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application 3 pages

ANDREA O'BRIEN Dear Town Clerk: If you have any questions or need any additional information, please do not hesitate to contact me. Sincerely yours, 2 5 2024 Enclosed herewith is the 30-Day Notice to the Municipality for the above-mentioned: THE GRAND KITCHEN & BAR LLC. - part of the NYS Liquor Authority application for a Liquor License. We respectfully request a waiver of the 30-day wait period so that the applicant can proceed quickly by submitting the license application to the NYSLA. This is a ten (10) month process, and a waiver will expedite the process slightly. VILLAGE OF CROTON-ON -HUDSON OFFICE OF THE VILLAGE CLERK IVAN WYCK STREET CROTON-ON-HUDSON, NY. 10520 RE: THE GRAND KITCHEN & BAR LLC DBA: CROTON GRILLE 140 GRAND STREET CROTON-ON-HUDSON, NY. 10520 NYS ABC LAW CONSULTING GROUP LIQUOR LICENSE CONSULTANT WWW.NYSLIQUOR.ORG ANDREA@LIQUORAUTHORITY.ORG 914-980-9717 O Brie* Andrea O'Brien Liquor License Consultant jevl2302021 1. Date Notice Sent: la. Delivered by: 11/22/2024 Certified Mail Return Receipt Requested O Alteration O Removal 3. Name of Municipality or Community Board: VILLAGE OF CROTON ON HUDSON Applicant/Licensee Information: Expiration Date (if applicable): 4. Licensee Serial Number (if applicable): 5. Applicant or Licensee Name: THE GRAND KITCHEN & BAR LLC 6. Trade Name (if any): CROTON GRILLE 7. Street Address of Establishment: 140 GRAND STREET 8. City, Town or Village: CROTON-ON-HUDSON f NY Zip Code: 9. Business Telephone Number of applicant/ Licensee: (914) 930-9029 10. Business E-mail of Applicant/Licensee: mattcamerino@yahQo.com o Beer & cider O Wine, Beer & Cider O Liquor, Wine, Beer & Cider 11. Type(s) of alcohol sold or to be sold: Karaoke Video/Arcade Games Other (specify): LZJ Garden/Grounds Freestanding Covered Structure 14. Method of Operation: (check all that apply) O New Application O New Application and Temporary Retail Permit O Renewal O Class Change O Method of Operation O Corporate Change D Rooftop O Other (specify): 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 Local Municipality or Community Board: State Liquor Authority OFFICE USE ONLY O Original Q) Amended Date Standardized NOTICE FORM for Providing 30-Day Advance Notice to a Local Municipality or Community Board 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: q New Applciation q Removal Q class Change For premises in the City of New York: 15. Licensed Outdoor Area: Q None [/] Patio or Deck (check all that apply) sidewalk Cafe 12. Extent of Food Service: 0 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) I I Seasonal Establishment I I Juke Box I I Disc Jockey F"! Recorded Music O Live Music (give details i.e., rock bands, acousticjazz, etc.): Patron Dancing EZ1 Employee Dancing | | Exotic Dancing | | Topless Entertainment I | Third Party Promoters | | Security Personnel opla-revl2302021 17. List the room number(s) the establishment is located in within the building, if appropriate; n/a 0Yes c NO 18. Is the premises located within 500 feet of three or more on-premises liquor establishments? O No © Yes Serial Number Name ©No Q. Yes (if YES, SKIP 23-26) 21. Does the applicant or licensee own the building in which the establishment is located? Owner of the Building in Which the Licensed Establishment is Located 23. Building Owner’s Street Address; 939 PAULDING ST. State: NY 24. City, Town or Village: PEEKSKILL 27. Representative/Attorney's Street Address: 6 Mathes Court State: [NY 28. City, Town or Vi! dge: Lake Peekskil 1 914-980-9717 By my signature, I affirm - under Penalty of Perjury - that the representations made in this form are true. Title: Owner Matthew Camerino 31. Printed Principal Name: Principal Signature: 25. Business Telephone Number of Building Owner [(914)271-8232 16. List the floor(s) of the building that the establishment is located on: [GROUND FLOOR & BASEMENT 19. Will the license holder or a manager be physically present within the establishment during all hours of operation? 26. Representative/Attorney's Full Name: I Andrea O'Brien Zip Code. [10566 20. if this is a transfer application (an existing licensed business is being purchased) provide the name and serial number of the licensee. [n/a ————————— [ | Zip Code: [10537 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 I am 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. I 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. 22. Building Owner's Full Name: [pEDRO PAUTA 29. Business Telephone Number of Representative/Attorney: 30. Business E-mail Address of Representative/Attorney: [ Andrea@liquorauthority.org OFFICE USE ONLY O Original Q Amended______Date _