HomeMy WebLinkAbout2021 Rental Registration Form**INSPECTION OF ALL UNITS ARE REQUIRED!**
Please call to schedule 508-398-2231, ext. 1240
2021 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH – BOARD OF HEALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums and Room Rentals (in owner occupied dwellings). Excluding Hotel/Motel, 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.
Rental Property Address
Tenant(s) Name(s) (Required if Annual Rental) Email or Phone #
Rental Agent (if any) Email or Phone #
Owner Name (Required Info) Email or 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?
Signature _______________________
(Required)
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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 violation
deemed a separate offense. 1st Offense $50.00 / 2nd Offense $100.00 / 3rd 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 _____
(Once a week minimum)
Paid Pickup____ Name of Company __________________________________________
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Self Receipt for 2021 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 #______
Rev. 09/21/20