street NW from 157th Avenue NW to 161St Avenue NW, Tulip Street NW from 400' south of Valley Drive NW to Valley Drive NW, and 161St Avenue NW from Round Lake Boulevard NW to Tulip Street NW (see attached location map). The project would consist of reclaiming the existing bituminous roadway, replacing sections of deteriorated concrete curb and gutter, minor storm sewer / culvert replacements as needed, and constructing a new bituminous surface. This has been a very effective reconstruction method since the City began this process in 1996. A neighborhood informational meeting was held on October 18, 2022 with the affected residents to discuss the project and answer preliminary questions. Resident verbal comments and feedback at the neighborhood meeting identified the need for turn lanes into the Pine Hills North Park due to high traffic volumes during events. Based upon this feedback, turn lanes into the park along 16111 Avenue are proposed with this project. In addition, the Anoka County Highway Department is planning on making turn lane improvements at the 161St Avenue NW / Round Lake Boulevard NW intersection. These improvements will be incorporated into the plans but will not be included into the proposed assessments. BUDGETIMPACT The project would be funded from the City's Road & Bridge Fund (reimbursed through Municipal State Aid funds) with a portion of the total project costs for the roadway improvements assessed to the benefiting properties as identified in the City's Roadway Reconstruction Assessment Policy and discussed in the attached feasibility report. The City Council is requested to accept the feasibility report and order the public hearing for Project 21-39, Tulip Street NW & 16111 Avenue NW Reconstruction. Respectfully submitted, cor son J. Law, P.E. Attachments: Resolution, ocationIv,ap, Feasibility Report, Neighborhood Meeting Sign In Sheet & Comment Received CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Council member to adopt the following: A RESOLUTION ACCEPTING FEASIBILITY REPORT AND CALLING PUBLIC HEARING ON IMPROVEMENT FOR PROJECT NO. 21-39, TULIP STREET NW & 161St AVENUE NW. WHEREAS, pursuant to Resolution No. 017-22, adopted the 151h day of February, 2022 a Feasibility Report has been prepared by the City Engineer for the improvements: and WHEREAS, such report was received by the City Council on the 6th day of December , 2022; and WHEREAS such reports declared the proposed assessments to be feasible for an estimated total project cost of $1.343.300.00. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Andover that: 1. The City Council hereby accepts the Feasibility Reports for Project No. 21-39 for the improvements. 2. The Council will consider the improvements in accordance with the reports and the assessment of abutting property for all or a portion of the improvement pursuant to Minnesota Statutes Chapter 429 at an estimated total cost of the improvement of $1,343.300.00. 3. A public hearing shall be held on such proposed improvement on the 17th day of Janua 2023 in the Council Chambers of the City Hall at 7:00 PM and the Clerk shall give mailed and published notice of such hearing and improvement as required by law. MOTION seconded by Council member and adopted by the City Council at a regular meeting this 6th day of December, 2022 , with Council members in favor of the resolution, and Council members voting against, whereupon said resolution was declared passed. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Hartner — Deputy City Clerk voting N CAPITAL IMPROVEMENT PLAN (2023) PROJECT NAME: MUNICIPAL STATE AID ROUTES / NEW & RECONSTRUCT LOCATION: TULIP STREET (157TH AVE TO 161ST AVE & 400' S OF 169TH LN TO VALLEY DR); 161ST AVE (ROUND LAKE BLVD TO TULIP STREET) Vi 7,1 - — - i S 7 M +. r i I. AVF-1 . c O..• I ' I U J . _ !61ST VLr r Wt4 n, 4 A[fJ •� kl Co my G1 , E5 , M Cx df dmmo' 0 500 1.000 Feet 1 I Q Project Location Assessed Parcels QParcel Boundary [=3 City Limits ami �ry.xn nupgig vaae a.y a ��m.,M<nn,moaeoa�� Incorporated 1974 p�nuu,.; u>eat ue W � ro EXHIBIT 1 axn: x:l�slwvumWmb�1FJG+�'�'1^ulu✓n+MWuluv_xoz2m� oJn FJy nW: lo/s/ID]] J:u vn December 2022 Feasibility Report Tulip Street NW & 161" Avenue NW Reconstruction (SAP'S 198-105-005 & 198-106-005) City Project No. 21-39 Prepared by: Engineering Department City of Andover 1685 Crosstown Boulevard NW Andover, MN 55304 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV December 6, 2022 Honorable Mayor and City Council City of Andover 1685 Crosstown Boulevard NW Andover, MN 55304 Re: Tulip Street NW & 1615 Avenue NW Reconstruction City Project 21-39: Feasibility Report Dear Mayor and City Council: With your authorization, we are pleased to submit this feasibility report addressing the proposed costs and estimated assessments for the Tulip Street NW & 161' Avenue NW Reconstruction project. The streets in this area have been identified by City staff as needing repair, and they are included in the City's 2023-2027 Capital Improvement Plan for reconstruction in 2023. A neighborhood informational meeting was held October 18, 2022 to discuss the project, answer questions, and receive comments from residents impacted by this project. Improvements would include reclaiming the existing bituminous roadway, limited replacement of existing concrete curb and gutter, limited storm sewer improvements, and paving a new bituminous roadway. The total estimated cost of the proposed improvements is $1,343,300.00. This estimated cost includes construction costs, contingencies, and indirect costs. Seventy-five (75%) of the total project costs for the standard street section improvement on Tulip Street NW would be funded through the City's Road and Bridge fund and in turn reimbursed through Municipal State Aid funds. The remaining twenty-five (25%) would be assessed to the benefiting properties in accordance with the City's Roadway Reconstruction Assessment Policy. As there are few properties fronting along the 161'` Avenue NW improvements, parcels fronting 16151 Avenue are proposed to be assessed at the same rate as those parcels fronting Tulip Street. We recommend that the City Council review this report and, if acceptable, proceed with project implementation as proposed. Sincerely, City of Andover Engineering Department David D. Berkowitz, P.E. Director of Public Works/City Engineer FEASIBILITY REPORT TULIP STREET NW & 161sT AVENUE NW RECONSTRUCTION (SAP 198-105-005 & 198-106-005) (CITY PROJECT NO. 21-39) CITY OF ANDOVER, MINNESOTA I hereby certify that this Feasibility Report was prepared by me or under my direct supervision and that I am a duly Licensed Professional Engineer under the laws of the State of Minnesota. David D. Berkowitz, P.E. Date License No. 26757 TULIP STREET NW & 161sT AVENUE NW RECONSTRUCTION (SAP 198-105-005 & 198-106-005) (CITY PROJECT NO. 21-39) TABLE OF CONTENTS Overview Page No. 1.0 INTRODUCTION 2.0 EXISTING CONDITIONS 3.0 PROPOSED IMPROVEMENTS 4.0 RIGHT-OF-WAY / EASEMENT 011=2025Vir&y 6.0 ESTIMATED PROJECT COSTS 7.0 FUNDING / ASSESSMENTS 8.0 PROPOSED PROJECT SCHEDULE 9.0 CONCLUSIONS & RECOMMENDATIONS APPENDIX Exhibit 1: Project Location Map Exhibit 2: Existing and Proposed Drainage Map Exhibit 3: Feasibility Cost Estimate Exhibit 4: Preliminary Assessment Worksheet Exhibit 5: Preliminary Assessment Roll 1 1 2 3 3 4 4 5 6 TULIP STREET NW & 161sT AVENUE NW RECONSTRUCTION (SAP 198-105-005 & 198-106-005) (CITY PROJECT NO. 21-39) 1.0 The City of Andover annually completes a street reconstruction project in a portion of the City in need of rehabilitation. The intent of this program is to provide the community with a high- quality transportation system and maintain the integrity of the City's street infrastructure. Rehabilitation of the streets reduces short term routine maintenance costs (crack sealing, pothole patching, etc.). Long term, this reconstruction prolongs the structural stability of the City's roadways, providing for a longer serviceable life. City staff evaluates each segment of roadway within the City every two to three years to help determine which roadways and developments are in the most need of rehabilitation. A pavement management program utilizing these inspection records is maintained by the Engineering Department. This program provides an analytical tool which, along with additional site inspections, review of maintenance records, and input from Public Works staff, allows us to determine the best schedule for reconstruction to maximize the program benefits and reduce the amount of annual maintenance needed by our Public Works crews. The segments identified for reconstruction are then included in the Capital Improvement Plan which is approved by the City Council. Tulip Street from 1571h Avenue to 161" Avenue, Tulip Street from 400' south of 169" Lane to Valley Drive, and 161St Avenue from Tulip Street to Round Lake Boulevard have been identified in the City's 5 -Year Capital Improvement Plan for reconstruction during the summer of 2023. The average Paser Rating (pavement management rating) for this project on a scale of 1-10 (10 being the best) is 3.6. The reconstruction of the streets and any associated work will be funded through special assessments to the benefiting properties in accordance with the City's Roadway Reconstruction Assessment Policy, and through the Road and Bridge Fund and Municipal State Aid funds. A Project Location Map is attached in the Appendix as Exhibit 1. 2.0 EXISTING CONDITIONS 161' Avenue from Round Lake Boulevard to Tulip Street was originally paved in 1984. The existing street width is 33' from back of curb to back of curb, with B618 concrete curb and gutter. The existing pavement section is 3" of bituminous over 6" of Class 5 aggregate base. The portion of 161' Avenue from Tulip Street to Quay Street had a 1.5" mill and overlay completed along with turn lane construction in 2006 when Tulip Street north of 161 St Avenue was originally paved. Tulip Street from 161St Avenue to approximately 475' south of 161St Avenue was originally paved in 1984 and had a 1.5" mill and overlay in 2006. Tulip Street south of this point to 157th Avenue was originally paved in 1988. Tulip Street from 400' south of 169th Lane to Valley Drive was originally paved in 1989. Each of these sections are 33' from back of curb to back of curb, with B618 concrete curb and gutter. The existing pavement section is 3" of bituminous over 8" of Class 5 aggregate base, except for the section from 161 St Avenue to 475' south of 161St Avenue which has 6" of Class 5 aggregate base. Storm sewers along Tulip Street from 161St Avenue to 157th Avenue discharge overland and flow to three separate landlocked low areas west of Tulip Street. The Tulip Street / 161 St Avenue intersection discharges to a treatment pond within the Pine Hills South park prior to draining west into a landlocked low area. Storm sewers along 161 st Avenue from approximately 200' east of Tulip Street to Narcissus Street discharge overland to two landlocked low areas south of 161St Avenue. 161St Avenue from Narcissus Street to Round Lake Boulevard discharges north into an existing landlocked wetland complex. Storm sewer on the northern segment of Tulip Street discharges northwest across Valley Drive into an existing wetland complex. This wetland complex discharges to County Ditch 6B, which ultimately is tributary to the Rum River. The lot sizes in the project area vary from 1 to 19 acres. Front footage of parcels along the proposed roadway improvements vary from 150' to 585'. All properties within the project boundary are served with private septic systems and wells. This project is located within the Lower Rum River Watershed Management Organization. 3.0 Roadway Improvements The streets within the project limits will be reclaimed, utilizing the recycled material for aggregate base. The roadway surface will generally remain close to existing elevations to facilitate tying into existing yards, driveways and curb and gutter. A minimum of 6" of reclaimed aggregate base material will remain in place in all locations, with the majority of the project limits maintaining 8" of reclaimed aggregate base. A total of 3.5" of bituminous (paved in two lifts) will be constructed. The existing roadway width of 33' back to back will remain unchanged. Segments of deteriorated concrete curb and gutter will be replaced with the project, while leaving sections that are in acceptable condition in place. An existing paved entrance is located in the southeast corner of Pine Hills North Park along 161' Avenue. This entrance as well as left and right turn lanes were originally constructed in 2006 when the Meadow Creek Christian School was planning to build in this location. The westbound right turn lane will be removed and restored as boulevard, and the eastbound left turn lane will be eliminated and become painted median. Removal of the eastbound turn lane (versus painting it as a median) would result in unnecessary geometric modifications and cost. 2 Based upon resident feedback at the neighborhood meeting regarding traffic flow into and out of Pine Hills North Park, a left and right turn lane into the park will be constructed at the main entrance on 16151 Avenue. The right turn lane will require removal and replacement of curb and gutter and one catch basin. The left turn lane addition can be accommodated within the existing roadway width in the area that is currently a striped median. The Anoka County Highway Department is planning on constructing intersection turn lane improvements at the 161" Avenue / Round Lake Boulevard intersection. The proposed County improvements will be incorporated into and bid with this project. These intersection improvements would be fully funded by the City and Anoka County Highway Department with no related costs assessed to properties within this project. Storm Drainage Improvements All stormwater runoff within the project limits flows to existing storm sewer systems. Stormwater runoff from 16151 Avenue and Tulip Street south of 161" Avenue all discharges to landlocked low areas and wetlands. Storm water runoff on the northern segment of Tulip Street discharges northwest across Valley Drive into an existing wetland complex. This wetland complex discharges to County Ditch 6B, which ultimately is tributary to the Rum River. Minor localized roadway drainage issues will be addressed with the project as much as possible. Stormwater discharge locations and drainage patterns will not be altered with this project. Damaged / deteriorated storm sewer pipes and structures will be replaced. New adjustment rings and mud work is necessary at all existing catch basin locations. The City has made a commitment to improve the quality of stormwater runoff with reconstruction projects. As a part of the storm sewer replacements, a new catch basin with sump and skimmer will be installed in the existing system on the north end of Tulip Street that discharges directly into County Ditch 6B, and also on the east end of 1611 Avenue where discharge is directly into an existing wetland. The sump structures will also improve maintenance access for Public Works and facilitate cleaning of these systems prior to stormwater discharging off-site. Refer to Exhibit 2 in the Appendix for a schematic map of the existing storm sewer system, low point locations, and drainage flow paths. 4.0 RIGHT -OF WAY / EASEMENT The improvement project will take place within the existing right of way and drainage and utility easements. 5.0 PERMITS The City of Andover Engineering Department will obtain any necessary permits for the project. Permits required for the project include: Lower Rum River WMO - grading, erosion control and storm water drainage MPCA NPDES Construction Storm Permit - Anoka County Highway Department for work within County ROW. 3 6.0 ESTIMATED PROJECT COSTS The construction cost estimate is $1,129,700. The total estimated project costs are $1,343,300. This estimated cost includes construction costs, contingencies (10%), and indirect costs. These costs are estimated based upon preliminary design. The final cost will be based upon final design, actual work completed by the contractor, and unit bid prices for the project. A detailed Preliminary Cost Estimate is included in the Appendix as Exhibit 3. 7.0 FUNDING /ASSESSMENTS The project is proposed to be funded through a combination of special assessments and City funds. In accordance with the City's Assessment Manual, twenty-five percent (25%) of the total street related project costs would be assessed to the benefiting properties or specifically those properties fronting along or addressed along the roadway being improved. The remaining seventy-five percent (75%) of the street related costs will be funded through the City's Road and Bridge Fund and in turn, reimbursed through Municipal State Aid funding. The Andover Assessment Manual lists four methods for assessments. They are area, unit, front footage, and variable costs. Assessment options were discussed with the City Council, and it was determined that the front footage method would be used to assess each property for their individual benefit associated with the improvements for this project. The front footage method was chosen due to the large variance in lot size and roadway frontage within the development. It also is most equitable when considering lots that have previously been subdivided or have the potential to do so in the future. To calculate the estimated street assessment rate per front foot for properties adjacent to Tulip Street, twenty-five percent (25%) of the total project costs for the standard street section (3" of bituminous) for Tulip Street reconstruction was divided by the total front footage of all parcels within the Tulip Street project limits (corner lots only include the front yard side). The rate per front foot was then multiplied by the total front footage for each parcel, resulting in varying total assessment amounts for each parcel. There is a limited amount of properties fronting along 161st Avenue NW within the project limits. For this reason, parcels fronting along 161st Avenue NW between Tulip Street and Round Lake Boulevard NW are proposed to be assessed at the same rate per front foot as the Tulip Street corridor. The estimated assessment rate per front foot is $30.97. Detailed calculations are included in the Preliminary Assessment Worksheet in Exhibit 4. The table on the following page summarizes the estimated costs and assessments for the project. 9 Estimated Tulip Street Assessment Calculations Street Related Project Totals Front Footage Length 5,616.65 Estimated Construction Costs (less extra depth pavement) $584,800.00 Estimated Total Project Costs (less extra depth pavement) $695,370.00 Estimated Assessable Costs (25%) (less extra depth pavement) $173,840.00 Estimated Assessment / Front Foot $30.95 Estimated Total Project Funding Summary Project Totals Total City Costs (Road & Bridge Fund) (Tulip St & 161st Ave) $1,159,250.00* Total Assessable Costs (Tulip St & 161' Ave) $184,050.00 Total Estimated Project Cost $1,343,300.00 *Includes City owned parcel assessment amounts Based upon the estimated standard street related assessment of $30.95 per front foot, the range in estimated assessments for residential parcels is $4,642.50 to $14,432.91 with an average of $7,901.61. This is generally in line with previous street reconstruction projects in rural areas. There are three City owned parcels within the project limits, which are Pine Hills North and South Parks, with estimated total assessment amounts per parcel ranging from $9,819.51 to $18,105.75. A detailed Preliminary Assessment Worksheet and a proposed list of assessed properties are included in the Appendix as Exhibits 4 and 5. Final assessment amounts will be based upon actual project costs and determined once the project is completed. 8.0 PROPOSED PROJECT SCHEDULE For projects that include special assessments, the City is required to follow the process outlined in Minnesota Statutes Chapter 429. If the project is initiated by the City Council, the project schedule would be as follows: City Council orders feasibility report Neighborhood Informational Meeting 2/15/22 1 [17/E:l 404 City Council receives feasibility report / Orders Public Hearing 12/6/22 Hold Public Hearing (10 Day Notice) / Authorize plans and specs 1/17/23 City Council approves plans and specifications and authorizes 2/3/23 Advertisement for Bids 5 9.0 Advertise in the Anoka Union and Quest CDN Receive bids City Council awards contract Contractor begins construction Project Substantially Complete Project Final Completion Declare Costs / Order Assessment Roll Receive Assessment Roll / Order Public Hearing 2/10, 2/17,2/24/23 3/9/23 3/21/23 4/24/23 7/28/23 8/11/23 9/5/23 9/19/23 Public Hearing / Adopt Final Assessment Roll (Requires 14 day notice) 10/17/23 CONCLUSIONS & RECOMMENDATIONS 9.1 Conclusions As a result of this study, we conclude that: 1. The streets in this area need repair and are identified for reconstruction in the City's 2023 — 2027 Capital Improvement Plan. 2. The total estimated cost for the proposed improvements is $1,343,300.00. These estimated costs include construction costs, contingencies, and indirect costs. 3. The estimated standard street reconstruction related assessment amounts for properties fronting the improvements vary based upon front footage and are identified in Exhibit 5. 4. The project is necessary, cost-effective, and feasible from an engineering perspective. The City Council shall determine the economic feasibility. 9.2 Recommendations 1. The City Council reviews this report in detail. 2. The City Council shall hold a public hearing to determine if the project is to be carried forward as presented. N APPENDIX Exhibit 1: Project Location Map Exhibit 2: Existing and Proposed Drainage Map Exhibit 3: Feasibility Cost Estimate Exhibit 4: Preliminary Assessment Worksheet Exhibit 5: Proposed List of Assessed Properties 7 N CAPITAL IMPROVEMENT PLAN (2023) PROJECT NAME: MUNICIPAL STATE AID ROUTES / NEW & RECONSTRUCT LOCATION: TULIP STREET (157TH AVE TO 161ST AVE & 400'S OF 169TH LN TO VALLEY DR); 161ST AVE (ROUND LAKE BLVD TO TULIP STREET) a w - ,. . _ I� JJ 1C --14 �r _; F 156 h1 ILI LU I 4 r — i 1 1 dli 'o-ec.,�ry 0 500 1,000 Feet I I Q Project Location Q Assessed Parcels C I T YY o f Parcel Boundary C3City Limits Incorporated 1974 d.. nad n. ,..e.e dap.m+ i.ars,+me n:IcmxbrN:gV:aka.WN^emMlClMwWulw_wu..w+ o.n seab: �NW�o]2 ,:r. rw Exhibit 2: Existing and Proposed Drainage Map AN,?0Y R Tulip Street (North End) Drainage Map Er 3823w •'+.• 374'1. , rs a, "3 384-1 3809 3755 Z—Za361.5 i ra :3641 17365^ i. 3836 s A= kti x e w .T ,.\ er n •cs .O I >.a i i_r3761 .l+'+st f736y�'•• C.OunyNO 6B �k i �"F" +.. �, r �.' ,`y .w ;y '�'-.�.`.-i"` '•. i+t �t 3632- `' 3tS18" 17031 ' • - "r l iw1. }; , "373 37;.9f Y4' 3551 ;. 35:31 3511y �� T.y ® •�"� Drainage l 1707 n AU ao 3829 170-0 ••. � 37.'x}1 lb' .-' �' " � �,; .� ,y... +1� P •'•� s r1.4 .� �°'!• ' -170 'x.�.. 3530 " 3 10 • F y ,1701 A4 3839 KID= 91A'JY4(IP P� r 17132 �K ' GI �" t SLff Z i�f1 rk S k f v�� 336 -. 3320 �:. r. - thr4 3;1 X " t � �, j f)x +- ! `v �r 1 fa,S32 � �'4Md - +s •« ' .n w. "^! aa -0 fir; 169: t3 q +n. 4-}( it 3527 38» 3818 . `ygy� j6 ,tad"� 3415 3:371 h3761,r.��' ° 4 .P'i:. - y� -dt Y 6 y: 3867 3899- . v .11§ a. D\V 36 I- + } • �� 169551t AV 9 ter. Yi 16910 I rl(i92:5 r f ,�,� :.�..�. .i12k� e '-34fifii341. ` w •� 16891.: A ' �''"�� �`,+ - �,.iARM., Ir t,,4. ,+''•' �d.� 349.5k "e . `"• 3423 -,r 3673 ..�, 362 gg•• v 3�fi3�^' + 4.r '-.71Jy 3313 �'. IV 'A- �/Y� � M 7653707. dy .. Date Created: October 18, 2022 Disclaimer: The provider makes no representation or warranties with respect to the reuse of this data. Low Points Drainage Flow Paths Exhibit 2A AND/LOVER Tulip Street (South End) Drainage Map J 1, IM 18120 `_= .1,4 16] �U 161 19 3425, ,. N 1 1 - �- .p 2055 05 361.6 r " a 1 k' _ so,o 16041 3720 -16041 0` 16010 °i �•vlj3536 18016 �� 1 «..,=^1coz5.' `1�16024 � w Al , • r >i'�" — 16012sa 1602.1 1601oy `_ t6n10 r exit -`.' i. �. t w •.j i. � � �� �- � _ e"p.`.7j °.-T. 15962 -15961 . 1 5''4 t —, 1981 15946 re. 15945 x 159 44'- 15932 15931 159 0 i - G :. 1594 L .'�!•15909 3J 19 ^ a 15910 1590'° -- r .®� .�� =� .vim •. p '.yF,;�, ..+. r 11.'fAbIV 15890 158755 ! 317D r.� ;,130 V - 3 l . *IPF %.. lift ,1 Y ftq* y M1-- , 1.57 i [ -353 P�F.s. fJt711,.i IN's- rrvr- ANJ), OVER 161 st Avenue Drainage Map Date Created: October 18, 2022 Disclaimer: The provider makes no representation or warranties with respect to the reuse of this data. Low Points Drainage Flow Paths Exhibit 2C Exhibit 3: Feasibility Cost Estimate 161st Ave NW & Tulip Street NW Reconstruction (City Project 21-39) FEASIBILITY ESTIMATE Exhibit 3 PROJECT TOTALS TULIP STREET (SAP 198-10"05) 161ST AVENUE NW (SAP 198-106-005) TOTAL ESTIMATED PROJECT QUANTITIES ESTIMATED QUAN. STREETS ESTIMATED QUAN. STORM SEWER ESTIMATED QUAN. STREETS ESTIMATED QUAN. STORM SEWER ESTIMATED QUAN. STREETS ESTIMATED QUAN. STORM SEWER ...N.. AT.. ,,....:......,./. ) ..:..:.. ., r .. (..,. .Y.,,.,......,, , . ,N ITENOpeCRIR,7 / .QES UAN.,.,.. .. ....EST. .... .rc i .._.,.E✓.S ..,.-/ , ,d...`>,E$T N _AMO ,-.?5...,...r,EST I T" 1 1 2021.501 Mobilization LS 1.00 $60,000.00 $60,000.0 0.87 $52,200.00 0.13 $7,800.00 0.48 $28,800.00 0.08 $4,800.00 0.39 $23,400.0 0.05 $3,000.00 2 2101.502 Grubbing EACH 19.00 $250.00 $4,750.0 13.00 $3 250.00 6.00 $1,500.00 3.00 $750.00 3.00 $750.00 10.00 $2,500.0 3.00 $750.00 3 2101.502 Clearing EACH 19.00 $250.00 $4,750.00 13.00 $3,250.00 6.00 $1,500.00 3.00 $750.00 3.00 $750.00 10.00 $2,500.0 3.00 $750.00 4 2104.502 Salvage CastingEACH 19.00 $200.00 $3,800.00 0.00 $0.00 19.00 $3,800.00 0.00 $0.00 15.00 $3 000.00 0.00 $0.00 4.00 $800.00 5 2104.502 Remove Drainage Structure EACH 7.00 $1,100.00 $7,700.00 0.00 $0.00 7.00 $7,700.00 0.00 $0.00 4.00 $4 400.00 0.00 $0.00 3.00 $3,300.00 6 2104.503 Remove Sewer Pie Storm LF 305.00 $30.00 $9,150.00 0.00 $0.00 305.00 $9,160.00 0.00 $0.00 175.00 $5 250.00 0.00 $0.00 130.00 $3,900.00 7 2104.503 SawingConcrete Pavement Full Depth) LF 40.00 $5.00 $200.00 40.00 $200.00 0.00 $0.00 40.00 $200.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 8 2104.503 Sawin Bit Pavement Full Depth) LF 630.00 $3.00 $1,890.00 630.00 $1,890.00 0.00 $0.00 360.00 $1,080.00 0.00 $0.00 270.00 $810.00 0.00 $0.00 9 2104.503 Remove Curb & Gutter LF 4,500.00 $8.00 $36,000.00 4500.00 $36,000.00 0.00 $0.00 2,500.00 $20,000.00 0.00 $0.00 2,000.00 $16,000.00 0.00 $0.00 1 10 2104.518 Remove Concrete Pavement SF 2.530.00 $1.50 $3,795.00 2530.00 $3,795.00 0.00 $0.00 480.00 $720.00 0.00 $0.00 2,0 0.00 $3 075.00 0.00 $0.00 1 11 2104.518 Remove Bituminous Pavement SF 1,690.00 $1.00 $1,690.00 1690.00 $1,690.00 0.00 $0.00 1,410.00 $1,410.00 0.00 $0.00 280.00 $280.00 0.00 $0.00 2 12 2104.602 Salvage and Reinstall Mailbox EACH 17.00 $150.00 $2,550.00 17.00 $2,550.00 0.00 $0.00 15.00 $2,250.00 0.00 $0.00 2.00 $300.00 0.00 $0.00 3 13 2105.607 Common Excavation E Cy 630.00 $25.00 $15,750.00 630.00 $15,750.00 0.00 $0.00 350.00 $8,750.00 0.00 $0.00 280.00 $7.000.00 0.00 $0.00 4 14 2105.607 Sub rade Excavation E Cy 1,334.001 $22.00 $29,348.00 1334.00 $29,348.00 0.00 $0.00 667.00 $14,674.00 0.00 $0.00 667.00 $14,674.00 0.00 $0.00 5 15 2105.607 Select Granular Borrow L Cy 1,580.00 $20.00 $31,600.00 1580.00 $31,600.00 0.00 $0.00 780.00 $15,600.00 0.00 $0.00 800.00 $16.000.00 0.00 $0.00 6 16 2105.607 Salvage Reclaim Material L Cy 3,530.00 $16.00 $56,480.00 3530.00 $56,480.00 0.00 $0.00 1,870.00 $29,920.00 0.00 $0.00 1.660.001 $26,560.00 0.001 $0.00 7 17 2112.519 Sub rade Preparation ROST 63.00 $300.00 $18,900.00 63.00 $18,900.00 0.00 $0.00 37.00 $11,100.00 0.00 $0.00 26.001 $7,800.00 0.001 $0.00 8 18 2130.523 Water MGAL 100.00 $50.00 $5,000.00 100.00 $5,000.00 0.00 $0.00 50.00 $2,500.00 0.00 $0.00 50.00 $2,500.00 0.00 $0.00 9 1 19 1 2211.509 Aggregate Base Class 5 TN 20.00 $24.00 $480.00 20.00 $480.00 0.00 $0.00 10.00 $240.00 0.00 $0.00 10.00 $240.00 0.00 $0.00 20 2215.504 Full Depth Reclamation SY 23000.00 $1.05 $24150.00 23000.00 $24150.00 0.00 $0.00 12100.00 $12705.00 0.00 $0.00 10900.00 $11445.00 0.00 $0.00 21 2232.504 Mill Bituminous Surface 1.5" SY 1 60.00 $25.00 $1,500.0ol 60.00 $1,500.00 0.00 $0.00 30.00 $750.00 0.00 $0.00 30.00 $750.00 0.00 $0.00 22 2357.506 Bituminous Material For Tack Coat GAL 1 1,160.00 $3.50 $4,060.00 1160.00 $4,060.00 0.00 $0.00 610.00 $2,135.00 0.00 $0.00 550.00 $1,925.00 0.00 $0.00 23 2360.509 Type SP 9.5 Wearing Course Mix (3,C) TN 2.280 ' 00 $78.00 $177,840.00 2280.00 $177,840.00 0.00 $0.00 1,200.00 $93,600.00 0.00 $0.00 1,080.00 $84,240.00 0.00 $0.00 24 2360.509 Type SP 9.5 Wearing Course Mix (2,B) - Driveways TN 40.00 $130.00 $5,200.00 40.00 $5,200.00 0.00 $0.00 30.00 $3,900.00 0.00 $0.00 10.00 $1,300.00 0.00 $0.00 10 25 2360.509 Type SP 12.5 Wearing Course Mixture (3,C) TN 3,100.00 $76.00 $235,600.00 3100.00 $235,600.00 0.00 $0.00 1,630.00 $123,880.0 0.00 $0.00 1,470.00 $111,720.00 0.00 $0.00 11 26 2451.607 Crushed Rock C Cy 40.00 $55.00 $2,200.00 20.00 $1,100.00 20.00 $1,100.00 10.00 $550.00 10.00 $550.00 10.00 $550.00 10.00 $550.00 27 2501.502 12" RC Pipe Apron EACH 1.00 $1,400.00 $1,400.00 0.00 $0.00 1.00 $1,400.