1. Healthcare

Havering
Application for a new club premises certificate
Licensing Act 2003
For help contact
[email protected]
Telephone: 01708 432777
* required information
Section 1 of 16
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System reference
Not Currently In Use
Your reference
keith Reynolds
This is the unique reference for this
application generated by the system.
You can put what you want here to help you
track applications if you make lots of them. It
is passed to the authority.
Put "no" if you are applying on your own
behalf or on behalf of a business you own or
work for.
Are you an agent acting on behalf of the applicant?
Yes
No
Applicant Details
First name
Rochester
Family name
Microlights
E-mail address
[email protected]
Main telephone number
01476 589250
Other telephone number
07976844694
Include country code.
Indicate here if the applicant would prefer not to be contacted by telephone
Is the applicant:
Applying as a business or organisation, including as a sole trader
Applying as an individual
A sole trader is a business owned by one
person without any special legal structure.
Applying as an individual means the
applicant is applying so the applicant can be
employed, or for some other personal reason,
such as following a hobby.
Applicant Business
Is the applicant's business
registered in the UK with
Companies House?
Yes
No
Registration number
04337270
Business name
Rochester Microlights Ltd
If the applicant's business is registered, use
its registered name.
none
Put "none" if the applicant is not registered
for VAT.
VAT number
Legal status
-
Private Limited Company
© Queen’s Printer and Controller of HMSO 2009
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Applicant's position in the
business
Director
Home country
United Kingdom
Registered Address
The country where the applicant's
headquarters are.
Address registered with Companies House.
Building number or name
Damyns Hall Aerodrome
Street
Aveley Road
District
City or town
Upminster
County or administrative area Essex
Postcode
RM14 2TN
Country
United Kingdom
Agent Details
First name
Stewart
Family name
Gibson
E-mail address
[email protected]
Main telephone number
01476 589250
Other telephone number
07976844694
Include country code.
Indicate here if you would prefer not to be contacted by telephone
Are you:
An agent that is a business or organisation, including a sole trader
A private individual acting as an agent
Your Address
Building number or name
4
Street
Brecon Close
District
City or town
Grantham
County or administrative area Lincolnshire
Postcode
NG31 8FX
Country
United Kingdom
© Queen’s Printer and Controller of HMSO 2009
A sole trader is a business owned by one
person without any special legal structure.
Address official correspondence should be
sent to.
Continued from previous page...
Section 2 of 16
APPLICATION DETAILS
Name of club
Damyns Hall Aerodrome
The above named club applies for a club premises certificate under section 71 of the Licensing Act 2003 for the premises
described in this section 2 (the club premises).
The club is making this application to you as the relevant licensing authority in accordance with section 68 of the Licensing
Act 2003.
Postal Address Of Club
Address
OS map reference
Description
Postal Address Of Premises
Building number or name
Damyns Hall Aerodrome
Street
Aveley Road
District
City or town
Upminster
County or administrative area Essex
Postcode
RM14 2TN
Country
United Kingdom
Contact Details Of Club
Are the contact details the same as (or similar to) those given in section one?
Yes
No
E-mail
[email protected]
Telephone number
01476 589250
Other telephone number
07976844694
Name Of Person Performing Duties Of A Secretary To The Club
First name
Pauline
Family name
Brooks
© Queen’s Printer and Controller of HMSO 2009
If “Yes” is selected you can re-use the details
from section one, or amend them as
required. Select “No” to enter a completely
new set of details.
Continued from previous page...
Address Of Person Performing Duties Of A Secretary To The Club
Building number or name
17
Street
West Park Hill
District
City or town
Brentwood
County or administrative area Essex
Postcode
CM14 4NZ
Country
United Kingdom
Secretary Contact Details
E-mail
[email protected]
Telephone number
01708 556000
Other telephone number
07775742582
Non-domestic rateable
value of club premises (£)
23,250.00
Are the club premises occupied and habitually used by the club?
Yes
No
Section 3 of 16
CLUB OPERATING SCHEDULE
When do you want the club
premises certificate to start?
