New York > Statewide > Division Of Alcoholic Beverage Control
Miscellaneous Permit II 1014 - New York
| Miscellaneous Permit II Form. This is a New York form and can be used in Division Of Alcoholic Beverage Control Statewide . |
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PERMIT NEW YORK STATE LIQUOR AUTHORITY APPLICATIONS for ALCOHOLIC BEVERAGE CONTROL MISCELLANEOUS II PERMITS CONTENTS · · · Instructions for completing forms Application Forms Fee Chart DIRECTIONS FOR COMPLETING THE PERMIT APPLICATIONS · · · Must be TYPED or PRINTED. (In blue or black ink) Complete applicable forms FULLY. Follow instructions carefully. Completed applications and any supporting information should be mailed to: NEW YORK STATE LIQUOR AUTHORITY PO BOX 3796 NEW YORK, NY 10008-3796 Agency Website address: www.abc.state.ny.us SLA FORM: 1014 (3/25/11) American LegalNet, Inc. www.FormsWorkFlow.com AIRCRAFT/STEAMSHIP- FEE- $ 788.00 (3 years)\$ 36.00 (One time) This application must be filed with the State Liquor Authority Office that supports the county where you will establish your business. See Attached schedule. A permit may be issued for any of the following types of activities. Please read the description of the permits and their conditions carefully. Complete questions 1 through 10 plus 14, 15, 16. Also complete the signature sheet and indicate what type of permit you are applying for. This application is to be used for the purpose of obtaining an annual permit under §99-b of the Alcoholic Beverage Control Law, to purchase alcoholic beverages from a duly licensed manufacturers or wholesaler, for ship's stores for consumption outside the territorial jurisdiction of this State. The applicant hereby represents that if a permit is issued for the purpose above mentioned, the following conditions will be complied with: 1. The alcoholic beverages will be used only for ship's stores for consumption outside the territorial jurisdiction of this state. The alcoholic beverages will not be offered for sale or sold in this state. The duplicate permit or a photostat copy thereof will be delivered to each manufacturer or wholesaler from whom purchases are made. The alcoholic beverages will be delivered directly to the aircraft/steamship of the permittee or to a warehouse for which a warehouse permit has been issued by the Liquor Authority. Only alcoholic beverages in the original sealed containers which comply with the provisions of law with respect to labels and sizes of containers will be purchased. 2. 3. 4. 5. ALCOHOL PERMIT- FEE - $38.00 (3 years) Complete questions 1 through 5 and 7, 8, 9, 11, 12, 13, 16, 16A and signature sheet. Indicate what type of permit you are applying for. This application is to be used for an alcohol permit for the purchase and use of alcohol by the superintendent, or duly authorized officer, of a hospital, museum laboratory, art, charitable, educational, or similar public institution, or by drug store, a licensed physician, dentist, veterinarian, optometrist and chiropodist, or by a manufacturing establishment using alcohol in its processes of manufacture. May not be purchased from distributor except in sealed containers not larger than 5 gallons. Maintain book and records, amount purchased, size of containers, name and address and permit number from who it was purchased. American LegalNet, Inc. www.FormsWorkFlow.com ANNUAL BEER FUNCTION PERMIT- FEE - $ 74.00 Complete questions 1 through 10 plus 20. Complete signature sheet and indicate what type of permit you are applying for. This application is to be used by a Brewer or Beer Wholesaler for the issuance of an Annual Beer Function Permit, pursuant to §97.2 of the Alcoholic Beverage Control Law, to authorize the sale of beer for consumption only and not for resale, at outdoor or indoor gatherings, functions, occasions or events to which the general public will not be admitted and to which admission is not made contingent upon the payment or an admission fee, donation or contribution. Person who purchase beer for use at gathering must execute and file with the permittee a statement that the beer will not be sold or offered for sale. BREWER'S OUTDOOR PERMIT Just a letter is issued. DISTRIBUTOR'S ALCOHOL PERMIT (A,B,C,D) Complete questions 1 through 10 plus 15, and 16 and 18. Complete signature sheet and indicate what type of permit you are applying for. A class "A" permit, Fee-$4,820.00 (3 years) shall authorize the holder thereof to sell and distribute to licensed rectifiers alcohol which is to be used for beverage purposes and to all holders of permits issued pursuant to this section or sections ninety-one and ninety-two of this chapter. A class "B" permit, Fee - $2,420.00 (3 years) shall authorize the holder thereof to sell and distribute alcohol to holders of a class "C" alcohol distributor's permit or to holders of permits issued pursuant to section ninety-one and ninety-two of this chapter. A class "C" permit, Fee-$500.00 (3 years) shall authorize the holder thereof to sell and distribute alcohol to holders of permits issued pursuant to section ninety-two of this chapter and to use alcohol in the preparation by him of any of the products enumerated in section ninety-one of the chapter. Such a permit may be applied for by and shall be issued only to a wholesale druggist. A class "D" permit, Fee- $ 1,172.00 (3 years) shall authorize the holder thereof to sell and distribute alcohol to the holder of winery licenses. Such permit shall be issued only to a person holding a winery license under this chapter. Such permits shall be issued in such form as may be prescribed by the liquor authority, and the privileges granted thereby shall be exercised in accordance with the terms and conditions thereof and the rules of the liquor authority. American LegalNet, Inc. www.FormsWorkFlow.com DRUG STORE PERMIT-FEE $173.00 (3 YEARS) Complete questions 1 through 10, plus 12, 15, 16 and 22. Complete signature sheet and indicate what type of permit you are applying for. This permit shall authorize the permittee to sell liquor or wine in the original sealed package for off-premises consumption only upon a written prescription by a regularly licensed physician and in quantity not exceeding one pint of liquor and one quart of wine. The following information must be submitted with your application: 1. A copy of your New York State Pharmacy License. HOSPITAL PERMIT-FEE $ 98.00 (3 YEARS) Complete questions 1 through 10 plus 12. Complete signature sheet and indicate what type of permit you are applying for and present permit number. This application is to be used by a hospital for a permit to purchase liquor, wine or beer for medicinal use only in the treatment of bona fide patients of such hospital. Such permit does not a
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