HomeMy WebLinkAbout20121454.tiffRESOLUTION
RE: APPROVAL OF RENEWAL APPLICATION FOR TAVERN LIQUOR LICENSE FROM
VIPER2, INC., DBA BORDERLINE, AND AUTHORIZE CHAIR TO SIGN - EXPIRES
SEPTEMBER 7, 2013
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, Viper2, Inc., dba Borderline, presented to the Board of County
Commissioners of Weld County, Colorado, an application for the renewal of a Tavern Liquor
License, for the sale of malt, vinous and spirituous liquors, and
WHEREAS, pursuant to Exhibit 5-H of the Weld County Code, said applicant has paid
the sum of $175.00 to the County of Weld for the renewal of the existing license, and
WHEREAS, said applicant has exhibited a State Liquor License for the sale of malt,
vinous and spirituous liquors for consumption by the drink on the premises only, outside the
corporate limits of any town or city in the County of Weld at the location described as follows:
68947 U.S. Highway 85
Carr, Colorado 80612
WHEREAS, the Licensee shall host "responsible vendor" training every six (6) months
as agreeable to the Colorado Department of Revenue Liquor Enforcement Division, and this
training shall be open to other area licensees. Each employee shall be "responsible vendor"
trained, and the Licensee shall provide documentary evidence that each employee has been
"responsible vendor" trained to the Weld County Sheriff's Office within thirty (30) days of the first
available "responsible vendor" class after hiring. Evidence of such shall be included in the
referral report submitted by the Sheriff's Office at the time of annual renewal.
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 2012-14 to said applicant to sell malt, vinous and
spirituous liquors for consumption by the drink on the premises only, 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 September 7, 2013, providing that said
place where the licensee is authorized to sell malt, vinous, and spirituous liquors for
consumption by the drink on the premises only, 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.
2012-1454
LC0047
RENEW LIQUOR LICENSE - BORDERLINE
PAGE 2
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 11th day of June, A.D., 2012.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST:
Weld County Clerk to the Board
BY:
Deputy Cle I to th
Boar
APPROVED AS TO FORM
unty Attorney
Date of signature: 0'rl ^1 `0'
Sean P
David E. Long
Kirkmeyer
ai4 C teas/
glas'Rademacher
2012-1454
LC0047
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NON -TRANSFERABLE.
TO BE POSTED IN A CONSPICUU PLACE.
THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 8402 (11/23/11)
STATE OF COLORADO
DEPARTMENT
OF REVENUE
Liquor
1881
Lakewood,
Enforcement Division
Pierce Street, Suite 108
Colorado 80214
VIPER 2 INC
BORDERLINE
68947 HIGHWAY 85
CARR CO 80612
ALCOHOL BEVERAGE LICENSE
Liability Information
Account Number
County City Indust. Type Liability Date
LICENSE EXPIRES AT MIDNIGHT
42-07852-0000
03 020 722110 C 090805
SEP 07, 2013
Type
Name and Descnption of License
Fee
2011
2190
TAVERN LIQUOR LICENSE -
MALT, VINOUS, AND
SPIRITUOUS
COUNTY 85 PERCENT OAP FEE
$ 75.00
$ 425.00
TOTAL FEE(S)
$ 500 . 00
This license is issued subject to the laws of the
of Title 12, Articles 46 or 47, CRS 1973, as amended.
conspicuously posted in the place above diibed.
shown above. Questions concerning this`l ense
Liquor Enforcement Division, 1375 Sherman Street,
In testimony whereof, I have hereunto set icy hand
043GIA/Ma/tAtrit AUG
State of Colorado and especially under the provision
This license is nontransferable and shall be
This licenseis only valid through the expiration date
should be addressed to the Department of Revenue,
Denver, CO 80261.
12012 4
Division Director
Cyr
_
Executive Director
DR 8400 (11/09/06) LIQUOR OR 3.2 BEER LICENSE
COLORADO DEPARTMENT OF REVENUE RENEWAL APPLICATION
DENVER, COLORADO 80261
Ilrrlrllrrrrlrlrllrr.rhrirrllulrrlu,lllrrrlrlrlrullrllrrrl
BORDERLINE
CHAVEZ KIMBERLY
4853 KINGBIRD DR
FIRESTONE CO 80504-3417
XThis renewal reflects no changes from the last ap-
plication. Complete page 2 and file now!
El Yes there are changes from the last application.
If applicant is a Corporation or Limited Liability com-
pany, use DR 8177 and send in with this renewal.
Any other changes of ownership require a transfer
of ownership. See your Local Licensing Authority
immediately.
