liquor licence application package for transfer … · liquor licence application package for...
TRANSCRIPT
Page 1 of 12
LIQUOR LICENCE APPLICATION PACKAGEFOR TRANSFER OF LICENCES
The following is a checklist of the documents and information required to make application and submit to the Yukon Liquor Board for their consideration:
Completed and sworn (by applicant or by president or director of company) copy of FORM 1, Application for Liquor Licence.
Completed and sworn Personal History Report and RCMP Consent for Disclosure record check results for: each director of the company; each partner in a partnership; or for an applicant in a sole proprietorship and for the manager of the premises.
A detailed plan of the building(s) or detailed plans for renovations indicating proposed licensed area and liquor storage area(s), including dimensions, and showing doorways, exits, and other major features (Refer to Section 6 of FORM 1 – Application for Liquor Licence).
Copy of title or lease agreement (this agreement must be valid for one year or more) or a copy of the option to purchase or lease.
Copy of your Business Name registration.
Copy of purchase agreement (if leasing the building(s) from one party and have purchased the business from another party).
Copy of food menu/list
Copy of liquor menu
Transfer fee which equals 10 per cent of the applicable annual fee based on seating capacity as determined and advised by local Fire, Building and Environmental/Health department codes, as well as any other appropriate regulatory agencies.
Copy of the business licence (which must include liquor service).
Application/documents required for specific class of licence, e.g. Club, Recreation Facility, RV Park etc. refer to section 6 of the application. (Other relevant documentation may be required)
Approval of the premises by Environmental Health for food service, washroom, and sanitation requirements, etc.
Approval of the premises for occupancy by: the City of Whitehorse Building Inspection Branch or YTG-Building Inspection Branch; and/or a copy of the fire inspection report from the City of Whitehorse Fire Department or the YTG-Fire Marshall’s Office.
Notification from the current licensee of their intentions to sell or lease their premises along with a letter stating that they have no objection to the transfer of their liquor licences.
YG(5503EQ)F12 Rev.01/2016
Page 2 of 12
LIQUOR LICENCE APPLICATION PACKAGEFOR TRANSFER OF LICENCES
ADDITIONAL INFORMATION
The documents listed in the application package and the transfer fee must be received by our office 30 days prior to the proposed transfer date so that an inspection of the premises can be completed, the transfer application can be considered and if approved, the licences can be issued in advance of your opening date.
A Food Primary - beer/wine licence, allows you to serve beer, wine, ciders and coolers. A Food Primary – all liquor licence, allows you to serve beer, wine and spirits.
New licensees will receive an information package along with a copy of the Yukon Liquor Act & Regulations, and the Yukon Liquor Board Policy Manual from the Licensing and Inspections branch.
To assist you in preparing your transfer application package, please find enclosed:
• Checklist;
• Specific relevant excerpts from the Yukon Liquor Act & Regulations;
• Specific relevant excerpts from the Yukon Liquor Board Policy;
• Application form;
• Personal History Report; and
• RCMP Consent for Disclosure of Criminal Record Information form.
*Note: The RCMP Consent for Disclosure of Criminal Record Information form must be completed and submitted in person to the nearest RCMP detachment with two pieces of ID, one of which must be a valid government issued photo ID.
Please note that the enclosed application form is required when applying for all types of liquor licences outlined in section 1 of FORM 1. If you require any clarification or if you have any questions or concerns, please contact the Licensing and Inspections Branch at 667-5245 or toll free 1-800-661-0408, local 5245.
Page 3 of 12
FORM 1APPLICATION FOR LIQUOR LICENCE
Application for New Licence Application to Transfer Licence
1. CLASSES OF LIQUOR LICENCE REQUESTED (Liquor Act Section 23)
Liquor Primary Licence
Food Primary Licence
Off Premises Licence
Special Licence
Club Liquor Licence
RV Park Licence
Train, Ship or Aircraft Licence
Recreation Facility Licence
Sports Stadium Licence
Liquor Manufacturers Retail Licence
Liquor Manufacturers Licence
2. CONDITIONS OF LIQUOR LICENCE REQUESTED
Club - all liquor Liquor Primary - all liquor
Club - beer/wine Liquor Primary - beer canteen
Food Primary - all liquor Liquor Primary - mess
Food Primary - beer/wine Off premises liquor
Liquor Manufacturer’s - brewery Off premises liquor - beer/wine
Liquor Manufacturer’s - distillery Recreation Facility
Liquor Manufacturer’s - winery Room Service
Liquor Manufacturer’s Retail - brewery Liquor Manufacturer’s Retail - distillery
Liquor Manufacturer’s Retail - winery
3. APPLICATION INFORMATION
Name of Applicant:
Contact Information:
Name:
Address:
Telephone: Fax: Email:
Website:
Page 4 of 12
4. BUSINESS INFORMATION
Sole Proprietorship Partnership Corporation Non-profit organization
Name:
Contact Information:
Name:
Address:
Telephone: Fax: Email:
Website:
5. DESCRIPTION OF PROPOSED OPERATION
(If this is an application for dual licensing complete one copy of Part 5 for each type of license being requested for the same premises.)
a. General description
b. Name of premises
c. Start date
d. Person in charge Applicant
Manager (name)
e. Type of food available Full meals (main course & appetizers)
Light meals (appetizers, sandwiches, wraps etc.)
