Loading...
HomeMy WebLinkAboutMontana Department of Revenue - Beer/Wine License - Beartooth Grill Montana Department of Revenue :r., w Mike Kadas — , Steve Bullock Director ; I { ; ! j Governor i J L' JAH b 2014 January 2, 2014 CITY _ - , Account ID: 6484109- 002 -ONP i License Type: Montana Retail On- Premises Consumption Restaurant Beer and Wine License License Number: 03- 044 - 9570 -401 Subject: Application for Issuance of One Original (NEW) Applicant: Beartooth Group Investments LLC - Members with 10% or more: Robert A. Dantic, Aaron B. Dantic BEARTOOTH GRILL Location Address: 305 South 1 Avenue, Laurel, Yellowstone County, Montana. NEWLY LICENSED PREMISES We need your help to determine if the above applicant and location comply with all laws and ordinances administered by your office. We ask that you please advise us by February 2. 2014, if there is a compliance issue. If we do not hear from you concerning a compliance issue, we will assume the laws and ordinances have been met. We would be happy to provide you with any additional information to determine compliance. This is an application for a new premises; a premises not currently licensed for the consumption of alcohol. Building (separate inspections and permits may be required - contact the local building department), health and fire approval will be required before department approval will be considered. It is important for you to understand that local laws are not enforced through the alcoholic beverage licensing process but several factors can influence the issuance of a license or prevent processing of the application: • Compliance with local laws may influence our final decision; and • Notification of a local deficiency I will be happy to assist you if you have questions. Please contact me at the address, telephone number or e- mail below. Sincerely, Tanya Stelzer Compliance Specialist Department of Revenue Liquor Licensing PO Box 1712 Helena MT 59604 -1713 Telephone (406) 444 -0712 tstelzer ©mt.gov Encl. Floor Plan and Application Pages Certificate of Service c: Department of Labor & Industry Montana Beer and Wine Distributors Association revenue.mt.gov A Toll free 1- 866 -859 -2254 (in Helena, 444 -6900) A TDD (406) 444 -2830 CERTIFICATE OF SERVICE I certify that on this - 3 day of . , 2014, a true and correct copy of the foregoing has been served by placing same in the United States mail, postage prepaid, and addressed as follows: LAUREL CITY COUNCIL PO BOX 10 LAUREL MT 59044 LAUREL CITY ATTORNEY • PO BOX 10 LAUREL MT 59044 LAUREL POLICE CHIEF RICK MUSSON PO BOX 10 LAUREL MT 59044 LAUREL CITY BUILDING INSPECTOR PO BOX 10 LAUREL MT 59044 RIVERSTONE HEALTH 123 SOUTH 27 STREET BILLINGS MT 59101 YELLOWSTONE COUNTY TREASURERS OFFICE P 0 BOX 35010 BILLINGS MT 59107 -5010 ADMINISTRATIVE ASSISTANT FIRE PREVENTION AND INVESTIGATION BUREAU 303 NORTH ROBERTS BOX 201415 HELENA MT 59620 -1417 �'' ,' ( ) r • GEM ..............‘ Check the Appropriate Boxes to Designate the Purpose of this Application RF ._ t tED BY Alcoholic Barrage Designate the Type of uo.ns. "Nee Alcohblic license Application DEC 0 4 2013 of Your Application: . 0 Biting Abode Beverage memo; Treader of rr oF Justice 0 On-Premises Beer 0 Beefing Akaholk Beverage License; Licenses i :4ltltiti<011A t 0 On- Premises Beer and Wk. (Addlbn of shore holder, member or partner not previously qualified) O e Arke.tohaant Beer and Wine O Resort License Ciiimbilma M ownership Moist in a lounged gobbling operation nog not Pander an Merest in the operation to a stranger to the Nome. . until a new gambhig license application reflecting the proposed transfer is submitted to the department and the deprbnerdt approvers the transfer. M ownership interest in a licensed gambling operation may not be transferred to another owner or group Of ownen of an interest or interests In the sarn.licensed gambbrg operation ■IMrout submitting an amended gambling berme application to . t duperhn.nt and obtaining deparhn.nt apryovaL D NaM G rrhblIng Dtlsing Only `No Alcoholic Beverage License is required for Live Kew :Mingo. . ` r .