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 1.00 $1,400.00 28 2501.502 18" RC Pipe Apron EACH 3.00 $1,600.00 $4,800.00 0.00 $0.00 3.00 $4,800.00 0.001 $0.00 1.00 $1,600.00 0.00 $0.00 2.00 $3,200.00 29 1 2501.602 18" Skimmer EACH 2.00 $4,000.00 $8,000.00 0.00 $0.00 2.00 $8.000.00 0.001 $0.00 1.00 $4,000.00 0.00 $0.00 1.00 $4,000.00 30 2501.602 18" Dissi ator EACH 2.00 $6 000.00 $12,000.00 0.00 $0.00 2.00 $12,000.00 0.00 $0.00 1.00 $6,000.00 0.00 $0.00 1.00 $6,000.00 31 2503.503 12" RC Pipe Sewer Des 3006 Class V LF 1 60.00 $60.00 $3,600.00 0.00 so -001 60.00 $3,600.00 0.00 $0.00 30.00 $1,800.00 0.00 $0.00 30.00 $1,800.00 32 2503.503 15" RC Pipe Sewer Des 3006 Class V LF 105.00 $75.00 $7,875.00 0.00 $0.00 105.00 $7,875.00 0.00 $0.00 105.00 $7,875.00 0.00 $0.00 0.00 $0.00 33 2503.503 18" RC Pipe Sewer Des 3006 Class V LF 140.00 $95.00 $13,300.00 0.00 $0.00 140.00 $13,300.00 0.00 $0.00 40.00 $3.800.00 0.00 $0.00 100.00 $9,500.00 34 2503.602 Connect to Existing Pipe Sewer EACH 1.00 $1000.00 $1000.00 0.00 $0.00 1.00 $1000.00 0.00 $0.00 1.00 $1000.00 0.00 $0.00 0.00 $0.00 35 2503.603 Clean & Video Tape New Storm Sewer LF 305.00 $5.50 $1,677.50 0.00 $0.00 305.00 $1,677.50 0.00 $0.00 175.00 $962.50 0.00 $0.00 130.00 $715.00 12 36 2504.602 Irrigation System Modifications EACH 60.00 $85.00 $5,100.00 60.00 $5,100.00 0.00 $0.00 30.00 $2,550.00 0.001 $0.00 30.00 $2,550-00 0.00 $0.00 13 37 2506.502 Casting Assembl - Storm EACH 6.00 $800.00 $4,800.00 0.00 $0.00 6.00 $4,800.00 0.00 $0.00 3.00 $2,400.00 0.00 $0.00 3.00 $2,400.00 14 1 38 1 2506.502 Install Casting - Storm EACH 14.00 $700.00 $9,80o.001 0.00 $0.00 14.00 $9,800.0 0.00 $0.00 12.00 $8,400.00 0.00 $0.00 2.00 $1,400.00 39 2506.602 Construct Draina a Structure Type 420 EACH 2.00 $2,800.00 $5,600.00 0.00 $0.00 2.00 $5,600.0 0.00 $0.00 2.00 $5,600.00 0.00 $0.00 0.00 $0.00 40 2506.602 Construct Drainage Structure Type 421-48" Dia. EACH 4.00 $5,800.00 $23,200.00 0.00 $0.00 4.00 $23,200.00 0.00 $0.00 2.00 $11,600.00 0.00 $0.00 2.00 $11,600.00 15 41 2506.607 Grout Drainage Structure Sump Cy 12.00 $450.00 $5,400.00 0.00 $0.00 12.00 $5,400.0 0.00 $0.00 12.00 $5,400.00 0.001 $0.00 0.00 $0.00 42 2531.503 Concrete Curb & Gutter Design B618 LF 4,500.00 $22.00 $99,000.00 4500.00 $99,000.00 0.00 $0.00 2,500.00 $55,000.00 0.00 $0.00 2,000.00 $44,000.00 0.00 $0.00 43 2531.504 6" Concrete Driveway Pavement SY 60.00 $68.00 $4,080.00 60.00 $4,080.00 0.00 $0.00 60.00 $4,080.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 16 44 2531.602 Clean and Patch Conc. Curb and Gutter Joint EA 300.00 $28.00 $8,400.00 300.00 $8,400.00 0.00 $0.00 200.001 $5,600.00 0.00 $0.00 100.00 $2,800.00 0.00 $0.00 45 2531.604 Concrete Drainage Flume SY 11.00 $110.00 $1,210.00 11.00 $1,210.00 0.00 $0.00 11.001 $1,210.00 0.001 $0.00 0.00 $0.00 0.001 $0.00 46 2563.601 Traffic Control LS 1.00 $5,000.00 $5,000.00 0.87 $4.350.00 0.13 $650.00 0.48 $2,400.00 0.08 $400.00 0.39 $1,950.00 0.05 $250.00 47 2573.502 Storm Drain Inlet Protection EACH 33.00 $150.00 $4,950.00 33.00 $4,950.00 0.00 $0.00 23.00 $3,450.00 0.00 $0.00 10.00 $1,500.00 0.00 $0.00 48 2573.503 Silt FenceType HI or MS LF 1,400.00 $3.50 $4,900.00 1200.00 S4,200.00 200.00 $700.00 500.00 $1,750.00 100.00 $350.00 700.00 $2,450.00 100.00 $350.00 49 2573.503 Sediment Control Log Type Wood Chip LF 200.00 $4.00 $800.00 150.00 $600.00 50.00 $200.00 100.00 $400.00 50.00 $200.00 50.001 $200.00 50.00 $200.00 50 2574.507 Loam Topsoil Borrow LV Cy 710.00 $30.00 $21,300.00 710.00 $21,300.00 0.00 $0.00 390.00 $11,700.00 0.00 $0.00 320.00 $9,600.00 0.00 $0.00 17 51 2574.508 Fertilizer Type 1 LB 180.00 $1.10 $198.00 180.00 $198.00 0.001 $0.00 100.00 $110.00 0.00 $0.00 80.00 $68.00 0.00 $0.00 18 52 2575.504 Rolled Erosion Prevention Category 20 SY 400.00 $3.00 $1,200.00 400.00 $1,200.00 0.001 $0.00 200.00 $600.00 0.00 $0.00 200.00 $600.00 0.00 $0.00 53 2575.505 Seeding ACRE 0.90 $1500.00 $1350.00 0.90 $1350.00 0.001 $0.00 0.50 $750.00 0.00 $0.00 0.40 $600.001 0.00 $0.00 54 2575.505 Weed Spraying ACRE 0.90 $750.001 $675.001 0.90 $675.00 0.001 $0.001 0.50 $375.001 0.001 $0.00 0.40 $300001 0.001 $0.00 Exhibit 3 19 55 2575.508 Seed Mixture 25-151 LB 180.00 $6.00 $1,080.00 180.00 $1,080.00 0.00 $0.00 100.00 $600.00 0.00 $0.00 80.00 $480.00 0.00 $0.00 56 2582.503 4" Solid Line Paint LF 11950.00 $0.60 $1,170.00 1950.00 $1,170.00 0.00 $0.00 1,040.00 $624.00 0.00 $0.00 910.00 $546.00 0.00 $0.00 57 2582.503 4" Broken Line Paint LF 2090.00 $0.60 $1.254.00 2090.00 $1,254.00 0.00 $0.00 2,090.00 $1,254.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 58 2582.503 4" Double Solid Line Paint LF 11 750.00 $1.20 $14.100.00 11750.00 $14,100.00 0.00 $0.00 71330 ' 00 $8 796.00 0.00 $0.00 41420 ' 00 $5 304.00 0.00 $0.00 59 2582.503 18" Solid Line Paint LF 140.00 $3.00 $420.00 140.00 $420.00 0.00 $0.00 50.00 $150.00 0.00 $0.00 90.00 $270.00 0.00 $0.00 60 2582.503 24" Solid Line Paint LF 640.00 $4.25 $2,720.00 640.00 $2,720.00 0.00 $0.00 180.00 $765.00 0.00 $0.00 460.00 $1,955.00 0.00 $0.00 61 2582.518 Pavement Messa a Paint SF 10% Contingency 420.00 $3.00 $1,260.00 $102,700.00 420.00 $1,260.00 $ 89,000.00 0.00 $0.00 $ 13,700.00 1 180.00 $540.00 $47,900.00 0.00 $0.00 $8,100.00 240.00 $720.00 $41,100.00 0.00 $0.00 $5,600.00 Total Estimated Street Reconstruction Cost $1,129,700.00 $ 979,500.00 $ 150,300.00 $526,900.00 $89,000.00 $452,600.00 $61,500.00 Notes: 1. Regardless of depth. Shall be used for roadway, driveway, and flumes, etc. 2. Includes salvage and reinstall of existing mailbox, and temporary placement of mailbox in barrel at each existing location during construction. 3. For all excavation except subgrade excavation where unsuitable material encountered. Includes disposing excess or unsuitable material off-site. 4. For use where organic or unsuitable material is encountered beneath the roadway. Material shall be removed and disposed off off-site. 5. Only to be used if sufficient material not generated on-site. Approximately 1,000 CY is available for use at the Andover Public Works yard if needed. Contractor to load and haul still. 6. Item shall be used for excavating, hauling and stockpiling all salvaged reclaim material. 7. Includes grading, placing salvaged reclaim where necessary and compaction of reclaimed agreggate base. 8. Item shall be used for dust control only as directed by the engineer. Water to achieve compaction shall be incidental. 9. For use for driveway replacements, roadway core, and under curb and gutter if sufficient reclaim material not available. 10. Includes quantity (tonnage) for construction of bituminous curb integral with base course pavement. 11. For construction of rock checks and under structures if water table is high. Rock shall be 1.5" nominal diameter. 12. Based upon number or irrigation heads removed / replaced. Item shall include all items necessary to temporarily cap existing systems, replace damaged lines, heads, adjust systems, and return them to pre -project condition or better. Work shall be performed by a licensed irrigation contractor. 13. For new structures and if salavage castings are not re -useable or broken. 14. Item includes new concrete adjusting rings, wrap rings with geotextile fabric, concrete collar. 15. Includes re -grouting doghouse and filling sumps / bases up to 1/3 of flow line. 16. Clean joint and patch with 31118 compound. Average joint 3" wide x 1" deep. Item for all joints, regardless of actual depth/width. Locations determined infield by engineer. 17. Analysis 20-10-10 applied at 200 lbs / acre. 18. Straw or wood fiber blanket is an acceptable alternative. Netting material shall be jute netting. 19. Application rate 200 lbs / acre Exhibit 3 Exhibit 4: Preliminary Assessment Worksheet PRELIMINARY ANDOVER ASSESSMENT WORKSHEET Project Name: 161st Avenue & Tulip Street Reconstruction (SAP 198-105.005 & SAP 198-106-005) Project No.: 21-39 Feasibility Report Date: Const. Amount: $1,129,700.00 Contract Award Date: Amount: Actual Construction Cost Amount: Estimated Expenses FEASIBILITY Engineering (Includes Design, Surveying, Inspection, etc.): $ 113,000.00 Consulting Costs $ 5,000.00 Aerial Mapping (1%of street) $ 9,800.00 Drainage Plan (0.3% of street/storm) $ 3,390.00 Administration (3%) $ 33,890.00 Assessing (1%) $ 11,300.00 Bonding (0.5%) $ 5,650.00 Recording Fees / Legal & Easement $ - Advertising $ 800.00 Permit and Review Fees $ 2,000.00 Street Signs (Materials and Labor) $ 5,000.00 Material Testing $ 5,000.00 Easement Acquisition $ - Construction Interest $ 11,300.00 City Costs $ 7,500.00 Total Estimated Expenses $ 213,600.00 Expenses Multiplier 18.907675% Total Estimated Project Cost Amount: $ 1,343,300.00 Assessment Calculations - Based Upon Tulip Street Costs and Parcel Front Frontage Estimated Construction Costs - Total Project $ 1,129,700.00 Estimated Indirect Costs - Total Project $ 213,600.00 Estimated Total Project Costs $ 1,343,300.00 Estimated Construction Costs - Tulip Street Only $ 615,900.00 Estimated Deduct for Extra 0.5" Pavement Thickness $ (31,100.00) Estimated Construction Cost for Assessment Calcs - Tulip St Only $ 584,800.00 Estimated Indirect Costs - Tulip Street Only $ 110,570.00 Estimated Total Costs for Assessment Calcs - Tulip Street Only $ 695,370.00 Estimated Assessable Costs (25%) - Tulip Street Only $ 173,840.00 Feasibility Assessment Rate Front Foot $173,840.00 15616.65 FF = $30.95 Actual Assessment Rate Per Front Foot 1. FF = PROJECT SUMMARY Estimated Assessable Costs - Total Project $184,050.00 (3) Estimated City Costs - Road and Bridge Fund $1,159,250.00 Total Estimated Project Costs $1,343,300.00 Notes: 1) Totals are rounded to the nearest $10 for simplicity. Actual amounts vrill be used for the Estimated assessments calculations. 2) Due to limited front footage on 161st Avenue, proposed front footage assessment rate for 161st Avenue parcels same as Tulip Street. 3) Includes properties proposed to be assessed on both Tulip Street and 161st Avenue. City Park properties included in City Costs Exhibit 4 Exhibit 5: Proposed List of Assessed Properties Tulip Street NW & 161st Avenue NW Street Reconstruction Preliminary Assessment Roll - City of Andover (City Project 21.39) 7901.61 Tulip Street NW PIN Owner Property Address Owner Address citylstattelzip Front Footage Units Eat Actual Assess. Assessment 08 3224130 0 0 6 ANDERSON, PEGGY K 17011 TULIP ST 17011 TULIP ST NW ANDOVER, MN 55304 190 1 $5,880.50 033224130009 MADSEN JR DAVID 16981 TULIP ST 16981 TULIP ST NW ANDOVER, MN 55304 190 1 $5,880.50 083224130019 HAUG, ANNA I. 16933TULIPST 16933 TULIP ST NW ANDOVER, MN 55304 392.68 1 $12,153.45 083224240003 RENNER ROGER E&TERRIL 169W TULIP ST 16950 TULIP ST NW ANDOVER, MN 55304 466.33 1 $14,432.91 063224240004 HUBER, TINA 16910TULIPST 16910 TULIP ST NW ANDOVER, MN 55304 361 1 $11,172.95 173224310018 OTHOUDTROSENOW, JUSTIN 159WTULIPST 15930 TULIP ST NW ANDOVER, MN 55304 150 1 $4,642.50 173224310019 PFLAGER, BENJAMIN 15944 TULIP ST 15944 TULIP ST NW ANDOVER, MN 55304 150 1 $4,642.50 173224310020 SHUMILOVSERGEY 15960 TULIP ST 15960 TULIP ST NW ANDOVER, MN 55304 150 1 $4,642.50 173224310021 HOULE, JOANNE 159DB TULIP ST 15908 TULIP ST NW ANDOVER, MN 55304 150 1 $4,642.50 173224310022 DAVIS, DONNA 16010TULIPST 16010 TULIP ST NW ANDOVER, MN 55304 150 1 $4,642.50 173224310024 NIENABER, RILEIGH ROWAN 16024 TULIP ST 16024 TULIP ST NW ANDOVER, MN 55304 150 1 $4,642.50 173224310025 ANDERSON, ANNETTE M 16040 TULIP ST 16040 TULIP ST NW ANDOVER, MN 55304 150 1 $4,642.50 173224310026 DAVIS, BRIAN 3616161ST AVE 3616161STAVE NW ANDOVER, MN 55304 160.01 1 $4,952.31 173224340001 STEFFES, JANET 115890 TULIP ST NW ANDOVER, MN 55304 330 1 $10,213.50 173224340006 STEFFES WILLIAM L&JANET C 1SB90TULIPST 15890 TULIP ST NW ANDOVER, MN 55304 330 1 $10,213.50 173224340010 PODRAZAJEROME R&MARCELINEM 15772 TULIP ST 15772 TULIP ST NW ANDOVER, MN 55304 330.58 1 $10,231.45 173224420001 EGAN PATRICIA A & TAYLOR A H 16005 TULIP ST 16005 TULIP ST NW ANDOVER, MN 55304 165 1 $5,106.75 173224420012 DAVIS BRUCE D&LYNNE M 15951 TULIP ST 15951 TULIP ST NW ANDOVER, MN 55304 330 1 $10,213.50 173224420013 EISINGER MATTHEW B JENNELLE 15909 TULIP ST 15909 TULIP ST NW ANDOVER, MN 55304 331.07 1 $10,246.62 173224430001 CHILSON, RYAN 15835 TULIP ST 15835 TULIP ST NW ANDOVER, MN 55304 330 1 $10,213.50 173224430002 JOHNSON TRUSTEE, LAURA 15895 TULIP ST 15885 TULIP ST NW ANDOVER, MN55304 329.96 1 810,212.88 173224430005 OAK GROVE FARMS UJUP 13825 EVELETH ST NE HAM LAKE, MN 55304 330 1 $10,213.50 Total Tulip Street NW 1 5616.65 22 $173,835.32 $0.00 161st AVENUE NW PIN# Owner PropertyAddress Owner Address City/State/Zip City/State/Zip From Footage PQ Units Est Actual Assess. Assessment 173224420010 ANDOVER CITY OF -PINE HILLS SOUTH PARK 3536161STAVE ANDOVER COMMUNITY CENTERANDOVER, MN 55304 601.73 1 $15,528.54 173224130004 YOCHIM, MARLENE 3425161STAVE 3425161 ST AVE NW ANDOVER, MN 55304 330 1 $10,213.50 173224130009 ANDOVER CITY OF -PINE HILLS NORTH PARK 1685 CROSSTOWN BLVD NW ANDOVER, MN 55304 585 1 $18,105.75 173224130010 ANDOVER CITY OF -PINE HILLS NORTH PARK 3535161STAVE 11685 CROSSTOWN BLVD NW JANDOVER, MN 55304 317.27 1 $9,819.51 trout 161st Avenue NW 1734.00 4 $53,667.30 $0.00 TOTAL PROJECT 1 7350.65 1 26 1$227,502.62 $0.00 Notes: 1) Total Assessments do not exady match the cost estimate due to rounding. EXHIBIT 5 Y 0 F O jr L . 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Tulip Street NW & 161St Avenue NW Reconstruction (C.P. 21-39) (x Neighborhood Informational Meeting Tuesday, October 18t', 2022 5:30 p.m. - 6:30 p.m. 6 Name Address l6 K,+ f3&y�' 1(20 ';k Lj I LL L 1 %> ST- fo W t' ftcc+�c _r`tl -5 4-N c es it�F, errs o� j ���r7ctt +�n�e'r icc 7 e.r i &-ri �-e,n vi -e S /70 Phone Cnl Z -2-2<s 5L[3 -5.- f - L(3SS- 10 Zi `7103-�5 3 -SST to '7k3 - 16-2-1- 44ar E -Mail bl"e Biot .N/c--NA60Z..eow" 1655 -W (n -T (P3 .-7/,) 9gloq Nuc Com-, AC I T Y O F ND OVER 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TULIP STREET NW & 161ST AVENUE NW RECONSTRUCTION RESIDENT SURVEY _(C.P. 21-39) Please complete and return this survey to my attention via email at J.Law(@Andovemm.gov, or via US Mail: City of Andover c/o Jason Law 1685 Crosstown Blvd NW Andover, MN 55304 Please check the following boxes applicable to your property. �1 YES, I have an irrigation system or underground fence near the roadway. '9 NO, I do not have an irrigation system or underground fence near the roadway. P l no Name(s): - _/' l A � � 4 Phone Number: Email Address: M a-4 4,0 i s, N ✓-e v U November 10, 2022 Dear City of Andover, This letter contains our comments regarding the reconstruction of Tulip Street NW and 161ST Avenue NW. My husband and I are long time residents of the City of Andover. We have resided at this home for almost 25 years. We are very appreciative of the reconstructive plan for these streets, the maintenance is highly needed. Our concerns include the cost to the residents when this corridor is used by many others beyond the local neighborhood traffic. Plus, we believe the financial contributions from MNDOT, since this is a state aid road, should be applied equally toward the cost of the project, not just against the City of Andover's portion. We believe the residents should not be responsible for 25 percent of the project cost. We would like the City of Andover to consider with these factors, that the assessment price for residents along the reconstruction route be limited to 10 percent of the project cost. The Tulip Street and 161" Avenue corridor is home to a mixture of resident lots and acreage. We believe the sports fields in this corridor have large traffic impacts on these roads. When the park properties and sports facilities are in use, they produce high level traffic use of these residential routes. The recent paving and parking space allotment designated parking for 194 cars and throughout a busy day many cars may go in and out of these parking spaces and facilities. These cars must travel on this route to access the park/sports field facility. For 6 months of the year, these fields are in use 7 days a week. We believe this is a reason to reduce the amount each resident is required to contribute. In addition to the park facility and sports complex, there is higher level of traffic on this route from neighborhoods in close proximity to access the county roads and such to get out of their own neighborhood. Specifically including County Road 20, County Road 58, and Round Lake Blvd (Cty. Rd 9), this reconstructive project route has three points of entry from these county roads and higher than average traffic resulting from these junctions. In addition, it is a highly used route for many beyond the local immediate residents on this route including neighborhoods only accessible from 1615f Avenue, and neighborhoods immediately surrounding the other portions of 16151 Avenue and Tulip Street. Plus, we have witnessed multiple times a year when most of Round Lake Boulevard traffic is routed through this reconstructive route because of an accident, road construction or road maintenance. This is another reason to reduce the amount each resident is required to contribute. Lastly, we are very appreciative of the fact the City of Andover is already planning for high volume traffic on this road by increasing the amount of asphalt laid down for a state aid road. Since this route is part of a state aid road, how much funding is covered for this project from the State of Minnesota? How is the State Aid funding applied toward the project cost? We believe the state aid funding contribution should be applied toward the everyone's assessment, not just the City of Andover's portion of cost. The additional funding from a state aid road is another reason to reduce the amount each resident is assessed for the cost of this project. In conclusion, for the reasons stated above, we believe assessing the local resident's 25 percent of the total reconstructive project cost is too great a sum. We strongly request you consider dropping this assessment to 10 percent for residents on this route. Thank you for your time and thoughtful consideration of this assessment. With utmost respect, Matt and Jennelle Eisinger 15909 Tulip St NW Andover, MN 55304 jeneisinger@comcast.net CNT Y O F y OVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-89V,• WWW.ANDOVERMN.GOV TO: Mayor and Council Members CC: Jim Dickinson, City FROM: David Berkowitz, Director of Public,Wbrks/City Engineer SUBJECT: Approve Change Order #122-18, Pine Hills North & South Parking Lot and 22- 22, Dog Park Parking Lot & Trail Paving — Engineering DATE: December 6, 2022 INTRODUCTION The City Council is requested to approve Change Order #1 for Projects 22-18, Pine Hills North & South Parking Lot Paving and 22-22, Dog Park Parking Lot & Trail Paving. DISCUSSION Due to the nature of the retrofit project to pave the existing gravel parking lot at Pine Hills North design changes were required during construction to ensure proper drainage and topsoil was placed that was not included with the original bid that added additional costs to the project. The additional crew hours were needed to move material around the site due to the design changes during construction. Additional common excavation was required to construct a small drainage area so that storm water runoff would get off the pavement and topsoil was added to backfill the curb and pavement as there was not excess topsoil available on the site as anticipated with the design. For the Dog Park extra work was required to get the trail properly graded by creating a borrow pit on site and utilizing that material for the subgrade work on the trail. Other change order costs were due to overruns on quantities for concrete walk and bituminous paving and extra work included removal of concrete walk and the borrow pit/common excavation. Anoka County Parks led this project and all three agencies reviewed the project changes and agreed they were need to properly build the project. Coon Rapids will be paying for the extra work required to remove and replace a pedestrian ramp. BUDGETIMPACT The project budget for Pine Hills North and Pine Hills South parking lots is $467,000 and the final project costs with the change order and consulting costs for design and construction staking will be $396,000. The parking lot projects are funded by a combination of Park Dedication and Capital Equipment Reserve. The Dog Park project budget for the City is $37,500 ($112,500 total) split between Andover, Coon Rapids & Anoka County Parks) and the final project costs with the change order excluding Coon Rapids extra work is $48,870 for Andover ($146,580 total). The Dog Park improvements are funded by the Capital Equipment Reserve fund. Mayor and Council Members December 6, 2022 Page 2 of 2 COUNCIL ACTION The City Council is requested to approve Change Order #1 for Projects 22-18, Pine Hills North & South Parking Lot Paving and 22-22, Dog Park Parking Lot & Trail Paving. Respectfully submitted,. -- TtviD. Berkowitz, P.E. Attach: Resolution Change Order #1� CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Councilmember to adopt the following: A RESOLUTION APPROVING CHANGE ORDER 1 TO PROJECT NOS. 22-18, PINE HILLS NORTH & SOUTH PARKING LOT PAVING AND 22-22, DOG PARK PARKING LOT & TRAIL PAVING. WHEREAS, the City of Andover has a contract for Project Nos. 22-18, Pine Hills North & South Parking Lot Paving/22-26, City Hall Parking Lot Reconstruction/22- 29, Oak Bluff Park Basketball Court/22-32, Veterans Memorial Blvd. NW Parking Area/22-22, Dog Park Parking Lot & Trail Paving.with North Valley Inc. of Nowthen, MN. NOW THEREFORE, BE IT RESOLVED by the City Council of Andover to hereby approve the change order #1 to Project Nos. 22-18 & 22-22. Adopted by the City Council of the City of Andover this 6th day of December , 2022. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Hartner — Deputy City Clerk 0" INCH 87�777�7 Change Order No.: 1 Date: 11/30/22 Sheet: 1 of 4 Project Name: 22-18 Pine Hills North & Pine Hills South Parking Lot Paving and 22-22 Bunker Hills Dog Park Puking Lot and Trail Improvements Contractor: North Vallev. Inc. You are hereby directed to make the following change to your contract dated November 30th, 2022. The change and the work affected thereby is subject to all contract stipulations and covenants. This change order will (increase) (deerease) (ne-ehange) the contract sum by Fifty-nine thousand five hundred fifty-seven dollars and thirty-three cents ($59,557.33). This Change Order provides for the following extra work: 22-18 Pine Hills North & Pine Hills South Parking Lot Paving: Description Increase (Decrease) Original contract amount $330,570.18 Over contract quantities $724.92 Paid to Date $331,295.10 Extra Work Description: $16,331.81 Additional crew time (26.8 Ins x $525/hr) $14,070.00 Common Ex. for ponding area (60 CY EV x $47.10/CY) $2,826.00 Topsoil (not in bid) (412 CY x $39.15/CY) $16,129.80 Extra Work Subtotal $33,025.80 Project Total to date $364,320.90 Original contract amount -$330,570.18 Net 22-18 chane order amount $33,750.72 22-22 Bunker Hills Dog Park Parking Lot and Trail Improvements: Original contract amount $124,808.26 Project Paid to date $123,890.56 Original contract amount remaining $917.70 Description Increase (Decrease) Over contract quantities due to site conditions $16,331.81 Extra Work: concrete, bituminous, and borrow pit $5,440.07 Coon Rapids Extra work for curb and pedestrian ramp $3,841.95 Net 22-22 Change Order Amount $25,613.83 Project Paid to date $123,890.56 Net Change order+ Original contract amount remaining $26,531.53 ($25,613.83 + $917.70 = $26,531.53) New 22-22 Contract Amount $150,422.09 22-18 & 22-22 Change Orderl 113022.xlsx 20015 Iguana Street NW, Suite 100 Nowthen, MN 55330 (763)274-2580 Fax (763) 274-2584 City of Andover Pine Hills North and South parking lot improvements miscellaneous extra work revised 11/28/2022. 1. Additional 26.8 hours of crew time. This is additional to the common excavation bid item. This includes loading and hauling CL -5 from one lot to another, adjusting grades/setting new ones, building swales, and subgrade corrections under curb/pavement. 26.8 Hrs. x $525 per hr. _ $14,070 2. Common Excavation 60 CY EV x $47.10 = $2826 3. Topsoil 412 cy x $39.15 = $16129.80 4. Additional CL -5 246.67 ton x $33.57 per ton Paid on Pay Estimate #2 A ASPHALT 100% RECYCLABLE Affirmative Action / Equal Opportunity Employer North Valley, Inc 20015 Iguana Street - #100 Nowthen, MN 55330 Phone: 763-274-2580 Fax: 763-274-2584 BILL To: Anoka County - Parks & Recreation Department 550 Bunker Lake Blvd NW Andover, MN 55304 INVOICE Invoice # 2173 Date: 10/8/2022 Description Quantity I U/M Unit Price Total Dog Park Parking Lot & Trail Sawing Bit Pavment 106 LF $ 3.10 $ 328.60 Remove Gurb & Gutter 37 LF $ 15.20 $ 562.40 Common Excavation 520 CY $ 21.67 $ 11,268.40 Site Grading 1 LSU $ 4,979.28 $ 4,979.28 Aggregate Base Class 5 619 TN $ 38.50 $ 23,831.50 SP 9.5 Wear (2,B)(3" Thick) 362.64 TN $ 99.63 $ 36,129.82 SP 9.5 Wear (2,B)(Trail-2" Thick) 236.3 TN $ 112.54 $ 26,593.20 Articulated Block 15 SY $ 215.25 1 $ 3,228.75 4" Concrete Walk 2542 SF $ 8.69 $ 22,089.98 Concrete Ped Ramp w/ Truncated Domes 1 EA $ 1,628.95 $ 1,628.95 Concrete Gutter Des Special Curb Cut 36 LF $ 108.60 $ 3,909.60 Stabilized Construction Exit 1 EA $ 542.98 $ 542.98 Sediment Control Log Type Wood Fiber 1875 LF $ 2.56 $ 4,800.00 Seed Mixture 21-113 250 Ib $ 2.46 $ 615.00 4" Solid Line Paint 1100 LF $ 0.49 $ 539.00 Pavement Message Paint 20 SF $ 4.63 $ 92.60 sub -total $ 141,140.07 Extra Work Remove Concrete Walk 194 $ 2.71 $ 525.74 Borrow Pit 228 $ 18.65 $ 4,196.25 Remove Bituminous 1 528 $ 1.36 $ 718.08 sub -total $ 5,440.07 Coon Rapids Extra Work Remove Curb & Gutter 17 LF $ 15.20 $ 258.40 Remove Ped Ramp 40 SF$ 108.40 Install Curb 17 LF $ 108.60 $ 1,846.20 Install Ped Ramp 1 $ 1,628.95 $ 1,628.9S sub -total $ 3,841.95 Total 1 $ 150,422.09 k- �" ! kk C IT Y OF � .-moi. ,-iLNDOVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers FROM: Jim Dickinson, City Administrator SUBJECT: Approve Lease Agreement Summary - Connexus Energy DATE: December 6, 2022 BACKGROUND Connexus Energy and the City of Andover desire to collaborate for disaster recovery preparation; to increase preparedness in the event of an unplanned event affecting the continuity of critical functions performed by the respective organizations. - The City of Andover is statutorily classified as a city of the second class in Minnesota, with a population of over 30,000 residents. - Connexus Energy is Minnesota's largest electric distribution cooperative and second- largest electric utility by number of retail consumers served, serving over 140,000 member - owners across 1,000 square miles in the northern Twin Cities metro and adjacent areas. - Connexus Energy is the sole retail electric service provider for the City of Andover and its residents and businesses. - The City of Andover provides critical public services such as fire and emergency response, water and sewer service and public right-of-way management to its citizens. - The critical services provided by Connexus Energy and the City of Andover are necessary for the health, safety, and welfare of the public. - Continuity of operations in the face of unplanned events is critical for both Connexus Energy and the City of Andover and is expected by those each entity serves. - Connexus Energy and the City of Andover believe that by mutual collaboration, each entity's disaster recovery preparedness will be enhanced. The Lease Agreement contains nonpublic security information data, as that term is defined under Minnesota Statute §13.37; the attached Lease Agreement Summary is prepared to identify the existence of the Agreement between the City and Connexus Energy, while also maintaining the confidentiality of the nonpublic security information contained in the Agreement. In the event there is a conflict between the terms and conditions contained in this Lease Agreement Summary and the Agreement, the terms and conditions contained in the Agreement shall govern. BUDGETIMPACT Rent paid by Connexus will be utilized to offset City of Andover Facility Management expenses. ACTION REQUESTED The Council is requested to approve the attached Lease Agreement Summary. submitted, LEASE AGREEMENT SUMMARY WHEREAS, The City of Andover, a municipal corporation under the laws of the State of Minnesota, with its principal offices located at 1685 Crosstown Boulevard NW, Andover, Minnesota 55304 ("City"), entered into a Lease Agreement ("Agreement") with Connexus Energy, a cooperative organized under the laws of Minnesota, with its principal place of business located at 14601 Ramsey Boulevard NW, Ramsey, Minnesota 55303 ("CE"); and WHEREAS, the Agreement contains nonpublic security information data, as that term is defined under Minnesota Statute § 13.37; and WHEREAS, this Lease Agreement Summary is being prepared in order to identify the existence of the Agreement between the City and CE, while also maintaining the confidentiality of the nonpublic security information contained in the Agreement; and WHEREAS, in the event there is a conflict between the terms and conditions contained in this Lease Agreement Summary and the Agreement, the terms and conditions contained in the Agreement shall govern. NOW, THEREFORE, the parties hereto desire to identify the general terms of their Agreement as set forth below: SITE LOCATION: Space within the City's civic complex ("Site Location"). TERM OF AGREEMENT: The initial term of the Agreement shall commence on December 6, 2022 and continue thereafter until December 31, 2025 (the "Initial Term"). RENEWAL OF AGREEMENT: The Agreement shall automatically be extended for one (1) year terms beyond the Initial Term (each, a "Renewal Term," and together with the Initial Term, the "Term") unless either party notifies the other of its intention not to renew at least one (1) year prior to the expiration of the then -current Term. With the exception of Rent, which shall be agreed upon prior to the Renewal Term, the terms and conditions for each Renewal Term shall be the same as those contained herein. RENT: As and for rent for fixed space ("Rent"), CE shall pay to City the annual amount of Thirty Thousand Two Hundred and no/100 Dollars ($30,200). The first such annual Rent payment shall be due on January 1, 2023, which shall constitute Rent for the period from January 1, 2023 to December 31, 2023. The second such annual Rent payment shall be due on January 1, 2024, which shall constitute Rent for the period from January 1, 2024 to December 31, 2024. The third such annual Rent payment shall be due on January 1, 2025, which shall constitute Rent for the period from January 1, 2025 to December 31, 2025. No Rent shall be payable for the period from December 6, 2022 through December 31, 2022. hi the event of a Business Continuity Event, as defined and described in the Agreement, there shall be utilization fees for additional flex and yard space as agreed upon between the parties. UTILITIES: City shall, at all times during the Term, provide utility services consisting of electrical, sewer and water within the Site Location. In the event any utility services to the Site Location are separately metered (the "Metered Utilities"), CE shall pay the cost of such Metered Utilities directly to the utility provider. The cost of all other utilities shall be paid by City, it being understood that such utility costs are incorporated into Rent set forth herein. REAL ESTATE TAXES: In the event the City becomes obligated to pay real estate taxes related to the Site Location which are levied solely due to CE's use of the Site Location, on or before May 15`h and October 15`h of each year during the Term, CE shall pay such real estate taxes which will be payable by City in the following year. City shall submit an estimate of such real estate taxes, if any, to CE and CE shall pay the estimated amounts. Any difference from actual real estate taxes payable shall be adjusted in cash when actual real estate taxes are known. First payment of real estate taxes will be May 15, 2023. IN WITNESS WHEREOF, the Parties, have caused this Lease Summary Agreement to be executed to memorialize and summarize the Lease Agreement between the parties. CITY OF ANDOVER Name (please print): Title (please print): CONNEXUSENERGY Dated: By: Name (please print): Title (please print): C I T Y O F ,���• ' IY': NDOVER � • ► � �'= G ' Overview Map Incorporated 1974 T } t➢t`. "* rSecured;Outdoor + Area -/-Equipment Parking Area r , pUgPL IC ,..,1F - .a VEEP -P' BLUEBIRD 77o oata. e�w vNStttT±Z - .. - I Qi, Q � _L—_ � �•�. � - nit ;'i __ \ � _ _ •^ - °� 151ST LN _.. C. w R�, �'- . `, � - Permanent/ Wearhousil 'Optional _ Shared Flez.Al Space Area - - \ s t rte. I ITYI&MPUS sl sr Moo( HOCKEY AV �CDMPLEX�i Optional' a FIexArea 30 CROSSTOWN BLVD 7'i as aomd7 _'SUNSHINE PAR �vyde ,i m t"6!Y azwn m 'qv lw� ,.