LicenseNumber
42-07852-0000
License20pe
11
Liability Information
03 020 722110 C 090805
Business Location
68947 HIGHWAY 85
CARR CO
Current License Expires
SEP 07, 2012
DEPARTMENTAL USE ONLY
Total Amount Due
Total Paid
$
Date
Wholesaler, manufacturer, importer, and public transportation
system license renewals do not need Local Licensing Author-
ity approval and must be returned directly to the Colorado De-
partment of Revenue at least 30 days prior to the current li-
cense expiration date.
This application for renewal must be returned to your CITY OR
COUNTY Licensing Authority at least 45 days prior to the expira-
tion date of your current license. Failure to do so may result in
your license not being renewed. Include both pages of this renewal
and payment.
OATH OF APPLICANT
I declare under penal
best of my knowledg
f perjury in the second degree that this application and all attachments are true, correct, and complete to the
.
A zed Signature
D
X D/ 2/
Business Phone
.? ZO%37(461
Y
S�le/s'Tjrtax/}be, ( (/j
-10
i 1.•+ REPORT AND APPROVAL OF CITY OR COUNTY LICENSING AUTHORITY
The foregoing application has been examined and the premises, business conducted and character of the applicant are satisfactory, and %
do hereby report that such license, if granted, will comply with the provisions of Title 12, Artless d 47, C. R, S.
THEREFORE THIS APPLICATION IS APPROVED. —
Y,
Local Licensing Authorfy for f-,�,�'V ): Ai
Weld County, Colorado / ! _'
Date JUN 1 ?0 12
Signature
Sean P.
Conway
c----
(`
Title Chair, Board of We d I ' Attest'`-
County Commissioners SW., Ja,i ; flar
Ls „^
' 3
07 NC -DETACH_ _ ._.._... -.- - __- - __. DO NOT DETACH_ _ _ _ - _. fit- Lit--i :.tot
DR 8400 (11/09/06)
COLORADO DEPARTMENT OF REVENUE
DENVER, COLORADO 80261
LIQUOR OR 3.2 BEER LICENSE
RENEWAL APPLICATION
Make check payableto. eolorado Department of Revenue The State may convert your
check to a one time elect dnjcbaekingtransaction. Your bank account may be debited as
early as the same day received by t e State. If converted, your check will not be returned.
If your check is rejected due to insufficient or uncollected funds, the Department of Rev-
enue may collect the payment amount directly from your banking account electronically.
21
Business Name
BORDERLINE
LICENSE NUMBER (Use for all reference)
42-07852-0000
PERIOD
09-13
TYPE OF LICENSE ISSUED
TAVERN LIQUOR LICENSE -
MALT, VINOUS, AND
SPIRITUOUS
CASH FUND
2320-100(999)
$ 50.00
STATE FEE
2011-750(999)
$ 25.00
COUNTY 85% OAI
2190-100(999
$ 425.00
SUB -TOTAL $ 500.1
ADD $100.00 TO RENEW RETAIL WAREHOUSE STORAGE PERMIT2210-100(999) $
TOTAL AMOUNT DUE $
,A2G/ 2 -/95;
DR 8401 (02/19/09)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 PIERCE
LAKEWOOD, CO 80261
(303) 205-2300
ATTACHMENT TO LIQUOR OR
3.2 BEER LICENSE RENEWAL APPLICATION
This page must be completed and attached to your signed renewal application form.
Failure to include this page with the application may result in your license not being renewed.
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2.
Do you ha egal possession of the pr nm'iis ®forraAvhich this application
Are the premises owned or rented: VQ/bfL.f�... If rented,
f cense
expiration date
is made? _ I�
of lease: //W/9
Yes i No
3, Has there been any change in financial interest (new notes, loans, owners, etc.) since the last annual application? If yes, explain in
detail and attach a listing of all liquor businesses in which these new lenders or owners, (other than licensed financial institutions) are
materially interested.
fr/I/
Yes No ,
4. Since the date of filing of the last annual application, has the applicant, or any of its agents, owners, managers, principals, or lenders
(other than licensed financial institutions), been convicted of a crime? If yes, attach a detailed explanation.
Yes
5. Since the date of filing of the last annual application, has the applicant, or any of its agents, owners, managers, principals, or lenders
(other than licensed financial institutions), been denied an alcoholic beverage license, had an alcoholic beverage license suspended
or revoked, or had interest in any entity that had an alcoholic beverage license denied, suspended or revoked? If yes, attach a detailed
explanation.
Yes N o
6. Does the applicant, or any of its agents, owners, managers, principals, or lenders (other than licensed financial institutions), have a di-
rect or indirect interest in any other Colorado liquor license (include loans to or from any licensee, or interest in a loan to any licensee)?
If yes, attach a detailed explanation.