Other (describe):
f. Type of liquor Beer - bottles/cans, ciders and coolers
Beer - draft
Wine
Spirits & liqueurs
g. Type and hours of entertainment and games offered on the premises
Live music/DJ
Karaoke
Comedy/other live act (describe):
TV
Pool table
Table games such as foosball
Darts
Other (describe):
h. Public Notice of application been completed (LA s.26)
Yes No
Provide details:
Page 5 of 12
i. Hours & days of business operation
DAY M T W T F S S
From
To
If seasonal:
Opening date:
Closing date:
j. Proposed hours of liquor service DAY M T W T F S S
From
To
If seasonal:
Opening date:
Closing date:
Suggested time maximums of liquor service:Food Primary: 10:00am - 2:00am - 16 hours maximum Off Premises: 10:00am - 12:00amLiquor Primary:12:00pm - 2:00am - 14 hours maximum
k. Estimated ratio of food sales to liquor sales
Food % Liquor %
l. Clubs # of resident members
# of non-resident members
# of honorary members
Annual dues ($)
Bylaws
m. Recreation facility - type of recreation to be provided
(provide details):
n. Dual licensing - how minors will be excluded from the liquor primary premises
(provide details):
6. OWNERSHIP
If Partnership:
Name of each owner: % of Ownership
If Corporation:
Date of incorporation Public Private
Territorial, provincial or federal charter (specify):
Shares authorized Common Preferred
Shares issued Common Preferred
Par value of shares Common Preferred
Bonds issued and o/s Number Preferred
Page 6 of 12
Applicants position with Corporation:
Location of Corporation:
Address of Corporation:
If Corporation or Non-Profit Organization
Officers & Directors Name (attach list, including # shares held (common & preferred) if Corporation)
President
Vice-President
Secretary
Treasurer
Director
Director
Previous licences operated (Have you been granted a liquor licence previously by a Liquor Board or Commission; if so, provide details)
Relationship with liquor manufacturers:
Do you have any agreement to sell specific liquor products?
Yes No
If yes, describe:
Do you have any connection, financial or otherwise, direct or indirect, with any liquor manufacturing interests?
Yes No
If yes, describe:
7. DESCRIPTION OF PREMISES
a. Location Legal description Lot Block Plan
Street address
b. Ownership of premises Same as above
Leased (minimum 12 months as per YLA. s. 61(b)
Other (provide details)
c. Type of structure # stories
Conventional framing
Concrete
Other (provide details)
Page 7 of 12
d. Are there plans for renovating premises
No
Yes (provide details)
e. Location of where liquor is to be served
Area in square feet (approx.)
Desired capacity (approx.)
f. Kitchen equipment on the premises
Full kitchen
Other (ie: food preparation equipment)
g. General furnishing Number of tables & chairs
Number of bar stools
Number of sofas and armchairs
h. Describe lighting in the premises
Bright
Dim
i. Washrooms (Department of Environmental Health Office 867-667-8391 will confirm capacity based on the number of washrooms)
Numbers Men Women
Toilets
Urinals n/a
Washbasins
j. Liquor storage location (describe area for liquor storage
k. For off-sales, RV park & manufacturer’s retail:
i. Location from which liquor will be sold (provide details)
ii. By whom (position)
iii. Liquor storage location
l. Sketch attached Yes No
Page 8 of 12
ATTACHMENTS – The following items listed are required by Legislation for your application to appear before the Yukon Liquor Board. Please indicate by checking the applicable boxes below which documents are attached and which ones are to follow.
Check the boxes below
Affidavit
Application fee: 10% of the cost of the licenses provided
Business Name Registration
Business Licence
Certificate of Title or Property Lease
Club: Constitution and bylaws, club rules and regulations, minutes of last annual meeting, list of members
Corporation: complete list of shareholders showing # of shares held, certificate of incorporation
Detailed plan (to scale of at least 1/8”to 1’) of the entire premises where the licensed areas would be located. The plan must clearly show exits, entrances, toilets, washbasins, bars, games, tables and chairs, liquor storage (for on-and off-premises sale), and where the premises are situated withinthe building.
