HomeMy WebLinkAbout20130876.tiffRESOLUTION
RE: APPROVAL OF RENEWAL APPLICATION FOR 3.2 PERCENT BEER RETAIL
LICENSE ISSUED TO CIRCLE K STORES, INC., DBA CIRCLE K STORE #2709846
AND AUTHORIZE CHAIR TO SIGN - EXPIRES MAY 29, 2014
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, Circle K Stores, Inc., dba Circle K Store #2709846, presented to the Board
of County Commissioners of Weld County, Colorado, an application for the renewal of a 3.2
Percent Beer Retail License for the sale of fermented malt beverages, containing not more than
3.2 percent of alcohol by weight, in sealed containers not for consumption at the place where
sold, and
WHEREAS, pursuant to Exhibit 5-H of the Weld County Code, said applicant has paid
the sum of $107.50 to the County of Weld for the renewal of the existing license, and
WHEREAS, said applicant has exhibited a State License for the sale of fermented malt
beverages containing not more than 3.2 percent of alcohol by weight in sealed containers not
for consumption at the place where sold, outside the corporate limits of any town or city in the
County of Weld at the location described as follows:
10963 West 1-25 Access Road, Longmont, Colorado 80501
NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of
Weld County, Colorado, having examined said application and the other qualifications of the
applicant, does hereby grant License Number 2013-06 for applicant to sell fermented malt
beverages, containing not more than 3.2 percent of alcohol by weight, in sealed containers not
for consumption at the place where sold, only at retail at said location; and the Board does
hereby authorize and direct the issuance of said license by the Chair of the Board of County
Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which license
shall be in effect until May 29, 2014, providing that said place where the licensee is authorized
to sell fermented malt beverages containing not more than 3.2 percent of alcohol by weight, in
sealed containers not for consumption at the place where sold, shall be conducted in strict
conformity to all of the laws of the State of Colorado and the rules and regulations relating
thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado,
and any violations thereof shall be cause for revocation of the license.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said application.
imo• rcinAsts-7c110Pki CE'. �a, ✓arm
2013 -0876
LC0013
RENEW 3.2 PERCENT BEER RETAIL LICENSE - CIRCLE K STORE #2709846
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 8th day of April, A.D., 2013.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Weld County Clerk to the Board
C
BY:
'. the Board
FORM: v
C : v Attorney '
Date of signature' 1 8 2013
APP
Deputy Cle
William F. Garcia
Douglas' Rademache
n P. Conway
Freeman
arbara Kirkmeyer
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Pro-Tem
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2013 - 0876
LC0013
THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 8402 (07/01/2012)
STATE OF COLORADO
DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 Pierce Street, Suite 108
Lakewood, Colorado 80214
CIRCLE K STORES INC
dba CIRCLE K STORE #2709846
10963 W 1-25 ACCESS! RD
LONGMONT CO 80504
Liquor License Number
21650890120
Authorized Beverages
3.2 PERCENT BEER
License Expires at Midnight
May 29, 2014
This license is issued subject to the laws of the State of Colorado and especially under the
provisions of Title 12, Articles 46 or 47, CRS 1973, as amended. This license is nontransferable
and shall be conspicuously posted in the place above described. This license is only valid
through the expiration date shown above. Any questions concerning this license should be
addressed to: Colorado Liquor Enforcement Division, 1881 Pierce Street, Suite 108, Lakewood,
CO 80214.
In testimony whereof, I have hereunto set my hand. 4/23/2013 tjj
Division Director Executive Director
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authorized this 8th day of April, 2013.
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6VL.5115J'-05-515,1CyGJ'-11.5,5151511.511G��
NON -TRANSFERABLE.
DR 8400 (Revised 09/01/12)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
SUBMIT TO LOCAL LICENSING AUTHORITY
LIQUOR OR 3.2 BEER LICENSE
RENEWAL APPLICATION
CIRCLE K STORE#2709846
3001 GATEWAY DRIVE STE 130
IRVING t'SteCIVED
MAR 1 9 2013
ECE WED
FEB 2 8 2013
L0NGM0NT CITY CLERK
Fees Due
Renewal Fee
Storage Permit $100 x
$117.50
Optional Premise $100 x
Amount Due/Paid Li l ) -7 S
7- (3 cc 1 y s't l
Make heck payable to: Colorado Department of Revenue
The State may convert your check to a one-time electronic
banking transaction. Your bank account may be debited as early
as the same day received by the State. If converted, your check
will not be returned. If your check is rejected due to insufficient or
uncollected funds, the Department may collect the payment
amount directly from your banking account electronically.
