Licensing Department, City Of Chelsea, MA

Special Event Request 2024

May 02, 2024
submission #241
Application

EVENT INFORMATION

Event/Activity Name ECO outdoor Movie Night
Is this a 400th Event? No
Is this event approved by the 400th committee? No

CONTACT INFORMATION

Facility (See link to park locations and descriptions above) ---
***Other Description Movie night with inflatable projector.
Event Date May 13th, 2024
Applicants Name ---
Contact Person ---
Cell Phone ---
Email Address ---
Day Phone ---
Address ---
Name of Supervisor/Vendor on Site ---
Supervisor/Vendor Phone Number +16159395176
Name of Second Supervisor on Site ---
Second Supervisor Phone Number +18573126433
Total Estimated Number of Participants 20
Estimated Number of ADULT Participants 10
Estimated Number of YOUTH Participants 10
Organization Type Non Profit - may be asked to provide State Tax # or Federal EIN#
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 2024-05-13
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) 9:50-10:00 PM

Second Choice - Single Date

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

Specialized Event

Does your event fall under one of these categories? Yes

Type of Event

Select which event type your request is for Community Event

Licensing Department and Inspectional Services Department

Are any of the following part of your event? Food and beverages , Music, entertainment, or amplified sound on site, Machinery powered by gasoline, diesel, or electricity

Food and Beverage/ Fire Department and Licensing

Will food and beverages be: ---
Please specify all food and beverages that will be provided ---
Food Trucks No/No

Music and Entertainment: One Day Entertainment License Requirement

Please describe the type of music or entertainment to be provided: Inflatable Projector Projector

Machinery Detail

Please describe the machinery that will be used on site, including power source (gas, diesel, electricity) Inflatable Projector Projector

Department of Public Works

Will you require electricity? (Please call 617-466-4211 (during business hours) and 617-697-3913 (after hours).) ---

Additional Information

Please list any additional Special Requirements ---

Requested Usage from City of Chelsea

Tables ---
Chairs ---
Electricity ---
Stage ---