On-Premises Liquor Permit Application - CT.gov

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STATE OF CONNECTICUTDEPARTMENT OF CONSUMER PROTECTIONLIQUOR CONTROL DIVISIONTelephone: (860) 713-6210Email: liquor.control@ct.govWeb Site: www.ct.gov/dcpON–PREMISES LIQUOR PERMIT FEE SCHEDULEFull Year Six Months**ADDITIONAL CONSUMER BAR (NO FILING FEE) $ 190.00 $AIRLINE 600.00 433.33AIRPORT AIRLINE CLUB 915.00 643.33AIRPORT BAR 475.00 350.00AIRPORT RESTAURANT 1,550.00 1,066.67AMPITHEATHER – CONCESSION 400.00 300.00BOAT 600.00 433.33BOWLING ALLEY LIQUOR 2,350.00 1,600.00BOWLING ALLEY BEER 540.00 393.33BREW PUB 400.00 300.00CAFÉ 2,100.00 1,433.33CLUB 400.00 300.00CLUB NON-PROFIT 915.00 643.33COLISEUM CONCESSION (BEER ONLY) 1,350.00 933.33COLISEUM 2,350.00 1,600.00CONCESSION 400.00 300.00CONCESSION (ONE DAY) 150.00 N/AFARM WINERY 400.00 300.00GOLF COUNTRY CLUB 1,100.00 766.67HOTEL BEER 400.00 300.00HOTEL LIQUOR10,000 OR LESS POPULATION 1,550.00 1,066.6750,000 OR LESS POPULATION 1,950.00 1,333.3350,000 OR MORE POPULATION 2,750.00 1,866.67**HOTEL MINI BAR (NO FILING FEE) 100.00MILITARY 130.00 120.00NONPROFIT GOLF TOURNAMENT ($10 FILING FEE INCLUDED) 260.00 N/ANONPROFIT PUBLIC ART MUSEUM 350.00 266.67NONPROFIT PUBLIC TELEVISION ($10 FILING FEE INCLUDED) 60.00 N/A**PROVISIONAL PERMIT (90 DAY RENEWABLE) 500.00RACQUETBALL FACILITY 2,350.00 1,600.00RAILROAD 600.00 433.33RESORT 1,550.00 1,066.67RESTAURANT BEER 400.00 300.00RESTAURANT CATERER 1,550.00 1,066.67RESTAURANT LIQUOR 1,550.00 1,066.67RESTAURANT WINE & BEER 800.00 566.67SPECIAL OUTING FACILITY BEER 400.00 300.00SPECIAL OUTING FACILITY LIQUOR 1,550.00 1,066.67SPECIAL SPORTING FACILITY BAR 475.00 350.00SPECIAL SPORTING FACILITY CONCESSION 475.00 350.00SPECIAL SPORTING EMPLOYEE RECREATION 400.00 300.00SPECIAL SPORTING FACILITY GUEST 400.00 300.00SPECIAL SPORTING FACILITY RESTAURANT 1,550.00 1,066.67TAVERN 400.00 200.00THEATRE 350.00 266.67UNIVERSITY BEER ONLY 400.00 300.00UNIVERSITY LIQUOR (UCONN ONLY) 400.00 300.00UNIVERSITY WINE & BEER 800.00 566.67*Fees above include $100.00 non-refundable application fee unless otherwise indicated
For Official Use OnlyDCPLC – On-Premises App Rev 1/111STATE OF CONNECTICUTDEPARTMENT OF CONSUMER PROTECTIONLiquor Control DivisionTelephone: (860) 713-6210Email: liquor.control@ct.govWeb Site: www.ct.gov/dcpAPPLICATION FOR ON-PREMISES LIQUOR PERMITPlease print clearly or type the information entered on this application. An application and permit fee is required. Pleasesee fee chart for required fee. Checks and/or money orders should be made to “Treasurer, State of Connecticut” andmust accompany this application. The application fee is non-refundable. Return your completed application, documentationand appropriate fee to:Department of Consumer Protection, License Services Division, 165 Capitol Avenue, Hartford, CT 06106Section A: BUSINESS INFORMATIONADDRESS AT WHICH BUSINESS WILL BE CONDUCTED1. Type of Liquor Permit Applying for: 2. Are you requesting a Provisional Permit?YES NO3. Trade Name (DBA Name)4. Business Address City State Zip Code5. Business Telephone Number 6. Business Fax Number 7. Business Email Address8. Is there currently a liquor permit at theproposed premises? YES NOIf yes, current permit number9. Patio? (If yes, complete attached patio request form)YES NO10. Type of Live Entertainment: YES NO (If yes, please check () all that apply below)Acoustics - Disc Jockeys Live Bands Comedians Exotic Dancers(Not Amplified)Concerts Karaoke Plays/Shows Sporting Event(s) MagiciansSection B: APPROVAL/CERTIFICATION OF LOCAL OFFICIALS11. Zoning Authority Approval: I certify that I am familiar with the zoning ordinances and bylaws of the city/town identified in item#4 of this application and they do not prohibit the sale of alcoholic beverages under the type of liquor permit/establishment identified inthis application and/or entertainment listed in #10.Signature of Zoning Official X _______________________________________Print Name ____________________________________Title of Official ______________________________________________________________________ Date ______ /______ /________12. Fire Marshal’s Approval: I certify that the premises identified in items #3 & #4 of this application is physically constructed in amanner that is safe for the type of business that will be operated there.Signature of Fire Marshal X _________________________________________Print Name ____________________________________Title of Official ______________________________________________________________________ Date ______ /______ /________13. Certification of Town Clerk: The town in which the business identified in item # 4 of this application is to be operated, has noordinance restricting the hours of sale of alcoholic liquors beyond those set forth in State law except as indicated in the box below.(If none, please enter “NONE”)Additional Restrictions:Signature of Town Clerk X_____________________________________________________________ Date ______ /______ /________
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Page 11 and 12: PROVISIONAL PERMITIf you are applyi
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Page 17 and 18: CPLP-sellaff Rev 1/09STATE OF CONNE
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Page 21: DCPLC-ExtensofUseRequestform Rev 9/

On-Premises Liquor Permit Application - CT.gov

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