HomeMy WebLinkAbout20091690.tiff RESOLUTION
RE: APPROVAL OF RENEWAL APPLICATION FOR TAVERN LIQUOR LICENSE FROM THE
FORT 21 LTD, DBA THE FORT 21, AND AUTHORIZE CHAIR TO SIGN - EXPIRES
AUGUST 8, 2010
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, The Fort 21, LTD, dba The Fort 21, 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$125.00 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:
985 East 18th Street
Greeley, Colorado 80631-6135
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 2009-11 to said applicant to sell malt, vinous and spirituous
liquors for consumption by the drink on the premises or in sealed containers not for consumption
at 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 August 8, 2010,
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.
BE IT FURTHER RESOLVED that the Licensee shall ensure that all bartenders and wait
staff, present and future, shall attend the Training for Intervention Procedures (T.I.P.S.) program
or similar training to learn when to stop serving alcoholic beverages to intoxicated patrons. The
Licensee shall provide to the Sheriff's Office and the Clerk to the Board's Office, on an ongoing
basis,within thirty(30)days after hire or employment,copies of certificates showing the successful
completion of said training by the present bartenders and wait staff.
2009-1690
C, C 1. So, f-PPL_ / LC0034
OcZI(€709'
RENEW LIQUOR LICENSE - THE FORT 21, LTD, DBA THE FORT 21
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 20th day of July, A.D., 2009.
BOARD OF UNTY COMMISSIONERS
AI4, 1E,I(,/, WELD S CsO;_ORADO
ATTEST:
i^sAil
N
O %V illiam F. Gar hair
Weld County Clerk to the\• -. ( , ,,\
Douglas ademach , Pro-Tern
BY:
4,1
Dep -t Clerk • the Board Pr —�
Sean P. Conway
APPROVEI5AS TQ e,, c,t//7
- Z7 "2--Rara Kir<meyer
C6unty Attorney '1/4-1)
David E. Long
Date of signature: III
2009-1690
LC0034
THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 8402(10/29/07)
STATE OF COLORADO
DEPARTMENT OF REVENUE
Liquor Enforcement Division
1881 Pierce Street,Suite 108
Lakewood,Colorado 80214
FORT 21 LTD THE
FORT 21 THE
2501 W 26TH ST
GREELEY CO 80634-8001
ALCOHOLIC BEVERAGE LICENSE
Liability Information
Account Number County City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT
06-27829-0000 03 057 722410 C 080902 AUG 08, 2010
Type Name and Description of License Fee
2011 TAVERN LIQUOR LICENSE - $ 75.00
MALT, VINOUS, AND
SPIRITUOUS
2190 COUNTY 85 PERCENT OAP FEE $ 425.00
TOTALFEE(S) $ 500.00
This license is issued subject to the laws of the State of Colorado and especially under the provision
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. Questions concerning this license should be addressed to the Department of
Revenue, Liquor Enforcement Division, 1375 Sherman Street, Denver,CO 80261.
In testimony whereof, I have hereunto set my hand.
ki< b ringr
Division Director Executive Director
L
°a
a)
3 .n
T Y y
r.
a co c
C °
o y
O0 ..�'.vl
u u li d C QF w U I o
W i�i N •.i N....,-
-6- " U c
- > 3 N V - tia ' o
W li a, c0tl w ❑ — N N "�
CA s O o >,— E o °
H z
W ro " O°
u4WVau,, E E a C
COO o ° N "0 °
o .a a �' o is� pw ._ .fl m
L
roil,! C4 - .a O 9 \—
C III ' O C c `P. p P FO
(V (f) H E 3 m m u d `p
^ p w o o .--I -E.0� A
t, 2 E U
Q CO)
` L a, a° u c c O Cr%9 c d p
V F= •rl 'O .r O CJ 8 n
O a H. H C O 8. 9 N a T
-a u U N P. N c a) >-. y a v Ci
V oDa*04 °
O S..
