HomeMy WebLinkAbout920300.tiffRESOLUTION
RE: APPROVAL OF RENEWAL REQUEST FOR HOTEL AND RESTAURANT LIQUOR LICENSE, WITH
EXTENDED HOURS, ISSUED TO ALBERT J. JENKINS, SR., DBA ONE -NINETEEN
RESTAURANT AND LOUNGE - EXPIRES MARCH 25, 1993
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, Albert J. Jenkins, Sr., d/b/a One -Nineteen Restaurant and Lounge,
presented to the Board of County Commissioners of Weld County, Colorado, an
application for the renewal of a Hotel and Restaurant Liquor License, with
extended hours, for the sale of malt, vinous and spirituous liquors for
consumption by the drink on the premises only, and
WHEREAS, pursuant to Weld County Ordinance No. 6, Section II, C., said
applicant has paid the sum of $128.75 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:
3815 Highway 119, Longmont, Colorado 80501-9543
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 92-08 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 does hereby
authorize and direct the issuance of said license by the Chairman of the Board
of County Commissioners, attested to by the County Clerk to the Board, of Weld
County, Colorado, which license shall be in effect until March 25, 1993,
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.
920300
nr,r.,,I
ac- Soo, APP
RENEW LIQUOR LICENSE - ONE -NINETEEN RESTAURANT AND LOUNGE
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 23rd day of March, A.D., 1992.
ATTEST:
Weld County Clerk to the Board
BY:
Deputy Clerk o the Board
APPROVED AS TO/FORM:
County Attorney
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Geoorrge Kendedy,�Chairman
Constance L. Harbert, Pro-Tem
C. W. Kirb
Gord
W. H. Webster
920300
1
l7® off C o Bo r °(�:.So�
.li off )3@ V . ruI I®
Liquor Enforcement Division
1375 Sherman Street
Denver, Colorado 80261
JENKINS ALBERT J SR
ONE -NINETEEN
RESTAURANT&LOUNGE
3815 HWY 119
LONGMONT CO 80501-9543
Alcoholic Beverage License
Atmum Number
dNNstu.t. Lih D+rf
wry Cfty In _
tieENSE EXPIRES AT W 0NIGHT
MAR 25, 1993
07-15581
03 206 5813 1 032691
Type
Norm end Dnciplion d Lken.e
Fee
G
HOTEL AND RESTAURANT LIQUOR
LICENSE
$ 50.00
COUNTY
851EEUi DAP FEE
i 276.25
TOTALFEES)
$ 326.25
EXTENDED 4JRS
This icense is issue su ject to the laws of the State of Colorado and especially under the
provisions of Tide 12, Articles 46 or 47, CRS 1973, as amended. This license is non-
transferable 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 Divison, 1375
Sherman Street, Denver, CO 80261.
In testimony whereof, l have hereunto set my hand.
Division Director
OR 8402 (3-88)
MET
MAR 2 6 1992
SWW
Executive Director
27,0 SC
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FOR HOTEL AND RESTA
SPECIFY: Retail Liquor Store. Liquor
TO SELL AT RETAIL MA
S OF LIQUOR
SPECIFY ICI
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ETEEN RES
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'41-9(33,:
DR 8404 (02/91)
COLORA0D0 DEPARTMENT OF REVENUE
Liquor Enforcement Division
1375 Sherman St.
Denver CO 80261
COLORADO LIQUOR
LICENSE APPLICATION
IMPORTANT: For those retail licenses described in Column A below, this application and all
supporting documents must FIRST BE FILED IN DUPLICATE WITH, AND APPROVED BY, THE
LOCAL LICENSING AUTHORITY (CITY, TOWN, COUNTY). Applications will not be accepted
unless all applicable questions are fully answered, all supporting documents correspond exactly with
the name of the applicant(s), and proper fees are attached.
You may attach separate sheets or additional documents if necessary to fully complete this
application. All documents must be typewritten or legibly printed in black ink.
Form DR 8404-I, 'Individual History Record' must be completed and filed in duplicate by the
following:
• Each applicant • Over 5% limited partners
• All officers/directors of a corporation • Managers
• All stockholders of a corporation not subject • Each person required to file form
to the Securities and Exchange Act of 1934 DR 8404 -I must submit fingerprints
• Over 5% stockholders of a corporation subject to the Local Licensing Authority.
to the Securities and Exchange Act of 1934 • Please note: Fingerprints submitted will
• All Limited Liability Company members and managers be used to check criminal history
• All general partners records with the FBI and CBI
NOTE: License status will not be given over the telephone. License will be mailed by the Liquor
Enforcement Division to the Local Licensing Authority upon issuance.
ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TypE:WRITTEN
License Issued Through
(Expiration Date)
Use License Account No.
for all reference
LIAWT'Y INFORMATION
CI y It dusfryT fpe Ueblf y Date!
Cash Fund
661
FEE PAIDr
Sure
41-9:
County
461
Ext firs
:..:.411-,24
. 'EistHrs. 6
*9.1
P , . Ttly0RORAtittgysttpfpfpipftplANsfgrmotOWNERSHIP
fUSTCHECK THE APPROPRIATE gagt BELOW IN EITHER COLUMN A OR.COLUMN B
AND ST ALSt' CHECK TER BOX (18) OR (19).
COLUMN A t .
ATE EEC;
18 0 Application Fee for New License $450.00
19 0 Application Fee for Transfer of Ownership 450.00
20 ❑
20 ❑
21 ❑
21 ❑
22 ❑
22 ❑
23 ❑
24 �J
25
40
41
42
45
0
Extended Hours Special License
1. Name et Applicant(s): If partnership, list partners' names (at least two); if corporation, name of corporation:
tt/he.rt •CrecSP_ n KI n., Cr
1a Applicant is a:
F1 Corporation '] Individual ❑ Partnership ❑ Limited Liability Company
2. Trade Name of Establishment: (DBA)
Oft€_- p rte ee n— eLEYtge
3. Address of Prem'ses:(Spedfy exact location of premises Diagram of premises must accompany this application.)
X475 Hwy, n'1 Lorgmnrit/'n Co
City:
A.onc1marit
4. Mailing Address: (Number and Street)
5a ROW. l', ' ': ,A0
5. If this is a transfer of ownership or renewal application, you MUST answer the following questions about this business:
0
0
0
0
Retail Liquor Store License - City202.50
Retail Liquor Store License - County 287.50
Liquor Licensed Drugstore - City202.50
Liquor Licensed Drugstore - County 287.50
Beer & Wine License - City 177.50
Beer & Wine License - County 262.50
Hotel & Restaurant Lie. 0 City 0 County 326.25
Hotel & Restaurant Lie.
w/Optional Premises 0 City 0 County 326.25
Club License 0 City ❑ County 135.00
Tavern License ❑ City 0 County 326.25
Arts License 0 City County 135.00
Racetrack License 0 City 0 County 326.25
Optional Premises tic. 0 City 0 County 326.25
170.00
s(
COLUMN B
STATEFEES'
18 0 Application Fee for New License
19 0 Application Fee for Transfer of Ownership
26 0 Public Transportation License each $50.00
27 0 Manufacturer's License -Brewery 275.00
28 El Manufacturer's License -Winery 275.00
29 [T Manufacturer's License -Distillery or Rectifier 1025.00
31 0 Wholesale Liquor License (Vinous & Spirituous) 1025.00
32 0 Wholesale Beer License (Malt Liquor) 525.00
37 0 Importers License (Malt Liquor) 275.00
38 0 Importers License (Vinous & Spirituous Liquor) 275.00
43 ❑ Limited Winery License 45.00
44 0 Nonresident Manufacturer's License (Malt Liquor) 275.00
$450.00
450.00
State Sales Tax No.:
/517 /
Date tiled with Local Authority:
03//7/9-%-
F. E.I. N.:
Social Security No.:
psi-,
orr Town:
dnaYnor,7
State:
State:
Ca
Present Typ License:
/dr-1r 1 ti ecr
Business Telephone:
30_1'-'712 �9 q
Zip Cole;
Zip Code:
f& -S? 5/
Present Expiration Pate:
3 -AS 2 -
Present Trade Name of That Establishment (DBA):
Present State License No.:
920300
6. Is the applicant, or any of the partners, or officers, stockholders or directors of said applicant (if a corporation),or manager,
under the age of twenty-one years?
YES
NO
7. (a) Has the applicant, or any of the partners, or officers, stockholders or directors of said applicant (if a corporation) ever
been convicted of a crime? If answer is 'yes,' explain in detail. Exclude minor traffic violations.
(b) Have persons lending assistance or financial support to the applicant, or the manager, or employees, ever been
convicted of a crime? If answer is 'yes; explain in detail. Exclude minor traffic violations.
