APPLICATION FOR SPECIAL LICENCE

Transcription

1 STATUTORY FORM 6 APPLICATION FOR SPECIAL LICENCE Section 138 Sale and Supply of Alcohol Act 2012 Adobe Acrobat V11 is required to fill this form online Download for free A SPECIAL LICENCE IS REQUIRED if you want to sell and/or supply alcohol at an event or series of events such as sporting events, birthday parties, social club events, bus trips etc. A SPECIAL LICENCE IS NOT REQUIRED if you are supplying alcohol to your guests in your own home, or your guests are bringing their own alcohol to your home. If you are supplying alcohol free to your guests at a genuine private social gathering which is not open to the public (and you are not there just for the purpose of meeting together to consume alcohol), then you also do not require a special licence. In this situation the alcohol must be genuinely free of any charge including a ticket cover charge. (Note some halls do not allow BYO functions and conveyances are not permitted to have BYO alcohol on board. In both cases you will need to hold a special licence to sell alcohol.) 1. On-site special licences allows the holder of the licence to sell and supply alcohol at a premises (or conveyance) for consumption at that premises or conveyance eg halls, tents, buses, etc 2. Off-site special licences allows the holder of the licence to sell alcohol at an event for consumption elsewhere. For example a stall at a fair only selling alcohol to be taken away Applications need to be submitted at least 20 working days before the first event date. If your application has been submitted late the District Licensing Committee (DLC) may only consider your application if it is satisfied that the need for the special licence could not have been foreseen earlier. The District Licensing Committee will decide if the application can be processed. Where this is declined, a refund will not be issued. YOUR APPLICATION MUST INCLUDE THE FOLLOWING DOCUMENTS (IN TRIPLICATE) 1. If the premises is not owned by the applicant, a written statement is required from the owner of the premises to the effect that the owner has no objection to the granting of the licence 2. Copies of tickets, invitations, guest lists and/or any promotional material for the event 3. A copy of your alcohol management plan (for events with more than 400 people) 4. A copy of the site layout or area and marquees etc (if the event is outside) 5. A copy of the floor plan of the premises or the conveyance highlighting restricted or supervised areas and the principal entrance YOU MUST PROVIDE THREE COPIES OF YOUR APPLICATION FORM AND THE ABOVE DOCUMENTS Environmental Health Hutt City Council 30 Laings Road, Private Bag 31912, Lower Hutt 5040 huttcity.govt.nz RSS-FORM-006F March 2016

2 NOTES: You can apply for up to 12 events or dates within a twelve month period on the same application (under certain conditions 24 dates will be accepted) A special licence must be for a legitimate event (or series of events) and not just alcohol consumption. For licensed premises it cannot merely be for an extension of hours or to cover days that your main licence excludes such as Easter Sunday, Christmas etc Licensed clubs hiring out their premises for functions not related to club activities must apply for a special licence Substantial food, non-alcoholic drinks and free water must be available during the event The DLC may require a certified manager to be appointed and may require a public advertisement to be placed in The Hutt News please discuss with a Licensing Inspector FUNCTIONS IN COUNCIL HALLS Contact Leisure Active in the first instance to check hall availability and book if necessary. For any alcohol licensing requirements, please contact a Licensing Inspector. BYO functions are not permitted in council halls, however an exemption may be considered for small gatherings, birthdays and weddings where adequate security arrangements are in place. FEES Class1 Class2 Class3 Special licences three classes Type/number of event(s) large size events (400+ people) or more than 3 medium events ( people) or more than 12 small events (less than 100 people) 1-3 events of medium size ( people) 3-12 events of small size (less than 100 people) 1-2 events of small size (less than 100 people) Fee (inclusive of GST) $575 $207 $63.25 To make an appointment to submit your application please phone to speak to a Licensing Inspector RSS-FORM-006F March of 10

3 STATUTORY FORM 6 APPLICATION FOR SPECIAL LICENCE Section 138 Sale and Supply of Alcohol Act 2012 Adobe Acrobat V11 is required to fill this form online Download for free To: The Secretary The District Licensing Committee Hutt City Council at Lower Hutt Application for a Special Licence is made in accordance with the details set out below 1. TYPE OF SPECIAL LICENCE (b) What type of licence are you applying for (please tick) On site alcohol is to be consumed at event Off site alcohol is to be sold at the event for consumption elsewhere (may only be issued to a person who is a manufacturer, distributor, importer or wholesaler of alcohol) If the event begins less than 20 working days from when this application was lodged, please explain why the need for a special licence could not have been foreseen, and an application lodged earlier 2. DETAILS OF APPLICANT Full legal name/s to be on licence (b) Date of birth (if an individual or in partnership) (c) Postal address for service of documents (d) Daytime contact name Phone number Postcode address Mobile phone number OFFICE USE ONLY Licence number:... Fee:... Property number:... Checked by:... Date received:... Environmental Health Hutt City Council 30 Laings Road, Private Bag 31912, Lower Hutt 5040 huttcity.govt.nz RSS-FORM-006F March 2016

