HomeMy WebLinkAbout2018 Jan 17 - Registration - No Longer Rental **INSPECTION OF ALL UNITS ARE REQUIRED!**
Please call to schedule 508-398-2231, ext. 1240 �a�
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�.. �'� i 2018 RENTAL/LEASE REGISTRATION � �
� �� WN OF YARMOUTH — BOARD OF HEAL1� �'' ����� :���'��. � �
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1146 ROUTE 28, SOUTH YARMOUTH MA 02664
egister on line and SAVE $10 per unit @www.yarmouth.ma.us (Online Services)
ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums and
Room Rentals (in owner occupied dwellings). Excluding HoteUMotel, Inn, Lodging
House or Bed and Breakfast operations. (CHAPTER 108 — OCCUPANCY OF
BUILDINGS BYLAW). Note: Compliance with Zoning regulations is not inferred, nor
intended. �
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS
$80 PER RENTAL/LEASE UNIT. Complete this form and return to the Health
Office. Checks payable to: "TOWN OF YARMOUTH". For additional FORMS
AND/OR QUESTIONS, contact the HEALTH OFFICE AT 508-398-2231, x1240,
MON—FRI, 8:30 AM-4:30 PM. —OR- REGISTER ON LINE for $70 per unit.
Rental Property Address
Tenant(s) Name(s) (Required if Annual Rental) � Email and Phone #
Rental Agent (if any) Email and Phone #
Owner Name (Required Info) Email and Phone # (Required)
Mailing Address City/Town State ZIP
Rental Period: Annual , Seasonal (Winter-Summer), Weekly
Rental of: House Duplex Apartment Condominium Room
--Smoke Detectors and Carbon Monoxide Detectors Required—
Operable smoke and carbon monoxide detectors are required at each habitable level and in basements with
any appliances using fossil fuels (oil, gas, kerosene), including coal or wood stoves and enclosed or
attached garages. Owners: Have you ensured the batteries are changed, and have tested ALL your
Smoke Detectors/Carbon Monoxide Detectors?
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� " �, Signature
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PENALTIES — Late registration of more than 30 DAYS after receipt or violations of any
part of Chapter 108, may be subject to non-criminal citations issued as follows. Each day's
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violation deemed a separate offense. 1'` Offense $50.00 / 2"d Offense $100.00 / 3`d Offense
(and each additional) $200.00. This applies to any "OWNER", "AGENT" OR "TENANT"
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Trash Removal by: Owner Tenant Disposal w/Sticker at Landfill
Paid Pickup Name of Company
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Self Receipt for 2018 Rental Lease Registration for Your Records
$80 (Eighty Dollars) per Unit
Note: Please remove recycle bins from road after pick up day.
Rental Address Amount Paid Check #
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