Documents

correspondence 2 pages Scanned/OCR — text may contain errors

rev123120214 OFFICE USE ONLY NEWYORK | State Liquor 2 Original o) Amended I en 28 Authority 49 Standardized NOTICE FORM for Providing 30-Day Advance Notice to a Local Municipality or Community Board | annie RRERTRRIEIRRaRRERIRTREIRRISER RRR ERRRIRTEREERR RRR el 2. Select the type of Application that will be filed with the Authority for an On-Premises Alcoholic Beverage License: For premises outside the City of New York: oO New Application ro) Removal © Class Change For premises in the City of New York: © New Application © New Application and Temporary Retail Permit © Temporary Retail Permit O Removal © class Change © Method of Operation © Corporate Change Orenewal © Aiteration For New and Temporary Retail Permit applicants, answer each question below using all information known to date For Renewal applicants, answer all questions For Alteration applicants, attach a complete written description and diagrams depicting the proposed alteration(s) For Corporate Change applicants, attach a list of the current and proposed corporate principals For Removal applicants, attach a statement of your current and proposed addresses with the reason(s) for the relocation For Class Change applicants, attach a statement detailing your current license type and your proposed license type . For Method of Operation Change applicants, although not required, if you choose to submit, attach an explanation detailing those changes Please include all documents as noted above. Failure to do so may result in disapproval of the application. This 30-Day Advance Notice is Being Provided to the Clerk of the Following Loca! Municipality or Community Board: 3. Name of Municipality or Community Board: Croton-on-Hudson Applicant/Licensee Information: 4. Licensee Serial Number {if applicable): 14 325878 Expiration Date (if applicable): |06/30/2024 5. Applicant or Licensee Name:|2 Gregs Inc. 6. Trade Name (if any): |Piato Greek Kitchen 7. Street Address of Establishment: 1173 S. Riverside Drive 8. City, Town or Village: Croton-on-Hudson , NY ZipCode: /10520 9. Business Telephone Number of applicant/ Licensee: 9148620806 10. Business E-mail of Applicant/Licensee: igrego dalietos@vahoo.com 11. Type(s) of alcohol sold ortobesold: © Beer & cider © Wine, Beer & Cider © liquor, Wine, Beer & Cider 12. Extent of Food Service: © Full Food menu; full kitchen run by a chef/cook O Menu meets legal minimum food requirements; food prep area required 13. Type of Establishment: |Restaurant (full kitchen and full menu required ba Cl Seasonal Establishment oO Juke Box Dibise Jockey [®] Recorded Music Cl Karaoke 14. Method of O tion: ( om * a a 0 Live Music (give details i.e., rock bands, acoustic, jazz, etc.): fT [JPatron Dancing =] Employee Dancing [_JExoticDancing _[[] Topless Entertainment [J Video/Arcade Games CI Third Party Promoters __[] Security Personnel Clomerteaye [ 15. Licensed Outdoor Area: |] None LD patioorDeck [J Rooftop ° LJ Garden/Grounds L] Freestanding Covered Structure (check all that apply) [“] sidewalk Cafe [_] other (specify): opla-rev412312021 OFFICE USE ONLY ©) Original () Amended Date 16. List the floor(s) of the building that the establishment is located on: 17. List the room number(s) the establishment is located in within the building, if appropriate: 18. Is the premises located within 500 feet of three or more on-premises liquor establishments? OYes @ No 19. Will the license holder or a manager be physically present within the establishment during all hours of operation? © Yes © No 20. If this is a transfer application (an existing licensed business is being purchased) provide the name and serial number of the licensee: Name Serial Number 21. Does the applicant or licensee own the building in which the establishment is located? © Yes (if YES, SKIP 23-26) @©No Owner of the Building in Which the Licensed Establishment is Located 22. Building Owner's FullName: |Barbara Groden 23. Building Owner's Street Address: |419 East Hartsdale Avenue Suite 1 5 24. City, Town or Village: |Hartsdale State: Zip Code: |40530 25. Business Telephone Number of Building Owner: 19149485800 Representative or Attorney Representing the Applicant in Connection with the : Application for a License to Traffic in Alcohol at the Establishment Identified in this Notice 1am the applicant or licensee holder or a principal of the legal entity that holds or is applying for the license. Representations in this form are in conformity with representations made in submitted documents relied upon by the Authority when granting the license. | understand that representations made in this form will also be relied upon, and that false representations may result in disapproval of the application or revocation of the license. By my signature, | affirm - under Penalty of Perjury - that the representations made in this form are true. 31. Printed Principal Name: {Gregory Dalietos Title: |President Principal Signature: Z Ve