Hounslow Urban Farm Faggs Road Feltham

flnseft name and addressof relevantlicensingauthorttyand itsreferencenumber(optional).1
Application for a premiseslicence to be granted
under the Licensing Act 2ffi3
PLEASE READ THE T'OLLOWING INSTRUCTIONS F'IRST
Before completing this form pleaseread the guidancenotes at the end of the form. If you are completing
this form by hand pleasewrite legibly in block capitals. In all casesensurethat your answersare inside the
boxes and written in black ink. Use additional sheetsif necessary.
You may wish to keep a copy of the completed form for your records.
vwe _-__.-J-oqy_B$y
s{4Atl"-e-q!'_'{y
_e{'g_
!Ytjsb$l_{qtse4y_
(Insert narne(s)of applicant)
apply for a premiseslicence under section 17 of the Licensing Act 2{X}3for the premisesdescribed in
Part 1 below (the premises)and Iftve are making this application to you as the relevant licensing
authority in accordancewith section 12 of the Licensing Act 2003
Part I - PremisesDetails
Postal addressof premisesor, if none, ordnancesurvey map referenceor description
Hounslow Urban Farm, FaggsRoad.
Post town
Feltham
Postcode
Telephonenumber at premises(if any)
Non-domestic rateablevalue of premises
TW14 $LZ
02088319658
s
0
Part2 - Applicant Details
Pleasestatewhether you are applying for a premiseslicence as
Pleasetick as appropriate
a)
an individual or individuals *
b)
a personotherthanan individual*
Y
pleasecompletesection(A)
tr
i.
asa limitedcompany
n
pleasecompletesection(B)
ii.
asa partnership
t]
pleasecompletesection(B)
iii.
as an unincorporatedassociationor
t]
pleasecomplete section @)
iv.
other (for examplea statutory corporation)
n
pleasecomplete section @)
c)
a recognisedclub
n
pleasecompletesection(B)
d)
a charity
tr
pleasecomplete section (B)
e)
the proprietor of an educationalestablishment
n
pleasecomplete section (B)
0
a health servicebody
tr
pleasecompletesection(B)
g)
a personwho is registeredunder Part 2 of the Care
n
StandardsAct 2000 (c14) in respectofan independent
hospitalin Wales
pleasecomplete section (B)
ga)
a person who is registeredunder Chapter2 of Part I
of the Health and Social Care Act 2008 (within the
meaning of that Part) in an independenthospital in
England
f]
pleasecomplete section (B)
h)
the chief officer of police of a police force in England
and Wales
tr
pleasecompletesection@)
* If you are applying {$ a person describedin (a) or (b) pleaseconfirm:
Pleasetick yes
I am carrying on or proposing to carry on a businesswhich involves the use of the premisesfor
licensableactivities;or
tr
I am making the application pursuantto a
statutory
functionor
tr
a function dischargedby virtue of Her Majesty's prerogative
t]
(A) INDMDUAL
APPLICANTS (fill in as applicable)
M r n M r s n M i s s t r M s t r
Surname
Purdy
Other Title (for
example,Rev)
First names
Anthony
I am 18 yearsold or over
Y
Pleasetickves
58, New Road, The Causeway
Currentpostaladdressif
differentfrom premises
address
Posttown
I
Staines
Postcode
Daytime contact telephonenumber
E-mail address
(optional)
0797472865
alicepu rdydory@gma iI. com
I
fwfS 3DA
SECOhil) INDTYIDUAL APPLICAITT (if applicable)
MrX
Mrs n
Miss tr
Surname
Kennedy
Ms tr
OtherTitle (for
example,Rev)
First names
Michael
I am I 8 yearsold or over
Y
Pleasetick ves
7, Hatton Road
Current postal addressif
different from premises
address
Post town
I
Bedfont
Postcode
Daytime contact telephonenumber
E-mail address
(optional)
I
TW14 8JR
w7t3t3l56l
[email protected]
(B) OTHER APPLICANTS
Please provide name and registered address of npplicant in futl. Where appropriate please give any
registered nurrber. In the caseof a partnership or other joint venture (other than a body
corporate), pleasegive the name and addressofeach party concerned.