8. Has the applicant, or any of the partners, or officers, directors or stockholders of said applicant (if a corporation), or
manager, ever:
(a) been denied an alcoholic beverage license?
(b) had an alcoholic beverage license suspended or revoked?
(c) had interest in an entity that had an alcoholic beverage license suspended or revoked? If 'yes,' explain in detail on
separate sheet.
X
9. Has a liquor license for the premises to be licensed been refused within the preceding two years? If 'yes,' explain in detail.
1O. Are the premises to be licensed within 5O0 feet of any public or parochial school, or the principal campus of any college,
university or seminary?
I
>/
v
11. Does or did the applicant, or any of the partners, or officers, directors or stockholders of said applicant (if a corporation)
have a 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)? If yes,' explain in detail.
X
12. State whether the applicant has legal possession of the premises by virtue of ownership or under a lease. Attach a copy of
deed or lease. If leased, list name and address of landlord and term of lease. Attach a copy of ciagram of premises. �=)�
! C 11Y r C �r1roZ( Is,' 1 ��i. 4-1.-. . /CJ i.i,,, (4 14 4a—
13. Identify the persons, firms, or corporations who now, or will, have a financial interest, evidenced either by loans or equity
ownership in the business for which this license is requested. State the names and addresses of any such persons, and
the amount and source of such financial interest expressed in dollars or other items of value, such as inventory, furniture or
equipment (i.e., bank, relatives, friends, previous owners, etc.). Use separate sheet if necessary.
NAME
ADDRESS
INTEREST
14. List the names and addresses of all liquor businesses in which any of the persons in the previous question are materially
interested. Use separate sheet if necessary.
NAME
BUSINESS
ADDRESS
Attach copies of all notes and security instruments, and any written agreement or details of any oral agreement, by which any person (including a
corporation) will share in the profit or gross proceeds of this establishment, and any agreement relating to the business which is contingent or
conditional in any way by volume, profit sales, giving of advice or consultation.
Page 2 of 4
9 d 3C t)
15.
Liquor Licensed Drug Store applicai nswer the following:
(a) Does the applicant for a Liquor Lice,,,.ed Drug Store have a license issued by the Colorado ward of
Pharmacy? COPY MUST BE ATTACHED.
YES NO
16.
Club Uquor Ucense applicants answer the following:
(a) Is the applicant organization operated solely for a national,
not for pecuniary gain?
(b) Is the applicant organization a regularly chartered branch,
operated solely for the object of a patriotic or fraternal organization
(c) How long has the dub been incorporated?
(Three years required)
Note: Applicants must also answer question 21, parts (a) through
social, fraternal, patriotic, political or athletic purpose
and
lodge or chapter of a national organization which
or society, but not for pecuniary gain?
(d) How long has applicant occupied the premises
to be licensed as a dub?
(d), and (f), below.
is
17.
Colorado Manufacturer, Wholesaler or Limited Winery applicants, answer the following:
(a)Will the applicant store or sell alcoholic beverages at more than one location in Colorado. If 'yes; provide theI.
address of each location and explain the activity to be conducted at each location (e.g., warehouse, salesroom,
(b) If the applicant is a wholesaler, does or did any owner, part owner, shareholder, director or officer have any
indirect financial interest in a wholesaler, retailer, manufacturer or importer already licensed by the State of
to sell malt, vinous or spirituous liquor? If yes,' attach explanation in detail.
(c) Does the applicant have a valid Federal Basic Permit? If yes,' attach a copy of the permit; if 'no' explain
one has been applied for.
etc.)
direct
or
Colorado
whether
18.
Nonresident Manufacturer (malt liquor) or Importer (malt, vinous or spirituous liquor) applicants, answer the
(a) To what Colorado licensed wholesaler do you intend to ship your merchandise?
(b) Does or old any owner, part owner, shareholder, director or officer of the applicant have any direct or indirect
interest in an importer, manufacturer or retailer already licensed by the State of Colorado to sell malt, vinous
spirituous liquor? If 'yes,' attach explanation in detail.
(c) Does the applicant have a valid Federal Basic Permit? If 'yes; attach a copy of the permit: if 'no,' explain
(d) Are you the primary source of supply in the U.S.? If 'no,' explain.
following:
financial
or
In detail.
19.
If the applicant is a partnership, answer the following: (Attach separate sheet if necessary.)
(a) Name of each general partner and each limited partner
holding a greater than 5% interest
Home Address, City and State
Social Security I
Date of Birth
(b) On what date was the partnership formed? Attach a copy of the partnership agreement (except for
partnerships consisting only of a husband and wife).