Cw za v vo W ' >'
WQ� Q = .5 W N I v I- - 1 = -7s
s
�y}}�� R ,W o I
w ° H o 3 v IUU11
a •
oo 7 V y
1; !
a z u ai — fl ? I
cip W `° H .0 N C a
F ,i H N w u Oa
° F O O o W h
O w o E a o e a, o a)
W v N w rn s
(� F m .C N u 3 F
a 0 ..= u G " s a '0WO F
C/� IIiIIl V] z _-1 Y+ c C „jail v-
Z ii ii, o L C
W io lid,III V, L. u) b Y j u � T
U � � � ° V N ox a, •G t x -471
�. a �', ll
.of T, I
C IE
a, 'S.
.n .PC Z � �_iii di' C 71 6 Z
III l��ili �" A� c Q m v t, 0 ro
rG al
Q a -C OM o r: ,> N °
I? H � 'ob o u oz4.1 8 � , t
�i
C4 ,� U o m o A H oZ.> ���' d
O O o r s ro U v U
'J
+L v
ctlii
o a—
, --- Y
• DR 8404(05/1707)Page 1 -- DEPARTMENT USE ONLY
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION COLORADO LIQUOR
DENVER CO80261
RETAIL LICENSE APPLICATION
❑ NEW LICENSE O TRANSFER OF OWNERSHIP Nr6reiNsE RENEWAL
• ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN
• APPLICANT MUST CHECK THE APPROPRIATE BOXES)
• LOCAL LICENSE FEE $ 125.00
• APPLICANT SHOULD OBTAIN A COPY OF THE COLORADO LIQUOR AND BEER CODE(Call 303-370-2165)
1, Applicant is applying as a ❑ Individual
j Corporation ❑ Limited Liability Company
❑ Partnership(includes Limited Liability and Husband and Wife Partnerships) ❑ Association or Other
2. Applicant If an LLC,name of LLC;if partnership,at least 2 partner's names,it corporation,name of corporation Fein Number
The Fort 21, Ltd.
2a.Trade Name of Establishment(DBA) State Sales Tax No. Business Telephone
The Fort 21 06-27829 (970) 352-9910
3. Address of Premises(specify exact location of premises)
985 East 18th Street
City County State ZIP Code
Greeley Weld CO 80631-6135
4. Mailing Address (Number and Street) City or Town State ZIP Code
2501 26th Street Greeley CO 80634
5. If the premises currently have a liquor or beer license,you MUST answer the lollowing questions:
Present Trade Name of Establishment(DBA) Present State License No. Present Class of License Present Expiration Date
The Fort 21 06-27829 Tavern August 8, 2009
LIAR SECTION A NONREFUNDABLE APPLICATION FEES LIM SECTION B(CONT.) UOUOR LICENSE FEES
2300 0 Application Fee for New License $1,025.00 1985 O Resort Complex License(City) $500.00
2302 [) Application Fee for New License- 1986 O Resort Complex License(County) $500.00
w/Concurrent Review $1,12500 19880 Add Related Facility to Resort Complex $ 75.00 X Total
2310 O Application Fee for Transfer $7,025.00 19900 Club License(City) $308.75
2312 9 Application Fee for Transfer- 1991 17 Club License(County) $308.75
w/Concurrent Review $1,125.00 2010❑Tavern License(City) $500.00
M11
LIM SECTION B LIQUOR UCENSE FEES 2011{ Tavern License(County) $500.00
1905 [1 Retail Gaming Tavern License(City) $500.00 2012 0 Manager Registration-Tavern $ 75.00
2020;_]Arts License(City) $308.75
1906 O Retail Gaming Tavern License(County) $500.00
1940 0 Retail Liquor Store License(City) $227.50 2021 9 Arts License(County) $308.75
2030❑Racetrack License(City) $500.00
1941 ❑ Retail Liquor Store License(County) $312.50
2031❑Racetrack License(County) $500.00
1950 0 Liquor Licensed Drugstore(City) $227.50
2040 f 1 Optional Premises License(City) $500.00
1951 0 Liquor Licensed Drugstore(County) $312.50
2041 O Optional Premises License(County)._ $500.00
1960 U Beer and Wine License(City) $351.25
1961 0 Beer and Wine License(County) $43625 2045 n Vintners Restaurant License(City) $750 W
1970 ITI Hotel and Restaurant License(City) $500.00 20460 Vintners Restaurant License(County) $750.00
7971 ❑ Hotel and Restaurant license(County) $500.00 22200 Add Optional Premises to H&R._., $100.00 X Total
23700 Master File Location Fee $ 25.00 X_Total
1975 9 Brew Pub License(City) $750.00
23750 Master File Background $250.00%_Total
1976 0 Brew Pub License(County) 5750.00
1980 0 Hotel and Restaurant License w/apt premises(City)._. $500.00
1981 ❑ Hotel and Restaurant License w/opt premises(County) $500.00