02
/
dd
If you wish the certificate to be
valid only for a limited period,
when do you want it to end? dd
03
/
mm
/
2015
yyyy
/
mm
yyyy
If 5,000 or more people are
expected to attend the
premises at any one time,
state the number expected to
attend
General Description Of Club
Describe the premises. For example the type of premises, its general situation and layout and any other information which
could be relevant to the licensing objectives. Where your application includes off-supplies of alcohol and you intend to
provide a place for consumption of these off- supplies you must include a description of where the place will be and its
proximity to the premises.
The premises are a flying club. The application is to offer the sale of alcoholic refreshment to members of the club fro 11:00
hours until 23:00 hours Monday to Sunday inclusive. The alcohol consumption will be in the clubhouse itself, the outside
© Queen’s Printer and Controller of HMSO 2009
Continued from previous page...
decking area, (see plan), and the grassed area immediately in front of the clubhouse. (This may be seen as off sales)
Section 4 of 16
PROVISION OF PLAYS
Will you be providing plays?
Yes
No
Section 5 of 16
PROVISION OF FILMS
Will you be providing films?
Yes
No
Section 6 of 16
PROVISION OF INDOOR SPORTING EVENTS
Will you be providing indoor sporting events?
Yes
No
Section 7 of 16
PROVISION OF BOXING OR WRESTLING ENTERTAINMENTS
Will you be providing boxing or wrestling entertainments?
Yes
No
Section 8 of 16
PROVISION OF LIVE MUSIC
Will you be providing live music?
Yes
No
Section 9 of 16
PROVISION OF RECORDED MUSIC
Will you be providing recorded music?
Yes
No
Section 10 of 16
PROVISION OF PERFORMANCES OF DANCE
Will you be providing performances of dance?
Yes
No
Section 11 of 16
PROVISION OF ANYTHING OF A SIMILAR DESCRIPTION TO LIVE MUSIC, RECORDED MUSIC OR PERFORMANCES OF
DANCE
Will you be providing anything similar to live music, recorded music or
performances of dance?
Yes
No
Section 12 of 16
SUPPLY OF ALCOHOL
© Queen’s Printer and Controller of HMSO 2009
Continued from previous page...
Will you be supplying alcohol by or on behalf of a club to, or to the order of a
member of the club?
Yes
No
Standard Days And Timings
MONDAY
Start 11:00
End 23:00
Start
End
Start 11:00
End 23:00
Start
End
Start 11:00
End 23:00
Start
End
Start 11:00
End 23:00
Start
End
Start 11:00
End 23:00
Start
End
Start 11:00
End 23:00
Start
End
Start 11:00
End 23:00
Start
End
Give timings in 24 hour clock.
(e.g., 16:00) and only give details for the days
of the week when you intend the premises
to be used for the activity.
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
Will the supply of alcohol be for consumption?
On the premises
Off the premises
Both
If the club wishes members and their guests
to be able to consume alcohol on the
premises tick on, if the club wishes people to
be able to purchase alcohol to consume
away from the premises tick off. If the club
wishes people to be able to do both tick
both.
State any seasonal variations
For example (but not exclusively) where the activity will occur on additional days during the summer months.
n/a
© Queen’s Printer and Controller of HMSO 2009
Continued from previous page...
Non-standard timings. Where the club intends to use the premises for the supply of alcohol at different times from those
listed in the column on the left, provide list
For example (but not exclusively), where you wish the activity to go on longer on a particular day e.g. Christmas Eve.
n/a
Section 13 of 16
HOURS CLUB PREMISES ARE OPEN TO THE MEMBERS AND GUESTS
Will you be selling by retail alcohol by or on behalf of a club to a guest of a
member of the club for consumption on the premises where the sale takes
place?
Yes
No
Standard Days And Timings
MONDAY
Start 08:00
End 23:00
Start
End
Start 08:00
End 23:00
Start
End
Start 08:00
End 23:00
Start
End
Start 08:00
End 23:00
Start
End
Start 08:00
End 23:00
Start
End
Start 08:00
End 23:00
Start
End
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
© Queen’s Printer and Controller of HMSO 2009
Give timings in 24 hour clock.
(e.g., 16:00) and only give details for the days
of the week when you intend the premises
to be used for the activity.
Continued from previous page...
SUNDAY
Start 08:00
End 23:00
Start
End
State any seasonal variations
For example (but not exclusively) where the activity will occur on additional days during the summer months.
n/a
Non standard timings. Where you intend to use the premises to be open to the members and guests at different times from
those listed in the column on the left, provide list.