Name
Address
Registerednumber (where applicable)
Description of applicant (for example,partnership,company, unincorporatedassociationetc.)
Telephonenumber (if any)
E-mail address(optional)
Part 3 Operating Schedule
When do you want the premiseslicence to start?
If you wish the licence to be valid only for a limited period, when do you
want it to end?
Pleasegive a generaldescriptionof the premises(pleasereadguidancenote 1)
Renewalof Licensere eventheld on 3'" May 2014.
Hounslow Urban Farm, adjacentFaggsRoad. Offstreet parking. Big Bam to hold a music event, away
from animals. 300 metersto nearestresidential property. Directly to the North are fields and industrial.
East is only fields. Souththere is a Tescos400 metersaway and the fire and ambulanceseryice. Good
transportlinks. Bar Area. Alcohol will be sold and consumedon premises,in all of the eventareas.An
areaoutside will be designatedfor smoking.
If 5,000 or more peopleare expectedto attendthe premisesat any one time,
pleasestatethe number expectedto attend.
1,800
Whatlicensableactivitiesdo you intendto carryon from the premises?
(Pleaseseesections1 and14of theLicensingAct 2003andSchedules
1 and?to theLicensingAct 2003)
Provision of regulated entertainment
Pleasetick any that
apply
a)
plays (if ticking yes, fill in box A)
b)
films (if ticking yes, fill in box B)
c)
indoor sporting events(if ticking yes, fill in box C)
d)
boxing or wrestlingentertainment(if ticking yes,fill in box D)
e)
live music (if ticking yes, fill in box E)
n
tr
tr
tr
tr
f)
recordedmusic (if ticking yes, fill in box F)
Y
g)
performancesof dance(if ticking yes, fill in box G)
h\
anythingof a similar descriptionto that falling within (e), (f) or (g)
(if tickingyes,fill in box H)
n
n
Provision of late niqht refreshment (if ticking yes, fill in box I)
Supolv of alcohol (if ticking yes, fill in box J)
Y
In all casescomplete boxes K L rnd M
A
Plays
Standarddays and timings
(pleaseread guidancenote
6)
Day
Mon
Staxt
WiIl the performancqof a play take plaqe Lndoors
or outdoors or both - please tick (pleaseread
guidancenote 2)
Finish
Outdoors
u
u
Both
tr
lndoors
Plcase sive further details here (pleaseread guidancenote 3)
Tue
Wed
State apv seasonalyarirtions for performing nlavs (pleaseread guidance
note 4)
Thur
Fri
Nol stsndard timines. Where you intend to use the premises for the
the left. nlease list (pleaseread guidancenote 5)
Sat
Sun
F
Recorded music
Standarddays and timings
(pleaseread guidancenote
6)
Day
Start
Will the p}ryins of recorded music take nlace
indoors or outdoors or both - please tick (please
read guidancenote 2)
Finish
Indoors
Y
Outdoors
tr
Bo&
tr
Please give further details here (pleaseread guidancenote 3)
Mon
LIYW
4WrD UrVrBUurb
VJ
J r
by a competentsound engineer
Tue
State anv seasonalvariations for the nlaying of recorded music (please
read guidancenote 4)
NotApplicable
Wed
Thur
Fri
Non standard timinss Where vou intend to use the nremisesfor the
Sat
on the left, nlease list (pleaseread guidancenote 5)
NotApplicable
nlavins of recorded music at different
Sun
20.00
02.00
tims
to those listed in the cclumn
Late night refreshment
Standarddays and timings
(pleaseread guidancenote
6)
Day
Start
Finish
lYill the provision of late night refreshment take
plaee indoors or outdoors or both - please tick
(pleaseread guidancenote 2)
Indoors
Indoors
Y
Outdoors
tr
Both
Y
Please give further details here (pleaseread guidancenote 3)
A marqueewill be erectedthe length of the barn wilh an indoor and
outdoor which will be mannedto contnrl the flow of people for Alcohol.
Food will be servedfrom a buger van located by the control room.