PLEASE VERIFY & UPDATE AIFrcRllpFLOW
RETURN TO CITY OR COUNTY LICENSING AUTHORITY BY DUE DATE
DBA
CIRCLE K STORE#2709846
Licensee Name COMMISSIONERS
CIRCLE K STORES INC
Liquor License #
21650890120
License Type
3.2% Beer Off Premises (county)
Sales Tax License #
21650890120
Expiration Date
5/29/2013
Due Date
4/14/2013
Street Address
10963 W 1-25 ACCESS RD LONGMONT CO 80504
Phone Number
(303) 530 0244
Mailing Address
3001 GATEWAY DRIVE STE 130 IRVING TX 75063-2640
Operating Manager
-77;w I-1rtclsov.
Date of Birth
(0/
Address
2-3 oo W. CR 3YE.'#S 297
I Phone Number
303-bit-0rPJi
1. Do you have legal possession of the pr mises at the street address above? [YEs ❑
Is the premises owned or rented? [Owned ❑ Rented* *If rented, expiration date
2. Since the date of filing of the last annual application, has there been any change in financial
or organizational structure (addition or deletion of officers, directors, managing members
and attach a listing of all liquor businesses in which these new lenders, owners (other than
directors, managing members, or general partners are materially interested. ❑ YES 2-
NOTE TO CORPORATION, LIMITED LIABILITY COMPANY AND PARTNERSHIP APPLICANTS:
officers, directors, managing members, general partners or persons with 10% or more interest
and return immediately to your Local Licensing Authority, Form DR 8177: Corporation,
Report of Changes, along with all supporting documentation and fees.
3. Since the date of filing of the last annual application, has the applicant or any of its agents,
(other than licensed financial institutions) been convicted of a crime? If yes, attach a detailed
4. Since the date of filing of the last annual application, has the applicant or any of its agents,
(other than licensed financial institutions) been denied an alcohol beverage license, had
revoked, or had interest in any entity that had an alcohol beverage license denied, suspended
explanation. ❑ YES ENO
5. Does the applicant or any of its agents, owners, managers, partners or lenders (other than
or indirect interest in any other Colorado liquor license, including loans to or from any licensee
'yes, attach a detailed explanation. Li MS Ef NO
6. SOLE PROPRIETORSHIPS, HUSBAND -WIFE PARTNERSHIPS AND PARTNERS IN
must complete and sign the DR 4679: Affidavit — Restriction on Public Benefits (available
attach a copy of their driver's license, state -issued ID or valid passport.
NO
of lease
interest (new notes, loans, owners, etc.)
or general partners)? If yes, explain in detail
licensed financial institutions), officers,
NO
If you have added or deleted any
in your business, you must complete
Limited Liability Company or Partnership
owners, managers, partners or lenders
explanation. ❑ YES Er NO
owners, managers, partners or lenders
an alcohol beverage license suspended or
or revoked? If yes, attach a detailed
licensed financial institutions) have a direct
or interest in a loan to any licensee? If
GENERAL PARTNERSHIPS: Each person
online or by calling 303-205-2300) and
AFFIRMATION & CONSENT
I declare under penalty of perjury in the second degree that this application and all attachments are true, correct and complete to the best of my knowledge.
Type or Print rintName of Applicant/Authorized Agent of Business
\TASi-',vL ( •Raver
Title /� 7
FvlettAfirAk 440.1 yit-
Signature Date
C r 3� 13 _
�v�`
REPOR APPRO L OF CITY OR COUNTY LICENSING AUTHORI
The foreg ing application has been examined and the premises, business conducted and ar q t er of apple
that such license, if granted, will comply with the provisions of Title 12, Articles 46 and 47 .R.7E$1
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2013-0876
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t6r `tee
Local Licensing Authority For "' `.
