Licensing Department, City Of Chelsea, MA

Special Event Request 2022

Nov 22, 2022
submission #89
Application

CONTACT INFORMATION

Event/Activity Name ---
Facility (See link to park locations and descriptions above) ---
***Other Description World Music Concert
Event Date 05/20/2023
Applicants Name ---
Contact Person ---
Email Address ---
Cell Phone ---
Day Phone ---
Billing Address ---

EVENT INFORMATION

Name of Supervisor/Vendor on Site ---
Supervisor / Vendor Phone Number +18579199369
Name of Second Supervisor on Site ---
Second Supervisor Phone Number +17817240752
Total Estimated Number of Participants 50
Estimated Number of ADULT Participants 50
Estimated Number of YOUTH Participants 0
Organization Type Chelsea Adult Organization - must have 80% Chelsea Residents, Other Adult Organization
Activity Community Use (please specify below)
Brief Description of Event ---
Special Requirements ---

First Preference For Event Date

Is this event happening on one date or multiple dates? ---

First preference: Single Date - Time

Date 2023-05-20
Total Time (ex. 2:00pm-6:00pm) ---
Set-up Time (ex. 2:00pm-3:00pm) ---
Total Event Time (ex. 3:00pm-5:30pm) ---
Breakdown Time (ex. 5:30pm-6:00pm) 3.30pm-4.30pm

Second Choice - Single Date

If your first choice date is not available, do you have a second choice? ---

Second Preference: One Date

Date ---
Total Time (ex. 2:00pm-6:00pm ---
Set-up Time (ex. 2:00pm-3:00pm) ---
Total Event Time (ex. 3:00pm-5:30pm) ---
Breakdown Time (5:30pm-6:00pm) ---
Facility (please see link above for park locations and descriptions) ---

Specialized Event

Does your event fall under one of these categories? Yes

Type of Event

Select which event type your request is for Street Performer/Micro Activity

Licensing Department and Inspectional Services Department

Are any of the following part of your event? None of these will be part of my event.

Department of Public Works

Will you require lighting? (Please call 617-466-4200 during business hours, and 617-828-7327 after hours).) ---
Will you require use of restrooms, if available? ---

Additional Information

Please list any additional Special Requirements ---

Requested Usage from City of Chelsea

Tables ---
Chairs ---
Electricity ---
Stage ---
First Review by Special Events Coordinator

Decide which Departments should review this application:

Should Inspectional Services review? No, no IS review needed.
Should Public Works review? Yes, Public Works review needed.