� - •. fir... Q�� r► 0p° 00 Feetr. _ t t «�� �L % 5-H CLi 'MI11 1'drknp\v /ec[s1ACml SSE el Ma00ag1GenC.alMapOnq apn 'a !' ( •' Date E,p,Ieo: IQ Ntv2Z�' Data re C omtY eCspata I[YO PntlaMr A It,,,, Gii ANL6 Y O FOVER 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304. (763) 755-5100 FAX (763) 755-8923. WWW.ANDOVERMN.US TO: Mayor and Council Members CC: Jim Dickinson, City Administrator / Finance Direct FROM: Erick Sutherland, Recreational Facilities Manager SUBJECT: Accept Contribution / Andover Lions Club Inc. / Andover Community Center DATE: December 6, 2022 INTRODUCTION This item is in regard to approving a resolution accepting a contribution made by Andover Lions Club to be used towards the Fee Assistance Program at the Andover Community Center. DISCUSSION Andover Lions Club Inc. has made a one-time contribution of $300.00. ACTION REQUIRED The City Council is requested to approve the resolution accepting the contribution. Respectfully Submitted, Attachments: Resolution CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Councilmember to adopt the following: A RESOLUTION ACCEPTING A CONTRIBUTION MADE TO THE CITY OF ANDOVER TO BE USED TOWARDS THE FEE ASSISTANCE PROGRAM AT THE ANDOVER COMMUNITY CENTER. WHEREAS, any contributions that are to be made to the City of Andover must be accepted by the City Council; and WHEREAS, the $300.00 contribution from Andover Lions Club Inc is to be used towards the Andover Community Center Fee Assistance Program. NOW, THEREFORE BE IT RESOLVED by the City Council to hereby accept the contribution, which is to be used towards the Andover Community Center Fee Assistance Program. MOTION seconded by Councilmember and adopted by the City Council at a regular meeting this 6th day of December 2022, with Councilmembers voting in favor of the resolution, and Councilmembers voting against, whereupon said resolution was declared passed. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Hartner - Deputy City Clerk 0 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and CouncilmembersN CC: James Dickinson, City AdministraSManagge FROM: Dana Makinen, Human Resources SUBJECT: Approve City Administrator Review DATE: December 6, 2022 The City Council held a special executive session on November 22"d, 2022, to evaluate the performance of the City Administrator James Dickinson. DISCUSSION The evaluation of the City Administrator, James Dickinson, was conducted in an executive session by the City Council as permitted by state open meeting laws. In summary review of the Council's discussion with the City Administrator, it was determined that City Administrator Dickinson exceeds the expectations of the City Council. The City Administrator was evaluated in the areas of Council relations, fiscal management, personnel, supervision, leadership, intergovernmental relations and community relations. ACTION REQUESTED Council is requested to approve the results of City Administrator Dickinson's performance reviews as satisfactory and authorize a renewal of his contract for another year. Respectfully submitted, Dana Makinen ANL6 Y O F6 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City Administr, FROM: Michelle Harmer, Deputy City SUBJECT: Approve 2023 Tobacco Licenses DATE: December 6, 2022 INTRODUCTION Tobacco licenses expire on December 31, 2022 DISCUSSION The following have applied for renewal of their license, paid the appropriate fees, and been approved by the Sheriff's Office: Bill's Superette —14041 Round Lake Boulevard Casey's —15246 Bluebird Street CBD RS —13650 Hanson Boulevard Clocktower Wine & Spirits —15190 Bluebird Street, Suite 109 Daybreak Tobacco LLC —13652 Crosstown Boulevard G -Will Liquors —13973 Round Lake Boulevard King's County Market — 13735 Round Lake Boulevard Kwik Trip —1756 Bunker Lake Boulevard Lucky's Station —13660 Crosstown Boulevard Pure Xhale —15190 Bluebird Street, Suite 140 Speedway —13727 Hanson Boulevard Top Ten Liquors —13627 Quinn Street Walmart — 1851 Bunker Lake Boulevard ACTION REQUIRED The City Council is requested to approve the above licenses for the period January 1, 2023 through December 31, 2023. Respectfully submitted, Michelle Harmer Deputy City Clerk Attach: License Applications 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner ora corporate officer. FULL HOME ADDRESS DATE OF BIRTH CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( ALTERNATE NUMBER: (_ EMAIL ADDRESS: _ v " DRIVER'S LICENSE,..„ PIRATION DATE: _ 'E OF ISSUANCE:. PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, Including Andover: Yes 0 No CK (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, haveyou been convicted of any felony, crime or violation of a federal or state law or local ordinance Other than a misdemeanor traffic violation? Yes L] No M (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.AN DOVE RM N.GOV BUSINESS INFORMATION: DIFFERENT STATE LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. BUSINESS PAW MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( ALTERNATE NUMBER: EMAIL ADDRESS: _ _ i/ BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location contact person, i.e. Store Manager. c�ceimP� 60126L -- NAME (First, Last) CITY P MAILING ADDRESS (IF DIFFERENT FROM ABOVE) -- CITY STATE ZIP PHONE NUMBER: ALTERNATE NUMBER 1 EMAIL ADDRESS �r � v,tiir}k • , yfn, tL ,E+e 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755.5100 FAX (763) 755-8823 • WWW.ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED, PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL, CHECKLIST OF REQUIRED DOCUMENTATION: EJ License Application, fully completed, EJ Annual Fee $250.00 0 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. 0 Workers Compensation Form (State requirement) 0 Tax Clearance Form (State requirement) 0 Tennessen Warning Form (State requirement) o Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. 1 do authorize the City of Andover, its agents and employees to obtain any necessary information and to conduct an investigation, including background checks, as deemed necessary by the City of Andover into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false information shall be grounds for denial of my license. I fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which Is detailed in the pertinent section of the Andover City Code, which is available on the City website at www.andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application is classified as public data and will be provided to the public upon request. Signature:_-?!/a�,�r� Gc-� /� Date: �.® yy.� Title:. YYYSI lP da / ' Approved: S✓ Denied: Fees: $250.00 by City Council: License # 0 oda- 06 2440 Approved Denied Date: 'rY , 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERM.N.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. DOUGLAS MARSHALL BEECH FULL NAME (First, Middle, Last) DATE OF BIRTH HOME ADDRESS lair STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEF ALTERNATE NUMBER: (( EMAIL ADDRESS: DRIVER'S LICENSE # EXPIRATION DATE: STATE OF ISSUANCE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes ❑ No ® (if yes you must provide details: description, date and location) Attach additional sheets as necessary. At any time, have ou been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes Lj No © (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. lit, Imu '.. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: CASEY'S RETAIL COMPANY LEGAL NAME OF BUSINESS CASEY'S GENERAL STORE #3890 TRADE NAME 15246 BLUEBIRD ST NW ANDOVER MN 55304 BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP ATTN LICENSING PO BOX 3001 ANKENY IA 50021 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. GAYLE BEGALSKE ATTN LICENSING PO BOX 3001 ANKENY IA 50021 BUSINESS ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY PHONE NUMBER: ( ALTERNATE NUMBER:( ) EMAIL ADDRESS: BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. GAYLE BEGALSKE NAME (First, Last) ATTN LICENSING PO BOX 3001 ANKENY IA 50021 BUSINESS ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( ALTERNATE NUMBER: ( ) EMAIL ADDRESS: y s, 7�' I i 1686 CROSSTOWN BOULEVARD N.W, • ANDOVER,.MINNESOTA 66304 u (763) 756.5100 FAX (763) 765-8923 e WWW ANDQyf R,MN.OQV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED, PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL, CHECKLIST OF RR MIKED DOCUMENTATION - 0 License Application, fullycompleted. N Annual Fee $250.00 IS. Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. IS Workers Compensation Form (State requirement) M Tax Clearance Form (State requirement) Tennessen Warning Form (State requirement) a• Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license If found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers In this application are true and correct to the best of my knowledge, I do authorize the City of Andover, Its agents and employees to obtain any necessary Information and to conduct an Investigation, Including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth In this application and the qualifications for said license, I do understand that providing false Information shall be grounds for denial of my license, I fully understand that it is my responslblltty Abe familiar with and abide by the requirements of the City, which Is detailed in the pertinent section of the Andover City Code, which Is available on the City webslte at ,a wwwndovermn.cav or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application is classified as public data and will be provided to the public upon request, Signature: � � �' i� Date: 10/14/22 _ Title: SECRETARY FOR CASEY'S RETAIL COMPANY Approved:y Denied:, Gees: $250.00 License # _ A � 1 by City Council: Approved Denied Date: 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE, TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. NAME (First, Middle, Last) �11 HOME ADDRESS — u i r STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: EMAIL ADDRESS: DRIVER'S LICENSE #: ALTERNATE NUMBER: ( 1 EXPIRATION DATE: STATE OF ISSUANCL. . PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. C71 Have you ever been denied a license tp conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes Q No LvS (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, have you been oonv ed of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes ❑ No 2r (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: 11:10.1_ PREMISE MAILING ADDRESS (IF DIFFERENT STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: /�'�� ALTERNATE NUMBER: ( ) In/ n EMAIL ADDRESS: BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contactperson, i.e. Store Manager. BUSINESS CITY MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEI EMAIL ADDRESS: ALTERNATE NUMBER: ( 1 { 1886 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 66304 . (763) 766.6100 FAX (763) 766-8923 . WWW.ANDOVERMN OV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL, CHECKLIST OF REQUIRED DOCUMENTATION: 0 License Application, fully Completed. o Annual Fee $250.00 0 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. 0 Workers Compensation Form (State requirement) 0 Tax Clearance Form (State requirement) 0 Tennessen Warning Form (State requirement) 0 Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge, I do authorize the City of Andover, its agents and employees to obtain any necessary Information and to conduct an investigation, including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false Informatlon shall be grounds for denial of my license. l fully understand that It Is my responsibility to be familiar with and abide by the requirements of the City, which Is detailed In the pertinent section of the Andover City Code, which Is available on the City website at www.andovermn aov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application Is classified as public data and will be provided to the public upon request. Signature; Date: A,-0� Title: Approved: Y Denied: Fees: $260.60 License # lhak 662KI by City Council: Approved Denied Date: &I- I ---- 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. FULL NAME (First, Middle, last) DATE'OF BIRTH I HOME ADDmtSS CITY STAT9 ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEF.. , — ALTERNATE NUMBER: ( ) EMAIL ADDRES: .- •--• DRIVER'S LICENSE I CPIRATION DA. _. . PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named Individual. If you have resided at the above address for less than ten It 0) years, please list previous addresses. STE OF ISSUANQ Have you ever been denied a lice rrrr s����e to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes ❑ No if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, have you been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes ❑ No (••Q (dyes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. x 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: LEG MME OF Wa% mc �i c TRADE NAME (dba) =44 , na BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE I CITY STATE ZIP T MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that w, erve as the City Contact person for the license application and license related questions. k� A I \ , e t _ 14 INESS ADDRESS MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE e PHONE NUMBL,� /\ ALTERNATE NUMBER: ( 1 f EMAIL ADDRESS: BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store NAME (First, Lastj — _ S ZIP /IV MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER:( EMAIL ADDRESS: ALTERNATE NUMBER: ( 1 Ix rif?�t�ti�17 1'g 1685 CROSSTOWN BOULEVARD N.W. e ANDOVER, MINNESOTA 55304 e (763) 755.5100 FAX (763) 755-8923 o WWW.AN DOVE RM N. GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED_DOCUMENTA'1'ION: LI License Application, fully completed. EJ Annual Fee $250.00 El Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. Workers Compensation Form (State requirement) EJ Tax Clearance Form (State requirement) 0 Tennessen Warning Form (State requirement) El Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license If found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, its agents and employees to obtain any necessary information and to conduct an investigation, Including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false information shall be grounds for denial of my license. I fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which is detailed in the pertinent section of the Andover City Code, which is available on the City website at www,andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application Is classified as public data and will be provided to the public upon request, Signature: _ ~� Date:' Q ! (L Title:��) Approved: Denied: eriff's e Fees: $250,00 by City Council License#�ba Approved Denied Date: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individtyal/nust be the Wsiness owner or a corporate officer. FULL NAME (First, Middle, Last) 7h.� / DATE OF BIRTH H.,,... UIJKESS _ _ '� CITY STATE ZIP PHONE NUMBER: ( _ ALTERNATE NUMBER:, EMAILADDRESS:, e,�,--/.vrL�� �/� (Zlfl/ 0� A _ DRIVER'S LICENSE A. EXPIRATION DATE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. •. J LV ! / I/ I /v v FE OF ISSUANC' Have you ever been denied a license toconduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State including Andover: Yes Ej No (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, haveou been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes No W(f yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: TRADE NAME (dba) OF LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact n PHONE NUMBER:( EMAIL ADDRESS: PREMISE for the license application and license related questions. ALTERNATE NUMBER: , BUSINESS LOCATION CONTACT INFORMATION: List the hdividual that will serve as the Business Location contact person, i.e. Store Manager. I` PHONE NUMBER. �1 ,� I r, r „ r 4 ALTERNATE NUMBER. EMAIL ADDRESS: ZIP 1685 CROSSTOWN BOULEVARD N.W. a ANDOVER, MINNESOTA 56304 o (763) 766.5100 FAX (763) 755.8923 • WWW ANDOVERMN Gov ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: cense Application, fully completed. 1"nnual Fee $250.00 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. ,,2orkers Compensation Form (State requirement) L3 Tax Clearance Form (State requirement) R3, Tennessen Warning Form (State requirement) GYMlnnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license If found to have violated the provisions of the ordinance providing for the granting of this license. do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, its agents and employees to obtain any necessary Information and to conduct an Investigation, Including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license. I fully understand that It is my responsibility to be familiar with and abide by the requirements of the City, which Is detailed in the pertinent section of the Andover City Code, which is available on the City website at www.andovermn.aov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the Information supplied within this application is classified as public data and will be provided to the lic pon request, p n Signature; Date: /Z OF, Title: r 11//lPJl� Approved:--Z—Denied: .1cense Fees: $250.00 License # CAD Ra —0 NO action by City Council: T Approved Denied Date: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. A r .,. I.r% /i I l FULL NAME (First, Middle, Last) HOME ADDRESS GIIY DATE OF BIRTH V - aIH(E ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEF EMAIL ADDRESS: V DRIVER'S LICENSE A ALTERNATE NUMBER: _.. AATION DATE: F PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten It 0) years, please list previous addresses. -E OF ISSUANCE - Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes ❑ No CQ (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, haveou been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes No M (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. AC I T Y O F NDOVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.AN DOVE RMN.GOV BUSINESS INFORMATION: LEGAL NAME OFAUS A .%t., i ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. bU51Ntbb AVUKtJS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEP ALTERNATE NUMBF EMAIL ADDRES C7 BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. NAME (First, UUJINC AUUKCZZJ CITY STATE ZIP MAILING AD RESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMP" %7 ALTERNATE NUMBE EMAIL ADDRES` V y.. F 1 �f.RNt 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755.8923 a WWW,ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED._ DOCUMENTATION: License Application, fully completed. O Annual Fee $250.00 0 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. 0 Workers Compensation Form (State requirement) E3 Tax Clearance Form (State requirement) E3 Tennessen Warning Form (State requirement) 0 Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do. hereby swear that the answers In this application are true and correct to the best of my knowledge. I do authorize the City of Andover, its agents and employees to obtain any necessary Information and to conduct an investigation, Including background checks, as deemed necessary by the City of Andover into the truth of the statements set forth In this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license. I fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which is detailed in the pertinent section of the Andover City Code, which is available on the City website at www.andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application is classified as public data and will be provided to the public upon request. Signature; bate: `Zy yi1 �2 Title:P/ Y' 6l �� j1 - Approved;—Z Denied: Fees; $250.00 n by City Council: License —603teq Approved Denied Date: 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. Zz FULL HOME ADDRESS MAILING ADDRESS (IF DIFFERENT FROM PHONE NUMBER: , _ EMAIL ADDRESS. DRIVER'S LICENSE #: ,J K_ STATE CITY STATE ALTERNATE NUMBER:, -- ZW EXPIRATION DAA STATE OF ISSUAN( PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes 0 No [Q (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, haveyou been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor trafficviolation? Yes Lj No EP (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. T 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: T -t K 'Goo -z' ZKe- LEGALL NAME OF BUSINESS e IG.IN IOS eo�a T'I IMA414GT 13,35 90%dL-a LA"- 1�0 /}Nnou1_14 V1'1tbu"SOTA 553oy BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. JOMN -T'I}OM+rS 137 3 S R ouk.o ADDRESS 9"v D, Nbolit&_ MIAimamA 553 ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ALTERNATE NUMBER: EMAIL ADDRESS: , BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. 'T%F4 U "r" MA6 NAME (First, Last) 156 ?'00. 0 L-4tcc_ AN00Vt-2 i/ Wk)(507.4 5 ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEF �� w EMAILADDRESS:_ ' ALTERNATE NUMBER: 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 0 (763) 755.5100 FAX (763) 755-8923 • WWW.ANDOVERMN,GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: License Application, fully completed. U Annual Fee $250.00 0 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. 0 Workers Compensation Form (State requirement) o Tax Clearance Form (State requirement) 1:3 Tennessen Warning Form (State requirement) 0 Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license If found to have violated the provisions of the ordinance providing for the granting of this license. I de hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, its agents and employees to obtain any necessary information and to conduct an investigation, including background checks, as deemed necessary by the City of Andover into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false information shall be grounds for denial of my license. I fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which is detailed in the pertinent section of the Andover City Code, which is available on the City website at www.andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the Information supplied within this application is classified as public data and will be provided to the public upon request. Signature: /11�J1G� --f%! i� Date: QA- 171. 2� z Title: (/�U• y t e Approved: Denied: — a Fees: $250.00 License # 20 a—. oo 353 by City Council: Approved Denied Date: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner ora corporate officer. Donald Paul Zietlow FULL NAME (First, Middle, Last) DATE OF BIRTH HOMEADDRESS STATE MAILING ADDRESS (IF Ulhf LKLN i FROM ABOVE) CITY Sl Al t ZIP PHONE NUMBER: _ _ _ ALTERNATE NUMBER: (_ I _ ENTAIL ADDRESS: DRIVER'S LICENSE A, EXPIRATION DATE: _ —STATE OF ISSUANCE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes V No E] (if yes you must provide details; description, date and location) Attach additional sheets as necessary. Please see enclosed list of retail store violations in Minnesota. At any time, have you been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes V No 0 (If yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. Please see enclosed list of retail store violations in Minnesota. 1685 CROSSTOWN BOULEVARD N.W. - ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: Kwik Trip, Inc. LEGAL NAME OF BUSINESS Kwik Trio #812 1756 Bunker Lake Blvd. NW Andover MN 55304 BUSINESS ADDRESSIPHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP 1626 Oak St., P.O. Box 2107 La Crossp WI 54602-2107 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions, Christianson I (First, Last) 1626 Oak St., P.O. Box 2107 La Crosse WI 54602-2107 BUSINESSADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: L EMAIL ADDRESS: ALTERNATE NUMBER: ( 1 BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contactperson, i.e. Store Manager. Jennifer Haack NAME (First, Last) BUSINESSADDRESS CITY STATE z1v 1626 Oak St R0, Box 2107 La Crosse WI 54602-2107 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: L EMAIL ADDRESS: _ ALTERNATE NUMBER: (_ 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 65304 • (763) 755-6100 FAX (763) 755-8923 . WWW.ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED, PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL, PrAl CHECKLIST OF REQUIRED DOCUMENTATION: Annual Fee $250.00 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. Workers Compensation Form (State requirement) Tax Clearance Form (State requirement) Tennessen Warning Form (State requirement) Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree.to the forrelture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge, I do authorize the City of Andover, its agents and employees to obtain any necessary Information and to conduct an investigation, including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth. in this application and the qualifications for said license, I do understand that providing false information shall be grounds for denial of my license. 1 fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which Is' detailed in the pertinent section of the Andover City Code, which is available on the City website at www.andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the Information supplied within this application is classified as public data and will be provided to the public upon request. Signature: / ��" ��Jd� Date: _ 1L-6-2022 Title: President Approved: Denied: — a Fees: $250,00 License # AbS.9 . D034 by City Council: Approved Denied Date: SO / •--�� 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. FULL NAME (First, Middle, Last) DATE OF BIRTH PHONE NUMBER: ( I ) EMAIL ADDRESS: DRIVER'S LICENSE #: ALTERNATE NUMBER: _ EXPIRATION DATE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Aj,4 FATE OF ISSUANCE: Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes [—] No 6<] (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, have you been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes ❑ No [g (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. STATE ZIP HOME ADDRESS CITY MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( I ) EMAIL ADDRESS: DRIVER'S LICENSE #: ALTERNATE NUMBER: _ EXPIRATION DATE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Aj,4 FATE OF ISSUANCE: Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes [—] No 6<] (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, have you been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes ❑ No [g (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. FLit, C I T Y 0 F eo�wlz.