HomeMy WebLinkAboutI - 07 Liquor License Renewal - Doug's Fish FryBruench Incorporated
206 West Road
Cortland, NY 13045
(607)753-9184
Cortlandville Town Clerk
3577 Terrace Rd
Cortland, NY 13045
To whom it may concern:
I would like to advise, pursuant to the rules and guidelines forthe NYS Liquor Authority, Bruench
Incorporated (DBA Dougs Fish Fry) is sending in the renewal advisory for our Liquor License. Please
note I am sending this well in advance of the expiration of 4/30/2023
Sincerely,
Mark Braun
(315) 569-8255
Mbraun5200@aol.com
Filed -C-"pq a 2-013 M.
TOWN OF COI�TL.ANDVIL.L€
CORTLAND COUNTY
3577 TERRACE ROAD
T ,AND, NY
Town Clerk
44-,vh"Wmu0 '102.0-1910-oo60-g9Is-`FI ct�
OFFICE USE ONLY
0 Original r) Amended Date
49
Standardized NOTICE FORM for Providing 30-Day Advance
Notice to a Local Municipality or Community Board
1. Date Notice Sent: 12/16/2023 1a. Delivered by:
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:
® New Applciation O Removal 0 Class Change
For premises in the City of New York:
O New Application O New Application and Temporary Retail Permit O Renewal O Alteration ® Removal
O Class Change O Method of Operation 0 Corporate Change
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:
3. Name of Municipality or Community Board:ITown of Cortlandville Town Board
Applicant/Licensee Information:
4. Licensee Serial Number (if applicable): 12501487 CORT/RW/341 Expiration Date (if applicable): 104/30/2023
5. Applicant or Licensee Name: I Bruench Incorporated
6. Trade Name (if any): IDougs Fish Fry
7. Street Address of Establishment: 1206 West Road
8. City, Town or Village] Cortland � � NY Zip Code: 113045
9. Business Telephone Number of applicant/ Licensee: 1(607) 753-91 84
10. Business E-mail of Applicant/Licensee: imbraun5200@aol.com
11. Type(s) of alcohol sold or to be sold: ® Beer & cider O Wine, Beer & Cider ® Liquor, Wine, Beer & Cider
12. Extent of Food Service: O 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: I 1
❑ Seasonal Establishment ❑ Juke Box ® Disc Jockey ❑ Recorded Music ElKaraoke 1
14. Method of Operation:
(check all that apply) ®Live Music (give details i.e., rock bands, acoustic, jazz, etc.):
❑ Patron Dancing ® Employee Dancing ❑ Exotic Dancing ®Topless Entertainment
❑ Video/Arcade Games ❑ Third Party Promoters ® Security Personnel
❑ Other (specify): I
15. Licensed Outdoor Area: ❑ None ❑ Patio or Deck ❑ Rooftop ❑Garden/Grounds ElFreestanding Covered Structure
(check all that apply)
❑ Sidewalk Cafe ❑ Other (specify):
UPId-ICV I1_JUGU41
OFFICE USE ONLY
(D Original 0 Amended Date
16. List the floor(s) of the building that the establishment is located on: 11
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? 4 Yes ((W No
19. Will the license holder or a manager be physically present within the establishment during all hours of operation? Q 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:
I I I
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 Full Name: I f •' c.V X 1^ )V`r
23. Building Owner's Street Address: 1359 Frenchs Bay Rd
24. City, Town or Village: Tully I State: INy Zip Code: 113159
25, Business Telephone Number of Building Owner: 1(315) 569-8255
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. Rep resentative/Attorn ey's Full Name: 1
27. Representative/Attorney's Street Address:
28. City, Town or Village: State: I I Zip Code:
29. Business Telephone Number of Representative/Attorney:
30. Business E-mail Address of Representative/Attorney: I
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 - that the representations made in this form are true.
31. Printed Principal Name: I MGV \ �(vTitle: � `` \\
V � I �J Pam,\` 1'll'P�,`-Y'
Principal Signature:J�?
49
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