For example (but not exclusively), where you wish the activity to go on longer on a particular day e.g. Christmas Eve.
n/a
Section 14 of 16
ADULT ENTERTAINMENT
Highlight any adult entertainment or services, activities, or other entertainment or matters ancillary to the use of the club
premises that may give rise to concern in respect of children.
Give information about anything intended to occur at the premises or ancillary to the use of the premises which may give
rise to concern in respect of children, regardless of whether you intend children to have access to the premises, for example
(but not exclusively) nudity or semi-nudity, films for restricted age groups etc gambling machines etc.
n/a
Section 15 of 16
LICENSING OBJECTIVES
Describe the steps you intend to take to promote the four licensing objectives:
a) General – all four licensing objectives (b,c,d,e)
List here steps you will take to promote all four licensing objectives together.
Members rules to be adhered to at all times, and staff trained on Challenge 25 proof of age scheme, and how to implement
it.
b) The prevention of crime and disorder
All current security measures will remain in operation. All staff will be fully trained in this area. Sufficient staff will be on
duty at all busy times. Staff will refuse entry to members who, in their opinion are drunk. Alcohol beverages will only be
© Queen’s Printer and Controller of HMSO 2009
Continued from previous page...
supplied to club members and if necessary their approved guests. Alcohol may only be consumed in the designated areas
including the grassed area directly in front of the clubhouse
c) Public safety
All relevant fire procedures are in place for a premises of this size. Fire escapes shall be kept clear at all times and will be
clearly sign posted as required by fire safety regulations. All escape routes will be checked daily before opening the
premises.
d) The prevention of public nuisance
Customers will be requested to leave the premises in a quiet and orderly manner. Given the hours applied for and the
location of the clubhouse, it is unlikely that any public nuisance by way of noise will be present.
e) The protection of children from harm
Only photographic ID is accepted (passport, driving licence, proof of age card with PASS hologram). Anyone who appears
to be under the age of 25 is challenged to provide ID. If the customer is unable to provide identification then no sale is
made. No ID no sale. If it is known that a customer intends to purchase alcohol to provide to minors then that sale will be
refused. All refused sales will be recorded in a refusals book, which will be made available for inspection by Police or
Licensing Officers of the council on request.
Section 16 of 16
PAYMENT DETAILS
This fee must be paid to the authority. If you complete the application online, you must pay it by debit or credit card.
Club Licence Fees are determined by the non domestic rateable value of the premises.
To find out a premises non domestic rateable value go to the Valuation Office Agency site at http://www.voa.gov.uk/
business_rates/index.htm
Band A - No RV to £4300 - £100.00
Band B - £4301 to £33000 - £190.00
Band C - £33001 to £87000 - £315.00
Band D - £87001 to £125000 - £450.00
Band E - £125001 and over
£635.00
Fee amount (£)
190.00
DECLARATION
*
I/we understand it is an offence, liable on conviction to a fine up to level 5 on the standard scale, under Section 158 of the
Licensing Act 2003, to make a false statement in or in connection with this application.
Ticking this box indicates you have read and understood the above declaration
This section should be completed by the applicant, unless you answered "Yes" to the question "Are you an agent acting on
behalf of the applicant?”
Full name
Stewart Gibson
Capacity
Licence Agent
Date
30
dd
© Queen’s Printer and Controller of HMSO 2009
/
01
mm
/
2015
yyyy
Continued from previous page...
Add another signatory
Once you're finished you need to do the following:
1. Save this form to your computer by clicking file/save as...
2. Go back to https://www.gov.uk/apply-for-a-licence/club-licensing/havering/apply-1 to upload this file and continue with
your application.
Don't forget to make sure you have all your supporting documentation to hand.
IT IS AN OFFENCE, LIABLE ON SUMMARY CONVICTION TO A FINE NOT EXCEEDING LEVEL 5 ON THE STANDARD
SCALE, UNDER SECTION 158 OF THE LICENSING ACT 2003, TO MAKE A FALSE STATEMENT IN OR IN CONNECTION
WITH THIS APPLICATION
OFFICE USE ONLY
Applicant reference number
keith Reynolds
Fee paid
Payment provider reference
ELMS Payment Reference
Payment status
Payment authorisation code
Payment authorisation date
Date and time submitted
Approval deadline
Error message
Is Digitally signed
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