Licensing Department, City Of Chelsea, MA

Special Event Request 2024

Sep 19, 2024
submission #275
  • common victualer
Application

EVENT INFORMATION

Event/Activity Name Latin Heritage Festival
Is this a 400th Event? Yes/Si
Is this event approved by the 400th committee? Yes/Si

CONTACT INFORMATION

Facility (See link to park locations and descriptions above) ---
Event Date October 12, 2024
Applicants Name ---
Contact Person ---
Cell Phone ---
Email Address ---
Day Phone ---
Address ---
Name of Supervisor/Vendor on Site ---
Supervisor/Vendor Phone Number +16174664150
Name of Second Supervisor on Site ---
Second Supervisor Phone Number +16174664151
Total Estimated Number of Participants 100
Estimated Number of ADULT Participants 50
Estimated Number of YOUTH Participants 50
Organization Type City or School Use
Activity Community Use (please specify below)
Brief Description of Event ---

First Preference For Event Date

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

First preference: Single Date - Time

Date 2024-10-12
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) 8pm-9pm

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? No

Licensing Department and Inspectional Services Department

Are any of the following part of your event? More than 50 people in attendance, Food and beverages , Items will be for sale at event, Music, entertainment, or amplified sound on site, Stages or other temporary structures

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

Items for Sale - Detail

Please describe the items that will be available for sale at the event Food and 400th Merch
How will the items be offered for sale? (check all that apply) Organization hosting event will have items for sale, Vendors will be selling items

Music and Entertainment: One Day Entertainment License Requirement

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

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 ---
Indemnification/hold harmless/cleanup

Indemnification/Hold harmless/cleanup

The signatory shall be responsible for and shall indemnify and hold harmless the City of Chelsea from and against all damages, claims or demands that may, during the term of this license, arise by negligent or intentional acts of signatory or signatory's employees. I am responsible for any and all indemnity and hold harmless the City of Chelsea
If a permit is issued, I agree that my organization will leave the permitted area clean and orderly, and that all trash will be placed in trash receptacles. I agree to pick up and clean any trash caused by this event
I understand that I am completing a binding electronic signature when I submit this form constitutes a legal signature. Yes
Up Load Insurance policy/agreement
First Review by Special Events Coordinator

Decide which Departments should review this application:

Should Fire Department review? No RD review necessary.
Should Police Department review? No, no PD review needed.
Should Licensing review? No, no Licensing review needed.
Should Inspectional Services review? No, no IS review needed.
Should Public Works review? No, no PW review.
Should Traffic and Parking review ? No