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2. This form is not a permit. Please read this application in full. Completion of this application does not constitute an automatic approval and does not guarantee that a permit will be issued. Event organizers are encouraged not to issue any press releases, advertise, sell tickets, etc. until the necessary approvals and/or permits have been issued. Event organizers are encouraged to include maps, plans and any pertinent supporting documentation with this application. Any event permitting questions can be directed to the Town’s Events Coordinator at 508-325-4166.
4. 
6. APPLICANT INFORMATION - REQUIRED
8. First Name of Primary Contact*
9. Last Name of Primary Contact*
11. Address of Primary Contact*
12. Company/Organization of Primary Contact (If Applicable)

    i.e. Catering Company, Event Planner, Festival Organizer, Non-Profit Org., etc.

14. Town/City*
15. State*
16. Zip*
18. Email Address*
19. Phone Number*
20. Cell Phone
22. On-site Contact*

    if different than Primary Contact

23. Cell Phone for On-site Contact*
25. Host Organization (If Different from Above)
27. Host Type

    1. Non-Profit
    2. For-Profit
    3. Individual
28. Please Attach 501(c)(3) Documentation
30. EVENT OVERVIEW - REQUIRED
32. Event Name*

    i.e. "Smith Wedding" or "Nantucket Film Festival"

34. Requested Location of Event (please specify INDOOR or OUTDOOR)*

    See Below for BEACH EVENTS.

36. Is this Event open to the public?

    1. Yes
    2. No
37. Is there an admission / registration fee?

    1. Yes
    2. No
39. Date of Event*
    Date of Event
40. Start Time*
41. End Time*
42. Rain Date
    Rain Date
44. All events must comply with the 10:00 pm Noise Ordinance. Requests for extension past 10:00 pm must be approved by the Select Board
46. Set-up Date & Time
    Set-up Date & Time

    Set-up Date & Time
47. Tear-Down Date & Time
    Tear-Down Date & Time

    Tear-Down Date & Time
49. MULTIPLE DATE EVENTS
    Please list all dates for events at one location only or attach full agenda.
50. Full Schedule of Events
    Please attach Full Schedule for events with multiple dates at one location.
52. Est. # of Participants*
53. Est. # of Staff
55. Important Notice - Events Over 250
    Any event anticipating over 250 participants requires a Public Hearing at a regularly-scheduled Select Board meeting. Public Hearings must be noticed in the Inquirer and Mirror for two consecutive weeks prior to the hearing (at Applicant's expense). Public Hearings may be waived for recurring events. Events anticipating under 250 participants may require a Public Hearing at Town Administration's discretion.
57. Have You Held This Event On-Island Before?

    1. Yes
    2. No
58. If Yes, Where And When?
60. Description of Event (Attach additional documents below)*

    Information provided here may be used for publication on Island Events Calendar.

62. Event Description (optional)
63. Course Map

    Required for Bike / Road Race or Walk.

65. Event Layout/Diagram

67. EVENT LAYOUT / DIAGRAM: Required for Events with Tents/Temporary Structures and/or Events on Public Property. A detailed site plan is required - applications will not be processed without it. Attach separate document(s) that clearly show the location of the event, fencing, entry /exit points, tents (include dimensions), stages, generators, bars, tables / chairs, portable restrooms, trash cans, dumpsters, signs, etc.

69. STEP 1: LOCATION - BEACH EVENTS ONLY
71. Details regarding allowable activities can be found here
    Click for Beach Allowable Activity List
73. Select Town of Nantucket Beach
    -- Select One --Children's Beach (Parks & Rec)40th Pole (Land Bank)Nobadeer BeachFisherman's BeachFrancis Street Beach (Parks & Rec)Jetties Beach (Parks & Rec)Ladies Beach (Land Bank)Low Beach (Sconset)Miacomet Beach (East Side)Sconset Beach/Codfish Park (Parks & Rec)South Shore (Sewer Beds)Smith's PointStones Beach (Land Bank)Surfside Beach

    For Beaches not included, please see Ownership Contact list for contacts to receive permission for beach use.

74. Click Here For Beach Ownership Contacts for all Public Beaches
    Beach and Ownership Listing
76. Beach Event Structures

    Please list all temporary structures, tables, chairs, etc. that will be used for your event.

78. Beach and Endangered Species Protection
    Safety of endangered species habitat and beach maintenance are prime concerns for any beach-related activity on the island. Nesting birds, erosion and endangered plants exist throughout the island. Natural Resource approval is required to make sure protection laws are not being violated and proper precautions are being taken.
80. STEP 2: ALCOHOL
82. Will Alcohol Be Served?*

    1. Yes
    2. No

    If No, continue to Step 3.
83. Click Here For Temporary Pouring Permit Regulations for the State of Massachusetts:
    Temporary Pouring Permit Guidelines
85. Alcohol To Be Served

    1. All Alcohol
    2. Beer & Wine

    1. Beer Only
    2. Wine Only

87. Only Non-Profit Organizations are permitted to serve ALL Alcoholic Beverages. For Profit Organizations are only permitted to serve Beer and Wine.