Mon
Tue
Wed
State anv season*l variations for the orovision of late night refreshment
(pleaseread guidancenote 4)
NotApplicable
Thur
Fri
Sat
Sun
20.00
02.00
Non sfandard timinus. Where you intend to use thc premises for the
orovision of late nisht refrerhment at difierent times. to those listed in
the column on the left" please list (pleaseread guidancenote 5)
NotApplicable
J
Supply of alcohol
Standarddays and timings
(pleaseread guidancenote
6)
Day
Start
Will the suDnlv of aleohol be for consumptionpleasetick (pleaseread guidancenote 7)
Finish
Mon
Onthe
premises
Y
Offthe
premises
n
Both
D
State any seasonalvariations for the sunplv ofaleohol (pleaseread
guidancenote 4)Not Applicable
Tue
Wed
Thur
Non standard timings. Where you intend to use tbe premise for the
supply of elcohol at different times to tbose listed in the column on the
left. please list (pleaseread guidancenote 5)
NotApplicable
Fri
Sat
Sun
20.00
01.00
State the name and details of the individual whom you wish to specify on the licence as designated
premisessupervisor:
Name
Daniel Marshall
Address
Green Man Pub, FaggsRad
Postcode
TWl4
Personallicence number (if known)
Daniel Marshall 5870/l2l000l O&APERS
Issuing licensing authority (if known)
LondonBoroushof Sutton
K
Pleasehighlight any adult entertainment or services,activities, other entertainment or matters
ancillary to the use of the premises that may give rise to concern in respect of children (pleaseread
guidancenote 8).
NotApplicable
Hours premisesare open
to the public
Standarddays and timings
(pleaseread guidancenote
6)
Day
Start
State any seasonalvariations (pleaseread guidancenote 4)
Not Applicable
Finish
Mon
Tue
Wed
Non standard timings. Where vou intend the premises to be oDento the
Thur
please list (pleaseread guidancenote 5)
Not Applicable
Fri
Sat
Sun
20.00
%00
oa'f./.
M Describe the stepsyou intend to take to promote the four licensing objectives:
a) General - all four
b) The prevention of crime and disorder
As used at our previous event 03/05114There will be a mannedsecurity team (Incognito) of 32 SIA
approved staff. There will be conditions of entry policy where everyoneincluding all staffbefore the
event to be searchedfor contraband. Ifcontraband is found the appropriateaction will be taken. It is
strictly an over l8's event. Everyone has to bring ID with them - NO ID meansno entry which will be
statedon the tickets. . During the event eyeryoneincluding guests,DJ's and MC's , plus any additional
staff will be searchedalso. The interior and the exterior of the premiseswill be designedto minimise
conflict and the opportunity for crime and disorder. There will be additional floodlighting hired in to aid
the outdoor are4 there was an issuewith insufficient lighting at previous pa$y so this has be taken on
board for 2015. A barrier systemwill be in place to control the crowd. It will be mannedat all times and
there will be marshallsto help crowds acrossthe road leading to the cemetery.All staffwill have radios for
communication and in the event of an emergencythe police will be called. The Police will have been
notified and their suggestionsadheredto prior to the event. All drinks will be servedin plastic containers
and cans.We have CCTV for prevention which will be monitored throughout the evenl. Door staffwill
have clickersso capacitywill be known at all times.
c) Public safety
The license holders will be responsiblefor the safety of the event and any repairs and maintenance.
Briefings 30 mins before start time will take place betweenall staffand security. There will be a sufficient
number of security staffl floor supervisorsin relation to the number of customersattending. All staJfwill
be approvedby the appropriateorganisationsfor example SIA. There will be a briefed and competentbar
team who will keep an eye out for patrons who are too intoxicated. There will be an entranceand exit to
bar area so the people can be controlled to stop pushing and shoving and queues. Both entranceand exit
will be manned.Emergencyfre exists will be clearly displayed. There will be a medical team on site and
appropriateaccessof emergencyvehicles. Sufficient lighting will be in place to ensurethe areais well lit
and on leaving the security team will be on hand to direct customersin the right direction. Crowd control
barriers will be in place so that people leave in an orderly and appropriatemanner. TFL will be emailed
confirming the service scheduledfor that day. Re 2AM party - an announcementwill be made over PA
systeminforming the attendees30 mins before last train departsgivmg them time to get to the station.