-, 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: Icy s 5s*P''j L c L LEGAL NAME OF BUSINESS TRADE NAME (dba) G60 Cffu3;sr+w-J 061-4 AA/ AUUKtt,WF'HYJIUAL LUUAI IUN AIAI fs34Y, WAIL MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. q5 NAME (First, Last) s. Rn%rr Til -�j ss 17-3 J IAlt MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: EMAIL ADDRESS: ALTERNATE NUMBER: ( BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. Qr�k N'96 krc X36 BUSINESS %lct/e,Q /(JA/ STATE MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: EMAIL ADDRESS: ALTERNATE NUMBER: ( ♦yam � •_ s w, u 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: [i' License Application, fully completed. Annual Fee $250.00 'Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. ®' Workers Compensation Form (State requirement) Tax Clearance Form (State requirement) 2"Tennessen Warning Form (State requirement) Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, its agents and employees to obtain any necessary information and to conduct an investigation, including background checks, as deemed necessary by the City of Andover into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false information shall be grounds for denial of my license. I fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which is detailed in the pertinent section of the Andover City Code, which is available on the City website at www.andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application is classified as public data and will be provided to the public upon request. Signature: Title: e4e sityr - Approved: Denied: Fees: $250.00 by City Council Date: /B 0O'V- Zc Z. 2. b��:j License # 0 0 0_ Q J J Approved Denied Date: I Mg 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION, FEE AND REQUIRED DOCUMENTATION MUST BE FILED AND A LICENSE OBTAINED BEFORE YOU CAN LEGALLY ENGAGE IN BUSINESS IN THE CITY OF ANDOVER, MINNESOTA. APPLICATION FEES ARE REFUNDABLE ONLY IF APPLICATION IS WITHDRAWN PRIOR TO APPROVAL. INCOMPLETE APPLICATIONS ARE NOT ACCEPTED. TOBACCO LICENSE APPLICATION BUSINESS INFORMATION: PLIrP Xhale LLC BUSINESS NAME (Individual or Company) IF19nRItlPNrd st NW 0140 Andover MN 55304 STREET NUMBER & NAME CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER:(_ ALTERNATE NUMBER: ( ) TYPE OF BUSINESS CONDUCTED AT LOCATION: Vape tobacco Over the Counter Sales BUSINESS OWNERSHIP INFORMATION: TYPE OF OWNERSHIP: ❑ Individual ❑ Partnership X❑ Limited Liability Corporation (LLC) ❑ Corporation (INC) LLC OR CORPORATION NAME heather Inman CFO RnhPrf Innman CFO NAME OF OWNERSHIP, PARTNER(S) OR OFFIORS, TITLE, HOME ADDRESS ND PHONE NUMBER (attach additional sheets as necessary) I AM THE OWNER OF THE BUSSINESS: [X� Yes ❑ No (if no you must attach a written statement from the business owner that authorizes you to apply for the business license on behalf of the business owner) PREMISE/PROPERTY INFORMATION: THE PROPERTY AT WHICH I AM REQUESTING A LICENSE FOR, I ❑ Own [5d Rent ❑ Lease ❑ Other: (If you rent or lease the premises, you must attach a copy of your fully executed rental or lease agreement or a notarized statement from the property owner that you are authorized to operate such business or provide such services on the property) 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV APPLICANT INFORMATION: Heather Lea Ingman APPLICANT NAME (First, Middle, Last) HOMEADDRESS CITY STATE ZIP PHONE NUMBER:, ALTERNATE NUMBER: ( ) EMAIL ADDRESS: DRIVER'S LICENSE M EXPIRATION DATE: _ OF ISSUANCE: - PLEASE ANSWER ALL QUESTIONS TRUTHFULLY AND TO BEST OF YOUR KNOWLEDGE. IF THE APPLICATION IS SUBMITTED ON BEHALF OF A PARTNERSHIP, LLC OR CORPORATION, YOU MUST INCLUDE THE FOLLOWING INFORMATION FOR EACH PARTNER, OFFICER AND DIRECTOR (attach additional sheets as necessary) 1. Have you ever been convictedof any misdemeanor or felony violation of local ordinances (with the exception of misdemeanor traffic violations)? ❑ Yes ® No (if yes you must provide details of conviction(s); date of offense, date of conviction, location and charge) 2. Have you ever applied for or held a license to conduct a like or similar activity in any other City or State, not Including Andover? Q Yes ❑ No (if yes you must provide details; description, date and location) Peguot lakes Baxter Cambridge Little Falls 3. Have you ever been denied a license to conduct a similar or like activity or had such licenses suspended, revoked or canceled In any City or Slate, including Andover: ❑ Yes 0 No (if yes you must provide details; description, date and location) 4. List all names, nicknames and aliases by which you have been known: 5. List two (2) of your previous addresses, Immediately prior to your present address: 1688 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 86304 * (763) 766.6100 FAX (763) 786.8923 . WWW.ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED, PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICA'T'ION SUBMITTAL, CHECKLIST OF REQUIRED _D_OCUMENTATION: D License Application Packet, fully completed. 0 Payment $260,00 17 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age, Workers Compensation Form (State requirement) E) Tax Clearance Form (State requirement) 0 Tennessen Warning Form (State requirement) El Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers In this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary Information and to conduct an Investigation, Including background Checks, as deemed necessary by the City of Andover Into the truth of the statements set forth In this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license. I fully understand that It Is my responsibility to be familiar with and abide by the requirements of the City, which Is detailed in the pertinent section of the Andover City Code, which Is avallable on the City website at wwmandovermn,aov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the Information supplied within this application Is classified as public dat4 and will be,provided to the public upon request. Signature: /��/1 ✓' Date: 10/31/22 App roved: V Denied: 250 00 ouno :''': Awgved yZ17-�l ' s-3 1665 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS;. IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. Kimberly K. Duncan FULL NAME (First, Middle, Last) DATE OF BIRTH nUML ADDRESS CITY STATE ZIP (o- DIFFERENT FROM ABOVE) CITY - STATE ZIN PHONE NUMBER ALTERNATE NUMBER: EMAIL ADDRESS: DRIVER'S LICENSE EXPIRATION DATE: TE OF ISSUANCE. PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or Slate, including Andover: Yes ® No ❑ (if yes you must provide details; description, date and location) Attach additional sheets as necessary. Please see attached At any time, havebeen convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic ou violation? Yes (� No a] (it yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755.8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: Northern Tier Retail LLC LEGAL NAME OF BUSINESS 4477 13727 Hanson Blvd NW Andover MN 55304 BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP Attn: Licensing Dept. PO Box 139044 Dallas TX 75313 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the Individual that Will serve as the Clty Contact person for the license application and license related questions. Lori Sawyer NAME (First, Last) 3200 Hackberry Road Irving TX 75063 BUSINESS ADDRESS CITY STATE ZIP Same MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBE- EMAIL ADDRESS. ALTERNATE NUMBER: l BUSINESS LOCATION CONTACT INFORMATION: List the Individual that will serve as the Business Location Contact person, I.e. Store Manager. SherylSandeen NAME (First, Last) 13727 Hanson Blvd NW Andover MN 55304 BUSINESSADDRESS CITY STATE ZIP Same MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEt' ALTERNATE NUMBEF EMAIL ADDRESS: 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 < (763) 755.5100 FAX (763) 756-897.3 • WWW.ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: LJ License Application, fully completed. 1 Annual Fee $250.00 ❑ Photocopy of Current Minnesota Driver's License,Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. 0 Workers Compensation Form (State requirement) h Tax Clearance Form (Stale requirement) Tennessen Warning Form (State requirement) =1 Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary information and to conduct an Investigation, Including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth In this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license. I fully understand that It Is my responsibility to be familiar with and abide by the requirements of the City, which is detailed in the pertinent section of the Andover City Code, which is available or) the City website at www.andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this IICenSUre. I further understand that the Information supplied within this application Is Classified as public data and will be provided to the public upon request. � FIRI :tri Title: Officer, Asst. Secretary Approved:—Z Denied: a Fees: $250.00 License # oC �c�a d6J by City Council: Approved Denied Date: • F IrAl ' 11 �k k k -` 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. FULL NAME (First, Middle, Last) DATE OF BIN i n nurvwt ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVt) CITY STATE ZIP PHONE NUMBER: _ ALTERNATE NUMBER: ( ) EMAIL ADDRESS: -' DRIVER'S LICENSE 9: EXPIRATION DATE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. OF ISSUANC Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes ❑ No IP (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, haveou been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes E] No (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. T' AN156wy^ 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: YA+y0n/ roto n-IAl L-Iowgf TRADE NAME (dba) PREMISE CITY MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. J)�-NNI FSK 1-11VAuy m WA CITY MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: I _ ALTERNATE NUMBER: ( 1 ! ✓ /1 s wL EMAIL ADDRESS: r BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. BUSINESS ADDRESS SU17 : ZO CITY PHONE NUMBER- _ I ALTERNATE NUMBER: ( 1 EMAIL ADDRESS. V A44 5 411 ZIP LIA 1685 CROSSTOWN BOULEVARD N.W, o ANDOVER, MINNESOTA 55304 a (763) 755-5100 FAX (763) 755-8923 + WWW.ANDOVERMN.GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: License Application, fully completed. L1 Annual Fee $250.00 �� w- S'ECgA- A� �L Photocopy of Current Innesota Driver's Icense, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. Workers Compensation Form (State requirement) Tax Clearance Form (State requirement) Tennessen Warning Form (State requirement) Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, its agents and employees to obtain any necessary information and to conduct an Investigation, including background checks, as deemed necessary by the City of Andover into the truth of the statements set forth In this application and the qualifications for said license. I do understand that providing false information shall be grounds for denial of my license. I fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which is detalled in the pertinent section of the Andover City Code, which is available on the City website at www.andovermn..qov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application is classified as public data and will be provided to the public upon request. Signature: L Date: . D Z 262)2— Title: -Title: OWNER- ICC -70 Approved: b Denied: Ise Fees: $250.00 License# a6RA- bb 'AD n by City Council: Approved Denied Date: &MMI -I t595 OAOS9iY%WU SOU LEVAAD RW,,. + ANOOVEI . MUMESOTA 6664, 4 i ots) 10SAC LICMP. MNEYM1 APP, fC AT�r ?l 1NMVIDUAL COMPIETIF& RENEWALECPPUCAMOW: 7b%te'tdfrvau6T&USfbe 6*�Lsirie§s`"u'i e'rii arrc`arp"u)ata: t9Yca MW t, —tomudOASI), OF MRTH iwt G I Ty OF ls65 N: N., ANDOVER, 61 TNNE-#OTA,5A464-w,(763) 7-44STO, ):,AX63) - ,V� 758-:$$23 - WWWAUDOVERft;AP%, giwi4w- ALTEMATe.MMBMI BUSINESS LOCATION CONTACT INFORMATION: Ott fh#iW&AAW9otwffllwvwm 04 sus ems Loon*" Oovoadpmoff, It. ADIWAw"Or. PitCZN9N,UM8fM AIAMAN"UMM6 106 * Aifflvffi'k IffigN.RA&M. PAW, I n -mg, isi-giii * M-MAMMMmat-vow RCR, - ��� W -f "@- 0 E 6 "I'll «81 @ I h -of Approver):�Z joolgk. $20kAo �-665,qq 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council i CC: Jim Dickinson, City Administra r FROM: Michelle Hartner, Deputy City Clerk SUBJECT: Approve 2023 Liquor Licenses DATE: December 6, 2022 INTRODUCTION Liquor licenses expire on December 31, 2022. DISCUSSION The following have applied for renewal of their licenses and paid the appropriate fees: On -Sale Intoxicating Liquor Acapulco — 13753 Ibis Street Andover Cinema —1836 Bunker Lake Boulevard Margie's Kitchen & Cocktails — 13735 Round Lake Boulevard Pappy's Caf6 & Taven — 13 827 Round Lake Boulevard Willy McCoys —13655 Martin Street Off -Sale Intoxicatin Lg iguor Clocktower Wine & Spirits —15190 Bluebird Street, Suite 109 G -Will Liquors —13973 Round Lake Boulevard Top Ten Liquors —13627 Quinn Street On -Sale Wine Joy Kitchen — 13650 Hanson Boulevard 3.2% Off -Sale Festival Foods — 2218 Bunker Lake Boulevard Kwik Trip —1756 Bunker Lake Boulevard Speedway — 13727 Hanson Boulevard Walmart —1851 Bunker Lake Boulevard The Sheriff's Office has approved the background investigations. All applicant requirements have been reviewed and approved by the Clerk's office. ACTION REQUIRED The City Council is requested to approve the above licenses for the period January 1, 2023 through December 31, 2023. Respectfully submitted, Michelle Hartner Deputy City Clerk Attach: License applications �—�, Minnesota Department of Public Safety �., Alcohol & Gambling Enforcement Division 445 Minnesota street, 1600 i St Paul, Minnesota 55101 \ 651-201.7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: ONSS License Period Ending: 12/31/2022 Iden: 61790 Issuing Authority: Andover Licensee Name: Acapulco of Minnesota Inc Trade Name: Acapulco Mexican Restaurant Address: 13753 Ibis St NW Andover, MN 55304 Business Phone: 7633238772 License Fees: Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's sianature on this renewal confirms the following, Failure to report any of the followina may result in civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal; then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales $25,000 at on sale, or $50,000 at off sale). Iob8/aa Lic a Signature uUD SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Signature c6irtifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. r--d-�, Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division t 1 445 Minnesota Street, 1600 St Paul, Minnesota 55101 'k. 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: ONSS License Period Ending: 12/31/2022 Iden: 67174 Issuing Authority: Andover Licensee Name: Cinema Entertainment Corp Trade Name: Andover Cinema Address: 1836 Bunker Lake Blvd NW Andover, MN 55304 Business Phone: 7637678401 License Fees: Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following: Failure to report any of the following may result in civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). A�,,A ✓ / a //.V%za �z Licensee Signature DOB SSN uate (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division JX 445 Minnesota Street, 1600 t\\ St Paul , Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: ONSS License Period Ending: 12/31/2022 Iden: 73591 Issuing Authority: Andover Licensee Name: Margie's Kitchen & Cocktails LLC Trade Name: Margie's Kitchen & Cocktails Address: 13735 Round Lake Blvd NW Suite 105 Andover, MN 55304 Business Phone: 612-819-4616 License Fees: Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following, Failure to report any of the followina may result in civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales aW less than $25,000 at on sale, or $50,000 at off sale). certifies all above information to be correct and license has been approved by city/county.) 6v 5 2Z Date City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Signature Certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. ^'-� Minnesota Department of Public Safety 1 Alcohol & Gambling Enforcement Division f�.'� 445 Minnesota Street, 1600 St Paul , Minnesota 55101 9 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: Issuing Authority: Licensee Name: Trade Name: Address: ONSS Andover Pappy's Cafe Inc. Pappy's Cafe & Tavern 13827 Round Lk Blvd. Andover. MN 55304 Business Phone: 7634274840 License Fees: Off Sale: $0.00 License Period Ending: 12/31/2022 Iden: 31643 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following- Failure to report any of the following may result in civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license pedod.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). /�, —1/ Licensee Signature - DOB r SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). P Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety (all Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 l 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: ONSS License Period Ending: 12/31/2022 Iden: 45200 Issuing Authority: Andover Licensee Name: Willy McCoys of Andover LLC Trade Name: Willy McCoys Address: 13655 Martin St Andover, MN 55304 Business Phone: 6127705444 License Fees: Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following* Failure to report any of the following may result in civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is Issued. $100,000 in cash or securities or $310,000 surety bond maybe submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). /G- /2 -2( Licensee Signature DOB SSN (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Signat0re certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 9 St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: OFSL License Period Ending: 12/31/2022 Iden: 72361 Issuing Authority: Andover Licensee Name: BC Beverage Inc Trade Name: Clocktower Wine & Spirits Address: 15190 Bluebird St NW Ste. 109 Andover, MN 55304 Business Phone: 763434-0116 License Fees: Off Sale:. $200.00 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following, Failure to report any of the followina may result in civil nenalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond maybe submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). 'Licensee DOB' / SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety / Alcohol & Gambling Enforcement Division ! 1 445 Minnesota Street, 1600 - �` J St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR., WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: Issuing Authority: Licensee Name: Trade Name: Address: OFSL Andover WCR Liquors Inc. G -Will Liquors 13973 Round Lk Blvd NW Andover, MN 55304 Business Phone: 763421-1117 License Fees: Off Sale: $200.00 License Period Ending: 12/31/2022 Iden: 1634 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's sianature on this renewal confirms the following, Failure to report any of the followina may result in civil penalties - I. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond maybe submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sal s�Jare ass/ $25,000000�attoon sale,/o 0,000 at off sale). Licensee Signature - DOB SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Signture certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. 9Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: Issuing Authority: Licensee Name: Trade Name: Address: OFSL Andover Yayin Gadol LLC Top Ten Liquors 13627 Quinn St NW Andover. MN 55304 Business Phone: 6122377344 License Fees: Off Sale: $200.00 License Period Ending: 12/31/2022 Iden: 42137 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Annlicant's signature on this renewal confirms the following, Failure to report any of the following may result in civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities r $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales e —[*s than $25,000 at On e, or $50,000 at off sale). Licensee Signature DOO SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature County Board issued licenses only(Signature certifies licensee is eligible for license). d Signature 6ertifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. a Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201.7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: 3.2ONSS License Period Ending: 12/31/2022 Iden: 65083 Issuing Authority: Andover Licensee Name: Joy Kitchen Inc. Trade Name: Joy Kitchen Address: 13650 Hanson Blvd NW Ste 102 Andover, MN 55304 Business Phone: License Fees: Off Sale: $0.00 On Sale: $500.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following* Failure to report any of the following may result In civil nenalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license pedod.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). /', 6022 - Licensee .,Licensee Signature DO ` I S Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. d....., Minnesota Department of Public Safety --, Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 .j 651.201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: 3.2OFSL License Period Ending: 12/31/202x Iden: 71624 Issuing Authority: Andover Licensee Name: Knowlan's Super Markets Inc. Trade Name: Festival Foods Address: 2218 Bunker Lake Blvd Andover. MN 55304 Business Phone: 763-755-1415 License Fees: Off Sale: $75.00 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following: Failure to report any of the following may result in civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are Is than $25 0 at on sale, or $50,000 at off sale). . I _ 60 24 20 L2 Licensee Signature DOR ' Date (Signature certife II above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). 91 Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. d - Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: 3.2OFSL License Period Ending: 12/31/2022 Iden: 32936 Issuing Authority: Andover Licensee Name: Kwik Trip Inc. Trade Name: Kwik Trip 8812 Address: 1756 Bunker Lake Blvd NW Andover, MN 55304 Business Phone: 7637574905 License Fees: Off Sale: $75.00 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the followina• Failure to report any of the followina may result in civil penalties, 1. Licensee confirms it has noninterest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales less than $25,0011 at on sale, or $50,000 at off sale). Licensee Signature // DOB SSN Date (Signature certifies awlove information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Pof heriff Signature Date Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 02 St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES - .. No license will be apgrove of released unfit the: $2ll Retailer ID Card feels received by Algohc and Gsmbiing Enforcement ' Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: 3.2OFSL Issuing Authority: Andover Licensee Name: Northam Tier Retail LLC Trade Name: Speedway #4477 Address: 13727 Hanson Blvd NW Andover, MN 55304 Business Phone: 7637672550 License Fees: Off Sale: $75.00 License Period Ending: 12/31/2022 Iden: 31046 On Sale; $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. 1. Licensee confirms it has no Interest whatsoever, directly or Indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any cilyltownship/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years It or Its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been Issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation Insurance will be kept In effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license Is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 In cash or securities or $310,000 surety bond may be submitted in lieu of liquor Iiabillty.(3.2 liquor licenses are exempt If sales are less than $25,000 at on sale, or $50,000 at off sale). - b&4a.1'ltnly DOS „N _ OCT 27 2022 all aboDate ve information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Police enff Signature Date Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. 'AtaoHb csdAabing EnCocceMGM(tivisian Mien ?�e��t6tl9 IRPMAYAWOF UQUOR, VOCAUM 00A MOUP -i i0i m 4 tit Ifool MR tA ow fi=J:Jjb9(loncM 0 b t*,! &U a MOM dtyard4qpAIWZja WhAt 0 lonso Ord faM r we abo twilmd by," 340AANSAAwepodmVi�cevlo=� tiftauto". &IopgL Prado hamw W&Irt &i9 IA40'row, Aiya",o3, F7 Alkstnem Ph. M. 76304taN wood'A Fo'&, off 40W.- 475.ila .U*fi96Par jmdr:ndihg,,l ildt'=,2 Wit fift4t lack on Haag *or Wuw, slopo to f" ;:Uvtltq—ub lis=2 two orw+iiH;i immol Q",wkfkw 161st/ I -N be owed and rtomft has ; MC =Ce dTa eM 6 M * ft r rg to w W KW Ii 0 ~ s Od b f i ear lird w s al- AC D 0VE �6 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City Administra FROM: Michelle Hartner, Deputy City Clerk SUBJECT: Approve 2023 Kennel Licenses DATE: December 6, 2022 INTRODUCTION Kennel licenses expire on December 31, 2022. DISCUSSION The following has applied for renewal of their kennel license and paid the appropriate fee: Private: Geoffrey & Karen Godfrey — 3451 174`h Lane Commercial: Dover Kennel — 1662 164`h Lane Muddy Paws Doggy Daycare — 3121 161 s` Avenue ACTION REQUIRED The City Council is requested to approve the kennel licenses for the period of January 1, 2023 through December 31, 2023. Respectfully submitted, Michelle Hartner Deputy City Clerk Attach: License applications ANL6 6 W j3#P 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV PRIVATE DOG KENNEL LICENSE APPLICATION CITY CODE TITLE 5, CHAPTER 1 Private (anyplace where more than three dogs are kept for private enjoyment and not for monetary gain, provided such animals are owned by the owner or the lessee of the premises on which they are kept) Name 6&Oflr j EZ` ffn/D Al/vAzw 6oelfp, eq E N Ui )n[D0✓ER4 MN 55-36y Telephone Number _ nn Email Address � J Number of Dogs (D 14-4 -AO -I+dd A Property Size S-aCR F:S Method of Waste Disposal AH (N tL A -I/ zd ds/f I Attach a scaled drawing of the property and structures affected showing: scale and north arrow; dimensions of the property and structures; front, side and rear yard building setbacks; adjacent streets; and location and use of existing structures within 100 feet. License Fee: _ New License $200.00 (Includes Mailing Labels) Renewal License $25.00 License # Q0—03nj f City Council Action 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV COMMERCIAL DOG KENNEL LICENSE APPLICATION CITY CODE TITLE 5, CHAPTER 1 Commercial (anyplace where a person accepts dogs from the general public and where such animals are kept for the purpose of selling, boarding, breeding, training, orgrooming) Address Lo yi uj Telephone Number Email Address Number of Dogs 5 -a Kennel Name (teJ Q)y 2'r V-Q�✓kcj- *:F kx kx**x keYkkkkk:Y k�F�Fkk*9r*kxkkkkxxkkkxkk�Fkx kxx:t�Yx*kkk�t k�Fkk k:Fic*k'kkkk:Y kk kx Property Size 4-7 6 P�Gy 5 Method of Waste Disposal 5ey I Will facility be used for training dogs? N D Number of employees Attach a scaled drawing of the property and structures affected showing: scale and north arrow; dimensions of the property and structures; front, side and rear yard building setbacks; adjacent streets; and location and use of existing structures within 100 feet. License Fee: New License Fee $380.00 (Must also apply for a Conditional Use Permit with the Planning Department) Renewal License $25.00 icense #aW a. -y -q9 City Council Action C I I T Y O F Ntom. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV COMMERCIAL DOG KENNEL LICENSE APPLICATION CITY CODE TITLE 5, CHAPTER 1 Commercial (any place where a person accepts dogs from the general public and where such anunalsare kept for the purpose ofselling,boanOW, ceding, tramung, orgrooming) Address jl� ��J!St ItUt. W Telephone Number. " Email Address Number of Dogs ,5Y) a\r-rA 1Ak+ t Q ajjt(.t M Kennel Name MUAA,4 Paws Property Size_ :: ``••k r 11 / Method of Waste Disposal �{L S0jj iLC WAsI �YiA h Cc s Will facility be used for training dogs? 00 Number of employees it Attach a scaled drawing of the property and structures affected showing: scale and north arrow; dimensions of the property and structures; front, side and rear yard building setbacks; adjacent streets; and location and use of existing structures within 100 feet. License Fee: _ New Lieense Fee $380.00 (Must also apply for a Conditional Use Permit with the Planning Department) Renewal License $25.00 .License # 010-101 - 66AP 1 City Council Action 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City Administrator a FROM: Michelle Harmer, Deputy City Cler SUBJECT: Approve 2023 Massage Therapy License DATE: December 6, 2022 INTRODUCTION Massage Therapist/Establishment licenses expire on December 31, 2022. DISCUSSION The following has applied for renewal of their license, paid the appropriate fee and been approved by the Sheriffs Office. • Renee Palluck, Health & Healing Family Chiropractic — 2705 Bunker Lake Blvd., Suite 100 • Christine Finnamore, Health & Healing Family Chiropractic — 2705 Bunker Lake Blvd., Suite 100 • Karrie Lehn, Health & Healing Family Chiropractic — 2705 Bunker Lake Blvd., Suite 100 • Sara Johnson, Sapphire Massage — 14405 Osage Street • Anthony Lawther, Essentials of Life Chiropractic —1777 Bunker Lake Blvd., Suite 200 • Kristine Maravelas, A Healthier You Massage Therapy — 13847 Raven Street • Lisa Scholl, Olive Branch Massage Therapy — 15824 Olive Street ACTION REQUIRED The City Council is requested to approve the licenses for the period of January 1, 2023 through December 31, 2023. Respectfully submitted, Michelle Hartner Deputy City Clerk Attach: License Applications 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Therapeutic Massage Therapist License Application Pursuant to City Code 3-6 the following information must be provided prior to approval: 1. Name of Applicant 4eA" %'%a First 2. Applicant's Date of Birth (must be 18 years old) _ 3. Telephone Number of Applicant_ 4. Email Address of Applicant cam' 5. Home Address of Applicant` 6. I will be working as a massage therapist at: Middle Last a Residential Home. Provide address & legal description of home I .. k a Business. Provide address of business Health and Healing Family Chiropractic 2705 Bunker Lake Blvd Suite 100 Andover, MN 55304 L 7. Number of years experience as a massage therapist_ Z 8. Previous employment as a massage therapist (list name, address and position held: 1)9Z_S ,z 4f,-rt,y CCS/D—a[rii9 Description of any crime or other offense, including the time, place, elate, and disposjtion for which the applicant has been arrested and Provide a statement as to whether the applicant has had any license denied, revoked or suspended in the City of Andover or the State of Minnesota, the reason therefore, and the business activity or occupation of the applicant subsequent to such suspension, revocation or denial. (Attach separate sheet) Furnish proof of graduating from a school of therapeutic massage with a core curriculum of at least 500 hours of in -class, teacher supervised instruction of which no more than 200 hours shall be clinical training. Prior to consideration of the application an investigation shall be made by the county sheriffs departfnent of all persons listed on the license applications. Please attach a copy of your driver's llicehlse. Licenses expire on December 315t of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. Signature of Applicant Date •eu•evvveu•uvvuevvvu eevuiuvuuveveveeveee•vevORE, Massage Therapist Application Fee: $175.00 Annually (includes investigation fee) License Ria— Date PaidA, Approve: Deny: Sheriff s' Office City Clerk: Approve Deny City Council: Approve Deny 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Therapeutic Massage Therapist License Application Pursuant to City Code 3-6 the following information must be provided prior to approval: 1. Name of 2. Applicant's Date of Birth (must be 18 yeas old) 3. Telephone Number of Applicant_ 4. Email Address of Applicant " 5. Home Address of Applicant_ 6. I will be working as a massage therapist at: a Residential Home. Provide address & legal description of home a Business. Provide address of business Health and "n my aml y roprectic 2705 Bunker Lake Blgd Suite ioo davar, MN 86304 763) 323 QW1 7. Number of years experience as a massage therapist �(/ / V 8. Previous employment as a massage therapist (list name, address and position held: cc-qorw- C` fla�eP' 9. Description of any crime or other offense, including the time, place, date, and disposition for which the applicant has been arrested and Provide a statement as to whether the applicant has had any license denied, revoked or suspended in the City of Andover or the State of Minnesota, the reason therefore, and the business activity or occupation of the applicant subsequent to such suspension, revocation or denial. (Attach separate sheet) Furnish proof of graduatvlg from a school of therapeutic massage with a core curriculum of at least 500 hours of in -class, teacher supervised instruction of which no more than 200 hours shall be clinical training. Prior to consideration of the application an investigation shall be made by the county sheriff's department of all persons listed on the license applications. Please ut€as:la a copy of ydur'drivc�r s iiee�rse Licenses expire on December 31St of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. r d1 AA Signature of Applicant �4 ate •eeeevveeuu••veevv.. v ... veevve•vee •••e eevvevee•ueveeveevY evue�u� _ A Massage Therapist Application Fee: $175,00 Annually (includes iulvestigation fee) License #!rDeny:_— Date PaidApprove:Z( 7 f's Office City Clerk; Approve Deny City Council: Approve Deny 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant �Q �(1%t Q� Lg yl yt L Last 2. Applicant's Date of Birth (must be la yrs old) .t 3. Telephone Number of Applicant_' 4. Email Address of Applicant 5. Home Address of Applicant 6. Address of Business/Premises to be Licensed 2705 Bunker Lake Blvd Suite 100 7. Name of Business/Premises - Andw ei, ION 55304 8. Telephone Number for Business/Premises (763) 323=0061 9. Legal Description of Businee s/Premises to be Licensed 10. Name of Ower of Premises to be Licensed 11. Address of Owner of Premises to be Licensed 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of conviction, the date of conviction and the specific crime so committed. AnVIO 13. If the applicant is a corporation list the names, addresses and dates of birth of all persons having a beneficial interest therein (i.e_ offieer.,z direnfnro efnnkhnlAars) rtyyt /V6Y'Vq'na_ .. , 14. Description of services to be The information requested in items 1,2,3 and 9 imust be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establislunent. Iusumice: Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in fall force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriff's Department of all persons listed on the license application. unease a2tac11 a copy of your driver's license. Applicant and associates in this application will strictly comply with all ordinances of the City. I hereby certify that I have read the foregoing questions and that the answers are true of my own knowledge. Licenses expire on December 31st of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. ��21 LI- hgnature of Applicant Dates License Fees: _ Single Application: $200.00 Corporate Application: $300.00 Partnership Application: $300.00 _ Residential Application: Conditional Use Permit (refer to fee schedule nor reel (fees include investigation fee) _Renewal Fee: $150.00 License # Amount Paid Date Paid Approve::Z�eny: _ Ql� S r' fice City Cleric Approve Deny City Council*: Approve Deny * Council needs to approve Conditional Use Permit requests only. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant ', (uo, L Q V 13f- �0 First _ Middle _ Last 2. Applicant's Date of Birth (must be is yrs old) 3. Telephone Number of Applicant 4. Email Address of Applicant - 4 - 5. Home Address of Applicant 6. Address of Business/Premises to be Licensed H 105 ('7So._9e Sk. mc--� por, oV.e-r MA.) I�S30(-f 7. Name of Business/Premises .S o- rG --So ) (1,b f1 , L 1- C- AAA c5 c�nA r p, 8. Telephone Number for Business/Premises _ 9. Legal Description of Business/Premises to be Licensed 10. Name of Owner of Premises to be Licensed 11. Address of Owner of Premises to ha r i—ncp-d .- 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of conviction, the date of conviction and the specific crime so committed. 1U 0 13. If the applicant is a corporation list the names, addresses and dates of birth of all persons having a beneficial interest therein (i.e. officers, directors, stockholders). 14. Description of services to be provided. The infonnation requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. Insmtcaaace Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriff s Department of all persons listed on the license application. 1'1ease attach a copy of yrrrur dl:iyec's "license: Applicant and associates in this application will strictly comply with all ordinances of the City. I hereby certify that I have read the foregoing questions and that the answers are true of my own knowledge. Licenses expire on December 31 St of each year. Lack of payment of annual licensing fee shall be cause for revocation of license, ature of Applicant Date License Fees: _ Single Application: $200.00 _ Corporate Application: $300.00 _Partnership Application: $300.00 Residential Application: Conditional Use Permit (refer to fee schedule for fee) (fees include investigation fee) XRenewal Fee: $150.00 License # " LQ a -Wan%mount Paid A 193 • 0"� Date Paid Approve:_Deny: iWf�fice City Clerk: Approve Deny City Council*: Approve Deny * Council needs to approve Conditional Use Permit requests only. •MWVVNDOVEA 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant rust i DM1iddleU a Last 2. Applicant's Date of Birth (must be 18 yrs old) 3. Telephone Number of Applicant 4. Email Address of Applicant 5. Home Address of Applicant n � 6. Address of usmess/Premi es t be Licensed ��-n ,� rll�c�� m lW(1 Ili-t)'"aUn"1 i�{'ll�ll�r, miu 7. Name of Business/Premises1L�Qmcgl� (Rik On- (Q MN;c 8. Telephone Number for Business/Premises 9. Legal Description of Business/Premises to be Licensed n- —, nI,n n.,.,n 10. Nam, of Owner of Premises to 11. be Ifu 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of-Qonviction, the date of conviction and the specific crime so committed. r )A 13. If the applicant is a corporation list the names, addresses and dates of birth of all persons having a beneficial interest therein (i.e officers, directors, stockholders). 14. Description of services to be The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. ,Insurance_ Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against ally and all loss wising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, all investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriff's Department of all persons listed on the license application. }leas at lk a campy 0kyou &1-Ver's ticense- Applicant and associates in this application will strictly comply with all ordinances of the City. I hereby certify that I have read the foregoing questions and that the answers are true of my own knowledge. Licenses expire on December 31st of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. Signature of Applicant p to License Fees: _ Single Application: $200.00 _ Corporate Application: $300.00 _ Partnership Application: $300.00 _ Residential Application: Conditional Use Permit (refer to fee Schedule forfee) (fees include investigation fee) Renewal Fee: $150.00 License # -Uft Amount Paid Date a(I )RAD" Approve: Deny: �d Office City Clerk: Approve Deny City Council*: Approve Deny * Council needs to approve Conditional Use Permit requests only. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant c n e /-40-cip /A First Middle Last 2. Applicant's Date of Birth (must be 18 yrs old 3. Telephone Number of Applicant_ 4. Email Address of Applicant i Q V 5. Home Address of Applicant 6. Address of Business/Premises to be 7. Name of Business/Premises N2r e rVa, MctnSmr `I, e rn p 4 8. Telephone Number for Business/Premises 9. Legal Description of Business/Premises to be Licensed 10. Nar4e of Owner of Premise$ to be Licensed 11. Address, of Owner of Premises to. be, -Licensed 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of conviction, the date of conviction and the specific crime so committed. lei O 13. If the applicant is a corporation list the names, addresses and dates of birth of all persons having a beneficial interest therein (i.e. officers, directors, stockholders). 14. Description of services to be The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. lasutraace: Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriff's Department of all persons listed on the license application. ,Please afitaelu a copy of your dfiver's license. Applicant and associates in this application will strictly comply with all ordinances of the City. I hereby certify that I have read the foregoing questions and that the answers are true of my own knowledge. Licenses expire on December 31" of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. 2u _ Signature of Applicant I Date License Fees: _ Single Application: $200.00 —Corporate Application: $300.00 _ Partnership Application: $300.00 _ Residential Application: Conditional Use Permit (refer to fee schedule forfee) (fees include investigation fee) Renewal Fee- $150.00 _ License #Q oaaArnount Paid I - LS, d ate Paid l i Gb Approve: Y Deny: Y s Office City Clerk: Approve Deny City Council*: Approve Deny * Council needs to approve Conditional Use Permit requests only. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant First MiddleLast 2. Applicant's Date of Birth (must be 18 yrs old) • . u - - " 3. Telephone Number of Applicant, 4. Email Address of Applicant _ u 5. Home Address of Applicant _ 6. Address of Business/Premises to be Licensed 7. NameofBusiness/Premises L iR) 507011 Dyt;7q W51177$$ r,S �Ll ✓(, drIt.01-4t.; 8. Telephone Number for Business/Premises I— , . .- 9. Legal Description of Business/Premises to be Licensed Lot:3, givcK I, NI r l l ev 's WOOd S ;end Addi h a l 10. Name of Owner of Premises to be Licensed 11. Address of Owner of Premises to be Licensed :e - r n i 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of conviction, the date of conviction and the specific crime so committed. /1/D 13. If the applicant is a corporation list the names, addresses and dates of birth of all persons having a beneficial interest therein (i.e. officers, directors, stockholders). . , , A 14. Description of services to be provided. ?h8�^ii-.DSU •�'f G jai �S S Q �f �s The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establislunent. Instiramee Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to determine compliance with flus chapter of all premises proposed to be licensed, and by the County Sheriff's Department of all persons listed on the license application. Please att<zcim a ciupy ir£yorm eiha er's K=' -de. Applicant and associates in this application will strictly comply with all ordinances of the City. I hereby certify that I have read the foregoing questions and that the answers are true of my own knowledge. Licenses expire on December 3? of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. Signature of Applicant Date License Fees: _ Single Application: $200.00 _ Corporate Application: $300.00 —Partnership Application: $300.00 _ Residential Application: Conditional Use Permit (refer to fee schedule for fee) (fees include investigation fee) Renewal Fee: $150.00 d 50 License # 6U- Amount Paid Date Paid 19 Jr a2 Approve: Deny:�q / 7 ,:: ? e s Office City Cleric Approve Deny City Council*: Approve Deny * Council needs to approve Conditional Use Permit requests only. AC I T Y 0 F N D6 06 VVE9 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City Administra r FROM: Michelle Hartner, Deputy City Clerk SUBJECT: Approve 2023 Used Vehicle Sales Business Licenses DATE: December 6, 2022 Used Vehicle Sales Business licenses expire on December 31, 2022. DISCUSSION The following have applied for renewal of their Used Vehicle Sales License and paid the appropriate fee. ABJ & Son Auto LLC — 3138 162nd Lane, Suite 1 Admiral Auto Sales LLC — 3138 162nd Lane, Suite 5 Burton Auto Sales LLC — 3138 162nd Lane, Suite 3 Ceka Auto Sales LLC —16190 Round Lake Boulevard, Suite 1 C Prime Auto Group LLC — 3138 162nd Lane, Suite B ACTION REQUIRED The City Council is requested to approve the above licenses for the period January 1, 2023 through December 31, 2023. Respectfully submitted, Michelle Harmer Deputy City Clerk Attach: License applications A C I T Y 0 NLbD 60 A 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Used Vehicle Sales Business License Renewal Application Required Documents: • Completed Application Form • .Vehicle Sales License Fee: $105.00 Copy of State Dealers License State Workers Compensation Form State Verification of Property Lease Form Person Applying For License: First Name (I/- "t3 Middle Name 61H&o t t) Last Name 0 c i%� Business Name Ai Business Address131i I�)> Home Address - _ r Home Phone Business Phonc ax Email Address I (We) agree to operate such business in accordance with the laws of Minnesota and the ordinances of the City of Andover. Information in this application is classified as public data and will be provided to the public upon request. Licenses expire on December 31' of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. Signature Date License Renetal Fee 10� 00 r License`# City Council Action ANLb6AY^___A 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Used Vehicle Sales Business License Renewal Application Required Documents: • Completed Application Form • Vehicle Sales License Fee: $105.00 • Copy of State Dealers License • State Workers Compensation Form • State Verification of Property Lease Form Person Applying For License: First Name 'Z L-Vnjo Middle Name Business Name �iim ' M I c s/ S 11c, Last Name ALez4za Business Address I/ -?R jC2-Acl bi /-) w Acka'fe� 14111 s`S �G / Home Address Home Phone Email Address Business Ph(-___ ?ax I-. R'.? _� I (We) agree to operate such business in accordance with the laws of Minnesota and the ordinances of the City of Andover. Information in this application is classified as public data and will be provided to the public upon request. Licenses expire on December 315 of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. 2 Signature Date' A C I T Y 0 NL6 6 WF^ 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Used Vehicle Sales Business License Renewal Application Required Documents: • Completed Application Form • Vehicle Sales License Fee: $105.00 • Copy of State Dealers License • State Workers Compensation Form • State Verification of Property Lease Form Person Applying For License: First Name d� ( Middle Name Business Name V LA y T-cy� sat le S Business Address 3(37 16 Home Addres ' — Home Phor. s Phon Email Address Last Name I (We) agree to operate such business in accordance with the laws of Minnesota and the ordinances of the City of Andover. Information in this application is classified as public data and will be provided to the public upon request. Licenses expire on December 31St of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. Signature Date License Renewal Fee,=105 00 License # , City; Council Action 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Used Vehicle Sales Business License Renewal Application Required Documents: • Completed Application Form • Vehicle Sales License Fee: $105.00 • Copy of State Dealers License • State Workers Compensation Form • State Verification of Property Lease Form Person Applying For License: First Name O IX Y' Middle Name CIO Last Name UX Business Name Business Addre Home Address Home Phone Business Phot_ Email Addre I (We) agree to operate such business in accordance with the laws of Minnesota and the ordinances of the City of Andover. Information in this application is classified as public data and will be provided to the public upon request. A December 31' of each year. Lack of payment of annual licensing fee shall be a of license. Date b. C I T Y O F MOVE. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Used Vehicle Sales Business License Renewal Application Required Documents: • Completed Application Form • Vehicle Sales License Fee: $105.00 • Copy of State Dealers License • State Workers Compensation Form • State Verification of Property Lease Form Person Applying For License: First Name IV(�l•.f k, Middle Name Last Name cu be Business Name Pr i t -t V%00 Ciw�o Business Address 2;'N1b2=�Lt, S7E13 ✓vc6a,- w�NJ �7vM Home Address Home Phon( usiness Phone Fax Email Address LIM I (We) agree to operate such business in accordance with the laws of Minnesota and the ordinances of the City of Andover. Information in this application is classified as public data and will be provided to the public upon request. Licenses expire on December 31" of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. S' tore Date fC I T Y ' F iINDO.VEA 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City Administr, FROM: Michelle Hartner, Deputy City SUBJECT: Approve 2023 Contract/TimeSaver Secretarial Service DATE: December 6, 2022 INTRODUCTION TimeSaver Secretarial has provided the city with an amended contract for minute taking in 2023. The proposed contract reflects an increase of less than 3.5% from 2022 and extends the expiration date to December 31, 2023. ACTION REQUIRED Council is requested to approve the 2023 contract with TimeSaver Secretarial Service. Respectfully submitted, Michelle Hartner Deputy City Clerk Attach: 2023 Contract Addendum ADDENDUM TO RECORDING SECRETARY SERVICE AGREEMENT Dated: December 31, 2022 By and between TimeSaver Off Site Secretarial, Inc. and the City of Andover, 1685 NW Crosstown Boulevard, Andover, MN 55304. 1. EXTENSION OF RECORDING SECRETARIAL SERVICE AGREEMENT: The term of the existing Recording Secretary Service Agreement dated December 31, 2021 shall be extended under the same terms and conditions to December 31, 2023. 2. TOSS CHARGES: TOSS shall be paid for its services as recording secretary for each meeting with a one (1) hour minimum, the highest rate prevailing, as follows: a. Base Rate: One Hundred Fifty -Nine and 00/100 dollars ($159.00) for any meeting up to one (1) hour (billable time) Flus Thirty -Seven and 75/100 dollars ($37.75) for each thirty (30) minutes following the first one (1) hour; or b. Unit Rate: Forty -Nine and 50/00 dollars ($49.50) for the first hour of meeting time and Thirty -Three and 00/100 dollars ($33.00) for every hour after the first hour Flus Fifteen and 00/100 dollars ($15.00) for each page of draft minutes for submission to the City of Andover for their preparation of final minutes. At the end of the term of this Addendum or any extension of it, the parties may make a new Agreement or extend or modify the terms of this Agreement. IN WITNESS WHEREOF, the undersigned have executed this Addendum to the Recording Secretary Service Agreement as of the day and year indicated. January , 2023 CITY OF ANDOVER an Michelle Hartner Its: City Clerk November 1, 2022 TIMESAVER OFF SITE SECRETARIAL, INC. I� Carla Wirth Its: President & CEO mum, i.L. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City Administrato FROM: Michelle Hartner, Deputy City Clerk SUBJECT: Approve Application for Exempt Permit/Anoka Area Chamber of Commerce DATE: December 6, 2022 INTRODUCTION Anoka Area Chamber of Commerce has submitted an application for a raffle at an event they are hosting on February 24, 2023 at the Courtyards of Andover, 13545 Martin Street NW. DISCUSSION Council can either a) approve the application with no waiting period; b) approve the application with a 30 -day waiting period; or c) deny the application. ACTION REQUIRED The City Council is requested to consider approval of the application with no waiting period. (Respectfully submitted, �-f � ►�1.1-�C''�1'LQ--� Michelle Harmer Deputy City Clerk Attach: Application 14. MINNESOTA LAWFUL GAMBLING LG220 Application for Exempt Permit 4/22 Page 1 of 4 An exempt permit may be issued to a nonprofit Application Fee (non-refundable) organization that: Applications are processed in the order received. If the application • conducts lawful gambling on five or fewer days, and is postmarked or received 30 days or more before the event, the • awards less than $50,000 in prizes during a calendar application fee is $100; otherwise the fee is $150. year. If total raffle prize value for the calendar year will be Due to the high volume of exempt applications, payment of $1,500 or less, contact the Licensing Specialist assigned to additional fees prior to 30 days before your event will not expedite your county by calling 651-539-1900. service, nor are telephone requests for expedited service accepted. ORGANIZATION INFORMATION Organization&0 //i 44 Previous Gambling Name: ! 04ZI A/',C�t CI�4MI—er Permit Number: X - Minnesota Tax ID p G 72 q 5 � Federal Employer ID yJ / 6741 7 9 a �/ Number, if any: J I i // Number (FEIN), if any: -/ Mailing Address: J Z Q o i 6 lc %G uk fG City: 14MORi State: M N zip: 5'5303 County: Name of Chief Executive Officer (CEO): 'G iG/' �( rVk_ CEO Daytime Phone..--_ _ CEO Email: (permit will be emailed to this email address unless otherwise indicated below) Email permit to (if other than the CEO): NONPROFIT STATUS, Type of Nonprofit Organization (check one): = Fraternal = Religious Veterans ® Other Nonprofit Organization Attach a copy of one of the following showing proof of nonprofit status: (DO NOT attach a sales tax exempt status or federal employer ID number, as they are not proof of nonprofit status.) ❑ A current calendar year Certificate of Good Standing Don't have a copy? Obtain this certificate from: MN Secretary of State, Business Services Division Secretary of State website, phone numbers: 60 Empire Drive, Suite 100 www.sos.state.mn.us St. Paul, MN 55103 651-296-2803, or toll free 1-877-551-6767 IRS income tax exemption (501(c)) letter in your organization's name ❑ Don't have a copy? To obtain a copy of your federal income tax exempt letter, have an organization officer contact the IRS toll free at 1-877-829-5500. IRS - Affiliate of national, statewide, or international parent nonprofit organization (charter) El If your organization falls under a parent organization, attach copies of both of the following: 1. IRS letter showing your parent organization is a nonprofit 501(c) organization with a group ruling; and 2. the charter or letter from your parent organization recognizing your organization as a subordinate. GAMBLING PREMISES INFORMATION Name of premises where the gambling event will be conducted (for raffles, list the site where the drawing will take place) -1 -he CGr.L�-�y4✓�S d /7✓'p o z, ��- Physical Address (do not use P.O. box): 13 5 Y 5r O/ �y1 Ar7L ,j Check one: V1 city: Zip: r5301 County:1'1 Township: Zip: County: Date(s) of activity (for raffles, indicate the date of the drawing): Fe -10 Check each type of gambling activity that your organization will conduct: Bingo ElPaddlewheels Pull -Tabs =Tipboards Raffle Gambling equipment for bingo paper, bingo boards, raffle boards, paddlewheels, pull -tabs, and tipboards must be obtained from a distributor licensed by the Minnesota Gambling Control Board. EXCEPTION: Bingo hard cards and bingo ball selection devices may be borrowed from another organization authorized to conduct bingo. To find a licensed distributor, go to www.mn.gov/gcb and click on Distributors under the List of Licensees tab, or call 651-539-1900. LG220 Application for Exempt Permit 4/22 Page 2 of 4 LOCAL UNIT OF GOVERNMENT ACKNOWLEDGMENT (required before submitting application to the Minnesota Gambling Control Board) CITY APPROVAL COUNTY APPROVAL for a gambling premises for a gambling premises located within city limits located in a township ❑The application is acknowledged with no waiting period. FIThe application is acknowledged with no waiting period. ElThe application is acknowledged with a 30 -day waiting The application is acknowledged with a 30 -day waiting period, and allows the Board to issue a permit after 30 days period, and allows the Board to issue a permit after (60 days for a 1st class city). 30 days. ❑The application is denied. El The application is denied. Print City Name: Print County Name: Signature of City Personnel: Signature of County Personnel: Title: Date: Title: Date: information, the Board may not be able to TOWNSHIP (if required by the county) which law or legal order authorizes a new use or On behalf of the township, I acknowledge that the organization address which will remain public. Private data is applying for exempted gambling activity within the township limits. (A township has no statutory authority to approve or as a consequence, may refuse to issue a permit. The city or county must sign before given; and anyone with your written consent. If your organization supplies the information submitting application to the deny an application, per Minn. Statutes, section 349.213.) access to the information; Minnesota's Depart - Gambling Control Board. This form will be made available in alternative format (i.e. large print, braille) upon request. Print Township Name: Signature of Township Officer: Title: Date: CHIEF EXECUTIVE OFFICER'S SIGNATURE (required) The information provided in this application is complete and acclate to the best of my knowledge. I acknowledge that the financial report will be completed and returned to the Boa n G of the event date. Chief Executive Officer's Signature: Date: (Si a res b O's signature; designee may not sign) Print Name: ptc;1e.,_r u ✓� �- REQUIREMENTS MAIL APPLICATION AND ATTACHMENTS Complete a separate application for: Mail application with: • all gambling conducted on two or more consecutive days; or _ a copy of your proof of nonprofit status; and • all gambling conducted on one day. application fee (non-refundable). If the application is Only one application is required if one or more raffle drawings are postmarked or received 30 days or more before the event, conducted on the same day. the application fee is $100; otherwise the fee is $150. Financial report to be completed within 30 days after the Make check payable to State of Minnesota. - gambling activity is done: To: Minnesota Gambling Control Board A financial report form will be mailed with your permit. Complete 1711 West County Road B, Suite 300 South and return the financial report form to the Gambling Control Roseville, MN 55113 Board. Questions? Your organization must keep all exempt records and reports for Call the Licensing Section of the Gambling Control Board at 3-1/2 years (Minn. Statutes, section 349.166, subd. 2(f)). 