Fillable Information sheet New or renewal of club-licence (Napier City Council New Zealand)

Fill Online, Printable, Fillable, Blank Information sheet New or renewal of club-licence (Napier City Council New Zealand) Form

Use Fill to complete blank online NAPIER CITY COUNCIL NEW ZEALAND pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Information sheet New or renewal of club-licence (Napier City Council New Zealand)

On average this form takes 45 minutes to complete

The Information sheet New or renewal of club-licence (Napier City Council New Zealand) form is 17 pages long and contains:

  • 0 signatures
  • 41 check-boxes
  • 159 other fields

Country of origin: NEW-ZEALAND
File type: PDF

Use our library of forms to quickly fill and sign your Napier City Council New Zealand forms online.

BROWSE NAPIER CITY COUNCIL NEW ZEALAND FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Form 5 Application for club licence or renewal of club licence Page 1 of 11
Information sheet –
New or renewal of club-licence
To complete the application you will need to answer all questions, supply all requested documentation and attach the
prescribed fee(s). Please ensure you attach this information sheet when lodging your application.
What to include (please tick)
The application fee.
The original application form plus one copy.
*A copy of all menus, food and drinks.
*A copy of the club’s constitution or rules.
*Building & Planning certificates for the purpose of s.100 (f) of the Act.
*A photo of the exterior of the premises showing the principal entrance.
*A full list of other clubs with which club has reciprocal visiting rights for members.
*Good quality scale plans of the premises or conveyance that clearly show the following:
The principle entrance,
Any proposed designated areas,
The design and layout of the premises.
If you are using an alcohol licensing consultant, a letter authorising your consultant to act on your behalf.
*If the applicant is not the owner of the premises, written consent from the owner to the effect that the owner has no
objection to a licence being granted.
A copy of your host responsibility policy and alcohol management plan. Details of how the matters described in the
policy will be implemented must be included.
* These items are required for new applications only, or, where any changes have been made to the original
documents.
When you have all the required documentation, you can lodge your application. Failure to supply all required documents will
result in the application being returned.
Your application must be accompanied by the correct application fee. This is not refundable.
Use the fee calculator overleaf to calculate your risk rating and then tick the appropriate box from the table below. All
applications must be accompanied by the correct application fee. New applications must also be accompanied by the correct
annual fee. Renewal applications do not require an annual fee, this will be invoiced on a date determined by the Napier
District Licensing Committee.
Please ensure you have accurately assessed your fee. Any errors will incur a further application payment and your licence will
not be issued until all outstanding monies are received.
Risk category (risk weighting)
Application/Renewal Fee (inc GST)
Annual Fee (inc GST)
Very low (0-2)
$368.00
$161.00
Low (3-5)
$609.50
$391.00
Medium (6-15)
$816.50
$632.50
High (16-25)
$1,023.50
$1,035.00
Very high (26 plus)
$1,207.50
$1,437.50
If you require assistance calculating your risk rating, please contact the Licensing Inspector on 06 834 4145.
Lodgment & Payment Options
You can post your completed application form with cheque to:
Napier City Council, Private Bag 6010, Napier 4142.
You can lodge your application in person with cash, cheque or Eftpos at
Napier City Council, 231 Hastings Street, Napier.
Form 5 Application for new or renewal of club licence page 2 of 11
Fee Calculator –
New or renewal of club-licence
Step 1 – Identify your premises type weighting
Information – Clubs
Class 1 club
means a club that has or applies for a club licence and—
(a) Has at least 1 000 members of purchase age; and
(b) In the opinion of the territorial authority, operates any part of the premises in the nature of a tavern at any time.
Class 2
club
means a club that has or applies for a club licence and is not a class 1 or class 3 club.
Class 3
club
means a club that has or applies for a club licence and—
(a) Has fewer than 250 members of purchase age; and
(b) In the opinion of the territorial authority, operates a bar for no more than 40 hours each week
Step 2 – Identify your trading hours weighting
H
Trading hours
Weighting
0
Your weighting
3
5
Information – Trading hours
For new applications, select the weighting that corresponds with the trading hours you are applying for.
For renewals with no variation, select the weighting that corresponds with the hours currently described on your licence.
