Building Permit Request | Town of Beverly

Owner:*

Address:*

Street Address Address Line 2 City State ZIP Code

Phone:*

Building or Lot location:*

Address:*

Street Address Address Line 2 City State ZIP Code

Type of Improvement:*

New Structure (requires plans)
Addition (requires plans)
Repair

Describe work to be done:*

Is this a substantial Improvement?*

Yes
No

Total Cost of project or improvement:*

Will new utility hook-ups be required?*

Yes
No

Type of new utility hook-ups?*

Water
Sewer
Electric
Cable

Contractors Name, Address and License Number:

Applicants Signature:*

Date:*

Address:*

Street Address Address Line 2 City State ZIP Code

Phone:*

Email*

Sketch showing building dimensions and set back distances from all lot lines:

Drop files here or

Building Permit Fees

up to $1,000 = $15.00
over $1,000 = additional $10.00 per $1000

NOTE: A $50.00 penalty will be imposed for any project beginning before an approved permit is issued. Penalty will not be waived under any circumstances.