Town of Danvers, MA - Application Form

Town of Danvers, MA

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Pre Application

Application Form

Application Completion

Instructions

Please submit this form using any of the contact methods provided below.

Instructions

Purpose: Only vessels (12 ft. or less LOA) berthed at either the Town Marina or Pope’s Landing require this permit. Tender space is primarily reserved for securing moored vessel tenders.

Payment Methods:
Online (Credit Card): We encourage all applicants to use our online program to submit and pay for waterways permits. Online payments are made by credit card using Stripe.

Mail or in Person (Check, Money Order or Postal Note): If you prefer to pay by mail or in person, please complete the online application, print the summary page and send payment to: Danvers Harbormaster's Office, 8 Harbor St. Danvers, MA 01923. For mail or in person payments we will only accept money orders, postal notes or checks. Do not mail cash. Be sure to mail or deliver a copy of the permit summary page with your payment.

Permit Stickers: Upon receipt of payment, a permit sticker will be mailed to you within 5-10 business days. Permit stickers must be affixed inside transom of your tender prior to launching.

Boat Excise Tax: Permits will not be issued to boat owners who have not fully paid applicable boat excise taxes.

Fees: $85.00/season

Late Fees: All payments and signed returns not received by the due date for renewal of permits will be assessed a 15% late fee.

Provider Name

Town of Danvers- Harbormaster's Office

Provider Mailing Address

Christopher T. Sanborn, Harbormaster
8 Harbor St.
Danvers, MA 01923

Provider Phone

(978) 762-0210

Provider Email

harbormaster@danversma.gov

Application

Reference Number

KQVGJRHP

Application Status

Unknown

Application Phase

Other Public Access

Application Type

TENDER PERMIT

Registered Vessel Owner

First Name

Middle Name

Last Name

Date Of Birth

When entering the Date Of Birth manually, please enter it MM/DD/YYYY including the “/“.

Contact Information

Mailing Street

Mailing City

Mailing State

Mailing Zip

Home Address is same

Local Street Name

Home City

Home State

Home ZIP Code

Home Phone

Mobile Phone

Work Phone

Email Address

Emergency Contact

Emergency Contact Name

Emergency Contact Home Phone

Emergency Contact Other Phone

Vehicle Information

Drivers License Number

Drivers License State

Vessel

Reg or Doc #

Hull ID

Size

Length

feet

inches

Characteristics

Year Built

Vessel Make

Vessel Model

Vessel Color

Trim Color

Engine

Engine Make

Other

Use

Berth

Location

Marina/Yacht Club/Private Dock Location

Attachments

Attach a paper copy of each attachment listed below:



Boat Registration/Documentation
- If your vessel is state registered, attach an electronic copy of the registration. - If your vessel is documented with the USCG, attach an electronic copy of the current Certificate of Documentation.

Acceptance


Terms and Conditions	I, as owner of the above listed vessel hereby certify that all the information provided on this application is true and correct to the best of my knowledge. I understand that falsifying information on a permit application shall be grounds for refusal or forfeit of privileges and permit. I have read and understand the By-Laws, Rules and Regulations for Danvers Harbor and agree to abide by them. I have read and understand the Online Mooring User Terms and Conditions
Signature
Date

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