For renewals with a variation sought, select the weighting that corresponds with the proposed trading hours that you are
seeking through the variation.
Step 3 – Identify your enforcement/holdings weighting
E
Enforcement
Weighting
0
Your weighting
10
20
Information – Holdings
A holding is a conviction for any offence prescribed within section 288 of the Sale and Supply of Alcohol Act 2012, or a
conviction for any equivalent offence under the Sale of Liquor Act 1989.
Step 4 – Calculate your risk rating
P
+
H
+
E
=
Risk rating
+
+
=
Return to the fees table on page 1 and tick the box that corresponds with your risk rating.
P
Premises type
Type of premises
Weighting
Class 1 club *
10
Your weighting
Class 2 club *
5
Class 3 club *
2
Form 3 Application for new or renewal of on-licence Page 3 of 11
Application form –
New or renewal of club-licence
Sections 100 and 127(2), Sale and Supply of Alcohol Act 2012
The application
To the Secretary, Napier District Licensing Committee:
Application for:
A new club licence is made in accordance with the details below, or
Renewal of club licence under the same conditions is made in accordance with the details below, or
Renewal of club licence with changes sought to the existing conditions is made in accordance with the details below.
If any changes are sought to the existing conditions of an on-licence, describe every change sought:
Details of club
Full legal name of the club:
Is the club incorporated?
Yes
No If “Yes”, under what Act and on what date was the club incorporated?
What is the status of the club?
Chartered club
Sports club
Other – state:
Postal address for service of documents
Building name (if any):
Street number:
Street name:
Suburb:
City:
Postcode:
Membership of the club:
Total membership:
Membership under 18 years old:
Club Secretary:
Full name of Secretary:
Full address of Secretary:
Occupation of Secretary:
Preferred mode of contact:
Mobile:
Email
Form 3 Application for new or renewal of on-licence Page 4 of 11
Is the sale of alcohol intended to be principal purpose of club
Yes
No If “No”, intended principal purpose or object of club:
Is the club engaged, or intending 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 or supply of alcohol and food?
Yes
No If “Yes”, state the nature of those other goods or services:
Proposed trading hours
Describe the trading hours proposed for the sale of alcohol:
Management
Details of Certificated Manager’s to be employed
Full legal name:
Certificate number:
Certificate expiry date:
Full legal name:
Certificate number:
Certificate expiry date:
Full legal name:
Certificate number:
Certificate expiry date:
Full legal name:
Certificate number:
Certificate expiry date:
If any additional managers are to be employed, provide their details as a separate attachment.
Tick this box if further manager’s details have been supplied as a separate attachment.
Details of premises
Is a licence of any type of already held for the premises concerned?
Yes
No If yes, provide the details of the licence or licences:
Full legal address of premises:
Building name (if any):
Street number:
Street name:
Suburb:
City:
Postcode:
Form 3 Application for new or renewal of on-licence Page 5 of 11
Does the applicant share the premises with any other club?
Yes
No If Yes, provide the details of other club(s):
Is a licence conditional upon construction or completion of building work?
Yes
No If Yes, provide details:
Does the applicant own the premises?
Yes
No If No, what is the full legal name and address of the owner:
What form of tenure will the applicant have (including term of tenure)?
Conditions
What provision does the applicant intend to make for the sale of:
Food:
Non-alcoholic refreshments:
Low-alcohol beverages:
Drinking water
To what extent, and where, is drinking water intended to be freely available:
If no access to mains water, is potable water intended to be available?
Form 3 Application for new or renewal of on-licence Page 6 of 11
Alternative transport
What steps does the club propose to take to provide assistance with or information about alternative forms of transport?
Prohibited persons
What steps does the club propose to take to ensure that the requirements of the Act in relation to the sale of alcohol to
prohibited persons are observed?
Other steps to be taken
What other steps does the club propose to take aimed at promoting the responsible consumption of alcohol?
Other systems in place
What systems (including staff training) and staff are in place (or to be in place) for compliance with the Act?
Applicants experience
Describe any relevant experience or training of the applicant:
Attachments
Tick this box to confirm that you have read page 1 and have provided all of the items listed.
Form 3 Application for new or renewal of on-licence Page 7 of 11
Notes:
Signed at
(place):………………………..…………..…….
On
(date):……..………..…………………………………………..
Applicant name
:…………………………………….……..
Applicant signature
