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2. 
3. City of Middleton Expanded Premise Permit by a Class "B" Retailer
5. Expanded Premise Permit Application Process

   A beverage license is a privilege issued by the city.  Its issue and retention is conditioned on the licensee’s agreement to act in the public’s interest.

   A current alcohol licensee may apply for a temporary change in their premise description.  It is within the discretion of the City to approve or disapprove the change and the City may impose standard or special conditions.  The fee is $50 per event date.

7. The Process

   Expanded Premise applications are submitted to the Clerk, reviewed by staff (police, and Building, Fire & Electrical Inspectors), recommended by the License & Ordinance Committee, and approved by the City Council.   To obtain an expanded premise permit, please submit or do the following at least 30 days before the event:

    

   1. Complete Expanded Premise Application (below).  Multiple expanded premise permits, all of similar size and nature, and with the same set-up, may be applied for and reviewed contemporaneously (list each date, hours of operation, and event name separately on a supplemental page and attach it to the application).
   2.  Provide a detailed sketch showing stage and service areas, toilets, exits, and the dimensions of the area for which the permit or license will apply.
   3. Complete the Event Characteristics Questionnaire.
   4. Complete the Temporary/Expanded License Worksheet.
   5. Provide a written numbered plan briefly describing how each standard condition will be met, or expressly requesting an alternative or waiver.  
   6. Provide a Certificate of Insurance. 
   7. If street closures, street use, outdoor amplified sound, electrical, park or other permits are required, applications should be submitted contemporaneously.
   8. The applicant should submit the application and all materials to the Clerk and schedule an application review meeting with City staff.  E-mail the Clerk, Lorie Burns, to schedule. lburns@cityofmiddleton.us   

   If an organization or enterprise has a current approved plan on file for event(s) of a similar size and nature, with the same set-up, all that need be submitted is the basic application (below) and current Certificate of Insurance (make reference to the designated approved plan on the application).  A commercial enterprise may have up to three “approved plans on file” with the Clerk for events of different size, nature or set-up.  Plans may be approved in advance without an application, in anticipation of a future application.  The enterprise/organization or City may request a modification to any “approved plan on file” during the application process or at any other time.  It is preferred that requests for modification be initiated, considered, and determined in the period following an event.   Any substantial modification, or where there is not an agreement between the enterprise/organization and staff, will be reviewed by the License & Ordinance Committee and approved by the City Council.

11. 1. Application and Event Information
13. Is this application associated with a Special Events Permit?*

    1. Yes

    1. No
14. If so, What is the name of the Special Event? *

    If no, type "no"

16. Will you be using a current approved plan on file for this event?*

    1. Yes

    1. No
17. If so, What is the Name of the Approved Plan?*

    If no, type "no"

19. If you answered "yes" to using a current approved plan on file, please complete the following items:
    • "Applicant Information"  below
    • Upload Certificate of Insurance (Item 6 below)
    • Apply for any additional permits needed (Item 7 below)
    • Make Payment
    • Sign and Submit the Application
21. Event Date(s)*
22. Event Time(s)*

    Start-Stop

26. Applicant Information
28. Individual, Partnership, Corporation Name*
29. Doing Business As (Trade Name)*
31. Contact Name*
32. Contact Phone*
34. Agent Name (as listed on Liquor License)*
35. Agent Phone*
37. Describe all areas covered under this application, including the original premise description as well as the area where expansion is desired*
39. 2. Detailed Sketch

    A detailed sketch showing stage and service areas, toilets, exits, and the dimensions of the area for which the permit or license will apply

41. Upload Detailed Sketch here
43. 3. Event Characteristics Questionnaire

    Complete and upload the event characteristics questionnaire

45. Event Characteristics Questionnaire
    Event Characteristics Questionnaire Form

    Click to download, complete, save to computer

46. Upload Event Characteristics Questionnaire here
48. 4. Expanded License Worksheet

    Complete and upload the Expanded License Worksheet

50. Expanded License Worksheet
    Expanded License Worksheet Form
51. Upload Expanded License Worksheet here
53. 5. Written Numbered Plan

    A written numbered plan briefly describing how each standard condition will be met, or expressly requesting an alternative or waiver

55. Written Numbered Plan
    Written Numbered Plan Example

    Download an example of a written numbered plan

56. Upload Written Numbered Plan here
58. 6. Certificate of Insurance

    Applicatns must provide a comprehensive general liability insurance, blanket contractual liability insurance and insurance covering liability for acts or omissions arising out of the organization's sale or dispensing of alcoholic beverages in the amount of $1,000,000 per occurrence naming the City of Middleton as an additional insured and shall, by the acceptance of the permit or license, be deemed to agree to indemnify, defend and hold the City of Middleton harmless for all damages of any variety and shall provide the City Clerk a certificate of insurance establishing the above coverage before any such permit shall be issued

60. Upload Certificate of Insurance Here*
62. 7. Other Permits Needed
64. Outdoor Amplified Sound Permit

    A permit is required to operate any sound system outdoors, cause amplified music or other sound including music from a live performance to be projected outdoors, to cause amplified sound to be projected outside of any building, or to cause amplified sound to be projected from any vehicle in the City.  There are some exceptions for car stereos, private residences, schools, churches and public safety.  Commercial enterprises may apply for an annual permit.  Applications for may be obtained online. Fee $50.

66. Outdoor Amplified Sound Application
    Outdoor Amplified Sound Application
68. Park Use Permit

     permit is required through the Parks and Recreation Department for groups to use a park shelter area, park or other park facility, or to sell merchandise in a park.  Applications for rental may be obtained online. The fee is contingent on location and residency.

70. Park Use Permit Application
    Park Shelter Rental Application
72. Electrical Permit

    An Electrical permit is required if there will be any alteration or change to any electrical installation, new electrical installation, or temporary electrical wiring.  Electrical wiring must be done by a licensed electrician.   Base Permit Fee $50 for residential and $100 for commercial.  (Extension cords must be inspected by the Fire Department.)  Application forms may be obtained online.

74. Electrical Permit Application
    Electrical Permit Application
76. 8. Schedule Application Review

    The applicant should submit the application and all materials to the Clerk and schedule an application review meeting with City staff.   E-mail the Clerk, Lorie Burns, to schedule. lburns@cityofmiddleton.us

80. Payment Method*

    1. Online
    2. Mailing Check

    Once you hit submit, you will be directed to the credit card processing page.  You may also mail a check to our office at 7426 Hubbard Avenue, Middleton, WI  53562.

    Application Fee:  $50.00 (per each date) 

84. Under penalty of law, the applicant states that each of the above questions have been truthfully answered to the best of the knowledge of the signers. Signers agrees to operate this business according to law and that the rights and responsibilities conferred by the license(s), if granted, will not be assigned to another. (Individual applicants and each member of a partnership applicant must sign; corporate officer(s) must sign.) The applicant/agent must review with the Middleton Police Department, Fire Department and Building Inspections the conditions for limited expansion of a premise prior to approval.
86. By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
87. Initial here*
89. Please type name as shown on application above*
90. Date*
    Date
Leave This Blank:


92. 1. Receive an email copy of this form.
93. Email address

    This field is not part of the form submission.

94. Submit

* indicates a required field