Yes
❑
7. Corporation or Limited Liability Company (LLC) or Partnership applicants must answer these questions.
Since the date of filing of the last annual license application:
(a) Are there, or have there been: any officers or directors; or managing members; or general partners added to or deleted from ap-
plicant for renewal of a 3.2 beer or liquor license?
(b) Are there or have there been: any stockholders with 10% or more of the issued stock of the Corporation; or any members with
10% or more membership interest in the LLC; or any partners with 10% or more interest in the partnership added to or deleted
from the applicant for renewal of a 3.2 beer or liquor license?
(c) If Yes to (a) or (b), complete and attach Form DR 8177: Corporation, Limited Liability Company or Partnership Report of Changes,
and all supporting documentation, and fees your Local Licensing Authority immediately.
Yes No ,
Yes
8. Sole proprietorships, Husband -Wife Partnerships or Partners in General Partnerships:
EVIDENCE OF LAWFUL PRESENCE
Each person identified above must complete and sign the following affidavit. Please make additional copies if necessary.
Each person must also provide a copy of their driver's license or state issued identification card.
In lieu of form DR 4679, the undersigned swears or affirms under penalty of perjury under the laws of the State of Colorado
that (check one):
❑ I am a United States Citizen
❑ I am not a United States Citizen but I am a Permanent Resident of the United States
❑ I am not a United States Citizen but I am lawfully present in the United States pursuant to Federal Law
❑ I am a foreign national not physically present in the United States
I understand that this sworn statement is required by law because I have applied for a public benefit. I understand that state law re-
quires me to provide proof that I am lawfully present in the United States prior to receipt of this public benefit. I further acknowledge that
making a false, or fraudulent statement or misrepresentation in this sworn affidavit is punishable under the criminal laws of Colorado
Revised Statute 18 8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received.
Signatu
Prnt name
,i/lOr, W'7
Date
SID/?
To: Weld County Board of Commissioners
From: Deputy Lisa Carpenter
Date: May 14, 2012
RE: Viper 2/dba Borderline
Dear Commissioners,
I have researched and found no reported calls for service to the Viper 2/dba Borderline,
located at 68947 Highway 85, Carr, CO 80612 for the Calendar year of 2011 to present day.
I find no grounds for disapproval for the renewal of the liquor license.
Respectfully Sub itted,
Deputy Lisa Carpenter
Community Resource Officer
Weld County Sheriffs Office
1950 "O" Street
Greeley, CO 80631
LIQUOR/BEER RENEWAL REVIEW FORM
Date: May 14, 2012
TO: Lisa Carpenter or Jeremy Frey
FROM: CTB — Tonya Disney
SUBJECT: Liquor License Check
In accordance with the new 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 renewal of the liquor and/or beer
license.
PLEASE RESPOND NO LATER THAN: May 25, 2012
ESTABLISHMENT: VIPER2, INC.
DBA BORDERLINE
68947 HIGHWAY 85
CARR, CO 80612
Current license expires: SEPTEMBER 7, 2012
No concerns
Deputy i ials
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 renewal hearing.
of the date and time of the
2012-1454
Liquor/Beer License Worksheet
The following concerns are noted:
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11
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)
N/R.
E ablishment Sign- ure Deputy's Signature
ILL/ a
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
LIQUOR ENFORCEMENT WORKSHEET
1950 O'Street
Greeley, Colorado 80631
Voice (970) 356-4015 • Fax (970) 304-6467
Inspection Report
Incident Report
CR#:
Limns* Tmcle Name.
O ey 1 ,it-
J
Licensee Name: I t / a.
r`
License # / Type
F l CI 1,--;
Dale of Report I Inadens:
-
-
Address:
i ' q L/ 7 PL u L.-(
Q c
>-__,
Person Ccntacttec (� i; , i
t-rc*,
✓I
City, Slate, Zip. (
(/ I^ U ` V �i ••
Telephone it. lif —
i
o
Yes No NA
State Liquor License Posted
State Sales Tax License Posted
County Liquor License Posted
Federal Form 11 * Call (800) 398-2822
Food Service License Posted
Minor Warning Sign Posted
Meals and Snacks Available
Cleanliness Adequate
Books & invoices Available
Alcohol Beverage Stock Acceptable
Manager Registered
License in Control of Premises
Trade Name Property Registered sr -
Yes No NIA
>✓ Premises Physical Control Adequate ✓
✓ Acceptable Dispensing System ,/
✓ Off Premise Storage Licensed
Only Permitted Items Sold
Alcohol From Permitted Source
Discuss Sales of Liquor to Minors
Discrfss Sales to Intoxidate'Persons I (7-
LIWarning LIFollow-Up inspection
/a
e gnature
Date
Violation.
I Dale:
I Time.