:……..……………………………………...
Form 3 Application for new or renewal of on-licence Page 8 of 11
Public notices - new or renewal of club-licence
Within 10 working days of lodging a renewal application or 20 working days for new applications, a notice of the application
(form 7) must be placed in the Napier Mail or the Hawkes Bay Today. The renewal of very-low and low risk premises requires
the placement of only one notice. For all other applications, notices must be placed twice in the same paper, not more than
10 working days apart. This is known as the “news-paper notice”.
Except in the case of a conveyance, within 20 working days of lodging any application, a notice of the application (form 7)
must be attached in a conspicuous place on or adjacent to the site to which this application relates for a period of not less
than 10 days. This is known as the “site notice”.
Public Notice – Site Notice
The correct form of the notice to be displayed on or adjacent to the premises is as follows:
Form 7
Public notice of application for on-licence, off-licence, or club licence
(or application for variation of conditions of on-licence, off-licence, or club licence)
Section 101, Sale and Supply of Alcohol Act 2012
Full name of the licence holder:
Address:
Occupation:
Has made application to the District Licensing Committee at Napier for the (issue or renewal or variation of conditions) of a:
(state kind of licence)
In respect of premises situated at: (or the [specify kind of conveyance] known as)
The general nature of the business conducted (or to be conducted) under the licence is: (type of business, e.g. hotel, tavern,
restaurant, entertainment/night club)
The days on which and the hours during which alcohol (is or is intended to be) sold under the licence are: (specify days and
hours)
The application may be inspected during ordinary office hours at the office of the Napier District Licensing Committee at: 231
Hastings Street, Napier South, Napier.
Any person who is entitled to object and who wishes to object to the issue of the licence may, not later than 15 working days
after the date of the publication of this notice, file a notice in writing of the objection with the Secretary of the District
Licensing Committee at: Private Bag 6010, Napier 4142.
No objection to the issue of a licence may be made in relation to a matter other than a matter specified in section 105(1) of
the Sale and Supply of Alcohol Act 2012.
No objection to the renewal of a licence may be made in relation to a matter other than a matter specified in section 131 of
the Sale and Supply of Alcohol Act 2012.
Form 3 Application for new or renewal of on-licence Page 9 of 11
Public Notice – Newspaper Notice
The correct form of the notice to be displayed within the Hawkes Bay Today or Napier Mail is as follows:
Form 7
Public notice of application for on-licence, off-licence, or club licence
(or application for variation of conditions of on-licence, off-licence, or club licence)
Section 101, Sale and Supply of Alcohol Act 2012
Full name of the licence holder:
Address:
Occupation:
Has made application to the District Licensing Committee at Napier for the (issue or renewal or variation of conditions) of a:
(state kind of licence)
In respect of premises situated at: (or the [specify kind of conveyance] known as)
The general nature of the business conducted (or to be conducted) under the licence is: (type of business, e.g. hotel, tavern,
restaurant, entertainment/night club)
The days on which and the hours during which alcohol (is or is intended to be) sold under the licence are: (specify days and
hours)
The application may be inspected during ordinary office hours at the office of the Napier District Licensing Committee at: 231
Hastings Street, Napier South, Napier.
Any person who is entitled to object and who wishes to object to the issue of the licence may, not later than 15 working days
after the date of the publication of this notice, file a notice in writing of the objection with the Secretary of the District
Licensing Committee at: Private Bag 6010, Napier 4142.
No objection to the issue of a licence may be made in relation to a matter other than a matter specified in section 105(1) of
the Sale and Supply of Alcohol Act 2012.
No objection to the renewal of a licence may be made in relation to a matter other than a matter specified in section 131 of
the Sale and Supply of Alcohol Act 2012.
This is the [state whether first, second, or only] publication of this notice:
This notice was first published on:[state date].
Form 3 Application for new or renewal of on-licence Page 10 of 11
Additional information
Form 3 Application for new or renewal of on-licence Page 11 of 11
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Information sheet New or renewal of club-licence (Napier City Council New Zealand)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 21 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document