Data:
20.
If the applicant is a Limited Liability Company, answer the following:
(a) Name of each member and manager of the Limited
Liability Company
Home Address, City and State
Social Security I
Date of Birth
(b) On what date was the Limited Liability Company formed?
Date:
Attach the following:
1. A copy of articles of organization.
2. Acknowledgement from Secretary of State's office.
3. Copy of operating agreement
(e) Name of Responsible party
Page 3 of 4
:rein 0
21. If the applicant is a corporation, answer the following:
(a) Corporation is organized under the laws of the State of: Date of Incorporation:
(b) Out-of-state corporations, give date authorized to do business in Colorado:
(c) Date of filing last annual corporate report to the Secretary of State:
(Attach Certificate of Authority
from Cob. Secretary of State)
(d) Name of each officer listed below:
Home Address, City and State:
Social Seventy a
Date of Birth:
Prsident:
Vice -President
Treasurer:
Secretary:
(e) Name all 5% or greater stockholders;
include actual owner or oledoee
Home Address, City and State
% of stock
Date of Birth:
(f) Name of all Directors or Trustees of
Corporation:
Home Address, City and State
22. Manager:
...................
PPLICA
I declare under penalty of perjury in the second degree that this application and all attachments are true, correct, and
complete to the best ofmy knowledge. ,
Authorized Sianau
Is this application for a:
Tee
lileY1 r
:NW
REPORT AN APPROVAL QF LOCAL LICE (SING AUTHORITY
nonresident ma>u%apurers lmpor(ar a wholes lers Gld a Ewinw{aa, and public trrasporlatbn Bean
dIsreeard Iba section below.)
New License
Transfer of Ownership
Other (specity): Re n r. w`G.. �-.. YES NO
Each person required to file DR 8404-I: Has been fingerprinted
Background NCIC and CCIC checked
The liquor licensed premises is ready for occupancy and has been inspected by the Local Licensing Authority.
If 'no,' the building will be completed and ready for inspection by (date)
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 inhabitants, and will comply with the provision of Title 12, Article 47, C.R.S. THEREFORE, THIS APPLICATION IS APPROVED.
Local LSrU, Atnhorty for:
Weld County, Colorado
❑ TOWN, CITY
® COUNTY
nit Chairman, Weld County Board of
Commissioners
a -
s :
sgnat eelZiciesth
Ck��°If premisesaty, the above apprilanitUldthfiErked oy S in ounty, then by the chairman of the
board of county commissioners and the clerk to the board. If, by ordinance or otherwise, the local licensing authority is some other official, then such
approval should be given by such official.
ml.: Weld ounty C r /t Board
BY:./fl ,,or
Date:
Date:
3/23/92
3/23/92
Page 4 of 4
DPSBIB20 DES( tPTION OF MESSAGE IN IN -BI ET
Message : Reply to your message of 03/19/92 09:56
: I checked the computer under the name of the business, and the
: name of the owner, and did not come up with any violations in
: past year on One -Nineteen restaurant... Lt. Malcom
Received from : PCJLTN01-MAIN
Received : 03/19/92 18:03 Sent : 03/19/92 18:03
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PS Form 3800, June 1985
P 387 472 741
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
(See Reverse)
COLORADO DEPT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
STATE CAPITOL ANNEX
1375 SHERMAN STREET
DENVER, CO 80203
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
Return Receipt showing
to whom and Date Delivered
Return Receipt showing to whom.
Date. and Address of Delivery
TOTAL Postage and Fees
Postmark or Date
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RECEIPT FOR CERTIFIED MAIL
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NOT E OPI T RNA'WNAL MaI
f See Rev',rset
Sent to
ALBERT J JENKINS SR
Street and No 1-19 REST. & LOUD
3815 HIGHWAY 19
PO State and LIP code LONGMONT CO
80504
Postage
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Special Delivery Fee
Restricted Delivery Fee
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to whom and Date Delivered
Return Receipt showing to whom
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PS Form 3800, June 1985
P 3&7 472 754
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
(See Reverse)
ALBERT J JENKINS SR
ONE -NINETEEN RESTAURANT
3815 HWY 119
LONGMONT CO 80501-9543
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
Return Receipt showing
to whom and Date Delivered
Return Receipt showing to whom.
Date. and Address of Delivery
TOTAL Postage and Fees
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