1983 0 Manager Registration-H&R $ 75.00
DO NOT WRITE IN THIS SPACE-FOR DEPARTMENT OF REVENUE USE ONLY
LIABILITY INFORMATION
hrough
County City Industry Type License Account Number Liability Date Llc(Expiration
Date)
nseIssued
Data)
_._- FROM TO
State I City County Managers Reg
-750(999) 2160-10D(999) 2190.100(999) -750(999) � A
can cure r Lien can Fund Tan4wuana TOTAL
2300-100 2310-100
(999) __ (999)
2009-1690
DR 8404(05/17/07)Page 4
19. If applicant is a corporation,partnership,association or limited liability company,applicant must list ALL OFFICERS,DIRECTORS,
GENERAL PARTNERS,AND MANAGING MEMBERS.In addition applicant must list any stockholders,partners.or members with OWNER-
SHIP OF 10%OR MORE IN THE APPLICANT.ALL PERSONS LISTED BELOW must also attach form DR 8404-I(Individual History record),
and submit linger print cards to their local licensing authority.
NAME HOME ADDRESS,CITY B STATE I DOB I POSITION %OWNED'
a et IC.naDs-,_a :,L cc) /1 (J—= , rvc LD.- 7\ C.;C`'1't,.-k et, C i La.her I C'Cii
it total ownership percentage disclosed here does not total 100%applicant must check this box
❑ Applicant affirms that no individual other than these disclosed herein,owns 10%or more of the applicant
Additional Documents to be submitted by type of entity
❑ CORPORATION ❑ Cert.of Incorp. ❑ Cert.of Good Standing(if more than 2 yrs.old) ❑ Ced.of Auth.(if a foreign corp.)
El PARTNERSHIP ❑ Partnership Agreement(General or limited) ❑ Husband and Wile partnership(no written agreement)
❑LIMITED LIABILITY COMPANY ❑Articles of Organization ❑ Cert.of Authority(if foreign company) ❑ Operating Agrmt.
I_] ASSOCIATION OR OTHER Attach copy of agreements creating association or relationship between the parties
Registered Agent(il applicable) Address for Service
DeeAnn Cosner 2501 26th Street, Greeley, Colorado 80634
OATH OF APPLICANT
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. I also acknowledge that it is my responsibility and the responsibility of my agents and employees
to comply with the provisions of the Colorado Liquor or Beer Code which affect my license.
A thorized Signature Title Date
REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY(CITY/COUNTY)
Date application filed with local authority Date of local authority hearing(for new license applicants;cannot be less
than 30 days from date of application 12-07-311(I))C.R.S.
THE LOCAL LICENSING AUTHORITY HEREBY AFFIRMS: Yes No
Thal each person required to tile DR 8404-1(Individual History Record)has: _
❑ Been fingerprinted ❑ LJ
7 Been subject to background investigation,including NCIC/CCIC check for outstanding warrants ❑ ❑
That the local authority has conducted,or intends to conduct,an inspection ol the proposed premises 10 ensure that the applicant is in
compliance with,and aware of,liquor code provisions affecting their class ol license ❑ ❑
(Check One)
❑ Date of Inspection or Anticipated Date .
❑ Upon approval ol state licensing authority. _
The foregoing application has been examined and the premises,business to be conducted,and character of the applicant are satisfactory.
We do report that such license,if granted,will meet the reasonable requirements of the neighborhood and the desires of the adult inhabitants,
and will comply with the provisions of Title 12,Article 46 or 47,C.R.S. THEREFORE,THIS APPLICATION IS APPROVED.
Local Licensing Authority for Telephone Number ❑ TOWN,CITY
Weld Con ty orado — 970-356-4000 X4200 II COUNTY
?a�
Signature �, /ff TNIe' Cr.' Board of Weld County Date JUL 2 0 2009
Willfaln , c' C stoners
Signature(atte l) Cler to the Board Date
± it Deputy t_erk to the Board JUL 2 0 2009
DR 8401 (0797)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 PIERCE ATTACHMENT TO LIQUOR OR
LAKEWOOD, 0261
205-2300(903)205-2300 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.