d) The preventionofpublic nuisance
The noise levels will be kept below the recommendedlevel by a competentsound engineer,and the
is
barn surroundedby acresof land and an industrial estate.The barn is 300 metersaway from the nearest
local residents. It is an indoor music event and the speakerswill all be on rubber mats. A sufficient supply
of bins will be located around the premisesfor litter. As an addition staffwill be litter picking
accordingly. Inside and Outside the premises.There will be exfia lighting brought in for the footpath but it
will stay within the event boundary so no light pollution. Security will be on hand as customersleave to
ensurethey leave in a quiet and respectful manner. As an addition there will be signs put up resquesting
customersleave in a quiet and respectful manner.
e) The protection of children from harm
NotApplicable.
Checklist:
Pleasetick to indicate"*ro*V
r
I have made or enclosedpayment of the fee.
'
I haveenclosedthe plan of the premises.
o
I have sent copies of this application and the plan to responsibleauthorities and others where appllcaDre.
V
r-t
IJ
r
I have enclosedthe consentform completedby the individual I wish to be designatedpremises
supervisor,if applicable.
u
.
I understandthat I must now advertisemy application.
{
r
I understandthat if I do not comply with the aboverequirementsmy application will be
rejected.
{
IT IS AI{ OFFENCE, LIABLE ON SUMMARY COnwICTION TO A X'INE NOT EXCEEDING
LEVEL 5 ON TITS STANDARD SCALE, UNDER SECTION 158 OF TNE LICENSING ACT 2003,
TO MAKE A FALSE STATEMEI{T IN OR IN COI{NECTION WITII THIS APPLICATION.
Vart 4- Signatures (pleasereadguidancenote 10)
Signature of applicant or applicant's solicitor or other duly authorised agent (seeguidancenote 11).
If signing on behalf of the applicant, pleasestate in what capacity.
Signature
Date
t 34't {ntu( Jo r *
Capacrty
€+ryvtAwnrt- /f cn<En",aeA
For joint applications, signature of 2odapplicant or 2odapplicant's solicitor or other authorised
agent (pleasereadguidancenote l2). If signing on behatf df the epplicant, pleasestate in what
capacity.
*S-l
o,
Contact name (where not previously given) and postal addressfor correspondenceassmiatedwith this
application fuleaseread guidancenote 13)
number (if any)
If you would prefer us to correspondwith you by e-mail, your e-mail address(optional)
Notesfor Guidance
1. Describe the premises,for examplethe 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 consumptionof theseoffsupplies,you must include a description of where the place will be and its proximity to the
premises.
2. Where taking place in a building or other structure pleasetick as appropriate(indoors may include
a tent).
3. For examplethe type of activity to be authorised,if not already stated,and give relevant further
details, for example (but not exclusively) whether or not music will be amplified or unarnplified.
4. For example (but not exclusively), where the activity will occur on additional days during the
summermonths.
5. For example (but not exclusively), where you wish the activity to go on longer on a particular day
e.g. ChristmasEve.
6. Pleasegive timings in 24 hour clock (e.g. 16:00) and only give details for the days of the week
when you intend t}re prernisesto be used for the actMty.
'1.
'on the premises'. If
If you wish peopleto be ableto consumealcoholon the premises,pleasetick
you wish people to be able to purchasealcohol to consumeaway from the premises,pleasetick
'off the premises'. If you wish peopleto be able to do both, pleasetick'both'.
8. Pleasegive information about anything intendedto occur at the premisesor ancillary to the use of
the premiseswhich may give rise to concern in respectof children, regardlessof whether you
intend children to have accessto the premises,for example (but not exclusively) nudity or seminudity, films for restricted age groups or the presenceof gaming machines.
9. Pleaselist here stepsyou will take to promote all four licensing objectives together.
10. The applicationform must be signed.
11. An applicant's agent (for examplesolicitor) may sign the form on their behalf provided that they
have actual authority to do so.
12. Where there is more than one applicant eachof the applicant or their respectiveagent must sign
the application form.
13. This is the addresswhich we shall useto correspondwith you aboutthis application.
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