89. Source of Alcohol/Approved Distributor(s)*
90. CLICK HERE FOR LIST OF AUTHORIZED SOURCES TO PURCHASE ALCOHOL:
    AUTHORIZED SOURCES (in PDF)

    AUTHORIZED SOURCES (in EXCEL)

92. STEP 3: ENTERTAINMENT
94. Will There Be Entertainment?*

    1. Yes
    2. No

    If No, continue to Step 4.

95. Will The Entertainment Be Amplified?

    1. Yes
    2. No
96. Will The Entertainment Be Outside?

    1. Yes
    2. No
98. Description of Entertainment

100. All events must comply with the 10:00 pm Noise Ordinance. Requests for extension past 10:00 pm must be approved by the Select Board.

102. STEP 4: STREET AND/OR SIDEWALK BLOCKING
104. Will Event Require Any Road Or Sidewalk To Be Blocked Or Closed?

     1. Street
     2. Sidewalk

     1. Full Blocking
     2. Partial Blocking
106. Address Of Blocking
107. Purpose Of Blocking:
109. STEP 5: TENTS / TEMPORARY STRUCTURES / STAGES / GENERATORS
111. Will There Be A Tent Or Other Temporary Structure Erected?*

     1. Yes
     2. No

     If No, continue to Step 6.
112. Date Tent/Structure To Be Installed
     Date Tent/Structure To Be Installed
     Temporary Structures Are Subject to Inspection By Building & Fire Dept. Before Event.
114. Describe Size/Type of Tent/Structure / Stage
115. Tent Company
117. Will this event utilize a generator(s)?

     If yes, please describe the intended use.

118. Will you be using any lighting?

     If yes, please describe:

120. STEP 6: FOOD
122. Will Food Be Served?*

     1. Yes

     1. No
123. Name of Caterer/Food Service Provider*
125. Attach Town of Nantucket Catering License (Optional)

127. Food service providers must have a current license Issued by the Town Of Nantucket Health Department. If they are not licensed on Nantucket, they must be approved by the Health Department at least 14 days prior to the event. Any event with more than One (1) caterer / food service provider is required to apply for Temporary Food Permits for each food service provider regardless of license.

129. TEMPORARY FOOD PERMIT INFO:

     General Information regarding Temporary Food Permit Events

     Temporary Food Permit Checklist

     Temporary Food Event Permit Application

     Events with 10 or more food vendors are required to submit the below form at least 30 days prior to the event.

     Temporary Food Event Coordinator Application

     Should you have any questions about temporary food permits, please contact the Nantucket Health Department health@nantucket-ma.gov , 508-228-7200 or visit at 131 Pleasant Street, Nantucket, MA 

131. STEP 7: RESTROOM FACILITIES

133. Describe the number of restrooms available at the event site and if you plan to order portable restrooms. You may be required to provide portable toilets and hand washing stations, unless you can substantiate the sufficient availability of both Americans with Disabilities Act (ADA) and non‐accessible facilities in the immediate area of the event site which will be available during your event.

     Portable Toilets at public events: For single user portable toilets clustered at a single location, at least 5% but not less than one accessible toilet unit shall be installed at each cluster

135. # of Restrooms/Portable Toilets Provided*
137. Name of Restroom / Portable Toilet Provider*
139. STEP 8: PARKING PLAN
141. Event Parking

     Describe where event attendees, vendors, and staff are expected to park their vehicles. If the event requires more parking than what is available, describe your plan for overflow vehicles.

143. STEP 9: WASTE MANAGEMENT
145. Effective June 1, 2020, Nantucket's Single-Use Plastics Ban prohibits these single-use petroleum based plastic products from being commercially used, sold or distributed at special events: straws and drink stirrers, six-pack can and bottle flexible yokes, drinking cups and lids, non-compostable plates and eating utensils, drinking water in polyethylene terephthalate (PET or PETE) containers of 1 liter (34 ounces) or less, non-recyclable coffee pods.
147. Please note, biodegradable packaging is already required under Nantucket’s 1990 Biodegradable Packaging Bylaw.
     Biodegradable Packaging Bylaw(§ 125-2.1)
149. 
177. HOLD HARMLESS AGREEMENT
     In consideration of permission to use the public property, facility or services described herein, the Applicant agrees to save and hold the Town of Nantucket, its agents, servants, and employees harmless from any and all liabilities or costs arising out of the use of the described premises by the Applicant, the Applicant's guests, employees, subcontractors, and/or other persons. The Applicant acknowledges that the permission to utilize the facilities is limited to the portion of the premises herein described (if applicable), and that the permission is valid only for the activity herein described. Notwithstanding the foregoing, this Hold Harmless Agreement shall be applicable to any claim asserted against the Town of Nantucket, its agents, servants, and employees, and for any loss incurred arising out of the Applicant's activity whether or not such claim or loss extends beyond the permitted type or locale of activity or occurs on a different date than specified. Commercial General Liability is required in the amount of $1,000,000 CSL (combined single limit) with the Town and County of Nantucket added as an additional insured.
179. 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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181. 1. Receive an email copy of this form.
182. Email address

     This field is not part of the form submission.

183. Submit

* indicates a required field