Weld County, Colorado
P� I� I Z®13
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Si nature Willis F. cia
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Title Chair, Board of 3 :I
County Commissioners
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firm Cle,_ VLl VG
STATE OF COLORADO
DEPARTMENT OF REVENUE
Liquor Enforcement Division
Business Location
1881 Pierce Street, Suite 108A
Lakewood, Colorado 80214
Phone (303) 205-2300
FAX (303) 205-2341
E-mail: LED@dorstatetous
Website: www.colorado.qov/revenue/liquor
February 21, 2013
CIRCLE K STORE #2709846
3001 GATEWAY DR STE130
IRVING TX 75063-2640
21-65089-0120
Dear Licensee:
John H'ckenlooper
Governor
Barbara J. Broh
Executive Director
Don Burmania
D vision Director
We are returning your Renewal Application; it can not be filed as submitted for the
following reason(s):
NEED LOCAL AUTHORIZATION
Please submit application to the licensing authority in your city or county for
approval. Any renewal fees submitted with your application have already been
credited to your account. Please do not send any additional fees. If you have any
questions, please contact our office at (303) 205-2300.
Sincerely,
Susan J Cariveau
Licensing Specialist
Office of the City Clerk
Civic Center Complex
350 Kimbark Street
Longmont, CO 80501
February 28, 2013
Circle K Store #2709846
3001 Gateway Dr., Ste. 130
Irving, TX 75063-2640
Dear Licensee:
Phone: 303-651-8649
Fax: 303-774-4721
Enclosed is a renewal application you sent to the City of Longmont for processing. The location for the
attached licensed location is not in Longmont City Limits. Please send this renewal form to the
appropriate licensing authority.
Thank you and if you have any further questions please do not hesitate to call me at 303-651-8649.
Dawn Quintana
Deputy City Clerk
City Clerk's Office
To: Weld County Board of Commissioners
From: Deputy Lisa Carpenter
Date: April 1, 2013
RE: Circle K Stores
Dear Commissioners,
I have researched and found no reported calls for service to the Circle K Stores, Inc.,
located at 10963 West 1-25 Access Road, Longmont, CO 80504 for the Calendar year of 2012 to
present day.
I find no grounds for disapproval for the renewal of the liquor license.
Respectfully Submitted,
eputy arpenter
Community Resource Officer
Weld County Sheriffs Office
1950 "O" Street
Greeley, CO 80631
LIQUOR/BEER RENEWAL REVIEW FORM
Date: March 19, 2013
TO: Lisa Carpenter and Mark Mellon
FROM: CTB — Tammy Waters
SUBJECT: Liquor License Check
In accordance with the procedure for Liquor and/or beer license checks, please review all
records on the following establishment for any associated reports during the last year and return
your report to the Weld County Clerk to the Board's Office within two weeks. Your report will
be used by the Board of County Commissioners in considering the renewal of the license.
PLEASE RESPOND NO LATER THAN: April 2, 2013
ESTABLISHMENT: CIRCLE K STORES, INC.
DBA CIRCLE K STORE #2709846
10963 1-25 ACCESS ROAD WEST
LONGMONT, CO 80504
Current license expires: May 29, 2013
_**************************************__*************************************************************
No concerns
P it
Deputy's Initials
The Sheriffs Office had a concern and the deputy has mutually
worked with the licensee to correct the concern.
(Complete Attached Worksheet)
Unresolved concerns exist requiring a Probable Cause Hearing
scheduled by the Board of County Commissioners.
(Complete Attached Worksheet)
******.__,___***********************************************_*******************************************
Please notify at Extension
Board of Commissioner's Transfer of Ownership hearing.
of the date and time of the
Liquor/Beer License Worksheet
The following concerns are noted:
N o (0L't
The Licensee and the Sheriffs Office have collectively agreed to implement the following to
correct concerns noted above: (A time line and corrective action should be listed for each
concern)
Meida.)
Establi ent Owne Pase Print Date
abl ment Signature Deputy's Signature
Use another sheet of paper or attach separate proposal to this packet if needed.
Attach copies of all reports associated with this establishment for the last year.
Both the Deputy and the Owner of the establishment will be required to attend the Liquor
Hearing to testify to the above agreement.