651-539-1900. Data privacy notice: The information requested application. Your organization's name and ment of Public Safety; Attorney General; on this form (and any attachments) will be used address will be public Information when received Commissioners of Administration, Minnesota by the Gambling Control Board (Board) to by the Board. All other information provided will Management & Budget, and Revenue; Legislative determine your organization's qualifications to be private data about your organization until the Auditor, national and international gambling be involved in lawful gambling activities in Board issues the permit. When the Board Issues regulatory agencies; anyone pursuant to court Minnesota. Your organization has the right to the permit, all information provided will become order; other Individuals and agencies specifically refuse to supply the Information; however, if public. If the Board does not Issue a permit, all authorized by state or federal law to have access your organization refuses to supply this information provided remains private, with the to the information; individuals and agencies for information, the Board may not be able to exception of your organization's name and which law or legal order authorizes a new use or determine your organization's qualifications and, address which will remain public. Private data sharing of information after this notice was as a consequence, may refuse to issue a permit. about your organization are available to Board given; and anyone with your written consent. If your organization supplies the information members, Board staff whose work requires requested, the Board will be able to process the access to the information; Minnesota's Depart - This form will be made available in alternative format (i.e. large print, braille) upon request. An equal opportunity employer AN,56 & ( F) -jol 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers FROM: Jim Dickinson, City SUBJECT: Public Hearing - 2023 Proposed DATE December 6, 2022 INTRODUCTION The Council has had a number of reviews of the City of Andover 2023 Proposed Budget and continued detailed review of the General Fund budget that is primarily supported by the proposed 2023 Tax Levy. This year the Andover City Council is holding a 2023 Proposed City Budget/Tax Levy public hearing as compared to previous year's hearings titled "Truth -in -Taxation" that had to be conducted in a State Statute prescribed format. This public hearing is intended to give the public the opportunity to comment on the proposed 2023 budget and tax levy. On September 6`h, the City Council approved the 2023 Preliminary Levy certification. This approval was the outcome of the numerous budget workshops held by the Council over the summer. The Preliminary 2023 Budget proposed a total property tax levy of $17,073,084: $10,891,789 (63.80%) operational levy, $3,766,697 (22.06%) debt service levy, and $2,414,598 (14.14%) capital/watershed levy. The 2023 Proposed Property Tax Levy is estimated to decrease the current City tax rate by 14.40% and when applied to the City's growing taxable market values will generate additional tax revenue to preserve the City's current operations, an enhanced commitment to public safety and provide an infusion of funds into the City mill and overlay program. This is an 6.00% increase in the gross tax levy. The Council has the right to reduce or keep constant this levy until the final certification date of December 28, 2022. DISCUSSION The attachments to this staff report listed below are handouts that will be presented prior to the Public Hearing to provide background information on 2023 Proposed City Budget/Tax Levy progress to date. Attachments: Pg. 3 Pay 2023 Valuation Estimates Pg. 4 - 5 Property Tax Levy — Historical Comparisons Pg. 6 Proposed 2023 City Tax Rate Comparisons Pg. 7 Proposed 2023 Proposed Tax Breakdown Pg. 8 - 9 2023 Proposed Budget Summary by Fund Type Pg. 10 2023 Proposed Budget Summary by Revenue and Expenditure Type Pg. 11 - 17 2023 Proposed Budgets - Fund Summaries Pg. 18 2023 General Fund Revenue & Expense Summary Pg. 19 2023 General Fund — Revenue Comparison Pg. 20 2023 General Fund — Expenditure Comparison Pg. 21 - 22 2023 General Fund — Expenditure Function Graphs Pg. 23 2023 General Fund — Expenditure Budget Summary by Department Pg. 24- 26 Resolution to Approve 2023 Budget and Tax Levy A more detailed presentation will be provided to the Council before the public hearing similar to what has been presented at past budget workshops. ACTION REQUESTED The Council is requested to review the staff report, receive a presentation, open the public hearing, discuss and if there is no need for a continuation hearing approve the resolution adopting the 2023 Proposed City Budget and Tax Levy. submitted, Jim CITY OF ANDOVER Pay 2023 Valuation Estimates City of Andover Taxable Market Values $6,000,000,000 $5,000,000,000 $4,000,000,000 $3,000,000,000 $2,000,000,000 $1,000,000,000 $0 Pay 2020 Pay 2021 Pay 2022 Pay 2023 City of Andover Tax Capacity Values $60,000,000 $50,000,000 — $40,000,000 $30,000,000 $20,000,000 $10,000,000 $0 Pay 2020 Pay 2021 Pay 2022 Pay 2023 ESTIMATE Pay 2020 Pay 2021 Pay 2022 Pay 2023 Taxable Tax Taxable Tax Taxable Tax Taxable Tax Market Capacity Market Capacity Market Capacity Market Capacity Value Value Value Value Value Value Value Value Andover Valuation Totals $ 3,561,318,700 $ 36,099,539 $ 3,615,408,106 $ 37,366,775 $ 3,885,459,439 $ 40,210,548 $ 4,795,209,296 $ 50,361,431 Captured Tax Increment (114,064) (119,819) (122,976) (141,310) Fiscal Disparity Contribution (1,310,143) (1,348,420) (1,414,808) (1,368,461) Local Tax Rate Value 34,675,332 35,898,536 38,672,764 48,851,660 Fiscal Disparity Distribution 5,355,244 5,475,223 6,037,850 . 5,500,256 Total Adjusted Values $ 40,030,576 $ 41,373,759 $ 44,710,614 $ 547351,916 3.36% 8.07% 21.56% Taxable Market Value Tax Capacity Value % Change % Change w Pay 2020 $ 3,561,318,700 Pay 2020 $ 36,099,539 Pay 2021 $ 3,615,408,106 1.52% Pay 2021 $ 37,366,775 3.51% Pay 2022 $ 3,885,459,439 7.47% Pay 2022 $ 40,210,548 7.61% Pay 2023 $ 4,795,209,296 23.41% Pay 2023 $ 50,361,431 25.24% City of Andover Taxable Market Values $6,000,000,000 $5,000,000,000 $4,000,000,000 $3,000,000,000 $2,000,000,000 $1,000,000,000 $0 Pay 2020 Pay 2021 Pay 2022 Pay 2023 City of Andover Tax Capacity Values $60,000,000 $50,000,000 — $40,000,000 $30,000,000 $20,000,000 $10,000,000 $0 Pay 2020 Pay 2021 Pay 2022 Pay 2023 City of Andover, Minnesota Property Tax Levy Less Fiscal Disparities Distribution Local Tax Rate Levy, Certified Certified Candied CeNRed Certified Requested Less Le Based on Market Value $ 188,7 Change $ 184.199 § 151,078 2018 2019 2020 2021 2022 2023 %of Total $ 13,953,343 $ % __10,007.904L We 1,804.711 5.32% 34,6]5,332 9.72% 35,898,536 13.59% General & OthO IL 48,851,660 26.32% General Operators $ 8,543,256 $ 8,845,970 $ 9,194,032 $ 9,396,493 $ 9,868,370 $ 10,591,789 62.04% $ 723,419 7.33% Community Center Operations - - - 155,000 155,000 155,000 0.91% $ - 0.00% Parks RepairlReplacement Items 100,000 100,000 120.000 120.000 130,000 145,000 0.85% $ 15,000 11.54% Total General & Other Operational Levies 8,643,256 8,945,970 9,314,032 9,671,493 10,153,370 10,891,789 63.80% $ 738,419 7.27% Debt SeMoo Levies 2010A G.O. Open Space Referendum Bonds 180,777 183,989 184,199 151,078 - - 2012CTaxable G.O.Abatement Bonds 9]2,055 969,378 9]6,]80 973,263 974,628 969,745 2014A G.O. Equipment Ceffificate 294,945 294,525 - - - - 2016A G.O. Equipment Certificate 143.310 142,837 143,3]3 - - - 2018A G.O. Cap Improv Plan Bonds - 525,000 433,603 456,344 617,519 612,794 2019A G.O. Abatement Bonds - - 1,001,090 976,966 1,014,065 1,028,782 2020 G.O. Equipment Ceacate - - 350,000 406,224 374,850 3]6,]40 2021A G.O. Equipment Ceni0mde - - - 170,000 170,000 174,73 2021A G.O. Street Reconstruction Bonds 600,000 603,863 Total Debt SeMce Levles 1,599,087 2,115,729 3,089,045 3,133,875 3,751,062 3,766,697 22.06% $ 15,635 0.42% Other LeN Capital Projects Levy Capital EqulpmenrWroject 275,000 275,000 275,000 250,000 275,000 275,000 1.61% $ - 0.00% Capital Equipment Purchases 525,000 - - - - - 0.00% $ - #DIVMI A Fatally Maintenance Reserve 50,000 355,000 355,000 355,000 355,000 355.000 2.08% $ - 0.00% Parks Projects 15,000 15,000 15,000 15.000 15,000 15,000 0.09% $ - 0.00% Road &Bridge 1,169,014 1,254,788 1,287,469 1,342,456 1,409,579 1,619,190 9.48% $ 209,611 14.67% Pedesidan Trail Maintenance 100,000 102,000 104,040 106,121 108,243 110,408 0.65% $ 2,165 2.00% Lower Rum River Watershed 40,000 40,000 40,000 40,000 40,000 40,000 0.23% $ 0.00% Total Other Levies 2,174,014 2,041,788 2,076,509 2,108,5]] 2,202,822 2,414,598 14.14% $ 211,776 9.61% Gross Cly Levy 12,416,357 13,103,487 14,479,506 14,913,945 16,107,254 1],0]3,004 100.00% $ 965.829 6.00% Less Fiscal Disparities Distribution Local Tax Rate Levy, 1,802,963 § 10,613,394 1,725,448 $ 11,378,039 1,896,092 $ 12,582,694 1,957,824 $ 12,956,121 2,153,911 8 13.953,343 1,980.687 $ 1$,088,397 Less Le Based on Market Value $ 188,7 $ 183,909 $ 184.199 § 151,078 § $ Net Local Tax Rate Levy $ 10,424,617 $ 111194.050 $ 12,398,495 $ 12.805,043 $ 13,953,343 $ 15,088,397 Adjusted Tax Capacity Value" (1) __10,007.904L We 1,804.711 5.32% 34,6]5,332 9.72% 35,898,536 13.59% 30,672,764 11.53% 48,851,660 26.32% Tax Capacity Rate— 34.740% 35.419% 35.756% Tax Capacity Rate W/O LRRWSD 34.627% 35.310% 35.656% Tax Capacity Rate With LRRWSD 34.952% 35.621% 35.942% Voter Approved Ref -MV 0.00681% 0.00572% 0.00526% "Adjusted Value delemrined by adjusting for Racer DlsparWes anal Tax Increment estimates. "'Blended rete due to the Cly o/Andover levying /or Lower Rum River Watershed Wsbld (1) Adjusted Tax Capacity Value is subject to change. Chang % Change 35.670% 36.081% 30.886% -5.194% -14A00% 35.574% 35.993% 30.814% 35.845% 36.243% 31.013% 0.00418% 0.00000% 0.00000% Ln City of Andover Gross Tax Levy $19,000,000 $17,000,000 $17,073,084 $16,107,254 $15,000,000 $14,913,945 14,479,586 $13,000,000 $13,103,487 $12,416,357 911,938,555 $11,000,000 - $11,143,925 $9,000,000 $7,000,000 $5,000,000 2015 2016 2017 2018 2019 2020 2021 2022 2023 F2 Hilltop Columbia MUNICIPALITIES Proposed 2023 City Municipalities WITHIN ANOKA Tax Rate Comparison Only COUNTY M 98.86 59.533 Heights St. Francis 49.51 Columbus 45.711 Circle Pines 44.038 Fridley 42.685 Lexington 42.313 Centerville 41.181 Ramsey 40.679 N Spring Lake Z Park 3".259 O � Bethel 3E.74 Lon Rapids 35. 9 Lino Lakes 35. 7 Blaine 32.131 East Bethel 31.749 Andover 30.814 Anoka 30.738 Nowthen F20.144 Ham Lake Linwood Oak Grove 0 20 40 60 80 100 120 TAX RATE J CITY OF ANDOVER 2023 Proposed Tax Breakdown Other County 2.874% 26.102% School District 37.700% City 33.324% PERCENTAGES ARE PROPORTIONAL TO REFLECT 100% RATHER THAN ACTUAL AMOUNT $4,167.58; EMV $450,700. * Does include voter approved levy based on market value. General Fund Revenues: $13,564,378 Expenditures: $13,906,093 General Government Public Safety 00 Public Works Fund Definitions CITY OF ANDOVER 2023 Budget Summary By Fund Type City of Andover - Budgeted Funds Total Revenues: $45,217,758 Total Expenditures: $54,127,239 I Governmental Funds I Special Revenue Funds Revenues: $4,135,216 Expenditures: $4,476,705 EDA Drainage & Mapping LRRWMO Forestry ROW Mgmt / Utility Construction Seal Coating Community Center CDBG Charitable Gambling CARES Act / ARPA Funding Debt Service Funds Revenues: $4,661,997 Expenditures: $4,393,198 G.O. CIP Bonds G.O. Street Recon Bonds G.O. Equip Certificates G.O. Referendum Bonds G.O. Abatement Bonds Capital Projects Funds Revenues: $14,778,263 Expenditures: $21,028,445 Proprietary Funds Enterprise Funds Revenues: $6,461,274 Expenditures: $8,604,707 Water Trunk I Sewer Trunk IIC Road &Bridge Trail & Transportation Cap Equip Reserve Tax Increment Park Dedication PIR Projects Building CIP / Street Recon Bond Projects Equipment Certificates Sewer Fund Water Fund Storm Sewer Fund Internal Service Funds Revenues: $1,616,630 Expenditures: $1,718,091 Central Equipment / Maint. Risk Management General Fund - accounts for the revenues and expenditures necessary to carry out basic governmental activities of the City such as general government, public safety, public works, and other. Special Revenue Funds - accounts for revenue sources that finance particular functions and projects. Debt Service Funds - accounts for the accumulation of resources for, and the payment of general long-term debt. Capital Projects Funds - accounts for the acquisition or construction of major capital facilities financed mainly with governmental fund sources, general obligation debt, special assessments, and other. Enterprise Funds - accounts for activities that consist of rendering services or providing goods to the public for which a fee or charge is collected. Internal Service Funds - accounts for goods and services that are provided to other City departments, or to other governments, on a cost reimbursement basis. CITY OF ANDOVER 2023 Budget Summary Revenues and Expenditures by Fund Type Special Debt Capital Internal General Revenue Service Projects Enterprise Service Total Fund Balance/Net Assets, January 1 $ 8,861,841 $ 1,612,751 $ 3,555,703 $ 39,337,553 $ 11,311,382 $ 794,888 $ 65,474,118 Revenues General Property Taxes 10,814,789 195,000 3,766,697 2,374,598 - - 17,151,084 Tax Increments - - - 100,000 - - 100,000 Special Assessments - - - 1,963,000 - - 1,963,000 Licenses and Permits 573,000 - - - - - 573,000 Intergovernmental 839,907 - 1,700,948 - 8,619,954 - - 11,160,809 Charges for Services 839,110 1,241,000 - - 6,207,829 1,612,630 9,900,569 Fines 45,500 - - - - - 45,500 Investment Income 75,000 8,200 - 107,500 62,500 4,000 257,200 User Charges - - - 384,911 - - 384,911 Meters - - - - 13,000 - 13,000 Miscellaneous 148,300 990,068 520,000 44,000 1,702,368 Total Revenues: 13,335,606 4,135,216 3,766,697 14,069,963 6,327,329 1,616,630 43,251,441 Other Financing Sources Operating Transfers In 228,772 - 895,300 708,300 133,945 - 1,966,317 Bond Proceeds Total Other Financing Sources: 228,772 895,300 708,300 133,945 1,966,317 Total Revenues and Other Sources: 13,564,378 4,135,216 4,661,997 14,778,263 6,461,274 1,616,630 45,217,758 Total Available: 223426,219 5,747,967 8,217,700 54,115,816 17,772,656 2,411,518 110,691,876 Expenditures Personal Services 6,374,964 924,676 - - 1,318,317 632,788 9,250,745 Supplies and Materials 847,544 117,570 - - 510,800 480,920 1,956,834 Purchased Services 4,635,276 629,932 - - - - 5,265,208 Other Services and Charges 1,900,309 740,227 - 10,056,000 3,165,818 604,383 16,466,737 Capital Outlay 148,000 1,756,000 - 10,288,500 1,853,500 - 14,046,000 Debt Service 4,393,198 782,200 - 5,175,398 Total Operating Expenditures: 13,906,093 4,168,405 4,393,198 20,344,500 7,630,635 1,718,091 52,160,922 Other Uses Operating Transfers Out 308,300 683,945 974,072 1,966,317 Total Other Uses: - 308,300 683,945 974,072 1,966,317 Total Expenditures and Other Uses: 13,906,093 4,476,705 4,393,198 21,028,445 8,604,707 1,718,091 54,127,239 Fund Balance/Net Assets, December 31 $ 8,520,126 $ 1,271,262 $ 3,824,502 $ 33,087,371 $ 9,167,949 $ 693,427 $ 56,564,637 Change in Fund Balance $ (341,715) $ (341,489) $ 268,799 $ (6,250,182) $ (2,143,433) $ (101,461) $ (8,909,481) -3.86% -21.17% 7.56% -15.89% -18.95% -12.76% -13.61% CITY OF ANDOVER 2023 Budget Summary Revenues and Expenditures - All Funds Actual Budget Estimate Budget 2021 2022 2022 2023 Fund BalanceMet Assets, January 1 $ 54,366,101 $ 64,594,778 $ 64,594,778 $ 65,474,118 Revenues General Property Taxes 14,924,342 16,185,254 16,185,254 17,151.084 Tax Increments 103,474 100,000 100,000 100,000 Special Assessments 696.591 1,503,900 959,500 1,963,000 Licenses and Permits 891,762 535,500 692,400 573,000 Intergovernmental 1,102,318 3,937,941 4,176,116 11,160,809 Charges for Services 10,330,177 9,271,063 9,441,743 9,900,569 Fines 53,747 50,500 46,000 45,500 Investment Income (89,313) 261,700 287,570 257,200 User Charges 1,688,172 360,776 3,575,000 384,911 Meters 44,946 13,000 13,000 13,000 Miscellaneous 1,476,624 1,500,300 1,438,641 1,702,368 Total Revenues: 31,222,840 33,719,934 36,915,224 43,251,441 Other Financing Sources Operating Transfers In 2,427,827 2,395,289 2,793,629 1,966,317 Bond Proceeds 7,765,000 7,960,000 - - Proceeds from Sale of Property 18.800 45,000 0 Total Other Financing Sources: 10,400,461 10,355,289 2,838,629 1,966,317 Total Revenues and Other Sources: 41,623,301 44,075,223 39,753,853 45,217,758 Total Available: 95,989,402 108,670,001 104,348,631 110,691,876 Expenditures Personal Services 7,876,259 8,686,225 8,724,425 9,250,745 Supplies and Materials 1,479,647 1,866,335 1,855,475 1,956,834 Purchased Services 4,671,592 6,546,215 6,887,186 5,265,208 Other Services and Charges 7,663,305 15,465,310 11,965,360 16,466,737 Capital OeOay 3,129,784 2,819,000 2,457,333 14,046,000 Debt Service 4,146,210 4,146,041 4,191,105 5,175,398 Total Operating Expenditures: 28,966,797 39,529,126 36,080,884 52,160,922 Other Uses Operating Transfers Out 2,427,827 2,395,289 2,793,629 1,966,317 Total Other Uses: 2,427,827 2,395,289 2,793,629 1,966,317 Total Expenditures and Other Uses: 31,394,624 41,924,415 38,874,513 54,127,239 Fund Balance/Net Assets, December 31 $ 64,594,778 $ 66,745,586 $ 65,474,118 $ 56,564,637 Change in Fund Balance $ 10,228,677 $ 2,150,808 $ 879,340 $ (8,909,481) 18.81% 3.33°% 1.36% -13.61% Fund Balance/Net Assets, January 1 Revenues & Other Sources General Special Revenue Debt Service Capital Projects Enterprise Internal Service Total Revenues & Other Sources: Total Available: Expenditures & Other Uses r General Special Revenue Debt Service Capital Projects Enterprise Internal Service Total Expenditures & Other Uses: Fund Balance/Net Assets, December 31 Change in Fund Balance CITY OF ANDOVER 2023 Budget Summary Revenues and Expenditures Fund Summary Actual Adopted Estimate Budget 2021 2022 2022 2023 $ 54,366,101 12,813,448 2,355,642 3,679,722 14,409,355 6,967,837 1,397,297 41,623,301 95,989,402 12,841,500 1,853,094 3,223,217 5,502,782 6,524,391 1,449,640 31,394,624 $ 64,594,778 $ 10,228,677 18.81% $ 64,594,778 12,699,145 4,117,588 4,659,505 15,021,155 6,140,115 1,437,715 44,075,223 108,670,001 13,382,093 3,753,769 3,617,529 13,294,520 6,264,073 1,612,431 41,924,415 $ 66,745,586 $ 2,150,808 3.33% $ 64,594,778 12,983,268 4,348,820 4,660,255 10,092,680 6,210,115 1,458,715 39,753,853 104,348,631 13,747,893 4,246,534 3,660,933 9,327,749 6,264,073 1,627,331 38,874,513 $ 65,474,118 $ 879,340 1.36% $ 65,474,118 13,564,378 4,135,216 4,661,997 14,778,263 6,461,274 1,616,630 45,217,758 110,691,876 13,906,093 4,476,705 4,393,198 21,028,445 8,604,707 1,718,091 54,127,239 $ 56,564,637 $ (8,909,481) -13.61% City of Andover 2023 Budget - General Fund Statement of Revenues, Expenditures and Changes in Fund Balance Fund Balance, January 1 Revenues General Property Taxes Licenses and Permits Intergovernmental Charges for Services Fines Investment Income Miscellaneous Revenue Total Revenues: Other Sources Transfers In $ 9,654,518 9,527,670 891,762 939,174 1,036,929 53,747 (15,183) 167,318 12,601,417 212,031 $ 9,626,466 10,076,370 535,500 817,284 799,110 50,500 75,000 148,300 12,502,064 $ 9,626,466 $ 8,861,841 10,076,370 692,400 839,347 907,290 46,000 75,000 149,780 12, 786,187 10,814,789 573,000 839,907 839,110 45,500 75,000 148,300 13,335,606 197,081 197,081 228,772 ^� Total Revenues and Other Sources: 12,813,448 12,699,145 12,983,268 Total Available: Expenditures Personal Services Supplies and Materials Purchased Services Other Services and Charges Capital Outlay Total Expenditures: 22,467,966 5,421,531 693,444 4,297,302 1,491,605 187.618 12,091,500 22,325,611 5,928,069 825,015 4,577,595 1,756,414 145.000 13,232,093 22,609,734 5,925,169 826,515 4,547,295 1,753,914 13,564,378 22,426,219 6,374,964 847,544 4,635,276 1,900,309 145,000 148,000 13,197, 893 13,906,093 Other Uses Transfers Out 750,000 150,000 550,000 - Total Expenditures and Other Uses: 12,841,500 13,382,093 13,747,893 13,906,093 Fund Balance, December 31 $ 9,626,466 $ 8,943,518 Change in Fund Balance $ (28,052) $ (682,948) 0% -7% $ 8,861,841 $ (764,625) -8% $ 8,520,126 $ (341,715) -4% Actual 1 Adopted 1 Estimate 1 Adopted 1 Description 2021 2022 2022 2023 Fund Balance, January 1 Revenues General Property Taxes Licenses and Permits Intergovernmental Charges for Services Fines Investment Income Miscellaneous Revenue Total Revenues: Other Sources Transfers In $ 9,654,518 9,527,670 891,762 939,174 1,036,929 53,747 (15,183) 167,318 12,601,417 212,031 $ 9,626,466 10,076,370 535,500 817,284 799,110 50,500 75,000 148,300 12,502,064 $ 9,626,466 $ 8,861,841 10,076,370 692,400 839,347 907,290 46,000 75,000 149,780 12, 786,187 10,814,789 573,000 839,907 839,110 45,500 75,000 148,300 13,335,606 197,081 197,081 228,772 ^� Total Revenues and Other Sources: 12,813,448 12,699,145 12,983,268 Total Available: Expenditures Personal Services Supplies and Materials Purchased Services Other Services and Charges Capital Outlay Total Expenditures: 22,467,966 5,421,531 693,444 4,297,302 1,491,605 187.618 12,091,500 22,325,611 5,928,069 825,015 4,577,595 1,756,414 145.000 13,232,093 22,609,734 5,925,169 826,515 4,547,295 1,753,914 13,564,378 22,426,219 6,374,964 847,544 4,635,276 1,900,309 145,000 148,000 13,197, 893 13,906,093 Other Uses Transfers Out 750,000 150,000 550,000 - Total Expenditures and Other Uses: 12,841,500 13,382,093 13,747,893 13,906,093 Fund Balance, December 31 $ 9,626,466 $ 8,943,518 Change in Fund Balance $ (28,052) $ (682,948) 0% -7% $ 8,861,841 $ (764,625) -8% $ 8,520,126 $ (341,715) -4% City of Andover Special Revenue Funds 2023 Budget Summary - All Special Revenue Funds Statement of Revenues, Expenditures and Changes in Fund Balance Fund Balance, January 1 Revenues General Property Taxes Intergovernmental Charges for Services Investment Income Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Purchased Services Other Services and Charges Capital Outlay Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: Fund Balance, December 31 $ 1,007,917 194,718 3,166 1,231,389 15,447 910,922 2,355,642 2,355,642 3,363,559 731,616 88,978 188,607 538,893 1,548,094 305,000 1,853,094 $ 1,510,465 $ 1,510,465 $ 1,612,751 195,000 1,790,888 1,170,500 5,200 806,000 3,967,588 150,000 4,117,588 5,628,053 825,896 118,820 1,813,620 658,033 30,000 3,446,369 307,400 3,753,769 $ 1,510,465 $ 1,874,284 Change in Fund Balance $ 502,548 $ 363,819 50% 24% 195,000 1,955,000 1,184, 000 4,320 860,500 4,198,820 150,000 4,348,820 5,859,285 855,896 106,460 2,309,495 640,783 26,500 3,939,134 307,400 4,246,534 195,000 1,700,948 1,241,000 8,200 990,068 4,135,216 4,135,216 5,747,967 924,676 117,570 629,932 740,227 1,756,000 4,168,405 308,300 4,476,705 $ 1,612,751 $ 1,271,262 $ 102,286 7% $ (341,489) -21% Actual 1 1 Adopted Estimate 1 Adopted Description 2021 2022 2022 2023 Fund Balance, January 1 Revenues General Property Taxes Intergovernmental Charges for Services Investment Income Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Purchased Services Other Services and Charges Capital Outlay Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: Fund Balance, December 31 $ 1,007,917 194,718 3,166 1,231,389 15,447 910,922 2,355,642 2,355,642 3,363,559 731,616 88,978 188,607 538,893 1,548,094 305,000 1,853,094 $ 1,510,465 $ 1,510,465 $ 1,612,751 195,000 1,790,888 1,170,500 5,200 806,000 3,967,588 150,000 4,117,588 5,628,053 825,896 118,820 1,813,620 658,033 30,000 3,446,369 307,400 3,753,769 $ 1,510,465 $ 1,874,284 Change in Fund Balance $ 502,548 $ 363,819 50% 24% 195,000 1,955,000 1,184, 000 4,320 860,500 4,198,820 150,000 4,348,820 5,859,285 855,896 106,460 2,309,495 640,783 26,500 3,939,134 307,400 4,246,534 195,000 1,700,948 1,241,000 8,200 990,068 4,135,216 4,135,216 5,747,967 924,676 117,570 629,932 740,227 1,756,000 4,168,405 308,300 4,476,705 $ 1,612,751 $ 1,271,262 $ 102,286 7% $ (341,489) -21% City of Andover Debt Service Funds 2023 Budget Summary - All Debt Service Funds Statement of Revenues, Expenditures and Changes in Fund Balance Fund Balance, January 1 Revenues General Property Taxes Investment Income Total Revenues: Other Sources Operating Transfers In Total Revenues and Other Sources Total Available: A Expenditures Debt Service Principal Interest Other Total Expenditures: Other Uses Operating Transfers Out Total Expenditures and Other Uses Fund Balance, December 31 Change in Fund Balance $ 2,099,876 $ 2,556,381 3,133, 512 (1,694) 3,131,818 547,904 3,679,722 5,779,598 1,899,000 1,278,030 5,500 3,182,530 40,687 3,223,217 $ 2,556,381 $ 456,505 22% 3,751,062 3,751,062 908,443 4,659,505 $ 2,556,381 3,751,062 750 3,751,812 908,443 4,660,255 7,215,886 7,216,636 2,110,000 1,246,741 4,800 3,361,541 255,988 3,617,529 $ 3,598,357 $ 1,041,976 41% 2,110, 000 1,291,280 5,325 3,406,605 254,328 3,660,933 $ 3,555,703 $ 999,322 39% $ 3,555,703 3,766,697 3,766,697 895,300 4,661,997 8,217,700 3,125,000 1,260,998 7,200 4,393,198 4,393,198 $ 3,824,502 $ 268,799 8% Actual Adopted 1 Estimate Adopted 1 Description 2021 2022 2022 2023 Fund Balance, January 1 Revenues General Property Taxes Investment Income Total Revenues: Other Sources Operating Transfers In Total Revenues and Other Sources Total Available: A Expenditures Debt Service Principal Interest Other Total Expenditures: Other Uses Operating Transfers Out Total Expenditures and Other Uses Fund Balance, December 31 Change in Fund Balance $ 2,099,876 $ 2,556,381 3,133, 512 (1,694) 3,131,818 547,904 3,679,722 5,779,598 1,899,000 1,278,030 5,500 3,182,530 40,687 3,223,217 $ 2,556,381 $ 456,505 22% 3,751,062 3,751,062 908,443 4,659,505 $ 2,556,381 3,751,062 750 3,751,812 908,443 4,660,255 7,215,886 7,216,636 2,110,000 1,246,741 4,800 3,361,541 255,988 3,617,529 $ 3,598,357 $ 1,041,976 41% 2,110, 000 1,291,280 5,325 3,406,605 254,328 3,660,933 $ 3,555,703 $ 999,322 39% $ 3,555,703 3,766,697 3,766,697 895,300 4,661,997 8,217,700 3,125,000 1,260,998 7,200 4,393,198 4,393,198 $ 3,824,502 $ 268,799 8% City of Andover Capital Projects Funds 2023 Budget Summary - All Capital Projects Funds Statement of Revenues, Expenditures and Changes in Fund Balance Fund Balance, January 1 Revenues General Property Taxes Tax Increments Special Assessments Intergovernmental Investment Income User Charges Miscellaneous Total Revenues: Other Sources Transfers In Bond Proceeds Ln Bond Premium Ln Proceeds from Sale of Capital Assets Total Other Sources: Total Revenues and Other Sources: Total Available: Expenditures Purchased Services Other Services and Charges Capital Outlay Debt Service - Principal Retirement Total Expenditures: Other Uses Operating Transfers Out Total Expenditures and Other Uses: Fund Balance, December 31 $ 29,666,049 $ 38,572,622 2,068,442 103,474 696,591 159,978 (65,622) 1,688,172 266,499 4,917,534 1,519,187 7,765,000 188,834 18,800 9,491,821 14,409,355 44,075,404 185,683 2,813,288 1,969,315 183,187 5,151,473 351,309 5,502,782 2,162,822 100,000 1,503,900 1,329,769 115,000 360,776 502,000 6,074,267 986,888 7,960,000 8,946,888 15,021,155 53,593,777 155,000 9,889,500 2,534,000 12,578,500 716,020 13,294,520 $ 38,572,622 $ 40,299,257 $ 38,572,622 $ 39,337,553 2,162,822 100,000 959,500 1,381,769 141,000 3,575,000 342,361 8,662,452 1,385,228 45,000 1,430,228 10,092,680 48,665,302 30,396 6,405,500 2,175,833 2,374,598 100,000 1,963,000 8,619,954 107,500 384,911 520,000 14,069,963 ZiYicIiTi. 708,300 14,778,263 54,115,816 10,056,000 10,288,500 8,611,729 20,344,500 716,020 9,327,749 $ 39,337,553 683,945 21,028,445 $ 33,087,371 Change in Fund Balance $ 8,906,573 $ 1,726,635 $ 764,931 $ (6,250,182) 30% 4% 2% -16% Actual 1 Adopted 1 Estimate 1 Adopted Description 20 2C 2022 2023 Fund Balance, January 1 Revenues General Property Taxes Tax Increments Special Assessments Intergovernmental Investment Income User Charges Miscellaneous Total Revenues: Other Sources Transfers In Bond Proceeds Ln Bond Premium Ln Proceeds from Sale of Capital Assets Total Other Sources: Total Revenues and Other Sources: Total Available: Expenditures Purchased Services Other Services and Charges Capital Outlay Debt Service - Principal Retirement Total Expenditures: Other Uses Operating Transfers Out Total Expenditures and Other Uses: Fund Balance, December 31 $ 29,666,049 $ 38,572,622 2,068,442 103,474 696,591 159,978 (65,622) 1,688,172 266,499 4,917,534 1,519,187 7,765,000 188,834 18,800 9,491,821 14,409,355 44,075,404 185,683 2,813,288 1,969,315 183,187 5,151,473 351,309 5,502,782 2,162,822 100,000 1,503,900 1,329,769 115,000 360,776 502,000 6,074,267 986,888 7,960,000 8,946,888 15,021,155 53,593,777 155,000 9,889,500 2,534,000 12,578,500 716,020 13,294,520 $ 38,572,622 $ 40,299,257 $ 38,572,622 $ 39,337,553 2,162,822 100,000 959,500 1,381,769 141,000 3,575,000 342,361 8,662,452 1,385,228 45,000 1,430,228 10,092,680 48,665,302 30,396 6,405,500 2,175,833 2,374,598 100,000 1,963,000 8,619,954 107,500 384,911 520,000 14,069,963 ZiYicIiTi. 