Licensing Department, City Of Chelsea, MA

Special Event Request 2025

Jul 31, 2025
submission #348
Application

EVENT INFORMATION

Event/Activity Name Employee BBQ 2025

CONTACT INFORMATION

Facility (See link to park locations and descriptions above) ---
Event Date 8/21/2025
Applicants Name ---
Contact Person ---
Cell Phone ---
Email Address ---
Day Phone ---
Address ---
Name of Supervisor/Vendor on Site ---
Supervisor/Vendor Phone Number +16173207292
Name of Second Supervisor on Site ---
Second Supervisor Phone Number +18573434253
Total Estimated Number of Participants 300
Estimated Number of ADULT Participants 300
Estimated Number of YOUTH Participants 0
Organization Type City or School Use
Activity Private Party (please specify below), 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 2025-08-21
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) 2:00-4:00pm

Second Choice - Single Date

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

Second Preference: One Date

Date ---

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 , 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: We want to use DPW's sound system. The speaker and microphone. We want to play music in the background and pause in the middle for remarks.

Machinery Detail

Please describe the machinery that will be used on site, including power source (gas, diesel, electricity) Cookware: Grill: 6' Propane 1 Propane: 20 Lb Tank

Department of Public Works

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

Attachments

Please upload any attachments (proposed site plan) ---

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 Order to Abate Nuisance for 7 Perkins.docx
First Review by Special Events Coordinator

Decide which Departments should review this application:

Should Fire Department review? Yes, FD should review.
Should Police Department review? Yes, Police Department should review.
Should Licensing review? Yes, Licensing should review.
Should Inspectional Services review? Yes, Inspectional Services review.
Should Public Works review? Yes, Public Works review needed.
Should Traffic and Parking review ? Yes