WELD COUNTY SHERIFF'S OFFICE
Community: Resource Office
LIgUOR ENFORCEMENT WORKSHEET
1950 °'Street
Greeley, Colorado 80631
Voice (970) 356-4015 • Fax (970) 304-6467
Inspection Report
J Incident Report
CR#:
Lomer Name�v7 k 5•
{0,'`# �7G i !6
Licensee Name: C,• -c: le 1( 5412 z 70 19 7'G
License C l Type.
hc.kii L.1,x:.'
Dale o` Report'tneaen': 61 pi i3
Address: toc 6S .L -2S ifizco>S ILK , We7; f'
/
Peson Ccn1a IcC. !t1 r �j. c� E[�.a, h >`c"n
City, Slate, Zip l e„umoi,2.,/ (C 6475,, yTelephcr
a t 31)5s b 7 ' t S 71
es No NIA
,Yes No WA
State Liquor License Posted
State Sales Tax License Posted
County Liquor License Posted x
Federal Form 11 ' Call (800) 398-2822
Food Service License Posted �c
Minor Warning Sign Posted
Meals
Manager Registered
License in Control of Premises
Trade Name Properly Registered
k
X
X Premises Physical Control Adequate >e -
and Snacks Available
Cleanliness Adequate
Books & Invoices Available
Alcohol Beverage Stock Acceptable
x
Acceptable Dispensing SYstem
Off Premise Storage Licensed
Only Permitted Items Sold
Alcohol From Permitted Source
Discuss Sales of Liquor to Minors
Discuss Sales to Intoxicat Persons
ix
❑Warning FFollow-Up Inspection
Vrtlaiion'
r
L n: resentative
C�.
r: t Time:
Subject:
Cloth41g:
Hat.
Hair:
DL1t0C:
Stale:
Address:
State
Zip
Evidence: Yes NO
NAV Phone
Summons 1:
Court Date: Phct : Yes NO
Narrative:
A
Deputy: , zez, ZL
Date: 6"/‘-.A/ / -
Memorandum
TO: Tammy Waters
FROM: Dan Joseph
SUBJECT: Liquor license inquiry
DATE: March 27, 2013
CC: Cindy Salazar; Debra Adamson
In response to your request, Environmental Health Services has reviewed the Retail Food Service
Establishment file for Circle K Store #2709846, located at 10963 I-25 Access Road West, in
Longmont, Colorado. At this time, there are no problems or concerns regarding this
establishment.
Should you have any questions regarding this matter, please contact me via e-mail at
djoseph@co.weld.co.us or by phone at 970-304-6415 extension 2206.
Thank you.
Dan Joseph
Environmental Specialist III
Weld County Building Inspection Referral
Department of Planning Services
1555 N 17th Ave
Greeley, CO 80631
(970) 353-6100
Date: April 2, 2013
Applicant: Circle K Stores
Address: 10963 W I-25 Longmont Co 80504
Project: Liquor or 3.2 Beer License Renewal
After reviewing the application and documents submitted, the Building Inspection Department has the following
comments:
The Weld County Building Inspection Department finds conflicts with our interest.
Frank Piacentino
Weld County Department of Building Inspection
MEMORANDUM
To: Tammy Waters, Clerk to the Board
From: Bethany Salzman, Zoning Compliance Officer II
Date: March 26, 2013
Subject: Liquor License Referral ((LC0013))
Review of the following liquor license renewal by the Department of Planning Services shows the following:
21-65089-0120
Circle K Stores, Inc.
Dba: Circle K Store # 2709846
10963 1-25 Access Road
Longmont, CO 80504
Mailing Address:
Circle K Store #2709846
Shelley Huff
3001 Gateway Drive Ste 130
Irving, TX 75063-2640
Zone District: C-3
This use is allowed through the zone district and the Site Plan Review (SPR-241) Permit.
No violations are occurring on the property at this time.
SERVICE, TEAMWORK INTEGRITY, QUALITY
Tammy Waters
From: Roy Rudisill
Sent: Tuesday, March 19, 2013 1:44 PM
To: Tammy Waters
Subject: RE: Circle K Stores - Liquor Renewal
Attachments: image004.jpg; image001.jpg
No Concerns from OEM
Director Roy Rudisill
Weld County Office of Emergency Management
1150 O St. Greeley Co. 80632
970-304-6540 Office
970-381-0417 Cell
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for
the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise
protected from disclosure. If you have received this communication in error, please immediately notify sender by return
e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the
contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
From: Tammy Waters
Sent: Tuesday, March 19, 2013 12:39 PM
To: Bethany Salzman; Dan Joseph; Janet Carter; Jonathan Gesick; Roy Rudisill
Cc: Brad Yatabe; Sara Evans; Deb Adamson
Subject: Circle K Stores - Liquor Renewal
In accordance with the procedure for Liquor and/or beer license checks, please review all records on the
following establishment and return your report to the Weld County Clerk to the Board's Office within two
weeks. Your report will be used by the Board of County Commissioners in considering the renewal of the
license.