Trade Name of Establishment State License Number
r , ( +r> Date of Birth
1.Operating M nager Home Address
Nee:A, C S 0t tom= lcFL.)t ( rre)e iet)
2. Do you have legal possession of the premises for which this application for license is made? cot_ No
Are the premises owned or rented: (Y). ATM_ If rented,expiration date of lease: --
3. Has there been any change in financial interest(new notes.loans,owners,etc.)since the last annual application?If yes,explain in Yes No
detail and attach a listing of all liquor businesses in which these new lenders or owners,(other than licensed financial institutions)are ❑ Y.7t
materially interested. 'mil
4. Since the date of filing of the last annual application,has the applicant,or any of its agents,owners,managers,principals,or lenders Yes rrNN�-o LI!9
(other than licensed financial institutions),been convicted of a crime?If yes,attach a detailed explanation. FA
5. Since the date of filing of the last annual application,has the applicant,or any o1 its agents,owners,managers,principals,or lenders Yes No
(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?II yes,attach a detailed n .
explanation.
6. Does the applicant,or any of its agents,owners,managers,principals,or lenders(other than licensed financial institutions),have a yes hlo
direct or indirect interest in any other Colorado liquor license(include loans to or from any licensee,or interest in a loan to any
licensee)?It yes,attach a detailed explanation.
7. Sole owners or husband-wife partnerships answer this question.Since the date of filing of the last annual license application: Yes No
Has ownership changed in whole or in part,from a sole owner to any other person,partnership,corporation,or limited liability es ❑
company other than the licensee listed on your state liquor license?If yes,this license must be transferred to the new owner and
may not be renewed.Contact your Local Authority immediately.
e. Partnership applicants must answer this question.Since the date of filing of the last annual license application: Yes No
(a) Are there,or have there been any general partners added to,or deleted from the partnership?If yes.this license must be E
transferred to the new partnership and may not be renewed.Contact your Local Authority immediately.
(b) Are there,or have there been any limited partners with a 10%or more interest,added or deleted from the partnership?If yes,this I-1 ❑
license must be transferred to the new partnership and may not be renewed.Contact your Local Authority immediately. L,
9. Corporate applicants must answer this question.Since the date of filing of the last annual license application: Yes No
(a) Are there,or have there been any officers or directors added to,or deleted from the corporation?It yes,complete and attach
DR 8177 and submit to your Local Authority immediately. TH—
(b) Are there,or have there been any stockholders with 10%or more of the issued stack,added to,or deleted from the corporation? ❑
If yes,complete and attach DR 8177 and submit to your Local Authority immediately. IA
(c) Date of tiling last annual corporate report with the Colorado Secretary of State:
10. Limited Liability Company applicants must answer this question.Since the dale of tiling of the last annual license application: Yes No
(a) Are there,or have there been any managing members added to,or deleted from the company?If yes,complete and attach CIDR 8177 and submit to your Local Authority immediately.
IA
(b) Are there,or have there been any members with 10%or more membership interest,added to,or deleted from the company?
If yes,complete and attach DR 8177 and submit to your Local Authority immediately.
(c) Date of filing last annual LLCO report with the Colorado Secretary of State:
11. Bed and Breakfast applicants must answer this question and certify compliance with 12-47-118.5 C.R.S.,to the state licensing
authority by Initialing the following listed questions:
That it has no more than 20 sleeping rooms,and
That it provides at least 1 meal per day at no charge other than for overnight lodging,and
That it does not sell alcoholic beverages by the drink or in sealed containers,and
Thal it shall not serve alcoholic beverages for more than 4 hours in any one day,as folbws:
MONDAY HOURS TUESDAY HOURS WEDNESDAY HOURS THURSDAY HOURS FRIDAY HOURS SATURDAY HOURS SUNDAY HOURS
From: I e &re. From: (O R m. From: tG 's m. From: i C> " m. From: I.1% m. From: (C.)`gym. From:
To: ti m. To: q m. To: c,. m. To. 0. m. To: 02 c._m. To: „Z A m. To: c_Dt.
