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4.16 4.16 Liquor Authority—Waiver of 30 Day Notification—Luxury Box PSG Golf—1219-2022 RESOLUTION AUTHORIZING WAIVER OF 30 DAY NOTIFICATION REQUIRED BY NEW YORK STATE LIQUOR AUTHORITY IN CONNECTION WITH THE LUXURY BOX-PSG GOLF LLC RESOLUTION NO.: 12022 INTRODUCED BY: WHO MOVED ITS ADOPTION SECONDED BY: WHEREAS, PSG Golf LLC owns and operates The Luxury Box business located at 1042 State Route 9, Queensbury, New York, and WHEREAS,PSG Golf LLC has applied for a liquor license, and WHEREAS, PSG Golf LLC has requested that the Town of Queensbury waive the 30-day notification required by the New York State Liquor Authority (NYS) in an effort to expedite the issuance of its liquor license, and WHEREAS, the Town Board wishes to authorize the Town Clerk to notify NYS that the Town Board has waived the 30 day notification period before PS Golf LLC's liquor license is issued, NOW, THEREFORE, BE IT RESOLVED, that the Queensbury Town Board hereby authorizes and directs the Town Clerk to notify the New York State Liquor Authority that the Town waives the 30 day notification period before the liquor license is issued to PSG Golf LLC related to its business, The Luxury Box, and that the Town Board has no objection to such license, and BE IT FURTHER, RESOLVED, that the Town Board further authorizes and directs the Town Supervisor, and/or Town Clerk to take any actions necessary to effectuate the terms of this Resolution. Duly adopted this 19'h day of December, 2022 by the following vote: AYES NOES ABSENT: Town of Queensbury 5 2 734 Say Road Queen12804 bury IVY i2sa4 To whom it may concern, I would like to respectfully request the waiver of the 30-Day Advance Notice to the municipality in compliance with the NYS Liquor Authority and the application of a On Premise Tavern license (OP 252) for The Luxury Box at 1042 US-9, Queensbury NY, 12804- 1 request this waiver to facilitate the expedited acceptance of my application. Thank you very much for your time and consideration, have a wonderful day. Kind regards, Michael Gerarde PSG Golf LLC The Luxury Box mvt2312421 OFFICE USE ONLY CJriginal s") Amended Date 49 Standardized NOTICE FORM for Providing 30-Day Advance Notice to a Local Municipality or Community Board 1. Date Notice Sent: 12/1 5/22 la. Delivered by: 1 A,' ` Mn` V% 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: Q New Application Removal 0 CtassChange For premises in the City of New York: DEC New Application 0 New Application and Temporary Retail Permit Q Temporary Retail Permit Q Removal O Class Change C3 Method of Operation d Corporate Change ©Renewal 0 Alteration 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 resuht 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: 'own of QueenSbury Applicant/Licensee Information: 4. Licensee Serial Number (if applicable): Pendirl Expiration Date (if applicable): I Pending S. Applicant or Licensee Name: PSG Golf LLC 6. Trade Name (if any): I The Luxury Box 7. Street Address of Establishment: 1042 US-9 B. City, Town or Village: Queensbury NY Zip Code; 12804 9. Business Telephone Number of applicant/ Licensee: 1 843 1 8478 10, Business E-mail of Applicant/Licensee: heluxu box.net 11_ Type(s) of alcohol sold or to be sold: Q Beer & cider O Wine, Beer & Cider (-] Liquor, Wine, Beer & Cider 12. Extent of Food Service: 0 Full Food menu; full kitchen run by a chef/cook 0 Menu meets legal minimum food requirements: food prep area required 13. Type of establishment: Recreation Facility/Exhibition Hal ❑ Seasonal Establishment Juke Box ❑ Disc Jockey © Recorded Music Karaoke 14. Method of Operation: (check all that apply) ❑ Live Music (give details i_e., rock bands, acoustic, jazz, etc_): 0 Patron Dancing © Employee Dancing ❑ Exotic Dancing © Topless Entertainment 171 Video/Arcade Games © Third Party Promoters ❑ Security Personnel ❑ Other (specify) 15. Licensed Outdoor Area: © None Q Patio or Deck ❑ Rooftop ❑ Garden/Grounds ❑ Freestanding Covered Structure (check all that apply) Sidewalk Cafe ❑ Other (specify): Page 1 of 2 opla-rev 12312021 OFFICE USE ONLY U Original `j Amended fate 49 16. List the floor(s) of the building that the establishment is located on: Ground 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? Q yes No 19. Will the license holder or a manager be physically present within the establishment during aH hours of operation? (E} Yes 0 No 20. If this is a transfer application (an existing licensed business is being purchased) provide the name and serial number of the licensee: Name Serial Number 21. Does the applicant or licensee own the building in which the establishment is located? Yes (if YES, SKIP 23-26) O No Owner of the Building in Which the Licensed Establishment is Located 22, Building Owner's Full Name: David Brindle 23, Building Owner's Street Address: 1 Orchard Drive 24. city, Town or Village: GlueenSblJl'�I State: �,eYV Yo. zip code: 12804 25. Business Telephone Number of Building Owner; 6312588043 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. Representative/Attorneys Full Name: William J Dingman 27. Representative/Attorney's street Address: 20 William Street 2& City, Town or Village: Glens Falls State: INewYork Zip Code: 12801 29. Business Telephone Number of Representative/Attorney, 5187969278 30. Business E-mail Address of Representative/Attorney; wdin2009(g0gmail.com 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: Michael Gerarde Title- Owner Principal Signature: Page 2 of 2