---. , N , (amend infonnatlon PrintofType Name of testy Applykig I _ . - - _ IlJedItA 4 L. c, 4. , , Sots • .. , 4 . • Le. John's Bar LLC) 1 Bwkhaa1Trad. None • .. I _ . - . Business Address of Premises to be - - . i 711. 7.71/ . . Mod, Slots No, Sundt* Pteend n+ ., City, ST e Zip) " l"wngAMdr.s. Skit tP:o. not or SOW, C1a, STerdd op) City Mt* zip Buenos Phone ( y46 ) ITS- Cell Phone ( ) _'� err t Fan ( ) E Mali address igilakaima .ea" - Federal Tax W. Number _ Alcohol Beverage License Number - (WA if not sprNgble) ' D Cho& tide box If you wish an correspondence sent to the attorney who subedited this application en your b.Mlf Are the premises for licensing located: Within the boundaries of an Incorporated dbalown. (Liquor and GembNng. Licenskhp) O Within a distance of five miles of an incorporated citlbwn. (Liquor Licensing) O Within en unincorporated dtyllown or outside Nye bounderles of, and more than five miles &tanos from, any olbdflown whether hoorporeted or unincorporated: (Liquor Licensing) > Iat t in the County of phairmeim., - City Nema County Name 2 Ownership Information • A. The applicant Is a: (See inhu n tI n Ghanat for documents required for each awrmmhlp bps) o may sot. Preprlabor(a) RECE 1 VED�lfviri,aw erred ParMnrsidpe ma>,► wan 1 o Panne ship . DEC 0 4 2013 as JointTenante wish Rigits saanr a wp o General O Linked _ (JTROS) or Tenants in Common (TEN©om), .w Limited Lisbillyr Cormpauy , T aquoiake =bin each Ndividuel with rlgm of o Limbed Liability Partnership survivorship a tenant In common le listed below. • o Charitable or No•Prollt organisation qualified . • Under 211 IL$OL 1101(c)(2), (og4), (c)p) or (cX$) . 0 JTROS or 0 TEN CCU 0 Retirement bans or weft hams (Oambilng Only) o Corporation O C Capitation • O subchapter S CI Publicly Held In the spaces below, Net all owners, partners, members, Mows and/or director' Each kndhddusl listed below must submt2 completed fingerprint cards, penonaMaiminml Wiry statement and fees. Use additional sheet of paper N neoeseary. For applicants that use a mul pis ent yi structure, attach a diagram shoWng el entities and Individuals. Name (First, M.I r ..n K /mil"t C TNN Date of Birth Social Secaarity No. Number d Shares .520 Address O . Sit � LAuR�. aN-- _5_� wrote PI of Ohnerahlp .y�DO Nara (First, M.I., Lest) - . Daur►i This dr.1Llar Date of ttiklh _ Social Steamily No. , Number d Shares SO Address 230" Zia Dr, *AI gui pros srT Nye► Percentage a Ownenh(p Ski Name (Firs Mi., Last) Tile Date of Birth Sodat Security No. Number a Share Address Percentage d Ownership � J Manspsmsnt kdonnstion A. Provide the following kdomntism for each mneasgsrrasrnt employes. It applying as tn the manager of thedg4o.duy opavilion forth" business. Attach me agssent agreement if indlvldinl Neied below must submit 2 completed fingerprint cards, pa reoaa lcri n history stationing') andks(e). D Oamblhg )(Manhole Beverage O Both O WA Name 4_ • ! /HidtrC Date of Birth sal Souk No. _ .._ Address, .1 U L. Pions �i r l Si 881ay Nan" Date Birth Sbdai Security Na Address Phone May Plesti Tb' b seer tAl A2u5 . 3 s • 1 _ • *muse 0e wpm= smut pals do s.lwwd e i% se U S oPtloo POP IICLZS'Z'P FM/ :/IN l000lolopo UOISUSOUOo SIP F.doo s 4P119 • I9All oN )If ISA D '1 ouswssies sopss9uoo a noun P.WAd° alwud sy1 N 'a p *PP POMP us 4 Mapw "AM • Zssolwoid OuPPID ow P lspouwu s Nos ol D 10411( Z a , I o wv f x" Poop wows ss us 91Iog 'seA 11 bsas wad PO uuoo *au o.141N oN PAX s oN D I.A % :uuss sng 90sunsg ollottool9 m sse no APooi SWIM 9g1 M 'd Zsoua!puo &quer *MOO Jo Aip Aq PPM' sl 81111410011 9Ja1M ON ht IIA0 z Lg0Ufautwo awe Almoo Jo Alto £q PIIoWssu of Iseloam4 011o400l. p Mss Sup alum adr rAD '1 :ssuaz Psup p Arse limp esepu i d elm •0 MUMS