4 (e) Applicant status Natural person Body corporate Public company Private company Board, organisation or other body, that is authorised by an enactment other than this Act to sell alcohol or hold a licence A limited partnership registered under section 51 of the Limited Partnerships Act 2008 whose partnership agreement does not contain a restriction preventing it from selling alcohol, or from holding a licence (or a licence of the kind or kinds concerned) A licensing trust or community trust Partnership Club A manager acting for a person pursuant to a property order made under the Protection of Personal and Property Rights Act 1988 A department of State or other instrument of the Crown A territorial authority (whether or not expressly authorised by an enactment other than this Act to hold a licence) A trustee within the meaning of the Trustees Act 1956 (f) Is a licence already held for this premises (or conveyance)? Yes No If yes, what kind of licence is held? Licence number (g) Describe principal business (h) Detail any other business held by the applicant (i) State all criminal convictions (other than convictions for offences against provisions of the Land Transport Act 1998 not contained in Part 6, and offences to which the Criminal Records (Clean Slate) Act 2004 applies) Conviction Date 3. DETAILS OF MANAGERS TO BE EMPLOYED (MUST HOLD A MANAGER S CERTIFICATE) Name Name Name Manager s Certificate number Expiry date Manager s Certificate number Expiry date Manager s Certificate number Expiry date Name Manager s Certificate number Expiry date RSS-FORM-006F March of 10

5 4. DETAILS OF PREMISES OR CONVEYANCE Address of premises (home base for conveyance applications) (b) Specific location of area that is to be licensed (eg staff cafeteria, third floor, Gibson Sheet Building ). Please provide a scale plan on a separate sheet (c) Any name, trading name, or name of building for premises (or conveyance) (d) Is a licence sought conditional upon construction on completion of the premises? Yes No If yes, state details (e) Does the applicant own the proposed licensed premises (or conveyance)? Yes No If no, (i) What is the full name of the owner? (Attach written statement from the owner of the premises/conveyance to the effect that the owner has no objection to the grant of the licence) (ii) What is the address of the owner? (iii) What form of tenure of the premises will the applicant have (including term of tenure)? State whether to be held as freehold, unit title, leasehold or under licence RSS-FORM-006F March of 10

6 (f) What part (if any) of the premises (or conveyance) does the applicant intend should be designated as (attach plan) (i) A restricted area (ii) A supervised area (iii) An undesignated area (where persons of any age allowed on the licensed premises) (g) ADDITIONAL INFORMATION IF YOUR APPLICATION IS FOR A CONVEYANCE (i) Type of conveyance (ship, railway carriage, bus etc) (ii) Registration of bus or certificate number of boat (iii) Specific route of travel of conveyance including start and finish locations and leg of journey that applicant wishes to sell and supply alcohol (for journeys returning within 24 hours alcohol is only to be sold and supplied on the outward journey OR the return journey, not both) RSS-FORM-006F March of 10

7 5. EVENT DETAILS Particulars of the event, or series of events, in respect of which the licence is sought (eg 21 st birthday, wedding etc) Type of event (principal purpose of event) Date of event/s Hours proposed for sale of alcohol Number of people at event Age range of people attending (b) Is the applicant engaged, or intended to be engaged, in the sale or supply of any goods other than alcohol and food, or in the provision of any services other than those directly related to the sale of alcohol and food? If yes, what is the nature of those other goods and services? Yes No (c) What containers does the applicant propose to sell alcohol in? RSS-FORM-006F March of 10

8 6. CONDITIONS What provision does the applicant intend to make for the sale and supply of (for on-site applicants only) (i) Food? (attach a menu and/or include full details of food to be available below) When will food be made available? (include hours) (ii) Non-alcoholic beverages (list type and range of beverages) (iii) Low-alcohol beverages? (list) (iv) What provision does the applicant (for on-site applications) intend to make for the free supply of drinking water to patrons? (If no access to mains water supply describe the potability of the water intended to be available) (b) What steps does the applicant propose to take to provide assistance with or information about alternative forms of transport from the licensed premises (or conveyance)? RSS-FORM-006F March of 10

9 (c) What steps does the applicant propose to take to ensure that the requirements of the Act in relation to the sale of alcohol to prohibited persons are observed? (d) What steps does the applicant propose to take aimed at promoting the responsible consumption of alcohol? (e) Amenity and good order what steps does the applicant propose to ensure that the event/s will not create a nuisance to neighbours? 7. SYSTEMS, STAFF AND TRAINING The object of the Sale and Supply of Alcohol Act 2012 is to ensure that the sale, supply and consumption of alcohol is undertaken safely and responsibly and to minimise harm caused by excessive or inappropriate consumption of alcohol. For applications for large or medium sized events: what systems will you use to ensure that you comply with the Act? (eg Date of birth required on till, CCTV, stamps to identify legitimate patrons, etc) RSS-FORM-006F March of 10

10 (b) For all applicants: provide details on the staff you will you use and the level of training they have received to ensure that you comply with the Act? (Include numbers of staff and their duties, door staff/security personnel detail outline their training) Dated at this day of 20 Applicant signature Print name Complete this statement if you have submitted this application late, ie with less than 20 working days before the first event date: I/we understand and accept that The District Licensing Committee (DLC) may only consider this application if it is satisfied that the need for the Special Licence could not have been foreseen earlier. I/we understand that the District Licensing Committee will decide if the application can be processed and if declined, I/we understand the application fee will not be refunded. Signed (applicant) Date PRIVACY STATEMENT The Council may hold, use and disclose personal information you have provided to communicate with you for Council purposes; to tell you about products and services it believes may be of interest to you; and to enable it to maintain its records and carry out its statutory functions. You have the right under the Privacy Act 1993 to access, and have corrected, information held by the Council, which is at 30 Laings Road, Lower Hutt 5040, telephone RSS-FORM-006F March of 10