HomeMy Public PortalAboutAPPLICATION FOR A SPECIAL ALCOHOL LICENSE_201701241349544890WATERTOWN LICENSING BOARD
APPLICATION FOR A SPECIAL ALCOHOL LICENSE
(M.G.L. C. 138, s. 14)
Application fee: 50.00 Date:
BOTH THE APPLICANT AND MANAGER OF THE PREMISES MUST SIGN BELOW
The undersigned hereby applies for a One Day Special Alcohol License for:
( ) All Alcoholic Beverages ( ) Wine & Malt Beverages ( ) Wine Beverages ( ) Malt Beverages
NOTE: ONLY NONPROFIT ORGANIZATIONS ARE ELIGIBLE FOR A LICENSE FOR ALL
ALCOHOLIC BEVERAGES.
( ) CHECK IF NON PROFIT (submit proof of non-profit status, e.g., IRS certificate or Mass. Dept. of Revenue form ST 2)
NAME OF PERSON APPLYING:
(Applicant must be the host of the event; a caterer or bartender for an event cannot be the applicant.)
ADDRESS:
PHONE:
NAME OF ORGANIZATION (if applicable):
TYPE OF EVENT: DATE OF EVENT:
NUMBER OF PERSONS ATTENDING: AGE GROUP ATTENDING:
EVENT LOCATION (name and address)
HOURS: FUNCTION HELD: ( ) Inside ( ) Outside ( ) Both
A floor and/or site plan of the premises to be licensed, including all outside locations, must be submitted
indicating exact location where alcoholic beverages will be sold/served, and consumed, The plan must show all
alcohol storage areas and all entrances and exits.
Name of Server/Caterer serving alcoholic beverages:
Address:
Contact Person: Phone No.
The holder of a Special License under M.G.L. Chapter 138, Section 14 must purchase all alcoholic
beverages from a licensed wholesaler (Section 18). See www.mass.gov/abcc/licensing.htm
Holders of Special Licenses may not transport alcohol without a transport permit from the Alcoholic
Beverages Control Commission. M.G.L. c. 138, §22. A caterer with such a permit may transport on
behalf of the Special License holder.
NOTE: A COPY OF THIS APPLICATION WILL BE PROVIDED TO THE POLICE
DEPARTMENT. A POLICE DETAIL MAY BE REQUIRED. THIS WILL BE STATED ON THE
LICENSE.
RETURN TO: TOWN CLERK'S OFFICE, 149 MAIN STREET, WATERTOWN, MA 02472
45 DAYS PRIOR TO THE BOARD HEARING THAT PRECEDES THE EVENT. SEE ANNUAL
SCHEDULE FOR SPECIFIC DATE.
$50.00 FEE: PAYABLE TO TOWN OF WATERTOWN
Town Clerk's Office: Phone number: 617-972-6486 Fax number: 617-972-6595
ACCEPTANCE OF LIABILITY
The Applicant and the Organization conducting the licensed event (together, the "Applicant") hereby
assume full responsibility for the conduct of the event at which the license will be exercised (the "Event").
The Applicant agrees to indemnify and hold harmless the Town of Watertown, and its officers, employees
and agents, from and against any and all claims, demands, suits, actions, liabilities, damages, judgments,
and costs and expenses including, without limitation, the costs and expenses of litigation, of or by anyone
for property damage or bodily injuries to or death of anyone that in any way is caused by or arises out of the
Event, or out of the actions or omissions of any of the Applicant's employees or agents or any person
attending the Event.
ACKNOWLEDGMENT OF LICENSE REQUIREMENTS
The Applicant acknowledges and agrees, for him/herself and the named Organization, that the License must
be exercised in accordance with all laws and regulations of the Commonwealth of Massachusetts and the
Town of Watertown, and all requirements of the Watertown Licensing Board, including any requirement for
a police detail.
POSTING OF LICENSE and USE OF PREMISES
The license must be kept at the Event premises and displayed in an easily visible location. Alcohol may
only be placed and consumed within the areas authorized by the license. If alcohol is placed or being
consumed outside of those areas, it is subject to confiscation by the Town of Watertown.
APPLICANT'S SIGNATURE: I have read all the requirements above, and state that the information
provided in this application is accurate, that I am authorized to sign this application and that a
responsible person at least 21 years of age, who shall be responsible for compliance of the Event with
applicable laws and regulations, shall be present on the premises during the Event.
Signature of Person Making Application:
MANAGER OF PREMISES: (print name)
OCCUPANCY LIMIT OF PREMISES:
MANAGER'S SIGNATURE: By my signature below, I acknowledge that the Event described above has
been authorized to be held at the named premises.
, Manager