piaosl 041 pus UanUddll 441 al uousuo0 =P m' Aus says ON MX OM 0 4/16611601 • puooes sup pus sueolldds 941 tempo oustuse e Sumas JO queue die IIopS*I00 Aug sago sUV oNX IPA D meson • Ilsuongp .uouuwoo MVP ii.11dd.agp snow *mum 9 4i team/4pus JO wood Ave ssoo o f NIA ❑ Lsplu9ol moon al; A Aoue among AspPMgns usad s peoppuo0 sq tuned, 941 PlnOM oN ISA 0 • je u osod lusuge.uew uou uno bus ape Nssluwud ps us:g o+s s4i oa PA 0 bsseusou ssslwsud poop 94110 &Moils dFp ouraw 941 1/1411N► sU.oNd& 114101 PPP uowsu AUuge/ slelpsuW %. ante M aN f•A D . Woad& OltWmp Moo ..qw.,d se of ask »A £...lurtud 0+111941 uss.g9q AmIII+s pogo to opt M oNi► ISA o ooll 0sw auN4uwD osplra p luauepd x11W►ied s emq Am* seemed puoess 1141 wog oN O =Air :poem NNwadpsuauspnpul Poo Iuolssnb01111 »01101sugIP ammo 'f9A11 oND I9A9 • Now mina 4 PRAM M Wopduasuoo oeloorallol 0110403P ss.lwud410 X01 P.IUI00 Nsslwlid AMMO PlIN4 091 oN1P PIPsq ssgwsld s4< II •Z I•ID • /Alamos Aapuooss pod io psls sd° p pu.wuoo. tdscsw) looyos m diquom p weld Jap0 Jo sn00I suAs '4ouny0 9 se *I*Nsn, peldn000 &goling s 10 snap pumps 941 yo iss1 on tow pus's pep surfs 1141 to llulsulop JO; pssodoid.sslwsid 94110 troop eoUR4ue ag eel •I. :Wool of 000lMrsud sg>< Nrs y ps sglrossa ' £ISWpoow alum p luspwd/P 2 1110oq JO III4R'aq oil a sPeI tL Pool P Poo aq s SAM oN "AD '9 m9wwopopuradop sure ogle pus told ao09'top Adoo quoin pus wick*'ssAN ZParaIM wog Nss1 ssusog awed° amuse s 4a9M o; ISIiWSid moots 4IW► pm leap uowuoo s sow oN if PAD '9 .IISI ung 114 Iuisu 'ram A UMW/ ueeq s.y.Susan roPsado d ngw.e s 4 i es,Nusd Jagou. 41M►P.wgi 11 Pot sousqu. WPM opgnd s SMH 0 ' PAD 11 :Nwpnq etn emu'ISAA among owes u ►N.srppe to 1111.48 oN PAD '9 6 POMP • INIH cram Pd »loo 01 Jo%B W aUIPUIP09 I PIIIUIUI 9d s�nIH ON D • • (Menem p psd.d puoplppe eon) :PSlustvd ylssop ti UORIMUNUI SId C (I) • MM. • Dsclanitlon and Authathadon • APPUJCANT$ FORMAL DECLARATION AND AUTHORIZATION • FOR MAMMON AND LEASE OF INFORMATION I, hanby declare under the welly of law arvifor ths Ts ac the revocation of any licenses pining hereto, that I am the applicant or dub/ authorized representative of the fin or corporation matting this appNoation and that I have examined the applioation, Including any accompanying infformdion, and that the responses provided heroin are true, correct and complets.1 understand if this application or stbidmant(s) contains false Information, I an subject lo the aiming! weld's of 8ettbn 45- 7.202, 46 -7-203 and 45.7-204, Montana Call MnioWWsrl, and/or revocation cif a any alcoholic beverage et gambling Homes granted pursuant to this application. 1 further authorize a full review, disclosure and Meese to any duly authorized officer, agent or employee of the Montana Department of Jusdoe, Gambling Control Division, of any and d records conosrdrg.me that the Montana Department of Justice properly determines relate to my q bung and/or liquor Immure, whether the records an of a public, private, or conlldendal nettnns. SIGNATURE • PRINT FULL NAME � , ,, A •Duariii Tm E OSMON ./ DATE I7� *V, This application must be completed In full, and sI requested attachments must accompany A Delay, denial or the ntum tithe application *AI reed if Inoom ids. - Additlonal lelbrasetlon Elsy Oa Ragplrmd During the Investigation of Your Llosnse Apposition. COMM may- • limbed Seers to Mew as i s lb. ' P UBL tt - b WI SEAL k 1 f 'b G tieatdas at Pack a4. Noon 1 bn ,,i MY Commiedon Expires Aal 23, 2014 • NOTARY the taste Mar Ready d My Comodia Ripka , • ZLY • 12 . - wfwiiieoekh Muq7iN c . • aos coursi Rsr Aomu c42.. 40 act ft• D , X` • `4 i RECEIVE (:).--(3 tA av - (10( W M04 (UIDASVIF OCT $ 1 2013 : 2 1 9 e�i�uis ,,, f`1 `-� - b.Mto o U p i-- ' aims V 1 NIMMINIrlmw _ ;100 t O O 4 zr j ____ ' win &woe 4riirep. At 44 > i A -m• • \vi kitchen 1 • in ill@ 3 __ r I ME � ` EN iill _ --(3 idilt i 1 IL: W 7 _ t 99pE ANALYSIS FLOORPLAN . . . , ,... • . .....