708,300 14,778,263 54,115,816 10,056,000 10,288,500 8,611,729 20,344,500 716,020 9,327,749 $ 39,337,553 683,945 21,028,445 $ 33,087,371 Change in Fund Balance $ 8,906,573 $ 1,726,635 $ 764,931 $ (6,250,182) 30% 4% 2% -16% City of Andover Enterprise Funds 2023 Budget Summary - All Enterprise Funds Statement of Revenues, Expenditures and Changes in Fund Net Assets Unrestricted Net Assets, January 1 $ 10,921,894 Revenues Charges for Services Interest Meters Miscellaneous Total Revenues: Other Sources Transfers In �. Total Revenues and Other Sources: rn Total Available: Expenditures Personal Services Supplies and Materials Other Services and Charges Capital Outlay Debt Service Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: Unrestricted Net Assets, December 31 6,740,115 (17,603) 44,946 51,674 6,819,132 148,705 6,967,837 17, 889, 731 1,176,277 337,097 2,276,842 972,851 780,493 5,543,560 980,831 $ 11,365,340 $ 11,365,340 5,867,738 62,500 13,000 44,000 5,987,238 152,877 6,140,115 17,505,455 1,319,670 506,800 2,577,222 110,000 784,500 5,298,192 965,881 6,524,391 6,264,073 $ 11,365,340 $ 11,241,382 Change in Unrestricted Net Assets $ 443,446 $ (123,958) 4% -1% 5,916,738 62,500 13,000 65,000 6,057,238 152,877 6,210,115 17,575,455 1,319,670 506,800 2,577,222 110,000 784,500 5,298,192 965,881 6,264,073 $ 11,311,382 $ (53,958) 0% $ 11,311,382 6,207,829 62,500 13,000 44,000 6,327,329 133,945 6,461,274 17,772,656 1,318,317 510,800 3,165,818 1,853,500 782,200 7,630,635 974,072 8,604,707 $ 9,167,949 $ (2,143,433) -19% Actual 1 Adopted 1 Estimate 1 Adopted 1 Description 2021 2022 2022 2023 Unrestricted Net Assets, January 1 $ 10,921,894 Revenues Charges for Services Interest Meters Miscellaneous Total Revenues: Other Sources Transfers In �. Total Revenues and Other Sources: rn Total Available: Expenditures Personal Services Supplies and Materials Other Services and Charges Capital Outlay Debt Service Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: Unrestricted Net Assets, December 31 6,740,115 (17,603) 44,946 51,674 6,819,132 148,705 6,967,837 17, 889, 731 1,176,277 337,097 2,276,842 972,851 780,493 5,543,560 980,831 $ 11,365,340 $ 11,365,340 5,867,738 62,500 13,000 44,000 5,987,238 152,877 6,140,115 17,505,455 1,319,670 506,800 2,577,222 110,000 784,500 5,298,192 965,881 6,524,391 6,264,073 $ 11,365,340 $ 11,241,382 Change in Unrestricted Net Assets $ 443,446 $ (123,958) 4% -1% 5,916,738 62,500 13,000 65,000 6,057,238 152,877 6,210,115 17,575,455 1,319,670 506,800 2,577,222 110,000 784,500 5,298,192 965,881 6,264,073 $ 11,311,382 $ (53,958) 0% $ 11,311,382 6,207,829 62,500 13,000 44,000 6,327,329 133,945 6,461,274 17,772,656 1,318,317 510,800 3,165,818 1,853,500 782,200 7,630,635 974,072 8,604,707 $ 9,167,949 $ (2,143,433) -19% City of Andover Internal Service Funds 2023 Budget Summary - All Internal Service Funds Statement of Revenues, Expenditures and Changes in Unrestricted Net Assets Unrestricted Net Assets, January 1 Revenues Charges for Services Interest Income Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: J Total Available: Expenditures and Other Uses Personal Services Supplies and Materials Other Services and Charges Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: Unrestricted Net Assets, December 31 $ 1,015,847 $ 963,504 $ 963,504 $ 794,888 1,321,744 (4,658) 80,211 1,397,297 1,397,297 2,413,144 546,835 360,128 542,677 1,449, 640 1,449,640 $ 963,504 1,433,715 4,000 1,437,715 1,437,715 2,401,219 612,590 415,700 584,141 1,612,431 1,612,431 $ 788,788 Change in Unrestricted Net Assets $ (52,343) $ (174,716) -5% -18% 1,433,715 4,000 21,000 1,458,715 1,458,715 2,422,219 623,690 415,700 587,941 1,627,331 1,627,331 $ 794,888 $ (168,616) -18% 1,612,630 4,000 1,616,630 1,616,630 2,411,518 632,788 480,920 604,383 1,718,091 1,718,091 $ 693,427 $ (101,461) -13% Actual Adopted 1 Estimate Adopted 1 Description 2021 2022 2022 2023 Unrestricted Net Assets, January 1 Revenues Charges for Services Interest Income Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: J Total Available: Expenditures and Other Uses Personal Services Supplies and Materials Other Services and Charges Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: Unrestricted Net Assets, December 31 $ 1,015,847 $ 963,504 $ 963,504 $ 794,888 1,321,744 (4,658) 80,211 1,397,297 1,397,297 2,413,144 546,835 360,128 542,677 1,449, 640 1,449,640 $ 963,504 1,433,715 4,000 1,437,715 1,437,715 2,401,219 612,590 415,700 584,141 1,612,431 1,612,431 $ 788,788 Change in Unrestricted Net Assets $ (52,343) $ (174,716) -5% -18% 1,433,715 4,000 21,000 1,458,715 1,458,715 2,422,219 623,690 415,700 587,941 1,627,331 1,627,331 $ 794,888 $ (168,616) -18% 1,612,630 4,000 1,616,630 1,616,630 2,411,518 632,788 480,920 604,383 1,718,091 1,718,091 $ 693,427 $ (101,461) -13% CITY OF ANDOVER General Fund Revenue & Expense Summary EXPENDITURES Actual Actual Actual Actual Actual Budget * Estimate Requested * Budget Change (*) General Government 2017 2018 2019 2020 2021 2022 2022 2023 $ % REVENUES Property Taxes $ 8,332,634 $ 8,634,130 $ 8,864,720 $ 9,303,235 $ 9,527,670 $ 10,076,370 $ 10,076,370 $ 10,814,789 738,419 7.33% License and Permits 546,378 562,525 855,831 892,277 891,762 535,500 692,400 573,000 37,500 7.00% Intergovernmental Revenues 793,932 829,861 822,129 861,178 939,174 817,284 839,347 839,907 22,623 2.77% Charges for Current Services 843,022 888,944 1,133,160 1,070,788 1,036,929 799,110 907,290 839,110 40,000 5.01% Fines and Forfeits 75,287 73,719 62,349 47,630 53,747 50,500 46,000 45,500 (5,000) -9.90% Interest Income 64,751 107,560 208,957 148,974 (15,183) 75,000 75,000 75,000 0 0.00% Miscellaneous Revenue 178,616 176,662 192,058 172,174 167,318 148,300 149,780 148,300 0 0.00% Transfers 196,930 178,558 188,008 190,688 212,031 197,081 197,081 228,772 31,691 16.08% TOTAL REVENUES 11,031,550 11,451,959 12,327,212 12,686,944 12,813,448 12,699,145 12,983268 13,564,378 865,233 6.66% EXPENDITURES General Government 2,642,223 2,748,464 2,843,957 2,906,325 3,020,260 3,504,589 3,475,939 3,812,860 308,271 8.80% 1- 00 00 Public Safety 4,778,336 4,956,352 5,091,793 5,162,234 5,532,429 5,743,417 5,743,417 5,943,867 200,450 3.49% Public Works 2,854,540 3,158,490 3,148,743 3,314,542 3,522,626 3,888,159 3,882,609 4,058,766 170,607 4.39% Other 764,875 241,940 15,001 1,012,778 766,109 245,928 645,928 90,600 (155,328) -63.16% TOTAL EXPENDITURES 11,039,974 11,105,246 11,099,494 12395,879 12,841,424 13,382,093 13,747,893 13,906,093 524,000 3.92% UNDER(OVER)BUDGET $ 8424 $ 346,713 $ 1,227,718 $ 291,065 $ 27,976 $ 682946 $ 764,625 $ 341,715 . $ 341,233 CITY OF ANDOVER Revenue Comparison - General Fund City of Andover Actual Actual Actual Budget Estimate Budget 2019 2020 2021 2022 2022 2023 REVENUES Licenses Permits Property Taxes $ 8,864,720 $ 9,303,235 $ 9,527,670 $ 10,076,370 $ 10,076,370 S 10,814,789 License and Permits 855,831 892,277 891,762 535,500 692,400 573,000 Intergovernmental Revenues 822,129 861,178 939,174 817,284 839,347 839,907 Charges for Services 1,133,160 1,070,788 1,036,929 799,110 907,290 839,110 Fines and Forfeits 62,349 47,630 53,747 50,500 46,000 45,500 Interest income 208,957 148,974 (15,183) 75,000 75,000 75,000 Miscellaneous Revenue 192,058 172,174 167,318 148,300 149,780 148,300 Transfers 188,008 190,688 212,031 197,081 197,081 228,772 TOTAL REVENUES $ 12,327,212 $ 12,686,944 $ 12,813,448 $ 12,699,145 $ 12,983,268 $ 13,564,378 City of Andover 2023 Revenue Comparison - General Fund Prop rty Taxes - - -- - Licenses Permits Inte ov I Rev Charge for Svcs Fines Forfeits Rev Inter Income Asc. rensfe s -$2.00 $0.00 $2.00 $4.00 $6.00 $8.00 $10.00 $12.00 Millions 0 Budget 2023 ■ Estimate 2022 N Actual 2021 • Actual 2020 • Actual 2019 City of Andover 2023 Revenue by Source -General Fund Misc. Rev 1% Interest Income Transfers 1% 2% Fines 8 Forfeits 0% Charges for Svcs 6% Intergov'I Rev 6% Licenses & Permits 4°k Propert Rev y Taxes 80% N O EXPENDITURES General Government Public Safety Public Works Other TOTAL EXPENDITURES CITY OF ANDOVER Expenditure Comparison - General Fund Actual General G oJt Actual Actual Budget Estimate Budget Public Se rets Public W orks Other 2019 2020 2021 2022 0 Budget 2023 ■ Esemele 2022 ■Actual 2021 •Actual 2022 2023 $ 2,843,957 26% $ 2,906,325 23% $ 3,020,260 24% $ 3,504,589 26% $ 3,475,939 25% $ 3,812,860 27% 5,091,793 46% 5,162,234 42% 5,532,429 43% 5,743,417 43% 5,743,417 42% 5,943,867 43% 3,148,743 28% 3,314,542 27% 3,522,626 27% 3,888,159 29% 3,882,609 28% 4,058,766 29% 15,001 0% 1,012,778 8% 766,109 6% 245,928 2% 645,928 5% 90,600 1% $ 11,099,494 $ 12,395,879 $ 12,841,424 $ 13,382,093 $ 13,747,893 $ 13,906,093 City of Andover 2023 Expenditure Comparison -General Fund General G oJt Public Se rets Public W orks Other i $0.00 $1.00 $2.00 $3.00 $4.00 $5.00 $6.00 $7.00 Millions 0 Budget 2023 ■ Esemele 2022 ■Actual 2021 •Actual City of Andover 2023 Expenditures by Function - General Fund Other 1% General Govt 27% Public Works 29% Public Safety 43% 2020 • ACNeI 2019 City of Andover 2023 Expenditures by Function - General Fund Other 1% General Govt 27% Public Works 29% Public Safety 43% N r expenditures by function CITY OF ANDOVER 2023 General Fund Expenditures by Function Other 0.7% General Government Public WorksI --- 27.4% 29.2% II - - n Public Safety 42.7% eneral aovernment expenditures CITY OF ANDOVER General Fund - General Government Expenditures Council Administration 7 8% Newsletter Human Resources Facility Mgmt^ 2_g� 0.6% 0.9% 20.2% \ Attorney 5.7% City Clerk Elections 2.2% Finance 9.3% Engineering 19.4% Assessing Planning & Zoning Information Systems 4.2% 14.9% 6.4% N N public safety expenditures CITY OF ANDOVER General Fund - Public Safety Expenditures Protective Inspection Emergency Management Animal Control 9.4% 0.6% 0.2% Fire Protection 33.5% Police Protection 56.3% CITY OF ANDOVER General Fund - Public Works Expenditures Natural Resource Recycling Preservation_ 5.9°/ Streets &Highways 0.3% \ 1 -�� 22.60 0 Parks & Recreation LSnow & Ice 40.4% - 19.1% Street Signs Street Lights - B(Iled Traffc Signals 5.2°/, 4 4°/ Street Lighting 1.1% 1.0% CITY OF ANDOVER General Fund - Expenditure Budget Summary Totals - By Department Budget Year 2023 PUBLICSAFETY Actual Actual Actual Actual Actual Budget* Estimate Requested* Change (') N Police Protection 2017 2018 2019 2020 2021 2022 2022 2023 $ % GENERAL GOVERNMENT 1,353,209 1,445,167 1,391,252 1,508,854 1,706,876 1,841,166 1,841,166 1,992,865 151,699 8.24% Mayor and Council $ 84,136 $ 87,813 $ 99,001 $ 95,519 $ 95,658 $ 107,347 $ 102,347 $ 110,104 2,757 2.57% Administration 187,514 198,945 211,898 187,758 229,314 238,442 236,842 297,277 58,835 24.67% Newsletter 25,287 17,770 24,413 22,156 22,945 27,300 29,000 30,000 2,700 9.89% Human Resources 15,520 13,666 15,842 16,181 20,836 34,661 34,661 35,458 797 2.30% Attorney 188,644 188,031 191,782 195,721 199,809 212,041 212,041 219,221 7,180 3.39% City Clerk 147,450 149,769 160,184 166,221 175,177 185,278 185,278 196,235 10,957 5.91% Elections 17,852 50,629 20,452 91,643 20,260 77,188 77,188 85,140 7,952 10.30% Finance 258,883 272,851 280,199 294,501 307,009 337,466 334,716 355,854 18,388 5.45% Assessing 147,915 149,040 149,033 154,482 128,829 161,000 140,000 161,000 0 0.00% Information Services 149,512 171,637 169,827 187,703 185,642 226,601 226,601 242,922 16,321 7.20% Planning & Zoning 398,780 422,983 412,282 453,133 491,395 526,669 526,669 567,673 41,004 7.79% Engineering 511,183 527,688 561,642 566,224 594,720 652,908 652,908 741,037 88,129 13.50% Facility Management 509,547 497,642 547,402 475,083 548,666 717,688 717,688 770,939 53,251 7.42% Total General Gov 2,642,223 2,748,464 2,843,957 2,906,325 3,020,260 3,504,589 3,475,939 3,812,860 308,271 8.80% PUBLICSAFETY N Police Protection 2,962,551 3,053,526 3,183,610 3,114,623 3,287,046 3,337,486 3,337,486 3,347,315 9,829 0.29% w Fire Protection 1,353,209 1,445,167 1,391,252 1,508,854 1,706,876 1,841,166 1,841,166 1,992,865 151,699 8.24% Protective Inspection 443,712 436,790 493,955 519,183 519,787 529,812 529,812 559,182 29,370 5.54% Emergency Management 16,320 18,060 18,608 17,227 15,203 29,003 29,003 33,555 4,552 15.69% Animal Control 2,544 2,809 4,368 2,347 3,517 5,950 5,950 10,950 5,000 84.03% Total Public Safety 4,778336 4,956,352 5,091,793 5,162,234 5,532,429 5,743,417 5,743,417 5,943,867 200,450 3.49% PUBLIC WORKS Streets and Highways 597,963 656,194 615,450 686,978 804,392 868,864 868,864 915,356 46,492 5.35% Snow and Ice Removal 449,881 599,029 703,647 496,668 540,226 702,923 707,373 774,897 71,974 10.24% Street Signs 214,540 206,890 202,996 257,281 196,782 230,094 230,094 212,254 (17,840) -7.75% Traffic Signals 36,151 33,857 26,422 23,045 33,362 40,000 40,000 44,000 4,000 10.00% Street Lighting 27,735 32,829 32,716 34,211 36,533 40,400 40,400 42,400 2,000 4.95% Street Lights - Billed 144,451 142,937 145,604 152,181 156,841 180,500 180,500 180,500 0 0.00% Park & Recreation 1,207,360 1,282,414 1,180,502 1,426,233 1,505,145 1,573,086 1,573,086 1,637,954 64,868 4.12% Natural Resource Preservation 6,503 5,158 16,831 9,821 9,738 14,311 14,311 13,398 (913) -6.38% Recycling 169,956 199,182 224,575 228,124 239,607 237,981 227,981 238,007 26 0.01% Total Public Works 2,854,540 3,158,490 3,148,743 3314,542 3522,626 3,888,159 3,882,609 4,058,766 170,607 4.39% OTHER 764,875 241,940 15,001 1,012,778 766,109 245,928 645,928 90,600 (155,328) -63.16% Total Other 764,875 241,940 15,001 1,012,778 766,109 245,928 645,928 90,600 (155,328) -63.167% GRAND TOTAL $ 11,039,974 $ 11,105,246 $ 11,099,494 $ 12395,879 $ 12,841,424 $ 13,382,093 $ 13,747,893 $ 13,906,093 524,000 3.92% CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. A RESOLUTION ADOPTING THE CITY OF ANDOVER 2023 BUDGET AND 2023 PROPERTY TAX LEVY TO BE CERTIFIED TO THE COUNTY AUDITOR. WHEREAS, the preparation and adoption of budgets is recognized as sound financial practice; and WHEREAS, the City of Andover receives significant financial support from its residents through the payment of property taxes; and WHEREAS, the City of Andover has the responsibility to appropriately and efficiently manage the public's funds; and WHEREAS, Minnesota State Law requires the City to certify to the County Auditor an adopted tax levy and budget prior to December 28, 2022; and WHEREAS, Minnesota State Law requires the City to certify to the State of Minnesota Department of Revenue an adopted tax levy by December 28, 2022. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Andover hereby adopts the 2023 City of Andover Budget and the 2023 property tax levy totaling $17,073,084 as listed on Attachment A. BE IT FURTHER RESOLVED that the City Council of the City of Andover hereby establishes the 2023 City of Andover Budget by fund type as follows: REVENUES EXPENDITURES General Fund $ 13,564,378 General Fund $ 13,906,093 Special Revenue Funds 4,135,216 Special Revenue Funds 4,476,705 Debt Service Funds 4,661,997 Debt Service Funds 4,393,198 Capital Projects Funds 14,778,263 Capital Projects Funds 21,028,445 Enterprise Funds 6,461,274 Enterprise Funds 8,604,707 Internal Service Funds 1,616,630 Internal Service Funds 1,718,091 Total $ 45,217,758 Total $ 54,127,239 Adopted by the City of Andover this _ day of December 2022. ATTEST: Michelle Harmer — Deputy City Clerk 24 CITY OF ANDOVER Sheri Bukkila - Mayor STATE OF MINNESOTA) COUNTY OF ANOKA ) CITY OF ANDOVER I, the undersigned, being the duly qualified and acting City Clerk of the City of Andover, Minnesota, do hereby certify that I have carefully compared the attached Resolution No. adopting the City of Andover 2023 Budget and 2023 Property Tax Levy with the original record thereof preserved in my office, and have found the same to be true and correct transcript of the whole thereof. IN TESTIMONY WHEREOF, I have hereunto subscribed my hand this day of December 2022. Michelle Hartner — Deputy City Clerk 25 CITY OF ANDOVER, MINNESOTA 2023 Property Tax Levy General Fund Levy General Operations Community Center Operations Park Repair/Replacement Items Total General Fund Debt Service Funds Levy 2012C Taxable G.O. Abatement Bonds 2018A G.O. Capital Improvement Plan Bonds 2019A Taxable G.O. Abatement Bonds 2020A G.O. Equipment Certificate 2021A G.O. Equipment Certificate 2021A G.O. Street Reconstruction Bonds Total Debt Service Other Levies Capital Projects Levy Capital Equipment/Project Facility Maintenance Reserve Parks Projects Road & Bridge Pedestrian Trail Maintenance Lower Rum River Watershed Total Other Gross City Levy 26 Attachment A Proposed 2023 $ 10,591,789 155,000 145,000 10,891,789 969,745 612,794 1,028,782 376,740 174,773 603,863 3,766,697 275,000 355,000 15,000 1,619,190 110,408 40,000 2,414,598 $ 17,073,084 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers CC: Jim Dickinson, City Administrato FROM: Lee Brezinka, Finance Manager SUBJECT: Discuss/Adopt 2023 Debt Service Levy Changes DATE: December 6, 2022 INTRODUCTION Anoka County Property Records and Taxation Division requires a City Council resolution changing bonded indebtedness levies for 2023 that would have been certified to Anoka County as part of prior years bond sales. DISCUSSION When the City issues bonds, a certification of the bonded indebtedness levy is sent to Anoka County. The County is charged with assuring on an annual basis that local government bonded indebtedness payments are made. To assist in monitoring, the County is requesting a resolution that would update all or a portion of previously certified bonded indebtedness levies. Attached is a resolution to update bonded indebtedness levies along with a brief description as to why there was a change. BUDGETIMPACT The 2023 City of Andover Debt Service Budget is current and up-to-date. This resolution is to inform the County of any changes that have taken place in the past year as well as any new issuances proposed to be levied for 2023. ACTION REQUESTED The Andover City Council is requested to approve the attached resolution that would update certified bonded indebtedness levies for 2023. Respectfully submitted, Lee Brezinka Attachment: Resolution Updating Certified Bonded Indebtedness for 2023 Attachment A — 2023 Proposed Levy Certification Debt Changes CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA 0FZ 0 A RESOLUTION UPDATING CERTIFIED BONDED INDEBTEDNESS FOR 2023. WHEREAS, the preparation and adoption of budgets is recognized as sound financial practice; and WHEREAS, the City of Andover has the responsibility to appropriately and efficiently manage the public's funds; and WHEREAS, the City of Andover has determined that it is prudent to update certified bonded indebtedness levies for 2023; and WHEREAS, the Anoka County Property Records and Taxation Division is requiring a City Council resolution updating bonded indebtedness levies that would have been certified to Anoka County as part of prior year bond sales. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Andover hereby updates all or a portion of previously certified bonded indebtedness levies for 2023 as listed on Attachment A. Adopted by the City of Andover this 6th day of December 2022. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Harmer — Deputy City Clerk STATE OF MINNESOTA) COUNTY OF ANOKA CITY OF ANDOVER I, the undersigned, being the duly qualified and acting City Clerk of the City of Andover, Minnesota, do hereby certify that I have carefully compared the attached Resolution No. adopting the City of Andover updates of all or a portion of previously certified bonded indebtedness levies for 2023 with the original record thereof preserved in my office, and have found the same to be true and correct transcript of the whole thereof. IN TESTIMONY WHEREOF, I have hereunto subscribed my hand this 6th day of December 2022. Michelle Hartner — Deputy City Clerk CITY OF ANDOVER 2023 Proposed Levy Certification Debt Changes County Levy City Levy Levy GENERAL OBLIGATION DEBT Scheduled Scheduled Changes Variance Explanation 70 2012C GO Taxable Abatement Bonds 74 2018A GO Capital improvement Plan Bonds 75 2019A GO Taxable Abatement Bonds 76 2020 GO Equipment Certificate 77a 2021A GO Street Reconstruction Bonds 77b 2021A GO Equipment Certificate Total $ 969,745 $ 969,745 $ 612,794 612,794 1,028,782 1,028,782 376,740 376,740 603,863 603,863 174,773 174,773 $ 3,766,697 $ 3,766,697 $ Meet bona fide debt service requirements Meet bona fide debt service requirements Meet bona fide debt service requirements Meet bona fide debt service requirements Meet bona fide debt service requirements Meet bona fide debt service requirements 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: FROM: SUBJECT: DATE: Mayor and Councilmembers Jim Dickinson, City Administrator Consider Resolution in support of Anoka County Joint Law Enforcement Council's Renewal of Legislation for Future Public Safety Projects December 6, 2022 INTRODUCTION The Anoka County Public Safety Levy statute is set to expire in 2023. There has been discussion and interest in pursuing the State of Minnesota Legislature to continue the Public Safety Levy to 2033. City Administration is requesting support from the Council via a resolution of support. BACKGROUND The City of Andover is part of the Anoka County Joint Law Enforcement Council (JLEC) via our Anoka County Sheriffs Office Law Enforcement contract. The JLEC is a group comprised of elected officials and chief law enforcement officers from across Anoka County. Currently Mayor Bukkila is on the JLEC. The JLEC works on countywide projects that impact public safety and do so in the spirit of cooperation and in a cost-effective manner that benefits all Anoka County municipalities with an economy of scale. One important piece of the JLEC that was passed years ago was a state statute that authorizes a Public Safety Levy which can be levied by the Anoka County Board for public safety projects that the JLEC first approves. The Public Safety Levy is listed separately on tax statements but is part of the County's overall Certified Levy. When the State of Minnesota passed the statute, it was set to expire at the end of 2023. At the time of the creation of the statute, all cities and townships in Anoka County passed resolutions of support for the statute to the State of Minnesota. As the statute is set to expire at the end of 2023, there have been discussions at the JLEC about renewing statute. The proposed renewal statute does not dictate how much is levied, just authorizes the levy to occur for properly approved projects. The Levy has been used for various large items in the past with countywide implications, including radio system upgrades and the Anoka County Public Safety Data System. Current discussions regarding the voting ratios on the JLEC has yielded a request from Anoka County to remove the Public Safety Levy from the County's overall certified levy but extending the statutory authorization. The attached resolution of support is being requested by municipalities across the County to show support for continuation of the levy. ACTION REQUESTED Consider resolution in support of Anoka County Joint Law Enforcement Council's Renewal of Legislation for Future Public Safety Projects. submitted, Jim ATTACHMENT G MINNESOTA STATUTES 2021 383E.21 383E.21 COUNTYWIDE PUBLIC SAFETY IMPROVEMENTS AND EQUIPMENT; BONDING AND TAX LEVIES. Subdivision 1. Authority to levy property taxes and incur debt. (a) To finance the cost of designing, constructing, and acquiring countywide public safety improvements and equipment, including personal property, benefiting both Anoka County and the municipalities located within Anoka County, the governing body of Anoka County may levy property taxes for public safety improvements and equipment, and issue: (1) capital improvement bonds under the provisions of section 373.40 as if the infrastructure and equipment qualified as a "capital improvement" within the meaning of section 373.40, subdivision 1, paragraph (b); and (2) capital notes under the provisions of section 373.01, subdivision 3, as if the equipment qualified as "capital equipment" within the meaning of section 373.01, subdivision 3. Personal property acquired with the proceeds of the bonds or capital notes issued under this section must have an expected useful life at least as long as the term of debt. (b) The outstanding principal amount of the bonds and the capital notes issued under this section may not exceed $8,000,000 at any time. Any bonds or notes issued pursuant to this section must only be issued after approval by a majority vote of the Anoka County Joint Law Enforcement Council, ajoint powers board. Subd. 2. Treatment of levy. Notwithstanding sections 275.065, subdivision 3, and 276.04, the county may report the tax attributable to any levy to fund public safety capital improvements or equipment projects approved by the Anoka County Joint Law Enforcement Council or pay principal and interest on bonds or notes issued under this section as a separate line item on the proposed property tax notice and the property tax statement. Subd. 3. Any levy issued pursuant to this section shall not be included within the certified levy of the county. Subd.4 4. Expiration. This section expires on December 31, 242-3 2033. The county may not issue a bond or note under this section with a maturity or payment date after the expiration date of this section. No property tax may be levied under this section for taxes payable in a calendar year after the calendar year in which this section expires. Expiration of this section does not affect the obligation to pay or the authority to collect taxes levied under this section before its expiration. History: 2002 c 390 s 27; 2005 c 28 s 1; 2011 c 112 art 11 s 12; 2014 c 308 art 2 s 14,15 Official Publication of the State of Minnesota Revisor of Statutes CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. A RESOLUTION OFTHE CITY OF ANDOVER SUPPORT OF ANOKA COUNTY JOINT LAW ENFORCEMENT COUNCIL'S RENEWAL OF LEGISLATION FOR FUTURE PUBLIC SAFETY PROJECTS WHEREAS, the Anoka County Joint Law Enforcement Council (JLEC) was formed in 1970 to benefit the public safety of the citizens of Anoka County; and WHEREAS, the JLEC has nearly five decades of experience successfully creating and managing shared services for its member communities; WHEREAS, the City of Andover has actively participated in the JLEC through the participation of our chief law enforcement officer and our elected officials; and WHEREAS, the safety of the public and police and fire personnel will be enhanced by improvements from future county -wide projects; and WHEREAS, both residents of and public safety agencies in Anoka County have benefitted from improved public safety, increased effectiveness, and resource conservation due to the resulting economies of scale provided by shared and consolidated services; and WHEREAS, the JLEC desires to implement a comprehensive shared public safety information system in Anoka County whereby law enforcement, fire, jail, dispatch, and emergency preparedness data may be maintained and shared; and WHEREAS, Minn. Stat. 383E.21 has authorized the County of Anoka to levy property taxes for public safety improvements and equipment, and to issue capital improvement bonds and capital notes for such public safety projects as are approved by the JLEC until Dec. 31, 2023; and WHEREAS, the JLEC supports a legislative change to allow the use of the bonding and capital notes issuance authority, provided in Minnesota Statute 383E.21, to fund countywide public safety projects until Dec. 31, 2033; NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Andover does with this action support and endorse the extension of the existing bonding and capital note issuance authority under Minn. Stat. 383E.21 until Dec. 31, 2033; and BE IT FURTHER RESOLVED that the City Council does hereby support this expansion of the public safety bonding and capital note issuance authority, provided by Minn. Stat. 383E.21, to county -wide public safety projects. Adopted by the Andover City Council on the 61b day of December 2022. CITY OF ANDOVER Mayor Sheri Bukkila - Mayor Attest: Michelle Hartner, Deputy City Clerk IF,?$ ME I maw 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers FROM: Jim Dickinson, City Administrator Scott Baumgartner, City Attorney SUBJECT: Discuss/Review Tobacco Ordinance DATE: December 6, 2022 ACTION REQUESTED The Council is asked to review the attached materials, receive a brief presentation, and provide direction to staff relative to the next steps the City of Andover should undertake related to the "Sale of Tobacco Related Products." BACKGROUND Council discussion at the August 23, 2022, workshop focused on a proposed Cannabinoid Products Regulatory Ordinance, discussion regarding the "Sale of Tobacco Related Products" was deferred. The Council received a letter dated August 23, 2022, from the Twin Cities Medical Society discussing tobacco products and its impact on youth. Council direction from the August 23, 2022, Council workshop meeting (minutes attached) was to continue discussion at a future workshop. At a September 27, 2022, City Council Workshop, guests were invited to provide background on the topic including a cardiologist from HealthPartners, a representative from Advocates for Better Health and representatives from the Association of Non -Smokers Minnesota, Based on direction provide at a September 2022 Workshop (minutes attached) and an October 2022 Workshop (minutes attached), staff has prepared draft modifications to the "Sale of Tobacco Related Products" code. Attached is a redlined version of changes the City Attorney has incorporated into the Tobacco Ordinance based on Council comments at the workshops. The goal is to finalize the ordinance for a December 20, 2022, consideration for approval. Also attached, for Council review is an Administrative Hearing process. Administration and the City Attorney will be seeking direction from the Council if the proposed process meets with Council desires. The goal will be to finalize the Administrative Hearing process for a December 20, 2022, consideration for approval. ADDITIONAL BACKGROUND- Tobacco Sales The City Currently has sixteen (16) tobacco licenses total: Jim - five (5) convenience stores - five (5) vape/tobacco shop - six (6) w/other (grocery, big box, liquor, pharmacy) submitted, — Council minutes & draft ordinance proposals ANDOVER CITY COUNCIL WORKSHOP MEETING—AUGUST 23, 2022 MINUTES The Workshop Meeting of the Andover City Council was called to order by Mayor Sheri Bukkila, August 23, 2022, at 6:00 p.m., at the Andover City Hall, 1685 Crosstown Blvd NW, Andover, Minnesota. Councihnembers present: Valerie Holthus, Jamie Barthel, Ted Butler, and Randy Nelson Councilmember absent: None Also present: City Administrator Jim Dickinson Public Works Director/City Engineer David Berkowitz City Attorney Scott Baumgartner Natural Resources Technician Kameron Kytonen Others DISCUSS EDIBLE THC REGULA TIONSITOBA CCO LICENSING The City Council was requested to review THC Regulations and Tobacco Licensing and provide direction to staff on a policy. Mr. Dickinson stated there are businesses currently selling THC and the City has no regulations, deferring to State regulations. He presented three options: do nothing, interim ordinance with a moratorium, or adopt an ordinance without a moratorium. Mr. Baumgartner does not recommend doing nothing. He recommended adopting an ordinance without a moratorium, using the tobacco ordinance as a template, using a moratorium it is double the work, when we could just focus our efforts on deploying an ordinance. The City Council reached consensus to move forward with an ordinance without a moratorium. The City Council reached consensus on the following: • Have a licensing process • Limiting the number of licenses to 3 • Distance of 1000 feet from establishment door to the property line of public and private schools, commercial daycares, and treatment centers • Restrict sellers to shops that only allow 21 and older • Person selling product must be 21 or older • Establishment must close at 10:00 p.m. • Distance between establishments must be 1000 feet • No delivery or online sales Andover City Council Workshop Meeting Minutes —August 23, 2022 Page 2 • No transient or pop-up sales • Background checks on owners and managers • Administrative penalties, revocation options • Grandfather clause does not apply Mr. Baumgartner will draft an ordinance for the Council's review. Mr. Baumgartner stated in his opinion this is a test to legalizing marijuana and recommended addressing a manufacturing and distribution ordinance as well. The Council indicated an interest in reviewing the number of tobacco licenses and the penalties involved with selling to minors at a future