Subject:
DOB:
Hgt:
Wgt:
I Eyes
Bair:
Cbthing:
DL / ID*
Stale:
Address:
City:
Stale:
—
Zip:
Evidence: Yes NO
I-imi Phone if:
Summons U:
Court Date:
Pncfo'o: Yes NO
Narrative: 21,� C, , ' .S� ) -t^, Ct, C�
eR c• It ill isk-
ALr 1i S f 7 //
Tonya Disney
From:
Sent:
To:
Subject:
Jonathan Gesick
Thursday, May 17, 2012 8:37 AM
Tonya Disney
RE: Liquor License Renewal - Viper2, Inc - Borderline
Hi Tonya.
The building department has no concerns with the renewal.
Thanks
Jonathan D Gesick
Plans Examiner/Building lnpsector
Building Department
1555 N 17th Ave
Greeley, CO 80631
tel: (970)353-6100 Ext. 3532
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: Tonya Disney
Sent: Friday, May 11, 2012 10:50 AM
To: Bethany Salzman; Dan Joseph; Janet Carter; Jeremy Frey; Jonathan Gesick; Lisa Carpenter; Roy Rudisill
Cc: Brad Yatabe; David Clarke; Deb Adamson; Margie Martinez; Sara Evans; Tonya Disney
Subject: Liquor License Renewal - Viper2, Inc - Borderline
The following applicant has submitted a request for renewal of its Tavern Liquor License, LC0047. Please provide any
comments you may have before May 25, 2012. A .pdf copy of the application materials is attached.
License Number:
42-07852-0000
Applicant:
Viper2, Inc
dba Borderline
4853 Kingbird Dr
Firestone CO 80504-3417
Business Address:
68947 Highway 85
Carr, CO
Current License Expires:
September 7, 2012
Thank you,
Tonya Disney
Clerk to the Board
1150 O StreetIPO Box 758 'Greeley, Colorado 80632
Phone: 970-336-7215 x 5226
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.
2
10
WI`DC
COLORADO
MEMORANDUM
To: Tonya Disney, Deputy Clerk to the Board May 21, 2012
From: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services
Subject: LC0047
Review of the following liquor license renewal by the Department of Planning Services shows the following:
42-07852-0000
Viper2, Inc.
dba Borderline
68947 Highway 85
Carr, CO 80612
Zone District: A (Agricultural)
This use is permitted through an "Amended Use by Special Review" (AmUSR-1096).
Currently there are no active zoning violations on the above mentioned property.
SERVICE, TEAMWORK, INTEGRITY, QUALITY
186' Memorandum
1111 �
TO: Tonya Disney
FROM: Dan Joseph
SUBJECT: Liquor license inquiry
DATE: May 25, 2012
CC: Cindy Salazar; Debra Adamson
In response to your request, Environmental Health Services has reviewed the Retail Food Service
Establishment file for the Borderline, located at 68947 Highway 85, in Carr, 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
dioseph(ijt,co.weld.co.us or by phone at 970-304-6415 extension 2206.
Thank you.
Dan Joseph
Environmental Specialist III
Tonya Disney
From:
Sent:
To:
Subject:
Roy Rudisill
Friday, May 25, 2012 4:39 PM
Tonya Disney; Janet Carter
RE: Viper2, Inc dba Borderline - Liquor Renewal
No concerns from OEM. Have a great weekend!
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: Tonya Disney
Sent: Friday, May 25, 2012 4:38 PM
To: Janet Carter; Roy Rudisill
Subject: Viper2, Inc dba Borderline - Liquor Renewal
Good afternoon,
Just wanted to send a reminder that I need referrals from you for the above mentioned applicant.
Have a wonderful weekend.
Thank you,
Tonya Disney
Clerk to the Board
1150 O Street1PD Box 758I Greeley, Colorado 80632
Phone: 970-336-7215 x 5226
Tonya Disney
From:
Sent:
To:
Subject:
Janet Carter
Tuesday, May 29, 2012 11:50 AM
Tonya Disney
RE: Viper2, Inc dba Borderline - Liquor Renewal
This is an existing facility, 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: Tonya Disney
Sent: Friday, May 25, 2012 4:38 PM
To: Janet Carter; Roy Rudisill
Subject: Viper2, Inc dba Borderline - Liquor Renewal
Good afternoon,
Just wanted to send a reminder that I need referrals from you for the above mentioned applicant.
Have a wonderful weekend.
Thank you,
Tonya Disney
Clerk to the Board
1150 O Street IPO Box 758 'Greeley, Colorado 80632
Phone: 970-336-7215 x 5226
1
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.
2
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1. Article Addressed to:
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2. Article Number
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4. Restricted Delivery? (Extra Fee)
7004 2890 0003 5709 8785
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Domestic Return Receipt
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