Liquor manufacturing: details of manufacturing operation
Menu - food
Menu - liquor and/or off sales menu
Officers & Directors
Personal History Reports for licensee(s) and manager(s)
Purchase Agreement
Recreation Facility: an outline of the system of membership, including a) the maintenance of a register of membersb) the times and places where memberships will be sold c) the cost of membershipd) the eligibility requirementse) the issuance of membership cardsf ) the maintenance of a register of guests g) the benefits provided to membersh) the term of which memberships are effective
Registered partnership: copy of registration
RV Park: overnight guest registration system
Sketch plan (location on block)
Train/ship/aircraft: attach separate page describing # of units, routes and frequency(including duration and time of each scheduled run in or over the Yukon)
Permit to Operate from Environmental Health Office
Approval from Fire Authorities
Approval from YG Building Safety Branch and/or Municipal Building Inspection Department
Page 9 of 12
8. SIGNATURE OF APPLICANT
(print name) (title)
(signature) (date yyyy/mm/dd)
SIGNATURE OF APPLICANT
(print name) (title)
(signature) (date yyyy/mm/dd))
Application Received by Yukon Liquor Corporation:
Date (yyyy/mm/dd) Name & Title
Date Reviewed with Client:
Date (yyyy/mm/dd) Name & Title
Some of the information on this form may be your personal information. We are collecting it in order to process your application for a liquor licence or to transfer a liquor licence. Processing your application will require providing the information collected here to the Yukon Liquor Board. Our legal authority for this collection is the Liquor Act, R.S.Y. 2002, c.140 and the Liquor Regulations, OIC 1977/37. If you have any questions about why we need this information please contact the Director of Licensing & Inspections at (867) 667-5245 or Toll Free within Yukon 1-800-661-0408 or at 9031 Quartz Road, Whitehorse, Yukon Y1A 4P9.
Page 10 of 12
AFFIDAVITOATH OF APPLICANT
I/We, _________________________________________ and __________________________________________
of the _______________________________________________________________________________________
of_______________________________________________________________________________ in Yukon
MAKE OATH AND SAY THAT:
1. I/we have read the Application;
2. I/we have knowledge of the matters therein;
3. All the facts stated and information furnished therein and pursuant thereto are true and correct;
4. I/we am/are the full age of nineteen years; and
5. I/we am/are the authorized representative of the applicant.
____________________________________________ Signature
SWORN BEFORE ME AT THE )
___________________ of __________________ )
in Yukon, this ______ day of _________________ )
20 ____. )
________________________________________ )A Notary Public in and for Yukon
FORM 2AFFIDAVIT FOR
APPLICATION FOR LIQUOR LICENCE
(name) (name)
(name of sole proprietorship, partnership, corporation, organization)
(community/location)
YG(5503Q)F1 03/2015
____________________________________________ Signature
Page 11 of 12
PERSONAL HISTORY REPORT
1. Legal Name: Last Name First Name Middle Name(s)
Name most commonly used: Last Name First Name
Street Address City Province/Territory
Date of Birth:
2. Name of premises:
3. Proposed role(s): Licensee Manager (responsible for day-to-day control)
4. Employment History:
Date from: Date to: Occupation Name & Address of Employer
present
5. Have you ever held a liquor licence/managed a licensed premise before? If so, provide details if not included in employment history above.
6. Have you ever been convicted of a Criminal Code of Canada offence for which you have not received a pardon? If so, provide details.
7. Are there unsatisfied legal judgments or outstanding warrants against you? If so, provide details.
Page 12 of 12
8. Have you, as an individual or in your association with any group, proprietorship, partnership, or corporation, ever been the subject of bankruptcy proceedings? If so, provide details.
9. Have you any interest, direct or indirect, in any business where alcoholic beverages are manufactured or sold? No Yes: provide details below:
10. State other business interests, if any:
11. Have you taken the Be A Responsible Server (BARS) training course, or equivalent? What year? Yes No Equivalent (specify):
12. Name five responsible non-related persons who may be contacted as character references:
Name Address Occupation Telephone #
STATUTORY DECLARATION
I, , do solemnly declare that the particulars furnished by me herein before set out are true and correct statements of fact and I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath and by virtue of the Canada Evidence Act.
SWORN before me at )
Of in the Yukon Territory)
this day of )
A.D. . )
A Justice of the Peace, a Commissioner of Oaths or a Notary Public
Signature
This information is being collected under the authority of sections 61 & 62(2) of the Yukon Liquor Act; section 46(1) Yukon Liquor Regulations for the purpose of liquor licensing and administration.For further information direct inquiries to the Director, Licensing & Inspections at (867) 667-5245.