workshop. NATURE PRESERVE PRESENTATION REGARDING ACQUISITION FUNDING The City Council was requested to hear a presentation from Nature Preserve Commissioner Gwinn on methods of acquiring more land for nature preserves. Mr. Kytonen explained Commissioner Gwinn has researched options and provided a proposal, reviewed and supported by the Nature Preserve Commission. Commissioner Gwinn provided background on the importance of nature preserves close to home. He stated land in the MUSA is exponentially more expensive than outside the MUSA. Commissioner Gwinn proposed increasing the Park Dedication Fee with a portion going to the Nature Preserve Land Acquisition Funds. He detailed the significance and benefits of preserving open space. Councilmember Nelson thanked Commissioner Gwinn for a wonderful presentation and thinking outside the box. He stated the reason people move to Andover is the rural feel. He would like to avoid raising taxes to acquire open space. Councilmember Nelson asked if it was legal to raise the Park Dedication Fee and transfer it to Nature Preserve Fund. Mr. Dickinson stated nature preserves would have to be integrated into the park system and the fee determined, stating a nexus connection needs to be demonstrated. He stated the Council can go out for a referendum vote and suggesting with the next city survey gauge resident interest. Mayor Bukkila stated the park system is nearly built out and the Park Commission has a plan for completing the park system. She doesn't want to take away from the park system and if the City raises the Park Dedication Fee, it will be passed on to the buyer. Councilmember Holthus stated Andover is getting low on space and asked where desirable land is. ANDOVER CITY COUNCIL WORKSHOP MEETING — SEPTEMBER 17, 2022 MINUTES The Workshop Meeting of the Andover City Council was called to order by Mayor Sheri Bukkila, September 27, 2022 at 6:00 p.m., at the Andover City Hall, 1685 Crosstown Boulevard NW, Andover, Minnesota. Councilmembers present: Valerie Holthus, Jamie Barthel, Ted Butler, and Randy Nelson Councilmember absent: None Also present: City Administrator, Jim Dickinson Public Works Director/City Engineer, David Berkowitz Utilities Manager, Steve Weinhold Fire Chief, Dennis Jones Assistant Fire Chief, Ernie Scherger Others (CONTINUED DISCUSSION) TOBACCO LICENSING/SALE OF TOBACCO RELATED PRODUCTS The Council is requested to receive a presentation and discuss changes to the sale of tobacco related product. Councilmember Butler stated residents brought the number of vape shops in Andover to his attention. He started looking into the City's tobacco ordinance and how to discourage youth from using tobacco products. Dr. Thomas Kottke, Cardiologist with HealthPartners, stated their mission is to limit access to nicotine products for youth. He explained the negative effects of nicotine on the brain of youth. He stated City Council is doing the right thing by limiting access. Councilmember Holthus stated she would like to see a limit on licenses in the City. She works in a secondary school and said there are students that are addicted to nicotine. She feels the City needs more stops in the path of access, especially for middle schoolers. Councilmember Nelson stated the number one cancer death in the U.S. is lung cancer for males and females. He says the key is to limit flavored tobacco and have a steeper fine for selling to minors. Andover City Council Workshop Meeting Minutes —September 27, 2022 Page 2 Councilmember Butler stated many communities have either eliminated flavored tobacco or restricted it to 21+ tobacco shops. Councilmember Barthel would like to see a limited number of licenses. He said there must be stricter punishments for selling to minors. Mayor Bukkila stated limiting licenses is within the City's purview. She believes limiting products is a legislative action at the State level. Mayor Bukkila stated the products need to be secured at the point of sale. Councilmember Butler listed his suggestions for changes to the tobacco ordinance. • Limit number licenses, grandfather existing licenses, if license is revoked then it would go away until the City is at the set number of licenses. • Restrict or ban the sale of flavored tobacco. • If a license is revoked, do not allow a license at the same address for a set time period. • Set a distance restriction from schools and daycares. • Fees and fines are lower than allowable by State Statute and should be increased. Mr. Baumgartner noted selling tobacco to a minor is a petty misdemeanor according to State Statute. The State allows for a city to adopt a stricter ordinance. He explained the City can set the penalty for selling to minors at a misdemeanor. The penalty would be a maximum of 90 days in jail and/or a $1,000 fine. Mr. Baumgartner stated the higher penalty may improve attention to detail and reduce the sale of tobacco to minors. He explained the City can charge the seller criminally and the license holder civilly. Mayor Bukkila asked if the City searches for petty misdemeanors when doing a background check on a license application. Mr. Dickinson stated the background checks catch misdemeanors and higher. Mayor Bukkila stated the Council is brainstorming ideas on limiting tobacco sales and needs homework and feedback from staff. She would like the penalty for tobacco sales to minors be consistent with selling alcohol to minors. Lucy Farber, with Advocates for Better Health, explained what actions other cities have taken to limit the sale of tobacco. The Council discussed effects of changing the ordinance on undeveloped parts of the City. If a gas station wanted to open in a new development area, it would not be able to sell tobacco if the City limited the number of licenses. Mr. Baumgartner suggested dividing the City into quadrants and Andover City Council Workshop Meeting Minutes —September 27, 2022 Page 3 setting a limit on licenses within each quadrant. The City Council had a robust discussion regarding changes to the tobacco ordinance and requested staff to return with a draft ordinance at a future workshop. DISCUSS CORRIDORS OF COMMERCE POTENTIAL PARTICIPATION The City Council is requested to discuss participation in the Corridors of Commerce (COC) funding request for a third lane on Highway 10 called "strategic congestion mitigation lane between Hanson Boulevard and Round Lake Boulevard". The City of Coon Rapids and Anoka County approached the City to apply for funding to add the third lane. Mr. Berkowitz stated Andover residents would benefit if this additional lane is completed. The Council reached consensus to move forward with the application. DISCUSSIREVIEW WATER UTILITYEMERGENCYRESPONSE The City Council is requested to discuss and review the Emergency Response for the Water Boil Advisory that was issued on Sunday, August 28, 2022. Mr. Berkowitz stated there was a failure in the communication between the system and the water tower causing a loss in pressure. Staff contacted the MN Department of Health and they recommended a water boil advisory. The water boil was lifted within 24 hours. Mr. Berkowitz explained the water infrastructure is a protected system and infrastructure detail is not shared with the public. He stated Anoka County used Hiplink to inform the public about the water boil. He stated the media was extremely helpful. The City used aggressive communication methods through signs, message boards, social media, County communication, and local media. Staff delivered notes to senior facilities, daycares, local businesses, and placed signs in gas stations. Mayor Bukkila stated the failure happened at 5:00 a.m. and the notification occurred at 10:00 a.m. She asked for an explanation of the timeline. Mr. Weinhold stated staff were alerted through an alarm around 5:10 a.m. He was able to log in and get the pumps working at 5:25 a.m. Mr. Weinhold reviewed the steps staff took to rectify the situation. Mr. Berkowitz stated the City needed to identify the problem, find the solution, and notify the public. He stated the outgoing communication needed to be accurate and consistent to maintain credibility. Staff created a map, set up phone lines, and called in staff to operate the lines. All staff that were asked to come in, came in. Mr. Dickinson explained the City's response and mobilization efforts from his experience. He stated communication was approved for dissemination by 9:45 a.m. Mr. Dickinson stated staff identified ANDOVER CITY COUNCIL WORKSHOP MEETING— OCTOBER 25, 2022 MINUTES The Workshop Meeting of the Andover City Council was called to order by Mayor Sheri Bukkila, October 25, 2022 at 6:00 p.m., at the Andover City Hall, 1685 Crosstown Boulevard, Andover, Minnesota. Councilmembers present: Valerie Holthus, Jamie Barthel, Ted Butler, and Randy Nelson Councilmember absent: None Also present: City Administrator, Jim Dickinson Public Works Director/City Engineer, David Berkowitz City Attorney, Scott Baumgartner Others DISCUSS CROSSTOWN BOULEVARD NW TRAIL (XEON STREET NW TO 259TH AVENUE NWy23-I2 The Council is requested to discuss Crosstown Boulevard NW Trail from Bluebird Street NW to North of Fire Station #3 easement needs. Mr. Berkowitz updated the Council on the progress of the project. He stated staff has contacted property owners and are working on acquiring easements. Mr. Berkowitz asked the Council to provide direction on staff on how to proceed with the cost of acquiring the easements. He estimated the easements would cost around $150,000. Mr. Berkowitz proposed $2 per square foot for the utility easement, and up to an additional $1 per square foot for trail depending on circumstances. He asked the Council if they were interested in building the trail in segments if they can't reach agreements with property owners. The Council reached consensus to offer $2 per square foot for easement and granting staff latitude to go up to $3 per square foot in negotiations depending on unique circumstances. The Council will consider building the trail in segments if the segments make sense. Staff will provide regular updates on easement negotiation progress. (CONTINUED DISCUSSION) TOBACCO LICENSING/SALE OF TOBACCO RELATED PRODUCTS The City Council is requested to review proposed changes to the tobacco ordinance. Mr. Dickinson and Mr. Baumgartner reviewed previous meetings and past direction from the Council. The Council Andover City Council Workshop Meeting Minutes — October 25, 2022 Page 2 thoroughly discussed ordinance impacts and are providing direction as follows: • Limiting number of licenses to 17 citywide • Increasing administrative penalties o First offense: $250 fine o Second offense: $500 fine and suspension of license for no less 3 days and up to 7 days o Third offense: $1,000 fine and suspension of license for no less than 7 days up to 30 days appeal with an administrative hearing within 10 days • License holder may appeal and are required to pay all costs relating to the administrative hearing • The administrative hearing will be conducted by an Administrative Hearing Officer • Not allowing self-service sales • Keeping product away from public with a barrier for lower stocked items Staff will redraft the ordinance and bring back to Council at a future workshop. RECESS AND RECONVENE Mayor Bukkila recessed the meeting at 7:35 p.m. The Council reconvened at 7:50 p.m. DISCUSS MUNICIPAL STRUCTURE The City Council was requested to discuss and review information regarding implementation of a ward system. Mr. Dickinson stated the City of Andover is a Plan A statutory City and there is no authority for a statutory city to adopt a ward system. He explained the City can authorize a Charter Commission, go through the charter process, and place it on the ballot. Councilmember Holthus stated she requested the ward system be looked at because the rural part of Andover is very different than other areas and she is concerned about them not being represented. She understands that changing the form of government is a daunting task. Her priority is to have the rural area represented. Councihnember Butler stated it is incumbent on the City Council to represent all residents of the City. Mayor Bukkila stated all residents have five Councilmembers to contact, as they are elected City-wide. Staff was directed to not pursue further study. CHAPTER SALE OF TOBACCO RELATED PRODUCTS SECTION: 3-2-1: Definitions 3-2-2: License Required 3-2-3 Licenses Available 3-2-34: Application For License; Issuance 3-245: License Fee; Expiration and Non -transferability Of License 3-2-56: Display of License 3-2-0: Conditions Of License; Prohibited Sales 3-2-78: Self -Service Sales 3-2-89: Compliance Checks 3-2-810: Suspension Or Revocation Of License 3-24611: Administrative Penalties 3-2-3312: Misdemeanor Violation; Penalty 3-2-1: DEFINITIONS: The following words and terms, when used in this chapter, shall have the following meanings unless the context clearly indicates otherwise: ADMINISTRATIVE HEARING: The processes and procedures as set forth in Title 3 Chapter 10 of the Andover City Code. ELECTRONIC DELIVERY DEVICE: Any product containing or delivering nicotine, lobelia, or any other substance intended for human consumption that can be used by a person to simulate smoking in the delivery of nicotine or any other substance through inhalation of vapor from the product. Electronic delivery device includes any component part of a product, whether or not marketed or sold separately. Electronic delivery device does not include any product that has been approved or certified by the United States Food and Drug Administration for sale as a tobacco -cessation product, as a tobacco -dependence product, or for other medical purposes, and is marketed and sold for such an approved purpose. (Amended Ord. 445, 12/16/14) - Commented [SB11: NOW that this definition will only be applicable if the Administrative Hearing Ordinanu is ultimately adopted by the City Comcil. MOVEABLE PLACE OF BUSINESS: A business whose physical location is not permanent or is capable of being moved or changed. PERSON: Shall include natural persons, partnerships, firms, corporations and associations. TOBACCO RELATED PRODUCTS: Cigarettes; cigars; cheroots; stogies; perique, granulated, plug cut, ready, rubbed and other smoking tobacco; snuff, snuff flowers, cavendish, plug and twist tobacco; fine cut and other chewing tobacco; shorts, refuse, scripts, clippings, cuttings, and sweepings of tobacco prepared in such a manner as to be suitable for chewing, sniffing or smoking in a pipe; cigarette papers or pipes for smoking. (Amended Ord. 227,8-5-1997) 3-2-2: LICENSE REQUIRED: No person shall directly or indirectly keep for retail sale, sell at retail, dispense, or give away in a retail setting any tobacco related product or electronic delivery device at any place in the city without first obtaining a license from the city. (Amended Ord. 227, 8-5-1997; Amended Ord. 445, 12/16/14) 3-2-3: LICENSES AVAILABLE: There shall be no more than seventeen (17) licenses issued in any one (1) year. Establishments renewing a current license shall have priority over new Establishments requesting a new license provided: (1) The renewing establishment complies with the requirements for renewal under this Chapter and (2) There have been no violations under this Chapter by the renewina establishment. 3-2-34: APPLICATION FOR LICENSE; ISSUANCE: Application for a license shall be made to the City Clerk on a form supplied by the city. The application shall state the full name and address of the applicant, the location of the building and the part to be used by the applicant under license, the kind of business conducted at such location, and other information as shall be required as stated in the application form or by the City Clerk. The completed application shall be presented to the City Council for its consideration and, if granted, shall be issued by the City Clerk upon payment of the required fee. (Amended Ord. 227, 8-5- 1997) 3-2-45: LICENSE FEE; EXPIRATION AND NONTRANSFERABILITY OF LICENSE: The fee for every such license shall be in the amount as set forth by ordinance'. Licenses shall be valid for one year and shall expire on December 31. Licenses shall not be transferable from one person to another. (Amended Ord. 227, 8-5-1997; amd. 2003 Code) 3-2-56: DISPLAY OF LICENSE: Every license shall be kept conspicuously posted at the location for which the license is issued and shall be exhibited to any person upon request. (Amended Ord. 227, 8-5-1997) 3-2-67: CONDITIONS OF LICENSE; PROHIBITED SALES: A. Regulations: The following regulations shall apply to the sale of tobacco related products or electronic delivery device (Amended Ord. 445, 12/16/14): 1. No license shall be issued to a person not of good moral character 2. No license shall be issued to an applicant for sale of tobacco related products or electronic delivery device at any place other than the licensee's established place of business. (Amended Ord. 445, 12/16/14) 3. No license shall be issued for the sale of tobacco related products or electronic delivery device at a moveable place of business. (Amended Ord. 445,12/16/14) 4. No person shall sell or give away any tobacco related products or electronic delivery device to any person below the age as required by Minnesota statutes and/or the United States Food and Drug Administration. (Amended Ord. 445, 12/16/14; Amended Ord. 500, 1/21/20) 5. No tobacco related products or electronic delivery device may be sold outside the location or area covered by the license. (Amended Ord. 445, 12/16/14) B. Vending Machines: No person shall sell, dispense, or give away any tobacco related product or electronic delivery device through the use of a vending machine or similar automated dispensing device. This subsection does not apply to vending machines in facilities that cannot be entered at any time by persons younger than eighteen -twenty-one (3821) years of age. (Amended Ord. 227, 8-5-1997; amd. 2003 Code; Amended Ord. 445, ' See subsection 1-7-3A of this code. 12/16/14) 3-2-78: SELF-SERVICE SALES: A. 1. Except in adult only facilities, no licensee shall offer for sale single packages of cigarettes or smokeless tobacco in open displays that are accessible to the public without the intervention of a store employee. (Amended Ord. 227, 8-5-1997; amd. 2003 Code) 2. The self-service restriction described in this subsection shall not apply to retail stores that derive at least ninety percent (90%) of their revenue from tobacco and tobacco related products or electronic delivery device and which cannot be entered at any time by persons younger than twenty- one (21) years of age. (Amended Ord. 445, 12/16/14; Amended Ord. 500, 1/21/20) B. No person shall sell, dispense or give away any tobacco related product or electronic delivery device through self-service merchandising,, except Yl (AmeRded 04 4 46, 12116/14) 3-2-89: COMPLIANCE CHECKS: The city shall conduct unannounced compliance checks at least once each calendar year at each location where tobacco or electronic delivery device is sold to test compliance with Minnesota Statutes Section 609.685. Compliance checks shall utilize minors over the age of fifteen (15), but under the age of twenty-one (21), who, with the prior written consent of a parent or guardian, attempt to purchase tobacco or electronic delivery device under the direct supervision of a law enforcement officer or an employee of the city. (Amended Ord. 227, 8/5/1997; amd. 2003 Code; Amended Ord. 445, 12/16/14; Amended Ord. 500, 1/21/20) 3-2-910: SUSPENSION OR REVOCATION OF LICENSE: Upon finding that a licensee of any license granted pursuant to this chapter has failed to comply with any applicable statutes, regulation or ordinance relating to the sale or use of tobacco related products or electronic delivery device, the City Council may either revoke or suspend the license. Every such license may be revoked by the City Council for violating any of the provisions stated in this chapter. (Amended Ord. 227, 8/5/1997; Amended Ord. 445, 12/16/14) 3-24011: ADMINISTRATIVE PENALTIES: A. If a licensee or employee of a licensee sells tobacco or electronic delivery device to a person under the age of twenty-one (21) years, or violates any other provision of this chapter, the licensee shall be charged an administrative penalty of seventy five della rstwo hundred fifty dollars ($73250.00). must be imposed For a second violation at the same location within twenty-four (24) months after the initial violation an administrative penalty of five hundred dollars ($500.00) must be imposed and the licensee's authority to sell tobacco or electronic delivery devices at that location must be suspended for not less than three (3) nor more than seven (7) days. For a third violation at the same location within twenty-four (24) months after the initial violation, an administrative penalty of *•• tun ad-€.^yone thousand dollars ($2591 000.00) must be imposed, and the licensee's authority to sell tobacco or electronic delivery device at that location must be suspended for not less than seven (7) nor more than thirty (30) days. No suspension or penalty may take effect until the licensee has received notice, served personally or by mail, of the alleged violation and an opportunity for an administrative hearing mustbein "'(Amended Ord. 445,12/16/14; Amended Ord. 500, 1/21/20) B. An individual who sells tobacco or electronic delivery device to a person under the age of twenty-one (21) years must be charged an administrative penalty of fifty dollars ($50.00). No penalty may be imposed until the individual has received notice, served personally or by mail, of the alleged violation and an opportunity for a hearing before a person authorized by the city to conduct the hearing. A decision that a violation has occurred must be in writing. (Amended Ord. 445, 12/16/14; Amended Ord. 500, 1/21/20) C. It is an affirmative defense to the charge of selling tobacco or electronic delivery device to a person under the age of twenty-one (21) years in violation of this chapter that the licensee or individual making the sale relied in good faith upon proof of age as follows (Amended Ord. 445, 12/16/14; Amended Ord. 500,1121120): 1. A valid driver's license or identification card issued by the state of Minnesota, another state, or a province of Canada, and including the photograph and date of birth of the licensed person; 2. A valid military identification card issued by the United States Department of Defense; 3. A valid passport issued by the United States; or 4. In the case of a foreign national, by a valid passport. (Amended Ord. 227, 8-5-1997; amd. 2003 Code) 3-24412: MISDEMEANOR VIOLATION; PENALTY: Any person who shall violate any provision of this chapter shall be guilty of a misdemeanor and shall be punished as defined by state law. (Amended Ord. 227, 8-5-1997) CHAPTER 10 ADMINISTRATIVE HEARINGS 3-10-1: REQUESTING A HEARING: A. Any person contesting an administrative penalty, suspension or revocation of a<license issued pursuant to this Title may, within seven (7) days of the time of issuance of the administrative penalty, suspension or revocation, request a hearing before'a hearing officer. B. Any request for a hearing before a hearing officer shall be made in writing on a form provided by the city for such a request and be either delivered personally to the city of city hall or mailed to the city by United States first class mail, postage prepaid. ,If mailed, the request must be received by the city within the prescribed seven (7) days. C. The hearing shall be held at city hall within 30 days of receipt of a timely submitted request for a hearing. D. Failure to attend the hearing constitutes a waiver of the violator's rights to an administrative hearing. A hearing officer may waive this result,upon good cause shown. A determination of good cause shall be made by the hearing officer, but specifically does not include forgetfulness or intentional delay. E. A hearing request filing fee shall be paid simultaneously with the filing of the hearing request, in the amount adopted by ordinance by the city council. F. In cases where an administrative penalty; suspension or revocation of a license decision is upheld by the liearing officer, in addition to any administrative penalty or other conditions imposed by the hearing officer, the offender shall be responsible for payment of the costs Of the hearing, including the hearing officer's fees, in an amount not to exceed $1,000. 3-10-2: HEARING OFFICER: The city council may periodically approve a list of lawyers from which the :city administrator will randomly select a hearing officer, who must not be a city employee, to hear and determine a matter for which a hearing is requested. 3-10-3: , THE HEARING: A. Notice of the hearing must be served in person or by mail on the alleged violator and/or owner of the property at least ten days prior to the hearing date, unless a shorter time period is accepted by all parties. B. At the hearing, the parties will have the opportunity to present testimony and question any witnesses, but strict rules of evidentiary procedure will not apply. C. The hearing officer may record the hearing and receive testimony and exhibits. D. The hearing officer must receive and give weight to the evidence presented, including reliable hearsay evidence that possesses probative value commonly accepted by reasonable and prudent people in the conduct of their affairs. 3-10-4: AUTHORITY OF HEARING OFFICER: A. The hearing officer has the authority to determine whether a violation has occurred, or is occurring, and, upon his findings, may: 1. Uphold the Administrative Penalty, suspension or revocation of the license; 2. Modify the Administrative Penalty, suspension or revocation of the license; 3. Overturn the Administrative Penalty, suspension or revocation of the license; or 4. Impose any combination of the foregoing provisions that the hearing officer deems to be reasonable. B. In rendering their decision, the hearing officer may consider any or all of the following factors: 1. The frequency of reoccurrence of the violation; 2. The seriousness of the violation; 3. The history of the violation; 4. The violator's conduct after issuance of the notice of hearing; 5. The good faith effort by the violator to comply; 6. The impact of the violation upon the community; and 7. Any other factors, the hearing officer deems appropriate to achieve a just result. 3-10-5: HEARING OFFII ER'S DECISION: a. The hearing officer's decision must be in writing. b. The decision of the hearing officer is final without any further right of administrative appeal. c. The.hearing ofhcer's_decision may be appealed to the city council by submitting a request.in writing to the city clerk within seven (7) days after issuance of the hearing officer's decision. 3-10-6iCITY COUNCIL REVIEW: A. Appeal of hearing officer's decision. The hearing officer's decision in any of the following matters may be appealed by a party to the city council for administrative review: 1. An alleged failure to obtain a permit, license, or other approval from the city council as required by city ordinance; 2. An alleged violation of a permit, license, or other approval, or the conditions attached to the permit, license, or approval, that was granted by the city council; and 3. An alleged violation of regulations governing a person or entity who has received a license granted by the city council. B. Appeal to the city council. To appeal to the city council, the party seeking the appeal must submit a request in writing to the city clerk within seven (7) days after the issuance of the hearing officer's decision. The appeal must be accompanied by a fee as established by the city council. C. Hearing by the city council. The appeal will be heard by the city council after notice served in person or by registered mail at least seven (7) days in advance of the hearing. The parties to the hearing will have an opportunity to present oral or written arguments regarding the hearing officer's decision. D. City council decision. The city council must consider the record, the hearing officer's decision, and any additional arguments before making a determination. The cityceuncii is not bound by the hearing officer's decision, but may adopt all or part of the hearing' officer's decision. The city council's decision must be in writing. E. Finding of violation and imposition ofpenalty.If the city council makes a finding of a violation, it may: 1. Uphold the hearing officer's decision; 2. Modify the hearing officer's decision; 3. Overturn the hearing of'ficer's decision; or 4. Impose any combination of the foregoing provisions that the city council deems to be reasonable. 3-10-7: ADDITIONAL PENALTIES: Failure to pay an Administrative Penalty within the time allowed is grounds for suspending or revoking a license related to the violation and/or the property upon which the violation occurred. 3-10-8: .IUDICTAL REVIEW: An aggrieved party may obtain judicial review of the decision of the hearing officer or the city council by proceeding under a writ of certiorari NDOVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.AN DOVE RM N.GOV TO: FROM: SUBJECT: DATE: Mayor and Councilmembers Jim Dickinson, City Administrator Administrator's Report December 6, 2022 1q, Administration & Department Heads present at the meeting will provide a brief verbal update on various items of interest to the City Council and to the residents at the meeting. Listed below are a few areas of interest: 1. City Department Activities 2. Update on Development/CIP Projects 3. Meeting reminders Upon receipt of the meeting packet, if a member of the Council would like an update on a particular item, please notify me so an adequate update can be made. submitted, Jim