2. 

3. LICENSING & PERMITS

   PSF, 4 Fairgrounds Road, M-F 8am-4pm

   508-325-4100, x5917 x5832 

   licensing@police.nantucket-ma.gov

5. NEW COMMON VICTUALLER (NO LIQUOR) LICENSE APPLICATION

7. COMMON VICTUALLER - ENTERTAINMENT

   Application Documents	Submit
   Town of Nantucket Licensing Application (this form)	Apply and submit online
   Business Structure Documents	Upload below or submit with ABCC Application.
   Lease or Deed	Upload below or email to Licensing@police.nantucket-ma.gov
   Detailed Floor Plan	Upload below or email pdf to Licensing@police.nantucket-ma.gov.
   Proposed Menu	Upload or describe below.
   Health Department Plan Review	Application-for-a-Food-Service-Establishment  Please Contact Health Department to complete. This must be completed before a Licensing Hearing can be scheduled.

   
   

   Fee Description	Fee	Payment
   Town of Nantucket Application	$25	Make check payable to Town of Nantucket. Submit with application to Licensing Office.
   Public Notice Advertisement	$351.90	Make check payable to Inquirer and Mirror. Submit with application to Licensing Office.

9. LETTER TO SELECT BOARD: SUMMARY OF LICENSE APPLICATION*

   Please summarize the business operations proposed in this application to include food service and entertainment as applicable. Describe your plan of operations and introduce the ownership/management team. 

11. APPLICANT INFORMATION
13. Business Name (ex. Nantucket Restaurant, LLC)*
15. Doing Business As (D/B/A) (ex. Nantucket Cafe)
17. First Name of Primary Contact*
18. Last Name of Primary Contact*
19. Title of Primary Contact
    i.e. Owner; Business Manager; Attorney
21. Cell/Phone Number of Primary Contact:*
22. Email of Primary Contact*
24. Additional Contact

    Submit Additional contacts you would like included on Licensing communications.

26. Additional Contact Email

    Please add additional emails you would like added to Licensing communications.

28. LICENSE APPLICATION
30. Proposed Licensed Premise Address*
32. Please describe the proposed licensed premises to include all seating, serving and strorage areas.
34. Have you made or plan on making any renovations to the premises?

    1. Yes
    2. No
35. Describe renovations plan
37. Change of Use

    Is this a Change of Use for the premises?

    1. Yes
    2. No
38. Planning Board/Zoning

    Is there a Special Permit or additional Planning Board/Zoning decisions involving this property? If Yes, include with application.

    1. Yes, Pending Hearing/Final Decision
    2. Yes, Decision included with Application
    3. No
    4. Unsure of status
42. COMMON VICTUALLER/FOOD SERVICE FOR ON-PREMISE LICENSES

    Select all that apply to your proposed food services.

    1. Seated Dining
    2. Outdoor Dining
    3. Take-Out
    4. Delivery
    5. Private/Special Event Catering

    1. Breakfast
    2. Brunch
    3. Lunch
    4. Dinner
    5. Late Night Menu (Light menu/Bar Menu)
44. Describe Food and Beverage Plan
48. ENTERTAINMENT FOR ON-PREMISE LICENSES

    Select all that apply to your plan for Entertainment (if applicable).

    1. NON-LIVE INDOORS: Background Streaming Music played through House System
    2. NON-LIVE OUTDOORS: Background Streaming Music played through House System
    3. NON-LIVE: Movie Theater
    4. NON-LIVE: TV Screens, Video Projection
    5. LIVE INDOORS LEVEL 1: Acoustic Live Music, no additional speakers or amplification
    6. LIVE INDOORS LEVEL 2: Live Entertainment with amplification and/or additional speakers. Includes DJ and Musicians, Vocalists
    7. LIVE INDOORS LEVEL 3: Amplified Live Entertainment with Dance Floor, Occupancy <100
    8. LIVE INDOORS LEVEL 4: Nightclub - All of the above with Occupancy >100
50. Will Furniture, tables, chairs be moved for Live Entertainment?

    1. Yes
    2. No

    Do you plan to move furniture out of dining areas at any time to make room for Entertainment? (to include DJ, Dance Floor or any type of Entertainment)

51. Entertainment Hours

    Please provide requested hours for Entertainment - Interior and Exterior. 

53. Describe Entertainment Plan

    Describe any entertainment you plan for the premises - Non-Live Streaming, Live Entertainment, Outdoor Music/Entertainment, TV's, Theater Performances, Disc Jockey, etc. Include planned frequency: Weekly, Monthly, Special Events only.

55. UPLOAD DOCUMENTS

    Upload required documents below. You may also email to Licensing@police.nantucket-ma.gov or print and deliver to 4 Fairgrounds Road 02554, Mon-Fri 8am - 4 pm.

57. Upload Documents

    Upload Additional Documents/Inspections/Permits required for this application. All additional documents may also be submitted in person at 4 Fairgrounds Road or emailed to licensing@police.nantucket-ma.gov.

58. Upload Documents

    Upload Additional Documents/Inspections/Permits required for this application. All additional documents may also be submitted in person at 4 Fairgrounds Road or emailed to licensing@police.nantucket-ma.gov.

60. Upload Documents

    Upload Additional Documents/Inspections/Permits required for this application. All additional documents may also be submitted in person at 4 Fairgrounds Road or emailed to licensing@police.nantucket-ma.gov.

61. Upload Documents

    Upload Additional Documents/Inspections/Permits required for this application. All additional documents may also be submitted in person at 4 Fairgrounds Road or emailed to licensing@police.nantucket-ma.gov.

63. ADDITIONAL COMMENTS, QUESTIONS

    Let us know anything we haven't covered above or can assist with that has not been addressed.

70. SIGNATURE OF APPLICANT*
    By typing your name in the applicant signature field(s), and submitting this form electronically (via email), you affirm that all information contained within this document was completed truthfully, and to the best of your knowledge and you understand that your electronic signature is considered legally binding the same as signing your physical signature by hand.
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72. 1. Receive an email copy of this form.
73. Email address

    This field is not part of the form submission.

74. Submit Submit and Print

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