HomeMy WebLinkAboutI - 14 Relocation of Brand Y Distilleryrev02282020
OFFICE USE ONLY
f F, " „I_Iiuor 0 Original 0 Amended Date
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Standardized NOTICE FORM for Providing 30=DaV Advance Notice
to a local Municipality or Community Board
1, Date Notice was Sent: I12/08/2021 I 1a. Delivered by: (Certified Mail Return Receipt Requested
2. Select the type of Application that will be filed with the Authority for an On -Premises Alcoholic Beverage License:
0 New Application 0 Renewal 0 Alteration 0 Corporate Change ID Removal 0 Class Change 0 Method of Operation Change
For New 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:
3. Name of Municipality or Community Board: �TOWn of Cortlandville
Applicant/Licensee Information:
4. Licensee Serial Number (if applicable):' I Expiration Date (if applicable):
5. Applicant or Licensee Name: (Brand Y Distillery LLC
6. Trade Name (if any):
7. Street Address of Establishment: 13915 State Route 281
8. City, Town or Village: lCOrtiand I , NY zip Code: 113045
9. Business Telephone Number of Applicant/Licensee: ((607) 745-3675
10. Business E-mail of Applicant/licensee: lBrandYDistillery@gmail.com
11. Types) of alcohol sold or to be sold: 0 Beer & Cider 0 Wine, Beer & Cider 0 Liquor, Wine, Beer & Cider
12. Extent of Food Service:
Cbl
0 Full food menu; full kitchen run by a chef or cook � Menu meets legal minimum food availability requirements; food prep area at minimum
13. Type of Establishment:
14. Method of Operation: ❑Seasonal Establishment ❑Juke Box ®DlscJockey ❑Recorded Music ❑ Karaoke
(check all that apply)
❑ Live Music (give details I.e., rock bands, acoustic, jazz, etc.): I
® Patron Dancing ®Employee Dancing ®Exotic Dancing ®Topless Entert
ainment
❑ Video/Arcade Games ❑Third Party Promoters ❑Security Personnel
p otner(specify): ANY State Farm Distillery
16. Licensed Outdoor Area: ❑None ❑patio or Deck
❑Rooftop ®Garden/Grounds ❑Freestanding Covered Structure
(check all that apply)
Filed L2Caf
202 ( )ate Si ewall e ❑ Other (specify): 1
TOWN'OF GOf#TL�INDVILLE BVI
CORTLAND COUNTv
3577 TERRACE ROAD Page 1 of 2
QRT - D, N.Y.
TOWN CLERK
opla-rev02282020 OFFICE USE ONLY
O Original O Amended Date
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16. List the floors) of the building that the establishment Is located on: (First floor
17. List the room number(s) the establishment is located in within the building, If appropriate: I
18. Is the premises located within 500 feet of three or more on -premises liquor establishments? 0 Yes Q No
19. Will the license holder or a manager be physically present within the establishment during all hours of operation? OYes 0 No
20. If this is a transfer application (an existing licensed business is being purchased) provide the name and serial number of the licensee:
I I I
Name Serial Number
21. Does the applicant or licensee own the building in which the establishment is located? OYes (if YES, SKIP 23-26) O No
Owner of the Building in Which the licensed Establishmen4 is Located
22, Building Owner's Full Name: Iparr211 Carter
23, Building Owner's Street Address: 1911 NYS ROute222
24, City, Town or Village: ICOrtland I state: (NY Zip Code:113045
25, Business Telephone Number of Building Owner: 1(607) 4234292
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
26. Representative/Attorney's Full Name: I
27, Representative/Attorney's Street Address:
28, City, Town or Village: I I State:
29, Business Telephone Number of Representative/Attorney:
30, Business E-mail Address of Representative/Attorney: I
I Zip Code:I II
II
1
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.
By my signature, I affirm -under Penalty of Perjury -
thatthe representations made in this farm are true.
31. Printed Principal Name: (James C2se (/'�" I Title: (Member
Principal Signature: now \
Page 2 of 2
I originally applied for my license to open a NY State Farm Distillery in
The Shops at Ithaca Mall 40 Catherwood Road Suite A06 Ithaca,NY
14850.When it came time to extend the lease for the full term of the
license (3years) the landowner increased rent and insurance minimums
higher than I could afford.
I have moved all my equipment to 3915 NYS Route 281 Cortland, NY
13045 and registered the location with TTB as required.
James Case, Member Brand Y Distillery LLC
12/8/2021