PLEASE RESPOND NO LATER THAN: April 2, 2013
ESTABLISHMENT: CIRCLE K STORES, INC.
DBA CIRCLE K STORE #2709846
10963 1-25 ACCESS ROAD WEST
LONGMONT,CO 80504
1
Tammy Waters
From:
Sent:
To:
Subject:
Janet Carter
Friday, March 22, 2013 5:05 AM
Tammy Waters
RE: Circle K Stores - Liquor Renewal
This is an existing facility and Public Works doesn't have any comments at this time.
Janet L Carter
Traffic Engineer
Weld County Public Works Dept.
P.O. Box 758, Greeley, CO 80632
Tele-970.356.4000 ext 3726
Fax- 970.304.6497
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for
the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise
protected from disclosure. If you have received this communication in error, please immediately notify sender by return
e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the
contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
From: Tammy Waters
Sent: Tuesday, March 19, 2013 12:39 PM
To: Bethany Salzman; Dan Joseph; Janet Carter; Jonathan Gesick; Roy Rudisill
Cc: Brad Yatabe; Sara Evans; Deb Adamson
Subject: Circle K Stores - Liquor Renewal
In accordance with the procedure for Liquor and/or beer license checks, please review all records on the
following establishment and return your report to the Weld County Clerk to the Board's Office within two
weeks. Your report will be used by the Board of County Commissioners in considering the renewal of the
license.
PLEASE RESPOND NO LATER THAN: April 2, 2013
ESTABLISHMENT: CIRCLE K STORES, INC.
DBA CIRCLE K STORE #2709846
109631-25 ACCESS ROAD WEST
LONGMONT,CO 80504
Current license expires: May 29, 2013
Tammy Waters
1
03/07/13
2118036 WELD COUNTY CO
Inv Number Inv Date Description
000684329 06 -MAR -13 SW -2709846
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10963 W I-25 FRONTA 0.00
RECEIPT DATE 3c}7'�1p' (3
RECEIVED FROM �l�-e- St UILs
ADDRESS
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Payment Amt
107.50
0.00 107.50
Weld County Government
Clerk to the Board
1150 0 Street
P.O. Box 758
Greeley CO 80632
970-336-7215 X4226
Fax 970-352-0242
QUANTITY
1
1
JOB: Circle K Store
3.2% Beer Retail
License Renewal
DESCRIPTION
3.2% License Fee - County Fee
3.2% Renewal Fee - County Fee
Date: March 5, 2013
Invoice
TO: Circle K Stores
Store # 2709846
10963 W1-25 Access Road
Longmont, CO 80504
UNIT PRICE LINE TOTAL
7.50 7.50
100.00 100.00
Suhloial 107.50
ota I $107.50
Make all checks payable to:
Weld County Government
TIIANK YOU FOR YOUR BUSINESS!
1,(stk,
Postage
Certified Fee
Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees
Postmark
Here
Sent
ro „ fJ
≤treet, Apt. No.; (v' [��/��
or PO Box No.
City, State, ZIP+4
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted. Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
0)42. skvts (nb
l�,w�3 w 1 -as acmstek
rn.ov\k CO S bso4
al Agent
O Addressee
B. Received b (frInted Name)
.,L1O
t✓ &14160
D. Is delivery address different from item 1? D Y
es
if YES, enter delivery address below: .No
2. Article Number
(Transfer from service Labe°
PS Form 3811, February 2004
3. Service Type
f Certified Mail ❑ Express Mail
O Registered O Return Receipt for Merchandise
O Insured Mail O C.O.D.
4. Restricted Delivery? (Extra Fee) Cl Yes
7004 2890 0003 5709 9096
Domestic Return Receipt
102595.02-M-1540
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