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2. Entity Name*
3. DBA*
5. First Name*
6. Last Name*
8. Business Address*
10. Owner*
11. Manager*
13. Primary Contact Email Address*
14. 24-hour Contact Number*
16. Proposed Start Date*
18. Proposed Days and Hours of Operation*
20. Parking Lot/Land Owner*
21. Evidence of Control of Extended Premises
    If you do not own the parking lot or land you are seeking to extend your premises onto, you must include evidence of control of extended premises.
23. Do any other businesses share the parking lot besides your restaurant?*

    1. Yes
    2. No
24. If yes, include a letter from all other users.

    If the restaurant is not the only user of the parking lot, the other users of the lot must indicate their knowledge and support of the use of the lot for outdoor dining by submitting signed acknowledgment of the restaurant's plans.

26. Are there any sidewalks or other areas not under the licensee’s control that will need to be crossed to get to the extended premises?*

    1. Yes
    2. No
27. If yes, please review the following:
    Currently, the ABCC's position is that licensees will need an easement to cross the sidewalk in order to be deemed contiguous. If this is the case, we will address these concerns on a case by case basis.
29. Awnings, Tents or Umbrellas?*

    1. Awning(s)
    2. Tent(s)
    3. Umbrella(s)
    4. None

    Please note, if you plan to erect a tent, you must contact the Building Department to receive approval and you MUST get written permission from both of your abutting neighbors.

30. Photo or Plan for the Type of Covering

     

31. Permission from Abutting Neighbors Supporting the Tent
33. (Liquor License Holders ONLY) Expansion Area Must Be EITHER:

    1. Contiguous to the licensee’s premise with either a clear view of the area from inside the premises.
    2. The licensee may commit to providing management personnel dedicated to the area.
34. Photo or Plan for Barriers

    Please upload a photo or plan of

    • Barriers that will be used to protect diners from vehicles (if applicable)
    • Delineation of the area so as to prevent access to the area from the public way
36. Detailed description of expansion*

    Please summarize, in detail, the alterations you wish to make.

37. Detailed Floor Plan*

    Please upload a detailed plan that includes dimensions and layout of tables and chairs

39. Number of Tables*
40. Number of Chairs*
41. Seating Capacity of Expansion*
43. Will the expansion cause potential noise concerns/complaints from neighbors?

    1. Yes
    2. No
44. If yes, please explain:
46. ADA Accessibility
    The outdoor dining areas and barriers must be accessible and meet ADA and Massachusetts Architectural Access Board's regulations: https://www.mass.gov/law-library/521-cmr
50. Certification of Safety Standards and Guidelines

    By signing below, I, being the owner or manager of the above referenced establishment located at the address indicated above, acknowledge, accept, and will comply with the responsibilities of maintaining a safe outdoor dining experience for guests and for staff in the outdoor dining area through the diligent adherence to my submitted plans.

52. Signature*
53. Date*
    Date
55. (LIQUOR LICENSE HOLDERS ONLY) Certification of Compliance with ABCC Guidelines For Extension of Premises to Patio & Outdoor Areas

    By signing below, I being the owner or manager of the above referenced establishment located at the address indicated above, acknowledge, accept, and will comply with the guidelines for extension of premises to patio and outdoor areas.

57. Signature*
58. Date*
    Date
Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

* indicates a required field