TH E CITY OF N EW YORK MAN HATTAN COMM U N ITY BOARD 3 59 East 4th Street - New Vork, NV 10003 Phone: (212) 533-5300 - Fax: (212) 533-3659 www.cb3 man hattan.org - i nfo@cb3 man hattan.org Cigi Li, Board Chair Susan Stetzer, District Manager Community Board 3 I iquor I icense Annlication Questionnaire Please bring the following items to the meeting: NOTE: ALL ITEMS MUST BE SUBMITTED FORAPPLICATION TO BE CONSIDERED. d Photographs of the inside and outside of the premise. El Schematics, floor plans or architectural drawings of the inside of the premise. A A proposed food and or drink menu. A Petition in support of proposed business or change in business with signatures from residential tenants at location and in buildings adjacent to, across the street from and behind your proposed location. Petition mustgive proposed hours and method of operation. For example: restaurant sports bar, combination restaurant/bar. (petition provided) d Leter of notice of proposed business to block or tenant association if one exists. E-mail the CB3 office at [email protected] for help to find block associations. d Photographs of proof of conspicuous posting oi meeting with newspaper showing date. A If applicant has been or is licensed anywhere in City,letter from applicable community board indicating history of complaints and other comments. Checkwhich you are applyingfor: Elnew liquor license E alteration ofan existing liquor license EI corporate change Check if either of tlese apply: El sale ofassets tr upgrade (change ofclass) ofan existing liquor license Today's Date: If applying for sale of assets, you must bring letter ftom current owner confirming thatyou are buying business or have the seller come with you to the meeting. Type oflicense: Is location currently licensed? El Yes EI No If alteration, describe nature of alteration: Previous or current use ofthe location: Corporation and trade name of current license: APPLICANT: Premise address: 8G R I len *rnA Cross sEeets: Name of applicantand all principals: Trade name (DBA): eage 1 of 5 PREMISE: Type of buildingand number of floors: Will any outside area or sidewalk cafe be used for the sale or consumption of alcoholic beverages? {includes roof &yard) El Yes El No If Yes, describe and show on diagram: Does premise have a valid Certificate of Occupancy and all appropriate permits, includ.ing certifipate of occupancy for back or side yard intended for commercial use? Et yes E r,r"ffiH$.ffi*fs Indoor certificate of occupancy +t outdoor Certificate of occupancy nl * (fill in maximum NUMBER of people permitted) Do you plan to apply for Public Assembly permit? t .r#o Zoning designation (check zoning using map: http://gis.nyc.gov/doitt/nycitymap/ - please give specific zoning designation, such as RB or C2): _cA-4q' Is this premise wheel chair accessible? dYes tr No PROPOSED METHOD OF OPERATION: What type of establishment will this be (i.e.: restauranq bar, performance space, club, hotel)? rQsAntarqnl Will any other business besides food or alcohol seryice be conducted at premise? El Yes EtNo If yes, please describe what type: Whatare the proposed days/hours ofoperation? (specify days and hours each dayand hours of outdoorspace) u.n.\r'S slhru ld ttayn ^ an $ , S.,nrra.t,. S\t cpt"".B: l! cnh,ocr*'.Ho Numberofables? 4{,ionB: lQ Numberofseatsartables? iSL"'tii3g How many stand-up bars/ bar seats are located on the premise? z-Tr.ble-s, [A statrd up bar is any bar or counter (whether with seating or not) over which a paeon can order, | -15'.t rAc\anlu\ctr. pay for and receive an alcoholic beverage) W,hr:nfr: rtr X 3t . Eact+ Cerar,e{' tt g'. t 5' f 2.a rtclo , Describe all bars (length, shape and locationr.CpVirln X , S"\af ftLITBF *, f"Hrf ruBht fi i" E s*J" l.Bll ffiffi.3f-p.q a.mW#ffi,'ffiK$t'&ffi"8 t roedf,"r*thr. \A\Sh crr V : August 2012 Does premise have a full kitchen EfYes tr No? Does it have a food preparation area? EfYes tr No [f any, show on diagram) Is food available for sale?dYes El No If yes, describe type of food and submita menu hre the hours kitchen will be open? Will a manager or principal always be on site? ElAes Et No If yes, which? Tfr nCr?a\ How many employees will tlere be? 2b Do you have or plan to install El French doors E accordion doors or Efwindows? Will you agree to close any doors and windows at 10:00 P.M. every night? EYes [I No Willthere be TVs/monitors? E Yes fNo $fYes, howmany?) Willpremise have music? EYes El No If Yes, whatt!?e of music? tr Live musician tr DI tr fuke box E Tapes/CDs/iPod If other type, please describe Whatwill be the music volume? EfBackground (quiet) El Entertainment level Pleasedescribeyoursoundsystem:'fe i^$*r fT t{er< Will you host promoted events, scheduled performances or any event at which a cover fee is charged? lf Yes, whattype