0
MEMORANDUM
jot TO: JENNY VANEGDOM, CTB
FROM: DAN JOSEPH
ENVIRONMENTAL HEALTH SERVICE
11 I
SUBJECT: LIQUOR LICENSE INQUIRY
C• DATE: JULY 15, 2009
COLORADO CC: CINDY SALAZAR; SARA EVANS
In response to your request, Environmental Health Services has reviewed the Retail Food
Service Establishment file for The Fort 21, located at 985 East 18th Street, Greeley,
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
MEMORANDUM
IL 1 To: Jenny VanEgdom, Deputy Clerk to the Board July 15, 2009
From: Ann Siron, Zoning Compliance Officer, Dept. of Planning Services
COLORADO
Subject: LC0034
Review of the following liquor license renewal by the Department of Planning Services shows the following:
06-27829-0000
The Fort 21, Ltd.
dba: The Fort 21
985 East 18th Street
Greeley, CO 80631-6135
Zone District: I-1 (Industrial-1)
This use is allowed through a Nonconforming Use (NCU-199).
No violations are occurring on the property at this time.
SERVICE,TEAMWORK,INTEGRITY,QUALITY
LIQUOR/BEER RENEWAL REVIEW FORM
Date: July 6, 2009
TO: {DEPUTY}JII2fl/FP/2/t
FROM: CTB
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: JULY 15, 2009
ESTABLISHMENT: THE FORT 21, LTD.
DBA THE FORT 21
985 EAST 18TH STREET
GREELEY, CO 80631-6135
Current license expires: AUGUST 8, 2009
***** ******************f**********************************************ff****************************•******
No concerns
Depu y' 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 of the date and time of the
Board of Commissioner's renewal hearing.
Liquor/Beer License Worksheet
The following concerns are noted:
/ r
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)
A LC0l(--g (co
Establishment Owner, Please Print Da i
Establishment Si ature uty's ' ure
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.
To: Weld County Board of Commissioners
From: Deputy Jennifer Foy
Date: July 6,2009
Re: The Fort 21
Dear Commissioners,
I have researched and found no reported calls for service as Fort 21 Tavern, located at
985 East 18th Street, Greeley, CO 80631, from August 1,2008 to July 6,2009,
I find no grounds for disapproval for the renewal of the liquor license.
Respectfully Submitt ,
PI? NO Yr
D putt' fifer Foy
ommu ity Resource Unit
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
r, Incident Report
,// OF*:
ucnseTrass Nanw. 7�//1 1 // ;{i (/ aSeensee Name: �("! I f��
License#/Type /I//i—(/�1 . • / f/'V r(/� I) (/�Id/Dale of Report!Incident 0?-7)/„�/6 ,
Address: Q�nn(��! n / /�j-C !�f"7�—y" ,l Person Contacted. )Op /,`//y7 ,t c 1e
Cory.State,Lp' . P./ ' ,J 4 < yo,... / Telephoner g7e)- s_�.L_ -‘19/0
Yes No NIA �U Yes No NIA
State Liquor License Posted V Manager Registered
State Sales Tax License Posted VC, License in Control of Premisesvey-
County Liquor License Posted Trade Name Properly Registered ivrf
Federal Form 11'Call(800)398-2822 j/Premises Physical Control Adequate
Food Service License Posted / Acceptable Dispensing System
Minor Warning Sign Posted _ ,f Off Premise Storage Licensed - /
Meals and Snacks Available ✓✓ Only Permitted Items Sold Li/Cleanliness Adequate f _ Alcohol From Permitted Source ✓.
Books&Invoices Available ti; Discuss Sales ofLigtorto i rs /
Alcohol Beverage Stock Acceptable Di uss Sales es to In Tat t arsons
❑Waming [Follow-Up Inspection / / C/ (��G�L�/
/Reyres five Sig ure Dale
Violation. Date I Time
Stblect: I DOB. Hgt Wgl: Eyes. 1 Hair.
Clothing' DL/IDS: State'
Address City. Stale Z®. Evidence. Yes NO
rim Phone#. Summons it- Court Date: Pndlos Yes NO
Narrative:
Deputy:9nh1rJ4'V7 # WULic- Date: llt'Ots 01
Hello