DCPLC PATIO-EXT OF USEL INST Rev 3/17
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
Liquor Control Division
Telephone: (860) 713-6210
Email: dcp.liquorcontrol@ct.gov
Web Site: www.ct.gov/dcp/liquorcontrol
INSTRUCTIONS AND INFORMATION:
Patio, Extension of Use, and/or Additional Consumer Bar Application
PLEASE READ ALL INSTRUCTIONS AND INFORMATION BEFORE COMPLETING
APPLICATION. APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE.
Fees and Form of Payment:
There are no filing fees for Patio and Extension of Use requests. However, if you are applying for an Additional
Consumer Bar, please include $190.00 for each bar requested. Checks may be made payable to “Treasurer State
of Connecticut.”
The Application Process
**Once we are in receipt of your completed and correctly executed application, it will be reviewed by division
licensing staff. If your application is incomplete, it will be mailed back with a deficiency notice with further
instructions. After your application has been accepted, a permanent or seasonal patio or extension of use
application request will be assigned to a Liquor Control Agent for an on- site inspection. A temporary/one day
patio or extension of use request will be sent for consideration and approval before the Liquor Control
Commission. You will be notified directly by the Department once your application has been approved.
*Please Note - Permanent requests need to be completed only once and
should not be done on a yearly
basis, unless there has been a change from the original blueprint or sketch.*
Definitions
Permittee The permittee is the applicant for the liquor permit. The permittee is a person designated as the
representative of the backer for the permit premises. The permittee must be able to read and understand English.
The permittee can be the owner/backer of the business that holds the permit.
Backer – An individual or legal business entity that owns the business to which the liquor permit is issued.
Authorized Backer Representative An individual who is legally authorized by the nature of the position held
(i.e. corporate officer) in the business, or through a power of attorney to sign documents and make decisions
related to the liquor permit.
DCPLC PATIO-EXT OF USEL INST Rev 3/17
APPLICATION INSTRUCTIONS AND DOCUMENTS REQUIRED FOR A
PATIO, EXTENSION OF USE AND/OR ADDITIONAL CONSUMER BAR
APPLICATION TO BE ACCEPTED
1. PATIO or EXTENSION OF USE and/or ADDITIONAL CONSUMER BAR APPLICATION
Begin by checking the applicable box at the top of the application. It is possible to check the Additional
Consumer Bar box together with the Patio or Extension of Use box. Be sure to clearly identify the number of
additional consumer bars you are requesting and submit the applicable fee at the time of application. Complete
both pages of the application. Every question must be answered, and all necessary approvals obtained (zoning,
fire marshal, town clerk) If left blank, the application will not be accepted and returned for correction.
Completing the Application
Section A: Business Information
Items #1 through #8 - Complete this section with your current business information and active
permit number. If you would like an approval confirmation by email, please complete #8.
Item #9 Please check one of the two boxes. Permanent requests (once approved) are intended
to remain unchanged indefinitely for the duration of the liquor permit. If you select the
Temporary request, the department will require that you list specific dates of events or length of
use. All requests MUST HAVE original local official certification and approval before they can
be approved by the Liquor Commission.
Section B: Approval/Certification of Local Officials
Item #10 through #12 – This section needs to be signed and completed by your local public
officials. No applications will be accepted without these signatures. If you are applying for a
patio request, we will also require a local health official certification and approval.
Section C: Certification of Permittee Applicant and Backer or Authorized Representative
of Backer
Items #13 - The backer-owner or its authorized representative listed in #4 of this application
must sign and date this section.
Sketch
On a separate piece of paper, submit a diagram, sketch, plan or blueprint of the layout of the premises,
including patios, extension of use areas, must be 8 ½” x 11” in size. Please include a general sketch of the
currently approved premises in relation to the proposed patio or extension of use area. If there is an
additional consumer bar, please clearly identify them on your sketch.
A diagram, sketch, plan or blueprint larger than 8 ½” x 11” will not be accepted. If needed, you may
submit additional 8 ½” x 11” pages.
2. FEE AND FORM OF PAYMENT:
There are no filing fees for Patio and Extension of Use requests. However, if you are applying for an
Additional Consumer Bar, please include $190.00 for each bar requested. Checks may be made payable to
“Treasurer State of Connecticut.”
DCPLC – Patio-Ext of Use-ACB Appl Rev 3/17
1
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
Liquor Control Division
Telephone: (860) 713-6210
Email: dcp.liquorcontrol@ct.gov
Web Site: www.ct.gov/dcp/liquorcontrol
APPLICATION FOR PATIO, EXTENSION OF USE and/or ADDITIONAL CONSUMER BAR
Section A: BUSINESS INFORMATION
6. Business Telephone Number
7. Business Fax Number
8. Business Email Address
9. Type of Request?
Permanent Temporary
If TEMPORARY is checked, List Specific Dates Below:
Section B: APPROVAL/CERTIFICATION OF LOCAL OFFICIALS
10. Zoning Authority Approval: I certify that I am familiar with the zoning ordinances and bylaws of the city/town identified in Section A and
on the sketch provided with this application, they do not prohibit the sale of alcoholic beverages under the type of liquor permit/establishment
identified in this application.
Signature of Zoning Official X __________________________________________Print Name _______________________________________
Title of Official _________________________________________________________________________ Date _______ /_______ /_________
11. Fire Marshal’s Approval: I certify that the premises identified in Section A and on the sketch of this application is safe for this type of
request.
Signature of Fire Marshal X ____________________________________________Print Name _______________________________________
Title of Official ________________________________________________________________________ Date _______ /_______ /__________
12. Local Health Approval: (Patio Requests ONLY) I certify that the Patio at the premises identified in Section A and on the sketch of this
application meets local health approval.
Signature of Health Official X __________________________________________Print Name _______________________________________
Title of Official _________________________________________________________________________ Date _______ /_______ /_________
Section C: CERTIFICATION OF BACKER OR AUTHORIZED REPRESENTATIVE OF BACKER
13. Backer Certification (To be signed by backer
or the authorized representative of the backer)
I certify that the information provided in this
application is true to the best of my knowledge and
that the permittee applicant identified in “Section
A” of this application is designated as my principal
representative on the premises for which this
application is being submitted.
Signed by Backer or Authorized Representative of Backer
X____________________________________________________________
Date:
_____________
Print name of Backer or Representative
Title of Backer or
Representative
*Attach a Sketch of the current premises, identifying the proposed Patio, Extension of Use area and/or ACB*
PATIO
(Restaurants & Cafes ONLY)
EXTENSION OF USE
(All other permit types)
ACB (Additional Consumer Bar)
# of ACB’s: ________
(FEE: $190.00 each)
1. Trade Name (DBA Name)
2. Permit Number
3. Permittee Name (First, Middle, Last)
4. Backer Name (Corporation, LLC, Partnership, Sole Proprietorship, etc.)
5. Business Address
City
State
Zip Code
For Official Use Only
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