of events or performances are proposed? no How do you plan to manage vehicular traffic and crowds on the sidewalk caused byyour establishment? Please attach plans. nla. Will there be security personnel? El Yes f No [f Yes, how many and when) How do you plan to manage noise inside and outside your business so 4eighbqfs frill not be affected? Please attach plans. $.z- ulhd\€-€pa(e- api11 !,9 $ot rnclgrrc+ca Do you Et have orEffilan to install sound-proofing? APPUCANT HISTORY: Has this corporation or any principal been licensed previously? EfYes tr No If yes, please indicate name of establishmentD[*,Cggg&L Address: ,-{*a' r qn :*tnul', n * Dates ofoperation: If you answered "Yes'to the above questlon, please provide a letter from the communlty board lndlcating history of complaints or other comments. Has any principal had work experience similar to the proposed business?.El'Yes tr No If Yes, please attach explanation of e:rperience or resum". Of\achcd a{ bAck Revised: nugust 2012 eage 3 o,f 5 Does any principal have other businesses in this area? Effes tr No If Yes, please give trade name and describe B?e of business Has any principal had SLA reports or action past 3 years? E Yes Elf'[o If Yes, attach list of violations and dates of violations and outcomes, if any. Attach a separate diagram thatindicates the location (name and address) and total number of establishments selling/serving beer, wine (B/VU) or liquor [OP) for 2 blocks in each direction. Please indicate whether esEblishments have On-Premise (OPJ licenses. Please label sEeets and avenues and identifyyour location. Use letters to indicate Bal Restaurant, etc. The diagram must be . submitted with the questionnaire to the Community Board before the meeting. aJfuo.clrcef a]b*"f- LOCATION: How many licensed establishmexts are within 1 block? q How many licensed establishments are within 500 feet? 7R Is premise within a 500 footradius of 3 or more establishments with OP licenses? EfYes E No How many On-Premise (OP) liquor licenses are within 500 feet? tt Is premise within 200 feet of any school or place of worship? tr Yes.Ef No If there is a school or place of worship within 200 feet of your premise on the same block, submit a block plot diagram or area map showing its location in proximity to your premise and indicate the distance and name and address of the school or house of,worship. COMMTINITY OUTREACH: If there are block associations or tenant associations in the immediate vicinity of your location, you must contact them. Please attactr proof (copies of letters and poster) that you have advised these groups ofyour application with sufficient time for them to respond to your notice. You may contact the Community Board at [email protected] for any contact information. Please use provided pedfions, which clearly state the name, address,license for which you are applyin& and the hours and method of operation of your establishment at the top of each page. fAttach additional sheets of paper as necessary). q* achccl rul*ah. rev{sed: august 2012 , Page 4 of 5 (al u, f w l. .Ft N ul F lJ o9lo tp N a5 q) 4. o H. 6) L> c) ro T F } SSt'6' ,s 19 o N Fo I. tlo "?E 5 dol gnro o3 N F gr lr 1.. 5 ur @ -o a s ila \(0 B +l. l. u, *P UT l- (lJ F l- N F NAME Address Type of license 1 Dinner on Ludlow 95 Delancey St OP 2 Grey Lady 77 Delancey St OP 3 Bercli Park 51 Delancy Street RW 4 RPM 266 Broome Street OP 5 Dudley's 85 orchard street OP 6 lrving Farm 88 Orchard Street RW 7 Barrio Chino 253 Broome Street OP 8 Jin Sushi 252 Broome Street RW 9 Zest Asian Food 249 Broome Street OP 10 Los Felize 109 Ludlow Street OP 11 Amuse 121 Ludlow Street RW 12 Hi Thai 123 ludlow street OP 13 Mi Casa Su Casa 140 orchard street OP 14 Top Hops 94 Orchard Street TW 15 Congee Village 98-100 Alllen Street OP 16 Hill& Dale 115 allen street OP 17 LuckyJack's 129 Orchard St OP 18 Caf6 Katja 79 Orchard Street OP 19 SpurTree 76 Orchard Street RW 20 Casa Mezcal 86 Orchard Street OP 21 An Choi 85 Orchard Street OP 22 Sticky Rice 85 Orchard Street OP 23 Sorella 95 Alllen Street OP 24 Leftfield 87 Ludlow Street OP 25 Normans Cay 74 Orchard Street OP 26 Cafd Dancer 95 Orchard Street OP 27 The Dressing Room 75A Orchard St OP 28 Chloe 81 81 Ludlow Street OP 29 The Ten Bells 247 Broome Street RW 30 Feng Yang Corporation 107 Eldridge Street RW 31 Lok Sing Chinese Restaurant 290 Grand Street RW 32 Spring Boy Fuzhou Foods 8l Allen Street EB 33 Leadbelly 14 Orchard Street OP 34 Sebastians-LC 8l Orchard St OP 35 Black Tree l3l Orchard Street OP Amanda Gohen 407 Park Avenue South #fHlb Nerv York, NY 10029 917405-0850 Experience Dirt Candy 0fifz0o7-Cunently Chef/Owner -2 star New York Times Review (the first for a vegetarian restaurant in 17 years) -First Comic Book Cookbook -Wnner of numerous best vegetarian